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    Posted: Dec 10 2012 at 8:49am

Epi Data Brief

Geographic Co-occurrence of HIV/AIDS, Viral Hepatitis, Sexually Transmitted Diseases and Tuberculosis in New York City

New York City Department of Health and Mental Hygiene December 2012, No. 20

Methodology: Surveillance data of newly diagnosed cases from 2010 were provided by the Health Department’s Bureaus of HIV/AIDS Prevention and Control, Communicable Disease (hepatitis B, hepatitis C), STD Prevention and Control (chlamydia, gonorrhea, syphilis) and TB Control. Rates per 100,000 population for each disease were calculated by zip code using 2010 Census data. High-morbidity zip codes were defined as those with disease rates in the top quintile or 20% (36 zip codes for each disease) of all NYC zip codes. Zip codes were given a score (0-7) indicating the number of diseases for which they had rates in the top quintile. Maps are created based on the score for each zip code. Zip codes with fewer than 1,000 people were excluded from analysis.

HIV/AIDS, viral hepatitis, sexually transmitted diseases (STDs) and tuberculosis (TB) often impact the same individuals and communities. Co-occurrence is the presence of two or more diseases in a population. Identifying neighborhoods with the greatest burden of co-occurring disease can help target resources and design neighborhood-level interventions, including education of residents, medical providers, and organizations that serve these geographic areas.

Disease co-occurrence by New York City neighborhood

Of 181 NYC zip codes, 33% (60) are in the top quintile for multiple diseases. For example, zip code 10474 (Hunts Point, Bronx) has rates of hepatitis C, chlamydia, gonorrhea and HIV/AIDS in the top 20%, giving it a score of 4.

• Compared with other boroughs, the Bronx has the greatest percentage of zip codes in the top quintile for multiple diseases (68%). The percentage of zip codes in the top quintile for other boroughs is 45% in Manhattan, 25% in Queens, and 22% in Brooklyn.

• Staten Island has no high-morbidity zip codes. Within the borough, the Port Richmond neighborhood has the highest rates of chlamydia, gonorrhea and syphilis, while Stapleton-St. George has the highest rates of HIV/AIDS, TB and hepatitis B and C.

• Zip code 10457, in the Tremont neighborhood in the Bronx, is in the top quintile for all 7 diseases. In this zip code, 43% of the residents live below the federal poverty line, compared to the citywide poverty rate of 21%.

• HIV/AIDS and hepatitis C are in the top quintile in 23 zip codes, also primarily in the South Bronx, North-Central Brooklyn and Northern Manhattan, as well as the Manhattan neighborhoods of Chelsea-Clinton and the Rockaways in Queens.

Diseases analyzed: HIV/AIDS, hepatitis B, hepatitis C, chlamydia, gonorrhea, syphilis, tuberculosis (TB)

New York City zip codes with rates of disease in the top quintile of all zip codes

Diseases: HIV/AIDS, hepatitis B, hepatitis C, chlamydia, gonorrhea, syphilis, TB

Sources: 2010 HIV/AIDS, Communicable Disease, STD and TB surveillance data

Epi Data Brief, No. 20 Page 2

Strategic data sharing to identify co-occurrence of disease

The New York City Department of Health and Mental Hygiene’s Division of Disease Control has implemented the Centers for Disease Control and Prevention (CDC) "Program Collaboration and Service Integration" (PCSI) initiative. PCSI is a strategic framework to strengthen collaboration across HIV/AIDS, viral hepatitis, STD and TB programs and to offer integrated services to the public. For more information, visit: www.cdc.gov/nchstp/programintegration/default.htm

Surveillance data are collected and analyzed independently by separate disease-specific programs within many health departments across the US, including in New York City. Therefore, the sharing of data across programs is essential to identifying neighborhoods with co-occurring high rates of infectious diseases.

Hepatitis B1 and TB2 disproportionately impact people born outside of the United States. In NYC, many neighborhoods with a large foreign-born population have high rates of TB and hepatitis B:

In Queens, 12 zip codes are in the top quintile for both hepatitis B and TB; these zip codes are in Flushing-Clearview, West Queens, Fresh Meadows, Bayside-Little Neck and Ridgewood-Forrest Hills. In six of these 12 zip codes, the majority of residents were born outside the US.

Brooklyn has three zip codes in the top quintile for hepatitis B and TB, each with a foreign-born population between 46-50%. These zip codes are in the neighborhoods of Sunset Park, Bensonhurst-Bayridge and Borough Park.

