Figure 1.25 shows the proportion of individuals surviving five or more years after receiving an AIDS diagnosis for persons diagnosed with AIDS between 1996 (since the introduction of HAART) and 2013 (five years ago). The overall five-year survival for persons diagnosed with AIDS between 1996 and 2013 is 83.0%. Differences in survival occurred across gender, race/ethnicity, and mode of exposure categories.
By Gender: The proportion of males and females surviving five or more years after an AIDS diagnosis is lower than
Orange County overall (83.0%). Females have the lower survival percentage at 82.1%.
By Race/Ethnicity: The proportion of Whites and Blacks who have survived five or more years since receiving
their AIDS diagnosis is lower than the overall proportion.
By Mode of Exposure: The proportion of IDU who have survived five or more years since receiving their AIDS
diagnosis is lower than the overall proportion.
100%
Percent 80%
60%
40%
Figure 1.25. Proportion Surviving Five Years After AIDS Diagnosis by Gender, Race/Ethnicity, and Mode of Exposure, Persons Diagnosed With AIDS 1996-2013, 95.6% Orange County 83.0%
82.9% 82.1% 80.9% 79.8% 84.8% 85.9% 84.7% 84.4% 87.9% 88.2%
70.6%
20%
0%
Male Female Transgender White Black Hispanic Asian MSM IDU MSM/IDU Heterosexual
Gender Race Mode of Exposure Overall
T/H
All other race/ethnicity categories have fewer than 10 cases and are not shown.
Individuals reported with HIV are presumed living until a death report is received. A date of death may be reported through the following sources: (1) a death notice from an Orange County HIV service provider; (2) a death certificate provided by County of Orange Vital Records; (3) an update from the State Office of AIDS; or (4) through matching living cases with the annual file of death certificates certified by Orange County Vital Records. Persons diagnosed with HIV may die of any cause, although the majority of deaths are due to HIV. When a death notification is received, the date of the person’s death is added to the HIV Case Registry and their vital status is changed to deceased. Though these modes are meant to capture all instances in which a person may be deceased, there are instances when death notifications do not occur (e.g. if the person moves out of the country and no death records exist in the United States). Therefore, it is possible that some of the persons counted as living with HIV may actually be deceased.
Figure 1.26 shows the number of deaths between 2008 and 2018 of persons diagnosed with HIV as residents of Orange County, regardless of cause of death. The number of deaths has declined 3.5% from 85 in 2009 to 82 in 2018. As of December 31, 2018, the cumulative number of deaths reported was 5,201, which represented 39.1% of the 13,305 cases diagnosed with HIV during the same time period.
