How Washington DC Metro Ranks in New HIV Cases

WASHINGTON, D.C. — The rate of new HIV cases reported in the Washington, D.C., region remained flat in 2015, compared to the year earlier. Nationally, there's a decrease in new cases, according to figures released this week by the Centers for Disease Control.

D.C. ranks 12th among metro areas when comparing new HIV cases with a rate of 21.5 new diagnoses for every 100,000 residents. That's much higher than the national rate of 12.3.

There were 1,308 new HIV cases reported in the D.C. metro area in 2015, up slightly from 1,304 a year earlier. There are more than 19,500 living with HIV in the region, which includes the District and 17 counties in three states. That includes Patch communities in Montgomery and Prince George's counties in Maryland. In Virginia, it includes cities and communities in and around Arlington, Fairfax, Loudoun, Prince William, Spotsylvania and Stafford counties, among others.

Statewide, Virginia had 957 new diagnoses of HIV in 2015, at a rate of 11.4 for every 100,000 residents. Maryland reported, 1,348 new cases, a rate of 22.4. For both states, that was a slight increase over 2015. The District actually saw a decrease in reports of new diagnoses: down from 424 to 383 in 2015.

The data comes from the federal "HIV Surveillance Report," with the number of new cases and overall infection rates collected nationwide. The CDC notes that the latest data compiled for 2015 is preliminary and may not include some delayed reports. Final 2015 numbers will be released next year.

Across the U.S., new HIV cases continues to decline, down to 39,513 in 2015, compared to more than 49,000 in 2008. Sixteen states saw an increase in the rate of new diagnoses in 2015. Louisiana saw a significant drop in new diagnoses but still had the highest rate — slightly ahead of Florida with 24.2 new cases for every 100,000 residents.

Dec. 1, 2016, is World Aids Day, an annual international effort to increases awareness about safe practices that prevent HIV infection and how to support those with the disease. AIDS.gov provides a national locator for health centers that provide HIV testing.

The highest rate of HIV diagnosis among metropolitan areas is in Miami. The metro area — which includes Fort Lauderdale and West Palm Beach — had a rate of nearly 39 new HIV cases for every 100,000 residents. Along with Miami, other metro areas with a higher rate of infection include Louisiana's Baton Rouge and New Orleans, followed by Jackson, Mississippi, and Atlanta.

HIV and AIDS cases are generally concentrated in urban areas and, therefore, in states with large metropolitan regions. But in the South, larger percentages of diagnoses are in smaller metro areas and suburban and rural areas, according to the CDC.

Here are the 30 metro areas that had the highest rate of new HIV cases in 2015 (the rate is per 100,000 residents):

1. Miami–Fort Lauderdale–West Palm Beach, FL: 38.8
2. Baton Rouge, LA: 32.0
3. New Orleans–Metairie, LA: 31.9
4. Jackson, MS: 31.3
5. Atlanta–Sandy Springs–Roswell, GA: 25.8
6. Orlando–Kissimmee–Sanford, FL: 25.7
7. Louisville/Jefferson County, KY–IN: 24.5
8. Memphis, TN–MS–AR: 23.1
9. Jacksonville, FL: 22.7
10. Baltimore–Columbia–Towson, MD: 22.1
11. Houston–The Woodlands–Sugar Land, TX: 22.1
12. Washington–Arlington–Alexandria, DC–VA–MD–WV: 21.5
13. Columbia, SC: 21.1
14. Las Vegas–Henderson–Paradise, NV: 20.9
15. Tampa–St. Petersburg–Clearwater, FL: 20.1
16. Augusta–Richmond County, GA–SC: 18.6
17. Dallas–Fort Worth–Arlington, TX: 18.0 17
18. New York–Newark–Jersey City, NY–NJ–PA: 17.8
19. Richmond, VA: 17.7 19
20. Greensboro–High Point, NC: 17.3 20
21. San Juan–Carolina–Caguas, PR: 17.0 21
22. Austin–Round Rock, TX: 16.8 22
23. Virginia Beach–Norfolk–Newport News, VA–NC: 16.6 23
24. Lakeland–Winter Haven, FL: 16.6
25. Charlotte–Concord–Gastonia, NC–SC: 16.5
26. Los Angeles–Long Beach–Anaheim, CA: 16.5
27. San Antonio–New Braunfels, TX: 16.2
28. Little Rock–North Little Rock–Conway, AR: 16.0
29. Durham–Chapel Hill, NC: 15.7
30. Charleston–North Charleston, SC: 15.7

Drug Use and HIV Diagnosis

Also this week, federal officials expressed concern about infections among drug users who inject heroin and other narcotics. HIV cases among minorities injecting drugs dropped by 50 percent between 2008 and 2014, but new infections among white injected drug users dropped by only 28 percent.

One possible cause may be the continued use of shared needles among white drug users, according to the CDC report. It also notes that the rate of injected drug use has increased dramatically among whites — up 114 percent in recent years.

The new data was shared in an effort to support Syringe Services Programs that can provide clean needles, along with services that include substance abuse counseling, disease testing and overdose response training.

Image via NIAID