The Kentucky (KY) Department for Public Health (KDPH) will align Core Prevention (CP), Ending the HIV Epidemic (EHE), Surveillance, and Ryan White Services to achieve the goals detailed in the National HIV/AIDS Strategy 2022-2025. Since 1982, a total of 12,418 Kentuckians have been diagnosed with HIV disease based on residence at the time of diagnosis as of December 31, 2023. During 2022, based on received surveillance data, there were 8,830 persons living in Kentucky with a diagnosis of HIV. Of these, 6,140 persons have evidence of receiving HIV medical care and 2,690 have no evidence of receiving medical care. As of April 15, 2024, there is no evidence of medical care for 1,886 diagnosed patients living in Kentucky. Viral suppression for persons with HIV living in Kentucky has increased from 54% in 2018 to 60% in 2022. During the last ten years, new diagnoses through emergency departments have increased from zero in 2014, three in 2015, to 45 in 2022, and 42 in 2023. For the last five years, concurrent diagnoses have decreased from 22.8% in 2018 to 21.2% in 2022. During the same time frame, late testers have decreased from 30.4% in 2018 to 26.2% in 2022. Total new case reports, as of April 15, 2024, show for the following years: 379 cases in 2018, 334 cases in 2019, 303 cases in 2020, 394 cases in 2021, 404 cases in 2022, and 394 cases in 2023.
To address the six strategies outlined in PS24-0047 including the four EHE pillars, KY is implementing a whole person, multi-pronged approach to expand services over the next five years. Activities include multiple media campaigns; expanded outreach with community partners and community members with lived experience; sustained focused approach to HIV testing (targeted and self-testing) in priority populations; continued Surveillance and cluster detection and response (CDR) efforts; a redesign of the current linkage navigator program; and collaboration with community partners with a shared goal to end the HIV epidemic by 2030. This will ensure that people at risk for HIV infection know their sero-status sooner, promote pre-exposure prophylaxis (PrEP) to ensure that persons who are HIV-negative and at risk remain uninfected, and support people with HIV to reach viral suppression and remain engaged in care.