Managerial Epidemiology
HIV in Essex County
Epidemiology
Plan
Antonio Santoni
Essex County
| Quick Facts | Essex County | New Jersey |
| Population (2018) | 799,767 | 8,908,520 |
| % of NJ Population (2018) | 9.0% | 100% |
| Land Area (sq mi) | 126.21 | 7,354.22 |
| Persons per Sq. Mile (2018) | 6,336.8 | 1,211.3 |
| Total Births (2018-preliminary) | 10,413 | 101,171 |
| Total Deaths (2017) | 6,105 | 74,881 |
Chart it up and summarize
Race & Ethnicity
In 2018, there were 1.29 times more Black or African American (Non-Hispanic) residents (307k people) in Essex County, NJ than any other race or ethnicity.
There were 237k White (Non-Hispanic) and 90.4k White (Hispanic) residents.
23.5% of the people in Essex County, NJ are hispanic (188k people).
Health
89.5% of the population of Essex County, NJ has health coverage, with 50.1% on employee plans, 21% on Medicaid, 9.86% on Medicare, 8.18% on non-group plans, and 0.364% on military or VA plans.
10.5% of 799,767 = 83,975 people
Clean up chart
HIV Infection
HIV is caused by human immunodeficiency virus.
A antigen/antibody test can usually detect HIV infection 18 to 45 days after an exposure.
The human body can't get rid of HIV and no effective HIV cure exists.
In 1996, the total life expectancy with HIV was 39 years. In 2011, the total life expectancy bumped up to about 70 years.
an antigen called p24 is produced even before antibodies develop
Test can take longer from finger than blood from vein
HIV Infection
HIV Infection
Essex County has the highest rate of HIV diagnoses in New Jersey, at 1427 per 100,000 people.
In 2017, an estimated 1.4 million babies were born to HIV-positive mothers and, therefore, exposed to HIV
While the rate among Blacks decreased 83% between 2000 and 2018, it remains about 20 times the White rate and 5 times the Hispanic rate. The rate among males remains more than double that of females.
Essex County
Those at Risk Most
In 2018, Gay and Bisexual men accounted for 69% of new HIV diagnoses.
Youth aged 13 to 24 made up 21% of the 37,832 new HIV diagnoses
By race/ethnicity, black and latinos are disproportionately affected by HIV than any other group
What can be done?
Bring more awareness to a target market
Allow testings to be more accessible & treatment plans
Bring more attention to the dangers of HIV
Risk Reduction Counseling
Follow up with these patients
Apply programs that allow HIV- Positive to receive aid
Less bullets
Explain what prEP is
Budget Proposal
| Budget Plan | Year 1 | Year 2 | Year 3 |
| Staff Training/Salary | $80,000 | $80,000 | $80,000 |
| Building Rent | $17,000 | $17,000 | $17,000 |
| HIV Testing Supply | $15,000 | $16,000 | $17,000 |
| Marketing | $20,000 | $21,000 | $22,000 |
Look up real factual information about nurse’s salary
Look up for facilities
Marketing
REALISTIC
References
https://www.hiv.gov/hiv-basics/overview/about-hiv-and-aids/who-is-at-risk-for-hiv
https://www.cdc.gov/hiv/group/hiv-idu.html
https://www.cdc.gov/hiv/group/age/youth/index.html
https://aidsvu.org/local-data/united-states/northeast/new-jersey/essex-county/
https://www-doh.state.nj.us/doh-shad/community/highlight/index/GeoCnty/7.html
https://datausa.io/profile/geo/essex-county-nj#housing
Poverty by Race & Ethnicity
The most common racial or ethnic group living below the poverty line in Essex County, NJ is Black, followed by Hispanic and White.
Black - 69,286 41.5%
Hispanic - 39,876 23.9%
White - 31,713 19%