Data for 2020 and 2021 should be interpreted with caution due to the impact of COVID-19 on HIV testing, care-related services, and case surveillance activities in state and local jurisdictions.

Analyzes, and disseminates surveillance data to create the HIV Epidemiological Profile. The Epidemiological Profile is a document that describes the burden of HIV on the Florida population in terms of sociodemographic, geographic, behavioral, and clinical characteristics of persons living with an HIV diagnosis in Florida. This profile is a valuable tool used at the state and local levels among HIV programmatic staff, community partners, and the public for allocating HIV prevention and care resources, planning programs, and evaluating programs and policies.

HIV and AIDS are diagnosed in Florida based on the case definition as described in the Technical Notes section of the CDC HIV Surveillance Report at the following link: http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html

HIV diagnoses by year of diagnosis represent persons whose HIV was diagnosed in that year, regardless of AIDS status at time of diagnosis.

HIV and AIDS diagnoses by year of diagnosis are not mutually exclusive and cannot be added together.

HIV prevalence data represent persons living with an HIV diagnosis (PWH) in the area through the end of the calendar year regardless of residence at diagnosis.

Adult diagnoses represent persons age 13 and older; pediatric diagnoses represent persons under the age of 13. For diagnosis data, the age is categorized by the age at diagnosis. For prevalence data, the age is categorized by the current age at the end of the calendar year, regardless of the age at diagnosis.

For race/ethnicity, unless otherwise noted, Whites are non-Hispanic/Latinx, Blacks are non-Hispanic/Latinx and Other represents Asian, American Indian/Alaska Native, Native Hawaiian/Pacific Islander, or Multi-race.

For HIV or AIDS diagnoses by year, area and county data will exclude diagnoses where the residence at diagnosis was listed as Florida Department of Corrections or Federal Correctional Institution (FDC/FCI). For prevalence data, FDC/FCI diagnoses will not be excluded from area and county data.

Gender identity is a person's understanding of their own gender. Gender identity is used to define the groups listed under Transmission Category and Special Populations.

Percents of total for individual populations may not sum up to 100% due to rounding.

HIV-related death data represent PWH with HIV listed as the underlying cause of death and a residence at death in this area in the period specified. These data will vary from the HIV-related deaths generated by the Office of Vital Statistics posted on FLHealthCHARTS.

Homelessness is based on the current address at the end of the calendar year and includes addresses labeled as Homeless, Shelter, Temporary, or with a zip code of 99999.

Country or territory of birth represents where a person was born and does not reflect the ancestry of that person.

All transmission categories are mutually exclusive. In Florida, a small proportion of HIV diagnoses are reported without an identified risk factor and multiple imputation is used to assign a transmission category. Multiple imputation is a statistical approach in which each missing transmission category is replaced with a set of plausible values based on the average risks for the population to compensate for the uncertainty about the true risk for these persons.

MMSC: male-to-male sexual contact; the term MMSC indicates a behavior that is associated with HIV transmission

IDU: injection drug use.

MMSC/IDU: male-to-male sexual contact and injection drug use.

Heterosexual Contact: heterosexual contact with a person living with HIV or with a known HIV risk; transgender persons who had sexual contact with a person living with HIV or with a known HIV risk are excluded from this category.

Sexual Contact: transgender men or women who had sexual contact with a person living with HIV or with a known HIV risk.

Other Risk: includes hemophilia, transfusion, perinatal and other pediatric risks, and other confirmed risks.

HIV and AIDS are diagnosed in Florida based on the case definition as described in the Technical Notes section of the CDC HIV Surveillance Report at the following link: http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html

HIV diagnoses by year of diagnosis represent persons whose HIV was diagnosed in that year, regardless of AIDS status at time of diagnosis.

HIV and AIDS diagnoses by year of diagnosis are not mutually exclusive and cannot be added together.

HIV prevalence data represent persons living with an HIV diagnosis (PWH) in the area through the end of the calendar year regardless of residence at diagnosis.

Adult diagnoses represent persons age 13 and older; pediatric diagnoses represent persons under the age of 13. For diagnosis data, the age is categorized by the age at diagnosis. For prevalence data, the age is categorized by the current age at the end of the calendar year, regardless of the age at diagnosis.

