Geographic Priorities for Maximum Impact

A CDC analysis of HIV data found that more than half of new HIV diagnoses* occurred in only 48 counties, Washington, D.C., and San Juan, Puerto Rico. The analysis also found that seven states had a substantial rural burden.**

To achieve maximum impact, the first year of Ending the HIV Epidemic, if funded, will infuse those 57 geographic focus areas with additional resources, technology, and expertise to expand HIV prevention and treatment activities. Efforts will expand nationally within 10 years should additional resources be available.

Year 1 Geographic Priorities by State and County

United States map with Ending the HIV Epidemic states and counties Maricopa County, AZ Oklahoma Missouri Kentucky Alabama Mississippi South Carolina Arkansas King County, WA Shelby County, TN Cook County, IL Marion County, IN Wayne County, MI Mecklenburg County, NC San Juan Municipio, PR Philadelphia County, MD East Baton Rouge Parish, LA Orleans Parish, LA Cobb, DeKalb, Fulton, and Gwinnett Counties, GA Clark County, NV Suffolk County, MA Bronx, Kings, New York, and Queens Counties, NY Essex and Hudson Counties, NJ Baltimore City, MD Montgomery County, MD Prince George County, MD Washington, DC Cuyahoga County, OH Franklin County, OH Hamilton County, OH Tarrant County, TX Dallas County, TX Bexar County, TX Travis County, TX Harris County, TX Duval County, FL Orange County, FL Hillsborough County, FL Pinellas County, FL Palm Beach County, FL Broward County, FL Miami-Dade County, FL San Francisco County, CA Alameda County, CA Sacramento County, CA San Diego County, CA Riverside County, CA San Bernadino County, CA Orange County, CA Los Angeles County, CA
HIV Surveillance Data for 48 included US counties. Available published data as of June 2019
County or City State, District, or Territory Percent with Knowledge of HIV Status, 20161 Total Number of People Living with Diagnosed HIV, 20162 Estimated Number of New HIV Infections, 20163 Annual Number of HIV Diagnoses, 20174 Percent with Diagnosed HIV who have Reached Viral Suppression, 20165
Maricopa County Arizona N/A 10,776 N/A 523 N/A
Alameda County California N/A 5,713 N/A 206 N/A
Los Angeles County California N/A 48,220 N/A 1,527 N/A
Orange County California N/A 6,587 N/A 304 N/A
Riverside County California N/A 7,517 N/A 278 N/A
Sacramento County California N/A 4,112 N/A 133 N/A
San Bernadino County California N/A 3,880 N/A 210 N/A
San Diego County California N/A 12,660 N/A 404 N/A
San Francisco County California N/A 12,508 N/A 246 N/A
Washington District of Columbia 86 14,495 420 319 55.2
Broward County Florida N/A 19,113 N/A 681 N/A
Duval County Florida N/A 5,870 N/A 304 N/A
Hillsborough County Florida N/A 6,601 N/A 323 N/A
Miami-Dade County Florida N/A 26,213 N/A 1,179 N/A
Orange County Florida N/A 8,127 N/A 507 N/A
Palm Beach County Florida N/A 7,876 N/A 312 N/A
Pinellas County Florida N/A 4,340 N/A 172 N/A
Cobb County Georgia N/A 2,853 N/A 162 N/A
Dekalb County Georgia N/A 7,413 N/A 334 N/A
Fulton County Georgia N/A 13,544 N/A 602 N/A
Gwinnett County Georgia N/A 2,573 N/A 172 N/A
Cook County Illinois N/A 25,780 N/A 898 N/A
Marion County Indiana N/A 4,469 N/A 228 N/A
East Baton Rouge Parish Louisiana N/A 3,831 N/A 170 N/A
Orleans Parish Louisiana N/A 4,789 N/A 201 N/A
Baltimore City Maryland N/A 11,198 N/A 207 N/A
Montgomery County Maryland N/A 3,464 N/A 183 N/A
Prince George’s County Maryland N/A 6,756 N/A 280 N/A
Suffolk County Massachusetts N/A 5,743 N/A 163 N/A
Wayne County Michigan N/A 6,664 N/A 321 N/A
Clark County Nevada N/A 7,692 N/A 445 N/A
Essex County New Jersey N/A 9,278 N/A 303 N/A
Hudson County New Jersey N/A 5,037 N/A 157 N/A
Bronx County New York N/A 26,829 N/A 498 N/A
Kings County New York N/A 26,557 N/A 637 N/A
New York County New York N/A 27,819 N/A 393 N/A
Queens County New York N/A 15,815 N/A 442 N/A
Mecklenburg County Nouth Carolina N/A 5,539 N/A 270 N/A
Cuyahoga County Ohio N/A 4,521 N/A 156 N/A
Franklin County Ohio N/A 4,654 N/A 238 N/A
Hamilton County Ohio N/A 2,780 N/A 191 N/A
Philadelphia County Pennsylvania N/A 17,646 N/A 499 N/A
San Juan Municipio Puerto Rico N/A 3,286 N/A 104 N/A
Shelby County Tennessee N/A 5,979 N/A 244 N/A
Bexar County Texas N/A 5,888 N/A 358 N/A
Dallas County Texas N/A 16,825 N/A 814 N/A
Harris County Texas N/A 24,201 N/A 1,106 N/A
Tarrant County Texas N/A 5,235 N/A 288 N/A
Travis County Texas N/A 4,618 N/A 221 N/A
King County Washington N/A 6,773 N/A 219 N/A
State Percent with Knowledge of HIV Status, 20161 Total Number of People Living with Diagnosed HIV, 20162 Estimated Number of New HIV Infections, 20163 Annual Number of HIV Diagnoses, 20174 Percent with Diagnosed HIV who have Reached Viral Suppression, 20165
HIV Surveillance Data for 7 States and the District of Columbia, and 48 included counties. Available published data as of June 2019
Alabama 84 12,643 620 653 61.1
Arkansas 85 5,516 290 N/A
Kentucky 84 6,836 349 N/A
Mississippi 87 9,458 428 53.3
Missouri 87 12,104 450 504 62.3
Oklahoma 85 5,926 302 58.7
South Carolina 84 16,718 670 714 61.8

