East Bay Getting to Zero

East Bay HIV data, epidemiology and disparities can be found on these websites:

Most recent data, updated January 2022

During the COVID-19 pandemic, data from HIV ACCESS clinics (Ryan White Part C funded clinics in Alameda County) show that HIV screening and viral load testing rates declined from 2019 to 2020. Labs had reduced hours and staffing, waiting times were long and lines were sometimes chaotic, and people reported not being able to safely go to labs and get blood drawn. The lab testing rates increased from 2020 to 2021, but lab access remains a challenge. Linkage to care for newly diagnosed people, retention in care and HIV antiretroviral treatment (ART) rates remained high, and even increased, thanks to the awesome dedication and hard work of our frontline staff during the pandemic, and as people adapted to phone and video visits as well as 3-month refills and mail-order medications.

Disparities analyses conducted in 2021 show that there continue to be significant disproportionate impact among Black/African American, Latinx and young adult residents, especially among people who inject drugs and are experiencing homelessness. Increasing disparity gaps were seen in new diagnoses among Latinx people and young people of color, as well as in retention and viral load suppression for Black/African American residents, men who have sex with men who inject drugs, young adults and uninsured residents (2020 compared to 2019). Additional details on East Bay data for key communities and disparities can be found on this EBGTZ key communities references document, updated in January 2022.

10 years of strengthening linkages in the East Bay

Over the past 10 years, the East Bay linkage and retention working group has developed a warm hand-off process, single points of contact for linkages, and rapid, same-day access to HIV medications (antiretroviral treatment, or ART) and to PrEP. As a result, we improved our 90-day linkage rates from 2012 to 2017:

  • 70% to 79% in Alameda County
  • 82% to 92% in Contra Costa County

During that same time, we improved our county-wide viral load suppression rates, which is a marker for how well people living with HIV are doing on treatment and achieving U=U (Undetectable = Untransmittable):

  • 40% to 72% in Alameda County
  • 65% to 75% in Contra Costa County

Starting in 2018, we started tracking 30-day linkages rather than 90-day linkages as well as rates of same-day access to HIV treatment (75% among HIV ACCESS clinics in 2020).