For race/ethnicity, unless otherwise noted, Whites are non-Hispanic/Latinx, Blacks are non-Hispanic/Latinx and Other represents Asian, American Indian/Alaska Native, Native Hawaiian/Pacific Islander, or Multi-race.

For HIV or AIDS diagnoses by year, area and county data will exclude diagnoses where the residence at diagnosis was listed as Florida Department of Corrections or Federal Correctional Institution (FDC/FCI). For prevalence data, FDC/FCI diagnoses will not be excluded from area and county data.

Gender identity is a person's understanding of their own gender. Gender identity is used to define the groups listed under Transmission Category and Special Populations.

Percents of total for individual populations may not sum up to 100% due to rounding.

HIV-related death data represent PWH with HIV listed as the underlying cause of death and a residence at death in this area in the period specified. These data will vary from the HIV-related deaths generated by the Office of Vital Statistics posted on FLHealthCHARTS.

Homelessness is based on the current address at the end of the calendar year and includes addresses labeled as Homeless, Shelter, Temporary, or with a zip code of 99999.

Country or territory of birth represents where a person was born and does not reflect the ancestry of that person.

All transmission categories are mutually exclusive. In Florida, a small proportion of HIV diagnoses are reported without an identified risk factor and multiple imputation is used to assign a transmission category. Multiple imputation is a statistical approach in which each missing transmission category is replaced with a set of plausible values based on the average risks for the population to compensate for the uncertainty about the true risk for these persons.

MMSC: male-to-male sexual contact; the term MMSC indicates a behavior that is associated with HIV transmission

IDU: injection drug use.

MMSC/IDU: male-to-male sexual contact and injection drug use.

Heterosexual Contact: heterosexual contact with a person living with HIV or with a known HIV risk; transgender persons who had sexual contact with a person living with HIV or with a known HIV risk are excluded from this category.

Sexual Contact: transgender men or women who had sexual contact with a person living with HIV or with a known HIV risk.

Other Risk: includes hemophilia, transfusion, perinatal and other pediatric risks, and other confirmed risks.

Persons with HIV: The number of persons living in Florida with an HIV diagnosis (PWH) at the end of the year specified

In Care: PWH with at least one documented VL or CD4 lab, medical visit, or prescription from January 1 of the year specified through March 31 of the following year

In Care 7 Days: Linked to care within 7 days of HIV diagnosis date

In Care 30 Days: Linked to care within 30 days of HIV diagnosis date

Out of Care: PWH with no documented VL or CD4 lab, medical visit, or prescription from January 1 of the year specified through March 31 of the following year

Retained in Care: PWH with two or more documented VL or CD4 labs, medical visits, or prescriptions at least three months apart from January 1 of the year specified through June 30 of the following year

Suppressed Viral Load: PWH with a suppressed VL (<200 copies/mL) on the last VL from January 1 of the year specified through March 31 of the following year

In Care with Suppressed Viral Load: PWH with at least one documented VL or CD4 lab, medical visit, or prescription from January 1 of the year specified through March 31 of the following year that also has a suppressed VL (<200 copies/mL) on the last VL from January 1 of the year specified through March 31 of the following year

Retained in Care with Suppressed Viral Load: PWH with two or more documented VL or CD4 labs, medical visits, or prescriptions at least three months apart from January 1 of the year specified through June 30 of the following year that also has a suppressed VL (<200 copies/mL) on the last VL from January 1 of the year specified through March 31 of the following year

No VL: No documented VL from January 1 of the year specified through March 31 of the following year

Late Diagnosis: AIDS diagnosis within 3 months of HIV diagnosis

Population estimates are provided by the Office of Vital Statistics. These estimates are based on the Florida Legislature's Office of Economic and Demographic Research’s (EDR) midyear population estimates (July 1) and are final as of the release of Vital Statistics annual data.

FDC/FCI HIV diagnoses defined by residence at diagnosis in the period specified.

Data for released inmates living with an HIV diagnosis were provided by FDC.

Hepatitis B and C are reported in Florida based on the case definition described at the following link: http://www.floridahealth.gov/diseases-and-conditions/disease-reporting-and-management/disease-reporting-and-surveillance/surveillance-and-investigation-guidance/index.html

Hepatitis data are pulled for this report using the event date to more accurately reflect disease morbidity. Event date represents the earliest date available for a reported case and is pulled from the date of symptom onset, the date that positive laboratory results are reported, and the date the case is reported.

