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Read Now: News and Research From ICAAC 2014

Cost-Effectiveness Analysis of HIV/AIDS Prevention Interventions

January 5, 2012

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HIV Prevention Data

Annual Cost of HIV by State

We estimated the annual cost of HIV by state based on the number of new HIV diagnoses in each state, multiplied by the lifetime treatment cost discounted to the time of infection for each new case (Table 1). Our cost estimates assume that a diagnosis occurs within the same year as infection, and thus an individual incurs treatment costs over many years. The states with highest number of new diagnoses in 2009, and thus the greatest financial burden, were Florida, California, New York, and Texas. In all, the total lifetime treatment cost for HIV based on new diagnoses in 2009 was estimated to be $16 billion.


Table 1: State-Specific Costs From New Diagnoses of HIV Infection in 2009 -- United States and 5 U.S. Dependent Areas
State Nb. of New Diagnosesa Total Lifetime Treatment Costb
(in million)
Alabama 690 $253
Alaska 21 $8
Arizona 653 $240
Arkansas 214 $79
California 4,886 $1,794
Colorado 391 $144
Connecticut 366 $134
Delaware 168 $62
District of Columbia 713 $262
Florida 5,775 $2,120
Georgia 2,073 $761
Hawaii 70 $26
Idaho 42 $15
Illinois 1,708 $627
Indiana 483 $177
Iowa 125 $46
Kansas 150 $55
Kentucky 361 $133
Louisiana 1,247 $458
Maine 57 $21
Maryland 1,400 $514
Massachusetts 484 $178
Michigan 827 $304
Minnesota 393 $144
Mississippi 559 $205
Missouri 547 $201
Montana 30 $11
Nebraska 105 $39
Nevada 386 $142
New Hampshire 43 $16
New Jersey 1,252 $460
New Mexico 170 $62
New York 4,649 $1,707
North Carolina 1,719 $631
North Dakota 14 $5
Ohio 1,144 $420
Oklahoma 297 $109
Oregon 235 $86
Pennsylvania 1,736 $637
Rhode Island 123 $45
South Carolina 789 $290
South Dakota 23 $8
Tennessee 999 $367
Texas 4,291 $1,575
Utah 125 $46
Vermont 11 $4
Virginia 997 $366
Washington 557 $204
West Virginia 80 $29
Wisconsin 305 $112
Wyoming 19 $7
Subotal 44,502 $16,338
U.S. Dependent Areas
American Samoa0$0
Guam3$1
Northern Mariana Islands1$0
Puerto Rico671$246
U.S. Virgin Islands25$9
Subtotal700$257
Total45,202$16,595

aSource: CDC HIV Surveillance Report 2009, Vol 21. Note that the numbers of new diagnoses listed in this table do not adjust for reporting delay, and thus are likely underestimated.

bTotal cost = Nb. of new diagnoses* Lifetime treatment cost per person
Life treatment cost per person=$367,134 (in 2009 dollars)
Source: Schackman BR, Gebo KA, Walensky RP, et al. The lifetime cost of current human immuno-deficiency virus care in the United States. Medical Care 2006; 44: 990-997.


Savings From Prevention Efforts

Farnham et al. (2010) measured the value of HIV prevention efforts in the United States by comparing the difference between the number of infections that have occurred with the number that might have occurred in the absence of prevention programs. Combined with estimates of lifetime treatment costs4 (2009 dollars), the study estimated the medical savings from infections averted by U.S. prevention programs from 1991-2006 to be $129.9 billion with 361,878 HIV infections averted.26

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This article was provided by U.S. Centers for Disease Control and Prevention. Visit the CDC's website to find out more about their activities, publications and services.
 

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