Slide 1: HIV Prevention in New York City Maureen Miller, PhD Director, HIV Prevention Bureau of HIV/AIDS Prevention and Control
Slide 2: HIV in New York City  15% of HIV infections in US are in NYC 1.2% of all New Yorkers are known to be HIV infected Generalized HIV epidemic  
Slide 3: HIV Epidemic in Perspective  4000 New Yorkers diagnosed with HIV every year for the last 10 years 10-12 HIV infections EVERY DAY      7-10 men 4-5 women 8-11 people of color 7-10 people who have same sex   65% of new HIV infections are sexually transmitted Our goal: Decrease new HIV infections!!!
Slide 4: Sex Harm Reduction Male condoms and lubricant Revamped web-based condom and lubricant distribution system went on-line 6/05 ( www.nyc.gov/health/condoms)    Male condoms distributed ~ 5 million Lubricant distributed ~ 2.5 million
Slide 5: Sex Harm Reduction Female condoms  Broad based female condom distribution     STD clinics DPHO offices Syringe exchange programs > 60 CBOs
Slide 6: Population Level Interventions Public Health Campaigns in Development Know your HIV status – get tested Know factors that increase HIV transmission     Having a sexually transmitted infection Not knowing your partner’s HIV status  Know that stigma spreads HIV
Slide 7: Summary  NYC is the HIV epicenter in the United States Two thirds of HIV infection are transmitted sexually NYC DOHMH should be a national model of effective HIV prevention Expand the concept of harm reduction to include SEX!   