Twice the Percentage of People With HIV are Virally Suppressed in San Francisco Compared to U.S.

Last month, the San Francisco Department of Public Health (SFDPH) released the annual HIV Epidemiology annual report with data through December 31, 2014. The report gives an in-depth look at the state of HIV in our city -- including new diagnoses, rates of viral suppression, characteristics of people with HIV, and how our city stacks up against the rest of the country. Here's a brief summary of some trends the report revealed (read the full report here).

The total number of new infections declined, but rates stayed stable in some populations

In 2014, a total of 302 people were diagnosed with HIV (90 were people who lived outside of the city at the time they were diagnosed). This is a decline from 371 diagnosed in 2013.

SFDPH also estimated the total number of people infected up to 2013, which includes people who were infected but are unaware of their status. "There were no large decreases or increases in HIV incidence over the last several years," according to the report, with an estimated 358 new transmissions occurring in 2013 compared to 356 in 2010, 427 in 2011, and 447 in 2012.

The number of white and African-American people infected with HIV has declined in the last few years, while the number of new cases among Latinos and Asian/Pacific Islanders remained stable.

The number of people living with HIV continues to climb

Continuing HIV transmission combined with better treatment and care options means that the number of people living with HIV is rising. At the end of 2014, there were 15,979 San Franciscans living with HIV -- an increase from 15,854 in 2013.

_Gains made in care and viral suppression outcomes, with San Francisco still outperforming the U.S.  _

Among people diagnosed with HIV in 2013, 83% were linked to care within three months, 70% were retained in care for three to nine months, and 67% were virally suppressed a year after diagnosis. These rates are similar to those reported for previous years with the exception of viral suppression rates, which rose significantly from 57% in 2010. Transgender women, African-American and Latino men and women, and people between the ages of 13-24 and 25-29 had lower rates of viral suppression than people of other demographics.

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