Undetectable = Untransmittable: Health Department Engagement Map

The science behind Undetectable = Untransmittable (U=U) is clear: People living with HIV who maintain viral suppression cannot sexually transmit the virus. This message has the power to curtail one of the most significant structural barriers to HIV care and treatment – stigma – and to transform the social, sexual, and reproductive lives of people living with HIV. Additionally, U=U and its potential to reduce new infections among all underserved populations is now a cornerstone of both national and jurisdictional strategies to end HIV/AIDS as an epidemic.

NASTAD was one of the first domestic organizations to sign on to the campaign and encourages its health department members to add their endorsement and support. The Prevention Access Campaign’s U=U consensus statement has been signed by hundreds of government agencies and organizations agreeing to promote the message of U=U and to unequivocally support persons living with HIV.

This interactive map highlights the various state, county, and local health departments that endorsed the U=U consensus statement. Click on the active links to learn about these jurisdictions’ implementation of U=U. For more information on the work of US community-based organizations, visit Prevention Access Campaign.  

Engagement

Local Jurisdictional Plan Available/In Development

State-Level Health Department Endorsement

No Information

Alaska

No Information

Alabama

No Information

Arkansas

No Information

Arizona

State-Level Health Department Endorsement

Check back soon.

California

State-Level Health Department Endorsement

Check back soon.

Colorado

No Information

Connecticut

State-Level Health Department Endorsement

Check back soon.

District of Columbia

State-Level Health Department Endorsement

In June 2017, the Washington DC Department of Health held a press conference to announce becoming the second US health department to endorse U=U.

The Washington DC Department of Health launched its “Sexual + Being” campaign and website in 2018, which includes messaging on U=U.

Delaware

No Information

Florida

No Information

Georgia

No Information

Hawaii

State-Level Health Department Endorsement

U=U a cornerstone of the Hawai’i to Zero campaign and featured plenary and panel discussion at the January 2019 statewide conference.

Iowa

State-Level Health Department Endorsement

The Iowa Department of Public Health has developed marketing materials to promote U=U to providers, persons living with HIV, and the broader community.  

Idaho

No Information

Illinois

State-Level Health Department Endorsement

U=U is a cornerstone of the Getting Zero Illinois campaign, including “U-U: Can you hear me now?” from the 2018 “U=U and You!” conference at Rush University in Chicago.

Indiana

State-Level Health Department Endorsement

The Indiana Department of Health’s HIV FAQ page includes information on being undetectable and having effectively no risk of transmitting HIV to an HIV-negative partner through sex.  

Kansas

No Information

Kentucky

No Information

Louisiana

State-Level Health Department Endoresment

U=U is a feature of the Louisiana STD/HIV Program’s Louisiana Health Hub. Louisiana Department of Health endorsement of U=U consensus supported by New Orleans and Baton Rouge.

Massachusetts

No Information

Maryland

No Information

Maine

No Information

Michigan

State-Level Health Department Endorsement

Press release announcing Michigan Department of Health and Human Services’ endorsement of U=U consensus statement. U=U resources page on MDHHS website, including FAQ developed by Division of HIV and STD Programs.

Minnesota

State-Level Health Department Endorsement

The Minnesota Department of Health has a comprehensive webpage dedicated to U=U, including resources for providers.  

Missouri

No Information

Mississippi

No Information

Montana

No Information

North Carolina

No Information

North Dakota

No Information

Nebraska

No Information

New Hampshire

No Information

New Jersey

State-Level Health Department Endorsement

Check back soon.

New Mexico

No Information

Nevada

No Information

New York

State-Level Health Department Endorsement

  • The New York State Department of Health AIDS Institute has a dedicated U=U webpage that includes links to their U=U policy statement, “Dear Colleague” letters from the Governor and Commissioner of Health to clinicians and other stakeholders, frequently asked questions, and links to other resources. 
  • The AIDS Institute has included U=U guidance in its Clinical Guidelines Program for providers. 
  • The AIDS Institute also supports the untransmittable.org website, which includes educational videos, FAQs, and resources for the New York State community.

Ohio

No Information

Oklahoma

No Information

Oregon

No Information

Pennsylvania

State-Level Health Department Endorsement

Check back soon.

