title: Using the HIV surveillance system to monitor the National HIV/AIDS Strategy.
abstract: OBJECTIVE
  To report on indicators of the National HIV/AIDS Strategy, we analyzed data collected through the national HIV surveillance system.
  
  
  METHODS
  We analyzed data from adults and adolescents aged 13 years or older diagnosed with HIV in 13 US jurisdictions that have laboratory reporting of CD4+ T-lymphocyte (CD4) and viral load (VL) test results and enter CD4 and VL test results into the national surveillance system.
  
  
  RESULTS
  Of 4899 people diagnosed in 2009, 81.7% had at least 1 CD4 or VL test performed within 3 months of diagnosis. A higher proportion of Whites (86.2%) than Blacks (78.4%) and Hispanics (82.6%) had a CD4 or VL test. Of 53,642 people diagnosed through 2008 and living with HIV at the end of 2009 who had a VL test, 69.4% had a most recent VL of 200 copies per milliliter or less. The proportion of people with suppressed VLs differed among Blacks (60.2%), Hispanics (70.3%), and Whites (77.4%) and among people aged 13 to 24 years (44.3%) compared with people aged 65 years or older (84.2%). Of men who have sex with men, 74.2% had a suppressed VL.
  
  
  CONCLUSIONS
  The findings highlight disparities in access to and success of care.
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. blo9@cdc.gov
authors.forename: Kristen
authors.initials: K
authors.lastname: Mahle Gray
authors.forename: Tian
authors.initials: T
authors.lastname: Tang
authors.forename: Luke
authors.initials: L
authors.lastname: Shouse
authors.forename: Jianmin
authors.initials: J
authors.lastname: Li
authors.forename: Jonathan
authors.initials: J
authors.lastname: Mermin
authors.forename: H Irene
authors.initials: HI
authors.lastname: Hall
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D044383:Black People / Q000706:statistics & numerical data*; D018791:CD4 Lymphocyte Count; D015496:CD4-Positive T-Lymphocytes / Q000276:immunology; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000208:ethnology*; D006297:Health Services Accessibility; D054625:Healthcare Disparities; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D018451:Homosexuality, Male / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D014481:United States / Q000453:epidemiology; D019562:Viral Load; D044465:White People / Q000706:statistics & numerical data*; D055815:Young Adult; D001741:Black or African American