The HIV/AIDS Epidemic in the United States: The Basics

Key Facts

Box 1: Key Snapshot of the U.S. Epidemic Today
  • Number of new HIV infections (2019): 34,800
  • Number of people living with HIV: 1.2 million
  • Percent of people with HIV who don’t know it: 13%
  • Percent of people with HIV virally suppressed: 57%

Overview

Impact Across the Country

Table 1: Top Ten States/Areas by Number and Rate of New HIV Diagnoses (Adults and Adolescents), 2019
State New HIV Diagnoses, Number (%) State/Area New HIV Diagnoses, Rate per 100,000
Florida 4,387 (12%) District of Columbia 42.2
California 4,354 (12%) Georgia 27.6
Texas 4,302 (12%) Florida 23.7
Georgia 2,439 (7%) Louisiana 22.8
New York 2,330 (6%) Nevada 19.8
North Carolina 1,365 (4%) Mississippi 19.2
Illinois 1,252 (3%) Texas 18.2
New Jersey 1,057 (3%) Maryland 18.0
Pennsylvania 989 (3%) South Carolina 15.6
Ohio 980 (3%) Alabama 15.5
Subtotal 23,446 (65%)
U.S. Total 36,337 (100%) U.S. Rate 13.2
SOURCE: CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

Impact on Communities of Color

Impact on Women

Impact on Young People

Impact on Gay and Bisexual Men

The U.S. Government Response

Endnotes
  1. CDC. MMWR, Vol. 30, No. 21; June 1981.

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  2. CDC. Estimated HIV incidence and prevalence in the United States, 2015–2019. HIV Surveillance Supplemental Report 2021;26(No. 1). http://www.cdc.gov/ hiv/library/reports/hiv-surveillance.html. May 2021.

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  3. CDC. Estimated HIV incidence and prevalence in the United States, 2015–2019. HIV Surveillance Supplemental Report 2021;26(No. 1). http://www.cdc.gov/ hiv/library/reports/hiv-surveillance.html. May 2021.

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  4. CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2019. HIV Surveillance Supplemental Report 2021;26(No. 2). http://www.cdc.gov/hiv/library/reports/ hiv-surveillance.html May 2021.

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  5. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021

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  6. CDC. Estimated HIV incidence and prevalence in the United States, 2015–2019. HIV Surveillance Supplemental Report 2021;26(No. 1). http://www.cdc.gov/ hiv/library/reports/hiv-surveillance.html. May 2021.

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  7. Panel on Antiretroviral Guidelines for Adults and Adolescents. Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV. Department of Health and Human Services. Updated June 3, 2021. https://clinicalinfo.hiv.gov/en/guidelines/adult-and-adolescent-arv/whats-new-guidelines

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  8. CDC. Evidence of HIV Treatment and Viral Suppression in Preventing the Sexual Transmission of HIV. December 2020. https://www.cdc.gov/hiv/pdf/risk/art/cdc-hiv-art-viral-suppression.pdf

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  9. CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2019. HIV Surveillance Supplemental Report 2021;26(No. 2). http://www.cdc.gov/hiv/library/reports/ hiv-surveillance.html May 2021.

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  10. CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2019. HIV Surveillance Supplemental Report 2021;26(No. 2). http://www.cdc.gov/hiv/library/reports/ hiv-surveillance.html May 2021.

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  11. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  12. CDC. Estimated HIV incidence and prevalence in the United States, 2015–2019. HIV Surveillance Supplemental Report 2021;26(No. 1). http://www.cdc.gov/ hiv/library/reports/hiv-surveillance.html. May 2021.

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  13. CDC. NCHS. Health, United States, 2017; September 2018.

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  14. Bosh KA, Johnson AS, Hernandez AL, et al. Vital Signs: Deaths Among Persons with Diagnosed HIV Infection, United States, 2010–2018. MMWR Morb Mortal Wkly Rep 2020;69:1717–1724. DOI: http://dx.doi.org/10.15585/mmwr.mm6946a1

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  15. CDC. Wonder database. https://wonder.cdc.gov/ Accessed June 4, 2021.

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  16. National Center for Health Statistics. Health, United States, 2019. Hyattsville, MD. 2021. DOI: https://dx.doi.org/10.15620/cdc:100685.

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  17. CDC. NCHHSTP Atlas Plus. https://www.cdc.gov/nchhstp/atlas/index.htm Accessed June 4, 2021.

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  18. CDC. NCHHSTP Atlas Plus. https://www.cdc.gov/nchhstp/atlas/index.htm Accessed June 4, 2021.

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  19. CDC. HIV Surveillance—Epidemiology of HIV Infection (through 2017); November 2018.

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  20. CDC. NCHHSTP Atlas Plus. https://www.cdc.gov/nchhstp/atlas/index.htm Accessed June 4, 2021.

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  21. CDC. NCHHSTP Atlas Plus. https://www.cdc.gov/nchhstp/atlas/index.htm Accessed June 4, 2021.

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  22. CDC. NCHHSTP Atlas Plus. https://www.cdc.gov/nchhstp/atlas/index.htm Accessed June 4, 2021.

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  23. CDC. MMWR, Vol. 68, No. 11; March 2019. https://www.cdc.gov/mmwr/volumes/68/wr/pdfs/mm6811-H.pdf

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  24. CDC. MMWR, Vol. 55, No. RR14; September 2006.

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  25. KFF. HIV Testing in the United States; June 2018.

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  26. Panel on Antiretroviral Guidelines for Adults and Adolescents. Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents with HIV. Department of Health and Human Services. Updated June 3, 2021. https://clinicalinfo.hiv.gov/en/guidelines/adult-and-adolescent-arv/whats-new-guidelines

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  27. AIDSinfo, Statement by the HHS Panel on Antiretroviral Guidelines for Adults and Adolescents Regarding Results from the START and TEMPRANO Trials; July 2015.

