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Enhanced Surveillance of Persons with Early and Late HIV Diagnosis to Understand System and Individual Factors Associated with new Infection and Delayed Testing

Award Number: NU62PS924788
ORGANIZATION: NATIONAL CENTER FOR PREVENTION SERVICES
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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In 2019, Florida ranked first for new diagnoses and third for new HIV diagnosis rates per 100,000 population in the United States (including the District of Columbia). Among people with HIV (PWH) in Florida, 5.8 percent of diagnoses were early, and 20.7 percent were late. Data shows that many of these cases were classified as stage 0 (5.8%) or stage 3 (20.7%). HIV infections are classified as stage 0 if the first positive HIV test was within 6 months of a negative HIV test and HIV infections are classified as stage 3 (AIDS) by the presence of an AIDS-defining infection or by the lowest CD4 lymphocyte test. The Florida Department of Health is a current recipient of CDC Medical Monitoring Project (MMP) funding and has been so for the past decade. This provides a working knowledge of MMP as well as an established relationship working with CDC on MMP projects. FDOH plans on leveraging this current understanding and knowledge of the current MMP project successfully implement the surveillance of stage 0 and stage 3 persons. By the end of the first year for the Florida Medical Monitoring Project (MMP) cycle, the FDOH expects to achieve an enhanced capacity to improve surveillance for people with a recent diagnosis at stage 0 or stage 3 and to increase access to HIV care linkage, retention services, and ancillary services for people with a recent diagnosis at stage 0 or stage 3. By the end of the 5-year period, FDOH will use the data obtained through this grant to increase the knowledge among HIV prevention and care programs about individual and systems-level factors that contribute to testing and prevention barriers among people recently diagnosed at stage 0 or stage 3. FDOH intends to use the data collected from this project to identify actionable, missed opportunities of HIV prevention and treatment interventions in Florida to improve outcomes among persons with early (stage 0) or late (stage 3). Persons who received a diagnosis at stage 0 (early) were able to access HIV testing shortly after infection yet were unable to benefit from biomedical and behavioral interventions to prevent HIV infection. Thus, we want to be able identify persons as soon as possible but we also want to be able to identify those prevention missed opportunities. Persons with stage 3 infection at the time of their diagnosis did not benefit from timely receipt of testing or HIV prevention interventions and were likely unaware of their infection for a substantial length of time. The data from this enhanced surveillance project will help to improve understanding of the individual and systems barriers that contributed to prevention and testing failures and to enhance efforts to improve outcomes in these key groups.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = $200,000 )
2024	2024	FLORIDA DEPARTMENT OF HEALTH	4052 BALD CYPRESS WAY	TALLAHASSEE	FL	32399	LEON	USA	Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Virus Syndrome (AIDS) Surveillance	00	3	7/17/2024	NON-COMPETING CONTINUATION	$200,000
2024	2024	FLORIDA DEPARTMENT OF HEALTH	4052 BALD CYPRESS WAY	TALLAHASSEE	FL	32399	LEON	USA	Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Virus Syndrome (AIDS) Surveillance	01	3	8/27/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2023	FLORIDA DEPARTMENT OF HEALTH	4052 BALD CYPRESS WAY	TALLAHASSEE	FL	32399	LEON	USA	Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Virus Syndrome (AIDS) Surveillance	00	3	7/17/2024	NON-COMPETING CONTINUATION	$0
2024	2023	FLORIDA DEPARTMENT OF HEALTH	4052 BALD CYPRESS WAY	TALLAHASSEE	FL	32399	LEON	USA	Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Virus Syndrome (AIDS) Surveillance	01	3	8/27/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2024	2022	FLORIDA DEPARTMENT OF HEALTH	4052 BALD CYPRESS WAY	TALLAHASSEE	FL	32399	LEON	USA	Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Virus Syndrome (AIDS) Surveillance	00	3	7/17/2024	NON-COMPETING CONTINUATION	$0
2024	2022	FLORIDA DEPARTMENT OF HEALTH	4052 BALD CYPRESS WAY	TALLAHASSEE	FL	32399	LEON	USA	Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Virus Syndrome (AIDS) Surveillance	01	3	8/27/2024	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $200,000

Issue Date FY: 2023 ( Subtotal = $200,000 )
2023	2023	HEALTH, FLORIDA DEPARTMENT OF	4052 Bald Cypress Way B-20 B02 Rm 3330 G-A	Tallahassee	FL	32399	LEON	USA	Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Virus Syndrome (AIDS) Surveillance	00	2	6/30/2023	NON-COMPETING CONTINUATION	$200,000
2023	2022	HEALTH, FLORIDA DEPARTMENT OF	4052 Bald Cypress Way B-20 B02 Rm 3330 G-A	Tallahassee	FL	32399	LEON	USA	Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Virus Syndrome (AIDS) Surveillance	00	2	6/30/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $200,000

Issue Date FY: 2022 ( Subtotal = $200,000 )
2022	2022	Health, Florida Department of	780 SW 24th Street	Fort Lauderdale	FL	33315	BROWARD	USA	Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Virus Syndrome (AIDS) Surveillance	00	1	7/20/2022	NEW	$200,000
														Subtotal = $200,000

Grand Total All Awards = $600,000

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Enhanced Surveillance of Persons with Early and Late HIV Diagnosis to Understand System and Individual Factors Associated with new Infection and Delayed Testing

Award Number: NU62PS924788

ORGANIZATION: NATIONAL CENTER FOR PREVENTION SERVICES

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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