HIV diagnoses numbers by state U.S. 2020

In 2020, the states with the highest number of HIV diagnoses were California, Texas, and Florida. That year there were a total of around 30,346 HIV diagnoses in the United States. Of these, 3,924 were diagnosed in California.

HIV infections have been decreasing globally and in 2000, there were 2.9 million new infections worldwide. This number decreased to around 1.5 million new infections in 2021. The number of people living with HIV remains fairly steady but the number of those that have died due to AIDS has reached some of its lowest peaks in a decade. Currently there is no functional cure for HIV or AIDS but improvements in therapies and treatments have enabled those living with HIV to have a much improved quality of life. In 2019, there were approximately 1.4 deaths per 100,000 people in the United States caused by HIV. There are five classes of HIV drugs that are designed to attack the virus at different stages. Spending for HIV antivirals in the United States totaled approximately 26 billion U.S. dollars in 2020. Elimination of HIV is not currently realistic, scientific progress is focusing primarily on enabling HIV patients to have a good quality of life and to manage the epidemic.

Number of HIV diagnoses in the United States in 2020, by state

Characteristic	Number of diagnoses
California	3,924
Texas	3,548
Florida	3,408
Georgia	1,977
New York	1,963
Illinois	1,096
North Carolina	1,079
Ohio	888
New Jersey	805
Pennsylvania	775
Louisiana	722
Maryland	706
Arizona	662
South Carolina	655
Tennessee	647
Virginia	628
Alabama	585
Michigan	519
Massachusetts	434
Indiana	433
Washington	421
Mississippi	402
Nevada	392
Missouri	359
Oklahoma	333
Colorado	324
Kentucky	300
Puerto Rico	286
Arkansas	242
Minnesota	229
Wisconsin	213
District of Columbia	197
Oregon	180
Connecticut	171
West Virginia	139
Kansas	138
New Mexico	131
Utah	131
Iowa	100
Delaware	93
Nebraska	73
Rhode Island	53
Hawaii	51
North Dakota	36
South Dakota	34
New Hampshire	33
Idaho	32
Alaska	29
Maine	16
Montana	14
Wyoming	14
Vermont	12
U.S. Virgin Islands	3

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Release date

2023

More information

Region

United States

Survey time period

2020

Age group

13 years and older

Supplementary notes

Release date represents the date figures were accessed.
Data on diagnoses of HIV infection should be interpreted with caution. Data may not be representative of all persons with HIV because not all infected persons have been tested. Also, many states offer anonymous testing; the results of anonymous tests are not reported to the confidential name-based HIV registries of state and local health departments. The data presented in the AtlasPlus provide minimum number of persons for whom HIV infection has been diagnosed and reported to the National HIV Surveillance System. In addition, because surveillance practices differ, the reporting and the updating of a person’s clinical and vital status differ among states. The completeness of reporting of HIV diagnoses is estimated at more than 85%.
HIV diagnoses refer to the number of HIV infections confirmed by laboratory or clinical evidence in 2020. Diagnoses of HIV infection are the numbers of persons aged ≥13 years with HIV diagnosed during the specified years. Diagnoses data are considered preliminary until 12-months after the diagnosis year to account for delays in reporting of case information and laboratory results.
Data for the year 2020 should be interpreted with caution due to the impact of the COVID-19 pandemic on access to HIV testing, care-related services, and case surveillance activities in state/local jurisdictions.

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