San Francisco

Since the beginning of the epidemic a total of 28,793 San Francisco residents have been diagnosed with AIDS, which comprises 18% of California AIDS cases and 3% of cases reported nationally. There have been 19,341  reported AIDS deaths in San Francisco as of Dec. 31, 2010.

There were 15,861 San Franciscans living with HIV/AIDS by the end of 2010. Most were male (92%) and white (63%). In addition, nearly three-quarters of all HIV/AIDS cases were among men who have sex with men (MSM) and an additional 14% were among MSM who were also injecting drug users.

Of the total number of people with HIV/AIDS, 9,452 were living with AIDS at the end of 2010. 92% of those living with AIDS are male, 6% are female and 2% are transgender.

Survival after AIDS diagnosis is worse for African Americans than other racial/ethnic groups. Among those diagnosed with AIDS between 1996 and 2010, the percent of African Americans surviving five years was 74% as compared with 82% for whites, 84% for Latinos and 86% for Asian/Pacific Islanders.

There were  399  newly diagnosed HIV cases in 2010, down from 460 in 2009 and 492 in 2008. The majority was male (90%), MSM (62%), aged 25-49 (84 and white (50%).

The neighborhoods with the highest numbers of people living with HIV/AIDS are the Castro, Mission, Western Addition and Tenderloin.

HIV-positive injecting drug users are mainly concentrated in the Tenderloin, Western Addition and South of Market.

Mean community viral load, a new population-based biomarker of overall infectiousness, is highest in the following neighborhoods: Bayview, South of Market ,the Tenderloin, Downtown and Nob Hill. These communities also generally have the lowest median household incomes in San Francisco. Overall, homeless individuals have the highest community viral load.

Overall, an estimated 94% of people living with AIDS and 71% of those living with HIV (non-AIDS) who are eligible for treatment were receiving anti-retroviral therapy (ART) as of December 2010. Females, transfemale persons, African Americans, Native Americans, injection drug users, and heterosexuals were less likely to be receiving ART treatment.

Source: San Francisco Department of Public Health, HIV Epidemiology Section. HIV/AIDS Epidemiology Annual Report 2010


Nearly 200,000 Californians have contracted HIV/AIDS and nearly 90,000 have died since the epidemic began in the early 1980s.

California ranks second in the nation in cumulative AIDS cases at 157,719, surpassed only by New York.

Approximately 109,000 Californians are HIV-positive, among whom 69,728 are living with AIDS.

There are up to 7,000 new HIV infections in the state every year.

75.7% of all HIV/AIDS cases occur among gay men, far exceeding the 53% nationally.

Men make up 89.5%. Women account for 9.8% of cases, and transgender persons for 0.6%.

Of all HIV cases, whites account for 46.7% followed by Hispanics at 29.2% and African Americans at 18.9%.

More than 60% of Californians living with HIV reside in Los Angeles County or the San Francisco Bay Area.

Source: California Office of AIDS, AIDS Surveillance Report (as of June 2010)

United States

Since the AIDS epidemic began in 1981, 1.7 million Americans have been infected with HIV and 641,976 have died of AIDS-related causes.

1.1 million Americans are living with HIV/AIDS.

An estimated 18% of people living with HIV are undiagnosed.

Every 9 1/2 minutes, someone in the U.S. is infected with HIV.

Gay and bisexual men continue to bear the greatest burden of HIV infection, accounting for an estimated 61% of new HIV infections.

African-Americans and Latinos are disproportionately affected by HIV and AIDS. Blacks accounted for 44% of new HIV infections in 2009 yet they make up only 12% of the U.S. population. Latinos account for 20% of new infections yet comprise 16% of the U.S. population, while whites represent 32% of new infections and account for 65% of the total population.

The AIDS case rate for African Americans is nearly 10 times that of whites, and the HIV rate is eight times greater among blacks than whites. Survival after an AIDS diagnosis is lower for blacks than any other racial/ethnic group.

Young adults and teens between 13 and 29 represent 39% of new HIV infections, the largest share of any age group. Black teens are disproportionately affected, representing 70% of reported AIDS cases among 13 to 19-year-olds in 2010; Latino teens represented 19%.

Women now account for 23% of HIV infections, with nearly 280,000 women living with HIV and AIDS. Black women accounted for 64% of new AIDS cases among women in 2010 and the largest share of new HIV infections (57%).

New infections due to injection drug use have declined by about 80% since the mid-to-late 1990s, accounting for 9% of new infections in 2009.

64% of all AIDS cases reported since the beginning of the epidemic are concentrated in 10 states or territories. While the District of Columbia has the highest AIDS case rate (112.5 per 100,000 in 2010), the states of California (12.6%), New York (11.9%), and Florida (10.9%) have the most cumulative AIDS cases.

Sources: Kaiser Family Foundation Fact Sheet: The HIV/AIDS Epidemic in the United States, July 2012.

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