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MIAMI-DADE COUNTY HEALTH DEPARTMENT
PEOPLE LIVING WITH HIV OR AIDS THROUGH 2010
Legend
People Living w/HIV or AIDS
3 - 133
134 - 304
305 - 568
569 - 959
960 - 1994
Not Induded:
Homeless = 69
No ZIP code provided = 738
ZIP Code out of Miami = 1,648
Total Cases = 25,372
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Our vision is to eliminate disparities and
H I WA!DS PARTNERSHIP improve health outcomes for all people living
,_
with or at risk for HIV/ A.T.OS
2010 Annual Report: The HIV/AIDS Epidermic in Miami -Dade County
THEM I-D E HIV/AIDS PARTNERSHIP
The Partnership is the official County planning board for HIV/AIDS. Through committee meetings,
community forums, educational trainings, surveys and a comprehensive quality management program,
the Partnership obtains input on community needs, sets priorities and allocates Ryan White Part A
and Minority AIDS Initiative (MAI) funds in Miami -Dade County.
In 2010, more than $24 million were allocated to Miami -Dade County in Part A and MAI funds which
provided services to more than 9,600 residents living with HIV/AIDS.
ACCOMPLISHMENTS
IN 2010, THE PARTNERSHIP
•. Completed an annual needs assessment, including review of epidemiological, utilization and cost
data, and analysis of unmet needs of PLWHA in the County.
• Made recommendations for prioritizing services and allocating An estimated 2,964 people
more than $24 million in Ryan White Program funds for HIV/ in Miami -Dade County are
AIDS services.
Worked with the Miami -Dade .County Office of Grants flIV positive and unaware
• Coordination throughout the year to assure allocated funds were of their status
spent in accordance with Federal policy and distributed to the
areas of greatest need.
• Drafted a community response in protest to the Florida AIDS Drug Assistance Program (ADAP)
implementation of a statewide waitlist.
• Worked with the City of Miami Housing Opportunities for People With AIDS (HOPWA) Program to
promote Long Term Rental Assistance and Project -Based housing opportunities, explore other
housing options and increase community collaboration.
• Coordinated efforts with the Florida Department of Corrections to ensure HIV -positive persons
released from jails and prisons are connected to care.
• Monitored and guided the Miami -Dade 2009-2011 Comprehensive Plan for HIV/AIDS objectives.
• Ensured representation at a variety of state and local events, including local World AIDS Day,
National Black HIV/AIDS Awareness Day and National Latino HIV/AIDS Awareness Day events,
and the 2010 Ryan White Program Grantee Meeting in Washington, DC and 2010 U.S. Conference
on AIDS in Orlando, FL.
Miami -Dade County has
the highest HIV/AIDS
infection rate in the
state of Florida
• Continued active membership in the Florida Comprehensive
Planning Network Patient Care Planning Group.
• Collaborated efforts with Faith -Based Community Leaders
• In 2009, made recommendations to the MDC Commissioners that
were incorporated into Resolution No. R-303-09, urging the Obama
Administration to establish a National HIV/AIDS Strategy.
HOW YOU CAN HELP
• Support reauthorization and increased funding for the Ryan White Program, Parts A, B, C,.D and F
and Minority AIDS Initiative funding.
• Support continued and -increased funding for the State AIDS Drug Assistance Program (ADAP).
Support continued and increased funding for the AIDS Insurance Continuation (AICP) Program.
•,; Support increased funding for. the Housing Opportunities for People With AIDS (HOPWA) Program •
-'and.other housing dedicated to People Living With HIV/AIDS.
• Monitor: Florida legislative changes to Medicaid and other safety net programs.
• Support legislation that -addresses the three main goals of the National HIV/AIDS Strategy:
Reducing the number of people who become infected with HIV; Increasing access to care and
-,optimizing health outcomes for people living with HIV; and Reducing HIV -related health disparities.
