Thursday, November 21, 2024
11/21/2024
Laying a Foundation for Getting to Zero: California’s Integrated HIV Surveillance, Prevention, and Care Plan (2016) established an ambitious vision for the state: zero new human immunodeficiency virus (HIV) infections, zero acquired immunodeficiency syndrome (AIDS)-related deaths, and zero stigma and discrimination against people living with HIV (PLWH). The California Department of Public Health Office of AIDS (CDPH OA) updated and released the expanded 2022-2026 Integrated Statewide Strategic Plan entitled Ending the Epidemics: Addressing HIV, Hepatitis C Virus (HCV), and Sexually Transmitted Infections (STIs) in California. This plan and framework challenges California to make a paradigm shift to focus on social determinants of health, enhancing the way we address HIV as a syndemic with HCV, and STI prevention, care, and treatment in California, and establishes an ambitious vision for the state: zero new HIV, STI, and HCV infections, zero HIV-related deaths, zero people with HIV, HCV, or STIs unable to access treatment, zero congenital syphilis transmissions, and zero stigma for any of these diseases. The plan makes significant emphasis on centering equity and racial justice in our work to eliminate health inequities among those most affected by HIV, HCV, and STIs in California. The Ryan White HIV/AIDS Program (RWHAP) Part B State/Territories Supplemental (X08) funding will help California achieve this vision by enhancing and expanding HIV care and treatment services for PLWH. The RWHAP X08 funding will allow CDPH OA to provide low-income PLWH with access to their life-saving antiretroviral (ARV) medications via the AIDS Drug Assistance Program (ADAP). By having the ability to provide access to ARVs. CDPH OA will ensure PLWH are able to preserve their health, achieve viral suppression, and prevent HIV transmission, ultimately supporting the HIV Care Continuum. HIV Epidemic in California: As of December 31, 2023, there were 142,772 persons living with diagnosed HIV in California. Most living cases were male (86.2%). Most of the population diagnosed with HIV was 50 years old or older (55.7%); 24.9% were 20 to 39 years old, and 0.3% were under 20 years of age. Non-Hispanic Whites accounted for 34.1%of HIV cases; 40.7% were Latinx, 16.4%were African American, 4.4%were Asian, 0.2% were American Indian/Alaska Native, 0.2% were Islander, and 4.0%reported multiple races. The majority (54.5%) of newly diagnosed HIV cases in California reported their primary risk factor as male-to-male sexual contact (MMSC); 4.8%reported only injection drug use (IDU); and 3.3%reported both MMSC and IDU. 4.1%reported heterosexual contact with persons at high risk for HIV, 15.5% reported heterosexual contact with persons not at high risk for HIV, 14.3% of cases were due to perinatal exposure, unknown risk, or other. Nine counties and one city health jurisdiction reported at least 3,500 persons living with HIV: Los Angeles (52,563), San Diego (14,438), San Francisco (11,828), Riverside (11,065), Orange (7,728), Alameda (6,239), San Bernardino (5,466) Sacramento (4,854), Long Beach city (4,088), and Santa Clara (3,935). Eight of these counties are also identified in the Ending the HIV Epidemic: A Plan for America as being among the 57 counties with the highest burden in the nation.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
