SF AIDS Fdn: Calif. District 1 HIV/AIDS Profile

Calif. Congressional District 1

Epidemiology and Federal Funding Profile

Includes all of Del Norte, Humboldt, Lake, Mendocino and Napa Counties and portions of Solano and Sonoma Counties*

Since the early 1980s, Acquired Immune Deficiency Syndrome (AIDS) and the Human Immunodeficiency Virus (HIV), the virus that causes AIDS, have disproportionately affected California. Over 109,000 Californians have been diagnosed with AIDS, representing 17% of all cases reported in the United States. While more than 68,000 people have died from AIDS in this state, it is estimated that over 40,000 Californians are currently living with AIDS and that between 94,300 and 130,500 may be HIV-infected.

In recent years, the number of new cases of AIDS and deaths caused by HIV disease have been declining due to the success of prevention efforts, new drug therapies and better access to medical care. In California, AIDS deaths fell 38% from the first half of 1997 to the same period in 1998. Likewise, new AIDS cases declined 29%. However, while AIDS cases and deaths are declining, the number of new HIV infections has not diminished. For these reasons, the number of people living with AIDS in California has grown almost 200% in the last five years.

California has nine communities eligible for emergency federal assistance through Title I of the Ryan White CARE Act, more than any other state in the nation. These include: Los Angeles; Oakland (Alameda and Contra Costa Counties); Orange County; Riverside/San Bernardino; Sacramento (Sacramento, El Dorado and Placer Counties); San Diego; San Francisco (San Francisco, San Mateo and Marin Counties); San Jose, and; Santa Rosa/Petaluma.

HIV/AIDS, however, is not an epidemic confined to major metropolitan areas. As of December 31, 1998, all but one of California's 58 counties reported known cases of HIV/AIDS. Congressional District 1, represented by Congressperson Mike Thompson, is no exception. As of December 31, 1998, the California Office of AIDS reports 3,247 cumulative cases of AIDS within the seven-county area that comprises District 1.

Congressional District 1 relies on a number of key federal funding sources to provide much needed HIV care, treatment, housing and prevention services. This profile illustrates the importance of federal funding for HIV/AIDS services in District 1.

*Note: Despite the fact that some districts contain only portions of some counties, figures are available for whole counties only. For this reason, the figures included in this profile reflect totals compiled by adding county-wide statistics. See additional notes on reverse.

Federal Health Care and Support Service Funding -- District 1

Ryan White CARE Act Title I Eligible Metropolitan Area¹	$1,127,018
Ryan White CARE Act Title II AIDS Drug Assistance Program (ADAP)²	$615,054
Ryan White CARE Act Title II Non-ADAP ³	$1,030,413
Ryan White CARE Act Title IIIB Early Intervention Programs ⁴	$533,127
Other Ryan White CARE Act Funding⁵	$0
Medi-Cal Waiver Program (MCWP)/Community-Based Care ⁶	$583,648
Centers for Disease Control and Prevention, HIV Prevention Funding ⁷	$18,797
Housing Opportunities for People with AIDS (HOPWA)⁸	$610,110
Total:	$4,518,167

¹ Title I figure is for federal Fiscal Year 1999.

² Figures are for reimbursements from calendar year 1998. Because ADAP reimbursements are generated from a pool of federal and state funds and pharmaceutical company rebates, the figure derived for this district represents the total percentage of federal funding overall applied to reimbursements in the counties at hand.

³ Title II Non-ADAP funding includes Consortia, CARE-HIPP (Health Insurance Premium Program) and the Case Management Program. Figures for Consortia are for federal Fiscal Year 1999. Figures for Care-HIPP reflect reimbursements made to counties in federal Fiscal Year 1998. Figures for the Case Management Program are from federal Fiscal Year 1998. With Title II Case Management funds, Lake County serves both Lake and Mendocino Counties.

⁴ Early Intervention Program figure is from federal Fiscal Year 1998.

⁵ Other CARE Act funding includes Title IV, Title V Special Projects of National Significance (SPNS) and Title V Dental Reimbursements. All figures reflect federal Fiscal Year 1998 funding. Although funds are not reflected in this profile, Sonoma County receives some services from Title V SPNS grantee programs physically located in San Francisco.

⁶ Figures for the Medi-Cal Waiver Program (MCWP) are from calendar year 1998. The MCWP provides home and community-based care, including case management, skilled nursing, attendant care, home maker services, counseling and selected other services, to Medi-Cal recipients who have AIDS. With MCWP funds, Lake County serves Lake and Mendocino Counties.

⁷ The Centers for Disease Control and Prevention (CDC) figure includes funding for the Early Intervention Program, HIV Prevention Education and HIV Testing and Counseling. Figures are from calendar year 1998 with the exception of Early Intervention funds, which are from federal Fiscal Year 1998.

⁸ HOPWA figure may include funding provided to eligible metropolitan areas (EMSAs), funding provided to the State of California and allocated by county, and/or funds received by HOPWA Special Project of National Significance (SPNS) grant awardees. EMSA and state figures included represent funding for federal Fiscal Year 1999. SPNS funds included represent a yearly proportion of total grants made in previous years.

Sources: California Department of Health Services, Office of AIDS, U.S. Health Resources and Services Administration (HRSA), U.S. Department of Housing and Urban Development (HUD)

Page last updated 6 August 1999