January 5, 2012
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
|District of Columbia||713||$262|
|U.S. Dependent Areas|
|Northern Mariana Islands||1||$0|
|U.S. Virgin Islands||25||$9|
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
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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