* 2016-2017 data

** States where 10% or more of new diagnoses in 2016 and 2017 were in rural areas (less than 50,000 population); at least 75 total new diagnoses statewide; and the state did not have a priority county.

1: This column shows the percent of people with HIV in the state who had received an HIV diagnosis and were aware of their HIV status as of year-end 2016. These data are not available for the counties, D.C., or San Juan, Puerto Rico. From the HIV Surveillance Supplemental Report, Estimated HIV incidence and prevalence in the United States, 2010–2016.

2: This column shows the total number of people with diagnosed HIV, or diagnosed HIV prevalence, in the counties, states, D.C., and San Juan, Puerto Rico, who were alive as of year-end 2016. Data published in NCHHSTP AtlasPlus March 2019; data are based on cases reported to the National HIV Surveillance System as of June 2018.

3: This column shows the estimated number of annual new HIV infections, that occurred in 2016. Estimates are not available for all states, and are not available for counties, D.C., and San Juan, Puerto Rico. From the HIV Surveillance Supplemental Report, Estimated HIV incidence and prevalence in the United States, 2010–2016.

4: Data published in NCHHSTP AtlasPlus March 2019; data are based on cases reported to the National HIV Surveillance System as of June 2018.

5: This column shows the percent of people who have received an HIV diagnosis, and who have reached viral suppression, for year-end 2016. These data are not available for all states, and are not available for counties, D.C., and San Juan, Puerto Rico. Data published June 27 in the HIV Surveillance Supplemental Report, Monitoring HIV Prevention and Care Objectives Using Surveillance Data United States, 2017.

Page last reviewed: December 6, 2019