• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: (512) 533-3000

    E-mail the HIV/STD Program

    E-mail data requests to HIV/STD Program - This email can be used to request data and statistics on HIV, TB, and STDs in Texas. It cannot be used to get treatment or infection history for individuals, or to request information on programs and services. Please do not include any personal, identifying health information in your email such as HIV status, Date of Birth, Social Security Number, etc.

    For treatment/testing history, please contact your local Health Department.

    For information on HIV testing and services available to Persons Living with HIV and AIDS, please contact your local HIV services organization.

Epi Profile Section 11 - HIV Treatment Cascade

 

 


 

Figure 11-1. Texas HIV Treatment Cascade, 2016

Figure 11-1. Texas HIV Treatment Cascade, 2016. HIV+ Individuals Living in Texas = 86,669 (100%), At Least One Visit = 66,860 (77%), Retained in Care = 60,933 (70%), Achieved Viral Suppression = 51,329 (59%)

 

HIV+ Individuals Living in Texas - Number of HIV+ individuals (alive) at the end of 2016

At Least One Visit - Number of PLWH with a met need (at least one: medical visit, ART prescription, VL test, or CD4 test) in 2016

Retained in Care - Number of PLWH with at least 2 visits or labs, at least 3 months apart or suppressed at end of 2016

Achieved Viral Suppression - Number of PLWH whose last viral load test value of 2016 was <= 200 copies/mL

 

  • The HIV Treatment Cascade is a visual representation of the HIV continuum of care among Texans living with HIV. Each successive bar demonstrates the steps between HIV diagnosis and achieving viral suppression. A suppressed viral load is associated with improved health outcomes for PLWH and lowered risk of transmission. The estimated 14,000 PLWH who are unaware of their status are not included in this cascade.

  • In 2016 in Texas, 77% of PLWH were in care (by evidence of a medical visits, lab/CD4 or prescription for ART and 70% of PLWH were retained in care (i.e. two visits or labs at least 3 months apart in 2016). At the end of 2016, there were 51,329 people who were virally suppressed, comprising 59% of all PLWH. Lowering the viral load of persons living with HIV lowers the overall amount of HIV circulating in communities, and this in turn reduces the chances of transmissions and new infections. This has been demonstrated in Texas as the number of new diagnoses remains steady despite increases in the overall number of persons living with HIV (PLWH). This pattern shows the effectiveness of prevention and treatment efforts. Further reducing the annual number of new infections will require new and additional strategies.

  • The HIV Treatment Cascade can help identify gaps in the care continuum where patients fall out of care or are not achieving viral suppression. DSHS creates Treatment Cascades for demographic groups and geographic areas to highlight the state of HIV care for PLWH across the state. These cascades are available upon request from TBHIVSTDdata@dshs.texas.gov.

 


Epi Profile

Table of Contents | 1. Executive Summary | 2. New HIV Diagnoses | 3. Persons Living with HIV | 4. Co-Morbidities | 5. HIV/AIDS Deaths | 6. HIV Incidence | 7. Focused and Routine HIV Testing | 8. Indicators of HIV Risk in HIV-negative Persons at High Risk for HIV | 9. Indicators of HIV Risk in PLWH Currently in Care | 10. Men Who Have Sex With Men (MSM) | 11. HIV Treatment Cascade | Data Sources and Notes


Last updated December 21, 2017