Population Health and Evidence-Based Practice Chronic diseases in the United States are the most expensive and widespread and common diseases. Over 133 million Americans, which is close to half of the population suffer from at least one chronic disease that requires ongoing treatment (Raghupathi & Raghupathi, 2018). Chronic diseases are any disease that requires frequent monitoring and treatment which include, diabetes, heart disease, COPD, kidney failure, and HIV to just name a few. In South Florida, HIV rates are on the rise. According to the CDC in 2016 Miami had the highest new HIV infection rate per capita in the United States which is more than twice as many as NYC, San Francisco or Los Angeles (CohenJun, et al., 2018). Of the top 10 cities with new HIV diagnosis, four of them are in Florida, which also has the highest rates of infections that progress to AIDS because patients do not stick to the antiretroviral medications due to reasons such as cost, embarrassment and social stigma. Mario Stevenson, a virologist that is the head of the infectious disease department at the University of Miami has helped create a task force that issued a report titled “Getting to Zero for Miami,” which was built on the idea that treatment as prevention to end AIDS movement (CohenJun, et al., 2018). Epidemiological and Environmental Data in South Florida Miami has a population of2,496,420with an estimated 26,632 people living with HIV. The HIV cases are broken down by males at 74.4 percent and females at 25.6 percent. On a case breakdown related to race the number of whites is 10.7 percent, 42.5 percent black and 45.4 Hispanic. In 2017 Miami had 1,184 new cases of HIV and had 370 deaths related to the diseases. Of the 1,184 new cases consisted of 57.9 percent Hispanic
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