In a follow-up to a earlier report on the HIV outbreak in Indiana, Governor Mike Pence today declared a public health emergency in Scott County due to an outbreak of HIV that has reached epidemic proportions. The declaration was issued in Executive Order 15-05, which orders the state to coordinate a multi-agency response, and provides additional resources and tools to tackle the outbreak.

Scott County, Indiana Image/David Benbennick
Scott County, Indiana
Image/David Benbennick

The Indiana State Department of Health (ISDH) has identified 79 confirmed cases of HIV originating in Scott County related to the outbreak in southeastern Indiana. Typically, Scott County would see fewer than five new HIV cases in a year. All cases are linked to injection drug abuse.  This is an epidemic.

Since the outbreak was first identified in late January, ISDH has worked closely with local health officials, the Centers for Disease Control and Prevention (CDC), drug treatment facilities, local medical providers, and other State agencies to contain the outbreak and get treatment for those who test positive for HIV. A medical team from CDC arrived in Scott County on March 23 to help with following up on contacts of HIV positive individuals and analyzing data. Additional CDC personnel will arrive next week.

Governor Pence met with the CDC on Monday and visited Scott County on Wednesday to talk with local officials, health professionals and concerned citizens and informed them that he would be declaring a public health emergency in Scott County.

“Scott County is facing an epidemic of HIV, but this is not a Scott County problem; this is an Indiana problem,” said Gov. Pence. “The people of Scott County are working hard to address this crisis, and with additional state resources and new tools provided by this emergency declaration, I am confident that together we will stop this HIV outbreak in its tracks.”

Executive Order 15-05 orders ISDH to set up an incident command center to coordinate HIV treatment and substance abuse treatment and requires state and local health, law enforcement and emergency response agencies, as well as health care providers and hospitals to cooperate and assist in disaster response.  In addition ISDH will set up a mobile one-stop shop to assist individuals in enrolling in HIP 2.0, offering vaccinations, and providing identification information.

The order, upon the recommendation of officials from the CDC, also authorizes Scott County health, safety, law enforcement and local officials to take the actions they deem necessary to respond to the epidemic, including designing and implementing under the supervision of ISDH a targeted, short-term needle exchange program for the sole purpose of containing the epidemic.

In addition, ISDH is launching a regional public awareness campaign, called “You Are Not Alone,” which focuses on drug treatment, infection prevention, safe sex, needle disposal and HIV testing and treatment. Viewers are encouraged to contact the HIV services hotline or addiction hotline for local treatment and care resource. The three-month campaign will include digital and social media ads, billboards along the Interstate 65 corridor, radio, and will be featured in the free local paper, The Giveaway.