2016 epidemiology report - King County

assistance); Teal Bell, Amy Bennett, Richard Burt, Jason Carr, Katelynne Gardner ... Local health department officials forward case reports to the Department of ... For further information about HIV/AIDS reporting requirements, please call your ...
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Washington State / Seattle-King County HIV/AIDS Epidemiology Report This 85th edition of the HIV/AIDS Epidemiology Report includes data available through the end of June 2016. This report is produced jointly by Public Health – Seattle & King County and the Infectious Disease Assessment Unit, Washington State Department of Health. It is funded partly by a Centers for Disease Control and Prevention cooperative agreement for HIV/AIDS surveillance. We thank the medical providers caring for people with HIV/ AIDS and the clinics and patients participating in epidemiologic projects. Their cooperation with public health department HIV/AIDS control efforts permits the collection of data included in this report – data which are used for further prevention and planning efforts. We also wish to acknowledge the outstanding assistance of our staff, including Edith Allen, Winnie Alston, Chelsey Kassa, Christy Johnson, Lexa Moongrace, Allison Moore, Rachel Patrick, Shana Patterson, Michelle Perry, and Ariel VanZandt (disease investigation); Sandy Hitchcock (data entry and quality assurance); Leslie Pringle, Luke Syphard, and Shirley Zhang (data management); Jocelyn Castillo (graphics assistance); Teal Bell, Amy Bennett, Richard Burt, Jason Carr, Katelynne Gardner Toren, Julia Hood, Amanda Jones, Claire LaSee, Weiyi Li, Jen Reuer and Christina Thibault (epidemiologists); Julie Dombrowski, Lindley Barbee, David Katz, and Amanda Jones (peer reviewers); and especially Bill Johnson for desktop publishing this report.

HIV/AIDS Epidemiology Report Co-Editors: HIV/AIDS Epidemiology Program

Infectious Disease Assessment Unit

Susan Buskin, PhD, MPH, Senior Epidemiologist, PHSKC HIV/AIDS Epidemiology

Tom Jaenicke, MPH, MBA, MES Section Manager/Senior Epidemiologist Washington State Department of Health PO Box 47838, Olympia, WA 98504-7838

Sara Glick, PhD, MPH, Senior Research Scientist, 401 5th Avenue, Suite 1250, Seattle, WA 98104

Contributors to this Issue Washington State Department of Health

University of Washington

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Public Health – Seattle & King County ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡ ‡




Cover photo: Lisa Sokanoff

HIV/AIDS Epidemiology Report 201

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HIV/AIDS Reporting Requirements Detailed requirements for reporting of communicable diseases including HIV/AIDS are described in the Washington Administrative Code (WAC), section 246-101 (http://apps.leg.wa.gov/WAC/default.aspx?cite=246-101). Washington health care providers are required to report all HIV infections, regardless of the date of the patient’s initial diagnosis, to the health department. Providers are also required to report new diagnoses of AIDS in a person SUHYLRXVO\GLDJQRVHGZLWK+,9LQIHFWLRQ/RFDOKHDOWKGHSDUWPHQWRI¿FLDOVIRUZDUGFDVHUHSRUWVWRWKH'HSDUWPHQWRI Health. Names are never sent to the federal government. Laboratories are required to report evidence of HIV infection (i.e., positive western blot assays, p24 antigen detection, viral culture, and nucleic acid detection), all HIV viral load tests (detectable or not), and all CD4 counts in the setting of HIV infection. If the laboratory cannot distinguish tests, such as CD4 counts, done due to HIV versus other diseases (such as cancer), the CD4 counts should be reported and the health department will investigate. However, laboratory reporting does not relieve health care providers of their duty to report, as most of the critical information necessary for