For the numerators, we used HIV case surveillance data from all 50 states and the District of Columbia reported to CDC as of June 2012 for adults and adolescents (age 13 years or older at diagnosis) diagnosed with HIV infection in 2011 and for those living with diagnosed HIV infection as of December 2010. The most recently available data were used for both rates; data on persons living with diagnosed HIV infection lags one year behind diagnosis data due to time needed to ascertain deaths [5].