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DPH presents HIV/STI update: declines slowed, Latinx and youth disparities highlighted; department emphasizes DoxyPEP and Health Access Points

San Francisco Health Commission · December 5, 2023
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Summary

San Francisco Department of Public Health presented HIV and STI surveillance and program updates showing a slowdown in declines in new HIV diagnoses, persistent disparities (notably rising diagnoses among Latino men who have sex with men and higher STI rates among BIPOC youth), and program responses including Health Access Points, DoxyPEP monitoring, and linkage/navigation services.

The San Francisco Department of Public Health on Dec. 5 presented its annual HIV and STI update, reporting that declines in new HIV diagnoses have slowed while disparities persist across race/ethnicity, age and homelessness status. The presentation combined epidemiology, program updates and information about new prevention tools.

Sharon Pipkin, an epidemiologist in the ARCHES branch, reported that new HIV diagnoses fell 28% from 2017–2019 but only 12% from 2019–2022, and that at the end of 2022 there were 15,537 people living with HIV in San Francisco. Pipkin noted an aging population (73% over age 50) and that overdose deaths have made up an increasing share of deaths among people living with HIV.

Pipkin and colleagues highlighted persistent disparities: in 2022 Latino men had higher rates of new HIV diagnoses…

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