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SAMPLE GRANT PROPOSAL:  AIDS HIV PREVENTION
available for AIDS patients and their unborn children.  Mechanisms need to be put in place to establish
a continuum of care.
Sexually Transmitted Diseases (STDs) in Target Area
STDs in any area are a serious public health problem, but in an urban area with an AIDS rate
three times the national average, an STD outbreak can be deadly.  STDs significantly increase the risk
of HIV transmission by lowering the body’s immune response and providing entry points (lesions,
sores) for the virus.  A controlled study in San Francisco indicates that persons with STDs are twice as
likely to be infected with HIV.
12
As Figure 3 summarizes, African Americans accounted for the majority of STDs for the most
recent period in which information is available broken down by race/ethnicity.
Figure 3.  Incidence of Sexually Transmitted Disease, Alameda County, 1994
13
Syphilis
Gonorrhea
Chlamydia
Total Cases
148
2,462
3,513
Af-Am. Cases
117
2043
2354
% Af-American
79%
83%
67%
 
Target Population
As the analysis above suggests, African Americans are at greater risk for HIV/AIDS and STDs.
However, within the African-American community, sub-populations exist that are at even higher risk.
Injecting Drug Users (IDUs) and Crack Users
Since the beginning of the epidemic, the percentage of newly reported AIDS cases attributable
to injecting drug use has increased steadily in Alameda County.  In 1985, IDUs accounted for 1% of
cases; in 1990, 10%; and in 1996, 21%.
14
The Bay Area Survey of Families Project (January 1993
Report) indicates that the seroprevalence rate among male heterosexual IDUs tested at STD clinics in
Alameda was 18.2%, significantly higher than San Francisco’s 12.5% rate. Furthermore, fully 74% of
all persons who contracted AIDS in Alameda County from injecting drug use were African American.
15
12
Alameda County HIV Prevention Plan, December 1995, Appendix A p. 13.
13
Ibid., p. 9 and Appendix A p. 13. Note that race was reported for only 34% of cases, so there may be bias in the
sample.  Total African American cases are interpolated based on the sample.
14
AIDS Cases, p. 24.
15
Ibid.
26
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