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  28. CDC. Evidence of HIV Treatment and Viral Suppression in Preventing the Sexual Transmission of HIV. December 2020. https://www.cdc.gov/hiv/pdf/risk/art/cdc-hiv-art-viral-suppression.pdf

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  29. CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2019. HIV Surveillance Supplemental Report 2021;26(No. 2). http://www.cdc.gov/hiv/library/reports/ hiv-surveillance.html May 2021.

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  30. Bradley H et al. Increased HIV viral suppression among US adults receiving medical care, 2009-2013, Conference on Retroviruses and Opportunistic Infections (CROI), Boston, abstract 53; 2016.

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  31. CDC. NCHHSTP Atlas Plus. https://www.cdc.gov/nchhstp/atlas/index.htm Accessed June 4, 2021.

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  32. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  33. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  34. U.S. Census Bureau. Quick Facts: 2017 Population Estimates. July 2017.

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  35. CDC. NCHHSTP Atlas Plus. https://www.cdc.gov/nchhstp/atlas/index.htm Accessed June 4, 2021.

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  36. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  37. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  38. CDC. Monitoring selected national HIV prevention and care objectives by using HIV surveillance data—United States and 6 dependent areas, 2019. HIV Surveillance Supplemental Report 2021;26(No. 2). http://www.cdc.gov/hiv/library/reports/ hiv-surveillance.html May 2021.

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  39. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  40. KFF. State Health Facts; Population distribution by race/ethnicity, 2019. https://www.kff.org/other/state-indicator/distribution-by-raceethnicity. Accessed June 2021.

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  41. CDC. NCHHSTP Atlas Plus. https://www.cdc.gov/nchhstp/atlas/index.htm Accessed June 4, 2021.

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  42. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2017, Vol. 29; November 2018. HIV diagnosis data are estimates from 50 states, the District of Columbia, and 6 U.S. dependent areas. Estimates for 2017 are preliminary and are not included in trend calculations.

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  43. Deaths may be of any cause.

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  44. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  45. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  46. National Center for Health Statistics. Health, United States, 2019. Hyattsville, MD. 2021. DOI: https://dx.doi.org/10.15620/cdc:100685.

    ← Return to text

  47. National Center for Health Statistics. Health, United States, 2019. Hyattsville, MD. 2021. DOI: https://dx.doi.org/10.15620/cdc:100685.

    ← Return to text

  48. CDC. Estimated HIV incidence and prevalence in the United States, 2015–2019. HIV Surveillance Supplemental Report 2021;26(No. 1). http://www.cdc.gov/ hiv/library/reports/hiv-surveillance.html. May 2021.

    ← Return to text

  49. CDC. Estimated HIV incidence and prevalence in the United States, 2015–2019. HIV Surveillance Supplemental Report 2021;26(No. 1). http://www.cdc.gov/ hiv/library/reports/hiv-surveillance.html. May 2021.

    ← Return to text

  50. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  51. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  52. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  53. CDC. Slide Set: HIV Surveillance – Adolescents and Young Adults (through 2017).

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  54. CDC. HIV Surveillance Supplemental Report, Monitoring Selected National HIV Prevention and Care Objectives by Using HIV Surveillance Data, Vol. 23, No. 4; June 2018.

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  55. Nesheim S et al. “A Framework for Elimination of Perinatal Transmission of HIV in the United States.” Pediatrics, Vol. 130, No. 4; September 2012.

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  56. Whitmore SK et al. “Correlates of Mother-to-Child Transmission of HIV in the United States and Puerto Rico.” Pediatrics, Vol. 129, No. 1; January 2012.

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  57. KFF. National Survey of Young Adults on HIV/AIDS; November 2017.

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  58. CDC. Estimated HIV incidence and prevalence in the United States, 2015–2019. HIV Surveillance Supplemental Report 2021;26(No. 1). http://www.cdc.gov/ hiv/library/reports/hiv-surveillance.html. May 2021.

    ← Return to text

  59. CDC. Estimated HIV incidence and prevalence in the United States, 2015–2019. HIV Surveillance Supplemental Report 2021;26(No. 1). http://www.cdc.gov/ hiv/library/reports/hiv-surveillance.html. May 2021.

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  60. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  61. CDC. Lifetime Risk of HIV Diagnosis; February 2016.

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  62. CDC. HIV Surveillance Report, Diagnoses of HIV Infection in the United States and Dependent Areas, 2019; vol. 32. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. May 2021.

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  63. KFF. U.S. Federal Funding for HIV/AIDS: Trends Over Time; March 2019.

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  64. KFF. Ending the Epidemic Initiative: What you need to know. 2021. https://www.kff.org/hivaids/issue-brief/the-u-s-ending-the-hiv-epidemic-ehe-initiative-what-you-need-to-know/

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  65. Kates, J. and Dawson, L. Kaiser Family Foundation. Insurance Coverage Changes for People with HIV Under the ACA. 2017. Available at:  https://www.kff.org/health-reform/issue-brief/insurance-coverage-changes-for-people-with-hiv-under-the-aca/

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  66. KFF. The Affordable Care Act, the Supreme Court, and HIV: What Are the Implications? September 2012.

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  67. KFF. The ACA and People with HIV: An Update; May 2016.

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  68. HHS. HHS Announces Prohibition on Sex Discrimination Includes Discrimination on the Basis of Sexual Orientation and Gender Identity. May 10, 2021. https://www.hhs.gov/about/news/2021/05/10/hhs-announces-prohibition-sex-discrimination-includes-discrimination-basis-sexual-orientation-gender-identity.html

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