Several zip codes are in the top quintile for HIV/AIDS and other sexually transmitted diseases: In 20 zip codes, HIV/AIDS and syphilis are in the top quintile; 13 of these 20 zip codes are in Manhattan, in the neighborhoods of Chelsea-Clinton, Central Harlem-Morningside Heights, East Harlem, Washington Heights-Inwood and Greenwich Village-SoHo.

In 19 zip codes, HIV/AIDS is in the top quintile with both chlamydia and gonorrhea. These zip codes are primarily in the South Bronx, North-Central Brooklyn, and Northern Manhattan, which are areas with high rates of poverty.

 

Data Sources

2010 HIV/AIDS surveillance data, DOHMH Bureau of HIV/AIDS Prevention and Control, HIV Epidemiology and Field Services Program; 2010 hepatitis B and hepatitis C surveillance data, Bureau of Communicable Disease, Hepatitis Surveillance Program; 2010 chlamydia, gonorrhea and syphilis surveillance data, Bureau of STD Prevention and Control, Surveillance Unit; 2010 TB data, Bureau of TB Control, Office of Surveillance and Epidemiology.

Rates were calculated using zip code population counts from the 2010 Census. Data on poverty and place of birth for NYC residents are from the 2000 Census (most recent available). Variations in data between this report and other Health Department publications may be due to reporting delays, the availability of census data, corrections of errors, and refinements in data processing.

Neighborhood definition: The United Hospital Fund (UHF) classifies NYC into 42 neighborhoods, comprising contiguous zip codes.

Authored by: Ann Drobnik, Jennifer Fuld, Anika Cox, Susan Resnick

Acknowledgements: Shama Ahuja, Jennifer Baumgartner, Katherine Bornschlegel, Sarah Braunstein, Nicole Buchholz, Lisa Forgione, Tiffany Harris, Kevin Konty, Jennifer Norton, Jessie Pinchoff, Julie Schillinger, Mary Shao, Colin Shepard, Laura Stadelmann, Elizabeth Terranova, Lisa Trieu, Jay K. Varma

References

1CDC Morbidity and Mortality Weekly Report, "Recommendations for Identification and Public Health Management of Persons with Chronic Hepatitis B Virus Infection." Sept. 19, 2008, vol. 57, No. RR-8 http://www.cdc.gov/mmwr/pdf/rr/rr5708.pdf

2NYC DOHMH Bureau of TB Control, Three Year Summary: 2009, 2010, 2011, http://www.nyc.gov/html/doh/downloads/pdf/tb/tb-annualsummary09-11.pdf

New York City Department of Health and Mental Hygiene December 2012

MORE New York City Health Data and Publications

For complete tables of data presented in this Brief, visit www.nyc.gov/html/doh/downloads/pdf/epi/datatable22.pdf

HIV/AIDS Surveillance Statistics: http://www.nyc.gov/html/doh/html/dires/epi_reports.shtml#2

Hepatitis A, B and C Surveillance Reports: http://www.nyc.gov/html/doh/html/cd/cd-hepabc-reports.shtml

STD Statistics and Reports: http://www.nyc.gov/html/doh/html/std/std-stats.shtml

Tuberculosis Annual Reports: http://www.nyc.gov/html/doh/html/tb/tb-reports.shtml

Visit EpiQuery – the Health Department’s online, interactive health data system at www.nyc.gov/health/EpiQuery

My Community’s Health: Data and Statistics at www.nyc.gov/health/mycommunityshealth

*Per 100,000 residents

Sources: HIV/AIDS, Communicable Disease, STD and TB surveillance data Newly diagnosed cases of disease in New York City, 2010

Disease

# of newly diagnosed cases

Average

NYC rate*

Highest zip code rate*

HIV/AIDS

3,481

43

268

Hepatitis B

10,536

129

1,326

Hepatitis C

10,021

123

1,343

Chlamydia

63,544

777

2,402

Gonorrhea

12,354

151

587

Syphilis

955

12

126

Tuberculosis

711

9

47

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Midwest_Da_Gawd View Drop Down
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Post Options Post Options   Thanks (2) Thanks(2)   Quote Midwest_Da_Gawd Quote  Post ReplyReply Direct Link To This Post Posted: Dec 10 2012 at 8:53am
New York lost.
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Post Options Post Options   Thanks (0) Thanks(0)   Quote f8dagrate Quote  Post ReplyReply Direct Link To This Post Posted: Dec 10 2012 at 8:55am
only info on NYC huh.. well i guess wrap it up with ReynoldsConfused
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Post Options Post Options   Thanks (1) Thanks(1)   Quote Bunnyahh Quote  Post ReplyReply Direct Link To This Post Posted: Dec 10 2012 at 8:58am
Target Communities
Based on 2009 and 2010 surveillance data, the following neighborhoods have the highest rates of
HIV, Ct and HCV in New York City:
Brooklyn
• East New York (11207)
• BedStuy-Crown Heights (11216)
 
