HIV in the official record

2011 — 2013, the department's own tables

Counted by the clinic regime: The HIV-era public record of St. Joseph County, at the size the official record gives it, is the county health department's own clinic table. The department ran the county's STD clinic and its HIV testing through its nursing division, and its 2013 annual report prints the state figures for the county in a three-year table. Residents of St. Joseph County living with HIV — the table's "total number of existing cases," from state data — numbered 528 in 2011 and 553 in 2012; the 2013 column stands in the report as not previously reported. New positives identified through the department's own clinic numbered fewer than thirty-five in 2011 (the state suppresses the exact count in the report's age-group aggregation), four in 2012, and none in 2013, with other providers in the county identifying thirty-one new positives in 2012 and twenty in 2013.

The clinic that did this work saw 522 visits in 2011, 518 in 2012, and 411 in 2013, and its wider documented load was the county's sexually transmitted disease burden entire: chlamydia cases of 1,243 in 2011, 1,079 in 2012, and 923 in 2013; gonorrhea 288, 314, and 230; syphilis under twenty, then five, then six. The state publishes the county's HIV figures onward in its Spotlight on HIV/STD/Viral Hepatitis annual series — persons living with HIV disease by last known county of residence — and that series, not any local narrative source, is the record of the epidemic's modern course here; no resident is named in it, and none is named here. The 2013 report also records a regime change inside the work: in fiscal 2013 the Indiana State Department of Health eliminated the STD grant the county department had been awarded for many years, and the clinic carried on without it.

Sources:

1. St. Joseph County Department of Health, 2013 Annual Report, STD clinics table (in.gov/localhealth/stjosephcounty) — HIV-positive totals for St. Joseph County (528 existing cases in 2011; 553 in 2012; 2013 not previously reported); new positives identified by the department's clinic (<35 in 2011 as the state data aggregates it; 4 in 2012; 0 in 2013) and by other county providers (31 in 2012; 20 in 2013); clinic visits (522 / 518 / 411); chlamydia, gonorrhea, and syphilis county totals for 2011–2013; and the elimination of the state's STD grant in fiscal 2013.
2. Indiana State Department of Health / Indiana Department of Health, Spotlight on HIV/STD/Viral Hepatitis annual reports (in.gov) — the state's continuing county-level series for persons living with HIV disease, named in the entry as the onward record; no figure is taken from its map tables, the county department's own table above being the legible first-hand source.