2010 Annual Report: The HIV/AIDS Epidemic in Miami -Dade County
HIV/AIDS in FLORIDA
97,978 Floridians are People Living With HIV/
AIDS (PLWHA)
• 48,000 African American • 68,464 Male
• 19,190 Hispanic
• 29,213 White
• 1,575 Other
• 29,514 Female
Li T/AI rS in MUNI- AIDE
25,422 Miami -Dade County residents are
PLWHA
• 11,960
• 9,975
• 3,146
• 341
African American • 18,027 Male
Hispanic • 7,395 Female
White
Other
The HIV/AIDS epidemic disproportionately affects minority populations throughout
the nation, and especially in Miami -Dade County
CHALLENGES
HIGH RATES of INFECTION
#1
#1
#1
#1
#1
2004-2006 nationwide ranking in the rate of reported AIDS cases
2007 nationwide ranking in number of persons living with HIV
2008 nationwide ranking in the rate of new AIDS diagnoses
2009 ranking of Miami -Dade County for number of HIV and AIDS cases in Florida
Largest ADAP waitlist in the Country
21% Of Floridians living with HIV/AIDS live in Miami -Dade County
65% Of Miami -Dade County's general population are Hispanic
40% Of Miami -Dade County's HIV -positive population are Hispanic
19% Of Miami -Dade County's general population are African American
49% Of Miami -Dade County's HIV -positive population are African American or Haitian
29% Of Miami -Dade County's HIV/AIDS population are women
71% Of HIV -positive women in Miami -Dade County are African American or Haitian
POVERTY
18% Estimated percent of County residents living below the Federal Poverty Level
71% Percent of local Ryan White Program clients living at or below 135% of FPL
LACK of AFFORDABLE HOUSING
150 Approximate number of PLHWA on the HOPWA waitlist since July 2010
20% Estimated percent of Florida homeless population who are HIV -positive
9,000 Additional housing units needed for PLHWA
HIGH COST of MEDICAL CARE
4,106 Number of PLWHA on the Florida AIDS Drug Assistance Program (ADAP) waitlist
(as of 10/05/11)
$30.5 Approximate dollars (in millions) received locally in AIDS Drug Assistance Program funding
21% National estimate of uninsured PLWHA
65%_ Miami -Dade Countyestimate of Ryan White Program clients who are uninsured
$24 Ryan White Part A Program funding (in millions) spent locally in Fiscal Year 2010
LEARN .MORE
For -more information, please contact: Behavioral Science Research, 2121 Ponce de Leon Boulevard,
Siiite-250,-Coral Gables, FL 33134 • Phone: 305-445-1076 • Fax: 305-448-332
Email: hiv-aidsinfo@behavioralscience.com Website: www.aidsnet.org
2010 Annual Report: The IHIV/AIDS Epidemic in Miami -Dade County
HIV/AIDS in YOUR
NEIGH : ORIIOOD
Following are the top ranked zip codes and
Commission Districts of the more than 25,000
PLWHA in Miami -Dade County.
1
33139
2,073
5
Bruno A. Barreiro
2
33147
1,277
2
Jean Monestime
3
33142
1,253
3
Audrey Edmonson
4
33161
925
2
Jean Monestime
5
33138
877
3
Audrey Edmonson
6
33127
869
3
Audrey Edmonson
7
33137
844
3
Audrey Edmonson
8
33150
732
3
Audrey Edmonson
9
33136
687
3
Audrey Edmonson
10
33141
551
4
Sally A. Heyman
11
33054
508
1
Barbara J. Jordan
12
33125
497
5
Bruno A. Barreiro
13
33162
471
2
Jean Monestime
14
33169
445
1
Barbara J. Jordan
15
33056
436
1
Barbara J. Jordan
16
33168
429
2
Jean Monestime
17
33133
371
7
Xavier L. Suarez
18
33055
357
1
Barbara J. Jordan
19
33030
354
8
Lynda Bell
20
33157
338
8
Lynda Bell
21
33167
335
2
Jean Monestime
22
33132
325 •
3
Audrey Edmonson
23
33140
293
4
Sally A. Heyman
24
33135
285
5
Bruno A. Barreiro
25
33130
277
5
Bruno A. Barreiro
COMMUNITY INVOLVEMENT
Partnership members represent.a broad range of
community advocates, including:
• People living with HIV/AIDS, caregivers and
concerned citizens
• Representatives of County, State and Federal
`funding sources
• 'Mental health; substance abuse, homeless and
social service providers
• `Prevention program'representatives
• 'Doctors,, dentists & other medical_professionals
• Faith -based community leaders
NEI SCIENCE MIAMIDADE,.
RESEARCH .,,:
SERVICES
The Ryan White Program network offers a
comprehensive array of services throughout
the County.
Ryan White Program Services
• Outpatient Medical Care
• Oral Health Care
• Prescription Drugs
• Medical Case Management
• Mental Health Therapy & Psychosocial
Counseling
• Residential and Outpatient Substance
Abuse Treatment
• Food Bank and Home Delivered Meals
• Outreach
• Legal Assistance
• Insurance Services
• Transportation Vouchers and Vans
Other Services
• HIV Counseling and Testing
• AIDS Drug Assistance Program Pre -
Screening and Pharmacy
• AIDS Insurance Continuation Program
Enrollment
COORDINATION of SERVICES
The Partnership and Ryan White Program
work with these entities to reduce duplication
of services, maximize limited resources and
provide the highest quality of care to People
Living With HIV/AIDS.
• State AIDS Drug Assistance Program (ADAP)
• State General Revenue
• Housing Opportunities for Persons with
AIDS (HOPWA) / City of Miami
• Department of Children and Families
• Medicaid and Medicare
• CDC Prevention Programs
• State Child Health Insurance Program
(SCHIP)
• Veterans Administration Programs
• Services for Women and Children
• Florida/CaribbeanAIDS Education and
Training Center (AETC)
= Florida Department of Corrections
• Faith -Based Community Agencies
Ryan White Program Part A and MAI funds are awarded to
the Mayor of Miami -Dade County and administered by the
MDC Office of Management and Budget -Grants Coordination
2010 Annual Report: The HIV/AIDS Epidemic in Miami -Dade County
f1 W/AI DS in the City of M iarrri
1
5,354
Wilfredo Gort
2
1,541
Mark Sarnoff
3
295
Frank Carollo
4
653
Francis Suarez
5
2,878
Michelle Spence -Jones
CITY OF MIAMI
COMMISSION `DISTRICTS
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