• DSHS HIV/STD Program

    Post Office Box 149347, MC 1873
    Austin, Texas 78714

    Phone: 737-255-4300

    Email the HIV/STD Program

    Email HIV, STD, Hepatitis C, and TB data requests to the Program – This email can be used to request data and statistics on HIV, STDs, Hepatitis C, and TB 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, please contact your local HIV services organization.

Epi Profile Section 11 - HIV Treatment Cascade

The HIV Treatment Cascade is a visual representation of the continuum of care for Texans living with diagnosed HIV, as shown in Figure 23. The bars represent the steps between HIV diagnosis and the goal of viral load suppression. PLWH with suppressed viral load have better health and cannot transmit HIV through sex.

In 2018, almost 4 out of 5 Texans with a diagnosed HIV infection had evidence of care; 70% were retained in continuous care; and 61% had a suppressed viral load. Out of those with any care, almost 8 in 10 had a suppressed viral load.

We can also put the cascade results in terms of Achieving Together measures. We estimate that around 70% of Texans diagnosed with HIV were on treatment/retained in care, and around 86% of people on treatment had a suppressed viral load. The goal for both measures is 90%.

Figure 23:  Texas HIV Treatment Cascade for 2018 
Figure 23:  Texas HIV Treatment Cascade for 2018
Data for Figure 23

PLWH with at least one visit/lab - This bar includes all diagnosed PLWH who had at least one episode of HIV care in 2018. Evidence of an episode of care includes records showing an outpatient medical visit; a filled prescription for antiretroviral therapy (ART) drugs; a viral load test result; or a CD4 test result.

PLWH retained in care - This bar includes all diagnosed PLWH who had at least two episodes of care that were at least three months apart. It also includes PLWH who had a suppressed viral load as of the end of 2018 regardless of their patterns of care.

PLWH with viral suppression - This bar includes all diagnosed PLWH whose last viral load test value of 2018 was <200 copies/mL.


Epi Profile

Table of Contents | 1. Executive Summary | 2. Texans Living with HIV in 2018 | 3. Texans with New HIV Diagnoses | 4. New Diagnoses in MSM | 5. Texans with Newly Acquired HIV | 6. Deaths in Texans Living with HIV | 7. Comorbidities in Texans Living with HIV | 8. HIV Testing in Programs Funded by DSHS | 9. Sex and Substance Use in PLWH | 10. Sex and Substance Use in People at Increased Risk for HIV in Dallas, Texas | 11. Texas Treatment Cascade for 2018 | Data Sources and Notes

Last updated June 18, 2020