Hepatitis B cases are defined as the number of acute and chronic Hepatitis B cases reported with an event date in the period specified.

Hepatitis C cases are defined as the number of acute and chronic Hepatitis C cases reported with an event date in the period specified.

Someone could be reported with an acute and chronic infection in the same report year.

Hepatitis B comorbidity includes acute hepatitis B diagnoses reported in the period specified with an HIV diagnosis date before or within 6 months of the acute hepatitis B event date and chronic hepatitis B diagnoses in the period specified with an HIV diagnosis date at any time before or after the chronic hepatitis B event date.

Hepatitis C comorbidity includes acute hepatitis C diagnoses reported in the period specified with an HIV diagnosis date before or within 6 months of the acute hepatitis C event date and chronic hepatitis C diagnoses in the period specified with an HIV diagnosis date at any time before or after the chronic hepatitis C event date.

Hepatitis data presented in this report may not match data presented in FLHealthCHARTS or other publications due to differences in reporting timeframes and how the data are pulled. Hepatitis data are typically pulled using the report year as defined by the CDC Morbidity and Mortality Weekly Report (MMWR). This report presents hepatitis data pulled by calendar year.

Hepatitis B and C data are preliminary and subject to change. Data were provided by the Hepatitis Surveillance Program

TB is diagnosed in Florida based on the case definition described at the following link: http://www.floridahealth.gov/diseases-and-conditions/tuberculosis/tb-professionals/tb-report-require .html

TB diagnoses are defined as the number of TB diagnoses with a diagnosis date occurring in the period specified.

TB comorbidity includes TB diagnoses occurring in the period specified with an HIV diagnosis date before or coinciding with TB diagnosis.

TB data presented in this report may not match data presented in FLHealthCHARTS or other publications due to differences in reporting timeframes and how the data are pulled.

TB data provided by the TB Section.

Syphilis at its various stages is diagnosed in Florida based on the case definition described at the following link: https://www.cdc.gov/nndss/conditions/syphilis/case-definition/2019/

Early syphilis is used to describe syphilis that has been acquired in the previous 12 months and includes three stages of syphilis: primary, secondary, and early non-primary non-secondary.

Early syphilis diagnoses are defined as the number of early syphilis diagnoses with an initial lab specimen collection date occurring in the period specified.

Early syphilis comorbidity includes early syphilis diagnoses in the period specified with an HIV diagnosis date before or within 30 days of an early syphilis initial lab specimen collection date.

Early syphilis data presented in this report may not match data presented in FLHealthCHARTS or other publications due to differences in reporting timeframes and how the data are pulled.

Early syphilis data provided by the Sexually Transmitted Disease Section's STARS database.

Gonorrhea is diagnosed in Florida based on the case definition described at the following link: https://wwwn.cdc.gov/nndss/conditions/gonorrhea/case-definition/2014/

Gonorrhea diagnoses are defined as the number of gonorrhea diagnoses with an initial lab specimencollection date occurring in the period specified.

Gonorrhea comorbidity includes gonorrhea diagnoses in the period specified with an HIV diagnosisdate before or within 30 days of a gonorrhea initial lab specimen collection date.

Gonorrhea data presented in this report may not match data presented in FLHealthCHARTS or otherpublications due to differences in reporting timeframes and how the data are pulled.

Gonorrhea data provided by the Sexually Transmitted Disease Section's STARS database.

Chlamydia is diagnosed in Florida based on the case definition described at the following link: https://wwwn.cdc.gov/nndss/conditions/chlamydia-trachomatis-infection/case-definition/2010/

Chlamydia diagnoses are defined as the number of chlamydia diagnoses with an initial lab specimen collection date occurring in the period specified.

Chlamydia comorbidity includes chlamydia diagnoses in the period specified with an HIV diagnosis date before or within 30 days of a chlamydia initial lab specimen collection date.

Chlamydia data presented in this report may not match data presented in FLHealthCHARTS or other publications due to differences in reporting timeframes and how the data are pulled.

Chlamydia data provided by the Sexually Transmitted Disease Section's STARS database.