HIV

The mission of the Office of HIV Prevention and Care, in collaboration with community partners, is to reduce the incidence of HIV infections, to increase life expectancy for those infected, and to improve the quality of life for persons living with or affected by HIV. The charge of the office is to:

• Monitor the epidemic
• Improve public understanding of HIV
• Prevent or reduce behaviors that transmit HIV
• Increase individual knowledge of HIV serostatus
• Strengthen systems for referral to appropriate prevention and treatment services

ADAP and Part B Services Annual Report

The ADAP and Part B Services Annual Report 2019 is now available. This report reflects clients receiving Part B core medical and support services during 2019. ADAP and Part B services clients achieve optimal health outcomes at a higher rate than all persons living with HIV in Alabama, with the majority of ADAP and Part B services clients already surpassing or approaching the National HIV/AIDS Strategy (NHAS) 2020 indicators of 90 percent retention in HIV medical care and 80 percent viral suppression.

Start Talking Alabama

The Start Talking Alabama campaign seeks to increase HIV awareness and decrease the stigma by sharing prevention, testing, and treatment information, and support.

Every Dose Every Day App

The CDC's new Every Dose Every Day app is designed to help providers support medication adherence among people living with HIV. Medication adherence improves health outcomes and increases the prevention benefits of treatment. Visit the CDC to learn more about the app.

Continuum of HIV Care by Public Health District

The Preliminary 2023 HIV Continuum of Care depicts persons living with HIV (PWH) in Alabama who are engaged in selected stages of HIV treatment. Successful HIV Prevention and Care programs exhibit high linkage to care among newly diagnosed clients, as well as effective retention in care and adequate viral load suppression among existing HIV-positive clients. As viral load is considered a measure of infectivity, maintaining a suppressed viral load decreases the likelihood of infecting another person and is the focus of Treatment as Prevention strategies. PWH who adhere to antiretroviral treatment and maintain suppressed viral loads can reduce the risk of sexual transmission of HIV by 96 percent. For PWH who reach undetectable levels, there are no documented cases of sexual transmission. This is the premise of the Prevention Access Campaign's Undetectable Equals Untransmittable (U=U) initiative, which the Centers for Disease Control and Prevention supports, agreeing there is "effectively no risk" of sexually transmitting HIV when on treatment and undetectable.

• Finalized 2021 HIV Continuum of Care
• Finalized 2022 HIV Continuum of Care

HIV and Pregnancy

The Office of HIV Prevention and Control collaborates with Alabama's medical providers to reduce the incidence of perinatal HIV infection. Visit HIV and Pregnancy for more information.

STD/HIV REPORT Card

Physicians, dentists, nurses, medical examiners, hospital administrators, nursing home administrators, lab directors, school principals, and day care directors are responsible for reporting Notifiable Diseases in Alabama. The Alabama Notifiable Diseases Rules, Chapter 420-4-1, specifies the diseases and conditions requiring notification, and the time frame and methods for notification. To report a case of HIV (including symptomatic infection, AIDS, CD4 counts and viral load), please use the Communicable Disease REPORT Card.