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Diagnosed HIV infection among adults and adolescents in metropolitan statistical areas—United States and Puerto Rico, 201
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    To best direct resources toward communities with the greatest need, health planners often establish priorities by comparing the magnitude and effect of HIV disease amongst geographic areas. This surveillance supple- mental report presents data on diagnoses of HIV infec- tion during 2015 and on persons living with diagnosed HIV infection at year-end 2014 (prevalence) for adults and adolescents (aged 13 years and older) residing in metropolitan statistical areas (MSAs, population of 500,000 or more) in the United States and Puerto Rico. HIV programs may use this information to focus on populations and areas at greatest need for HIV preven- tion and treatment services, which is consistent with the High-Impact Prevention approach pursued by the Centers for Disease Control and Prevention (CDC).

    This report presents numbers and rates (cases diagnosed per 100,000 persons) of diagnosed HIV infection during 2015 and of persons living with diagnosed HIV infection as of December 31, 2014 for adults and adolescents aged 13 years and older. Rank- ings for HIV diagnoses are based on rates derived from the MSA data.

    This volume of the HIV Surveillance Supplemental Report marks the transition to presenting diagnosis, death, and prevalence data without statistical adjust- ments for delays in reporting of cases to CDC. CDC periodically assesses the portfolio of the National HIV Surveillance System to determine whether methods and efficiencies in data collection and analysis meet the information needs of the nation. In determining that adjustments for reporting delays were no longer neces- sary, CDC considered improvements in data quality as a result of the following: availability of additional case information, shorter time for processing duplicates from multiple states, and a better system for national data processing. CDC will continue to statistically adjust transmission category data by using multiple imputation techniques to account for missing transmis- sion category information in cases reported to CDC.

    Suggested citation: Centers for Disease Control and Prevention. Diagnosed HIV infection among adults and adolescents in metropolitan statistical areas—United States and Puerto Rico, 2015.HIV Surveillance Supplemental Report 2017;22(No. 1). http://www.cdc.gov/hiv/library/reports/ surveillance/. Published May 2017. Accessed [date].

    cdc-hiv-surveillance-supplemental-report-vol-22-1.pdf

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