Bronx
• Hunts-Point – Motts Haven (10474)
• Crotona-Tremont (10453)
• Highbridge-Morrisania (10456, 10457)
Manhattan
• Central Harlem (10039, 10026)
• East Harlem (10035, 10029)
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Post Options Post Options   Thanks (2) Thanks(2)   Quote f8dagrate Quote  Post ReplyReply Direct Link To This Post Posted: Dec 10 2012 at 9:00am
Originally posted by Midwest_Da_Gawd Midwest_Da_Gawd wrote:

New York    YO DACK lostSleepy.
















Don't hurt me broLOL
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Bunnyahh View Drop Down
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Bunnyahh Quote  Post ReplyReply Direct Link To This Post Posted: Dec 10 2012 at 9:04am
Originally posted by Bunnyahh Bunnyahh wrote:

Target Communities
Based on 2009 and 2010 surveillance data, the following neighborhoods have the highest rates of
HIV, Ct and HCV in New York City:
Brooklyn
• East New York (11207)
• BedStuy-Crown Heights (11216)
 
Bronx
• Hunts-Point – Motts Haven (10474)
• Crotona-Tremont (10453)
• Highbridge-Morrisania (10456, 10457)
Manhattan
• Central Harlem (10039, 10026)
• East Harlem (10035, 10029)

Ct & HCV are Chlamydia & Hepatitus btw

Chlamydia (Ct): Chlamydia (Ct) is one of the most frequently occurring sexually transmitted
diseases in the United States, resulting in over 2.8 million new cases each year. In 2010, there
were nearly 60,000 new cases of chlamydia reported in NYC, with young women <25 years of
age comprising about 70% of all cases. Untreated Ct is an important cause of infertility.
Because Ct is often asymptomatic, screening is critical to infertility prevention. Infection with Ct
also makes it easier to transmit and acquire HIV. The U.S. Preventive Services Task Force
(USPSTF) has promulgated national guidelines for Ct screening, which are reiterated by the
CDC. Namely: clinicians routinely screen all sexually active women aged 25 years and younger
and women over 25 years who have a new sex partner or multiple sex partners.
For CHCs participating in the CMS Electronic Health Record (EHR) Incentive Programs,
Chlamydia screening for women is one of the optional clinical quality measures (CQM) for
payment year 2012. The exact CQM measure is:
• The percentage of women 15-24 years of age who were identified as sexually active
and who had at least one test for chlamydia during the measurement year.
Viral Hepatitis: The US Department of Health and Human Services Action Plan for the
Prevention, Care and Treatment of Viral Hepatitis identified community health centers as a
venue for implementation of routine viral hepatitis screening as part of the standard of care under
health care reform. In 2009 there were 10,769 cases of HCV identified in NYC. Most of these
are likely not new infections. Because hepatitis C has few symptoms, many of those who are
infected do not know it. Hepatitis C can eventually lead to cirrhosis and liver cancer, therefore it
is crucial for people who are infected to learn their status and receive care and treatment, if
appropriate
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Post Options Post Options   Thanks (3) Thanks(3)   Quote Bunnyahh Quote  Post ReplyReply Direct Link To This Post Posted: Dec 10 2012 at 9:07am
Originally posted by Elohim_is_Love Elohim_is_Love wrote:

So what you ladies got to say for always wanting to go raw?
raw with a monogamous std free partner>>>>>> condom sex
Wink
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Post Options Post Options   Thanks (3) Thanks(3)   Quote Midna Quote  Post ReplyReply Direct Link To This Post Posted: Dec 10 2012 at 9:43am
This is why pandemic/disease movies always start in New York.
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Post Options Post Options   Thanks (4) Thanks(4)   Quote Sang Froid Quote  Post ReplyReply Direct Link To This Post Posted: Dec 10 2012 at 9:50am
Your presentation is bad.
I'm not even gonna try to decipher that. 
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Post Options Post Options   Thanks (0) Thanks(0)   Quote Chyna_Li Quote  Post ReplyReply Direct Link To This Post Posted: Dec 10 2012 at 10:00am
why am i not surprised
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