The HIV infection rate for heterosexual African American women in the District’s poorest neighborhoods nearly doubled in two years, from 6.3 percent to 12.1 percent, according to a study released Wednesday by the D.C. Department of Health.
The large increase reflects wider testing of people who were previously unaware of their status and possibly a still-rising rate of new infections in that high-risk group, officials said.
The disease remains at epidemic levels in Washington. In releasing the study, District health officials announced new recommendations for doctors and other health-care providers to start treatment immediately for all people newly diagnosed with HIV instead of waiting for evidence that someone’s immune system has been severely damaged.
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The annual snapshot also gives a more accurate picture than in previous reports for the number of people living with HIV or AIDS because of an improved tracking system that eliminates duplication. There were 14,465 people, or about 2.7 percent of District residents older than 12, who were living with HIV or AIDS in 2010, the year covered in the report. That prevalence rate — the total percentage of people in a population with the condition or disease at a given time — is among the highest for any U.S. city.
Unlike other cities where the at-risk population might be concentrated among intravenous drug users or men who have sex with men, Washington has a very “mixed epidemic,” with a huge burden falling on heterosexual African Americans. Officials said 90 percent of all women with HIV are black. Pappas estimated that 20 percent to 30 percent of the District’s HIV-positive population “is probably walking around infected and don’t know it,” he said.
Other experts said the findings of the study were worrying.
“While recognizing the limitations of a sample-based study, it seems the HIV epidemic among heterosexuals may be more significant than the previous study estimated,” said Michael Rhein, senior vice president at the Institute for Public Health Innovation, a nonprofit group that coordinates several regional programs supporting people with HIV/AIDS.
He called the new rates alarming. In the worst scenario, he said, they reflect “a true increase in the HIV rate among heterosexuals and women living in areas of concentrated poverty.”
In D.C., HIV infection rate nearly doubles for some poor black women - The Washington Post
Men and women...be careful out there.