Those displaced are more likely to be younger, black or Latino, or — like many of the inhabitants of the once-gritty, now trendy Tenderloin — poor, homeless, drug users, sex workers, and/or transgender. The latter helps explain why San Francisco’s HIV demographics have begun to reflect increases in the number of HIV-positive Asian-Americans.“There's no question that the demographics of San Francisco are changing,” acknowledges Buchbinder, which “could certainly affect the new diagnoses, because if we get fewer of a certain group living in San Francisco then we see fewer diagnoses in that group.
But we can't say that that’s really what accounts for the numbers.
did so — reporting on the San Francisco "miracle" has become ubiquitous in the media.
Rightly so, as the city by the bay saw new infections fall 34 percent between 20 (from 458 to 302).
Long before the World Health Organization and the U. Centers for Disease Control and Prevention began recommending that all those who were diagnosed with HIV should start on antiretroviral meds as soon as possible, San Francisco had taken that step on its own.
In describing how that decision came about, Jeff Sheehy reveals a lot about how San Francisco works.
Even with “a substantial population that either has substance abuse or mental health issues or both,” Sheehy says the program has resulted in an 84 percent suppression rate.
Getting people diagnosed and into care is only half the battle.
The county is now uniquely positioned to reach their goal of becoming the first in America to end the HIV epidemic in their jurisdiction, a goal dubbed "AIDS-free by 2030" by local activists and policy makers alike. San Francisco has been at the heart of the AIDS epidemic since it exploded into public awareness 35 years ago.
Considered by some the epicenter for both the swift spread of the disease and the medical response to it, San Francisco’s LGBT community has been actively fighting the epidemic ever since. to occupy the exact same borders as the county it’s in.
If a person with HIV falls off the grid, a retention navigator will go find them and figure out what their barriers to care are, whether that person is in San Francisco or not.
San Francisco Department of Public Health has also recently launched a Centers for Disease Control-funded “data-to-care” program.
Using the Power of Data Health departments across the country collect data on people living with sexually transmitted infections, including HIV, noting the numbers of people currently living with HIV, those diagnosed with stage three HIV (otherwise known as AIDS), and newly diagnosed HIV cases.