Rhode Island

State-Level Health Department Endorsement

U=U a component of Rhode Island’s HIV CoEXIST program prioritizing HIV system of care needs and gaps including intensive case management and other interdisciplinary/comprehensive patient-centered approach to patient care

South Carolina

No Information

South Dakota

No Information

Tennessee

No Information

Texas

No Information

Utah

No Information

Virginia

No Information

Vermont

No Information

Washington

State-Level Health Department Endorsement

Unpacking U=U: A global message and the movement,” a featured plenary at the 2019 Washington State HIV Conference, cosponsored by the Washington State Department of Health.

Wisconsin

No Information

West Virginia

No Information

Wyoming

No Information

Guam

No Information

Northern Mariana Islands

No Information

American Samoa

No Information

Puerto Rico

No Information

Marshall Islands

No Information

Palau

No Information

Federated States of Micronesia

No Information

Virgin Islands

No Information

Baltimore

Local Jurisdictional Health Department Endorsement

U=U Maryland, a comprehensive website developed by the Baltimore City Health Department, was launched in December 2019. The website provides testing and treatment information, downloadable educational tools, story sharing, and links to a number of Maryland services and resources.

U=U Maryland is part of the U=U Maryland Campaign, which includes a Baltimore community consensus statement, which aims to eliminate the stigma of living with HIV through education, empowerment, and engagement.

Chicago

Local Jurisdictional Health Department Endorsement

The Chicago Department of Public Health announced its endorsement of the U=U campaign in a 2017 press release.

Hennepin County

Local Jurisdictional Health Department Endorsement

Positively Hennepin is the county’s strategy to respond to the HIV epidemic. The strategy acknowledges that the end of the HIV epidemic is within reach thanks to the science of U=U.

Houston

Local Jurisdictional Health Department Endorsement

The Houston “I Am Life” Campaign, designed specifically for the Black and Latinx LGBTQ population” recognizes treatment as prevention for those living with HIV and the importance of starting and maintaining treatment.

Los Angeles

Local Jurisdictional Health Department Endorsement

The Los Angeles County HIV/AIDS Strategy for 2020 and beyond specifically mentions the use of Prevention Access Campaign’s materials to promote U=U messaging.

Nashville

Local Jurisdictional Health Department Endorsement

In 2018, the Board of Health of Nashville and Davidson County released a resolution in support of the Prevention Access Campaign’s Consensus Statement including its Undetectable = Untransmittable (U=U) message.

New Orleans

Local Jurisdictional Health Department Endorsement

The Office of Human Rights and Equity is working to promote the messaging of U=U throughout the city.

The New Orleans Regional AIDS Planning Council promotes U=U messaging regularly via social media.

New York

Local Jurisdictional Health Department Endorsement

  • The New York City Department of Health and Mental Hygiene, the first U.S. government agency to endorse the U=U campaign, released a multi-language health bulletin, has a specific webpage dedicated to U=U, including a link to information for providers.  
  • Launched the “Made Equal” marketing campaign promoting U=U in associated with Work Pride in June 2019.  

San Francisco

Local Jurisdictional Health Department Endorsement

U = U is a cornerstone of San Francisco’s Getting to Zero initiative.

A number of public health resources have been developed, including a “U = U Basics“ distributed by the San Francisco City Clinic.

Baton Rouge

Local Jurisdictional Health Department Endorsement

Check back soon.

Champaign-Urbana

Local Jurisdictional Health Department Endorsement

Check back soon.

Columbus

Local Jurisdictional Health Department Endorsement

Check back soon.

Cleveland and Cuyahoga County

Local Jurisdictional Health Department Endorsement

Check back soon.

Denver

Local Jurisdictional Health Department Endorsement

Check back soon.

Jefferson County

Local Jurisdictional Health Department Endorsement

Check back soon.

Kitsap

Local Jurisdictional Health Department Endorsement

Check back soon.

LMAS District

Local Jurisdictional Health Department Endorsement

Check back soon.

Long Beach

Local Jurisdictional Health Department Endorsement

Check back soon.

San Diego

Local Jurisdictional Health Department Endorsement

Check back soon.

Scott County

Local Jurisdictional Health Department Endorsement

Check back soon.

Alameda County

Local Jurisdictional Health Department Endorsement

Check back soon.

Detroit

Local Jurisdictional Health Department Endorsement

Check back soon.

Hillsborough

Local Jurisdictional Health Department Endorsement

Check back soon.

Okaloosa

Local Jurisdictional Health Department Endorsement

Check back soon.

Genessee County

Local Jurisdictional Health Department Endorsement

Check back soon.

Adams County

Local Jurisdictional Plan Available/In Development

Check back soon.

If you are aware of any health departments that have updates to the information shared on this map, please email azapfel@nastad.org.

Additional U=U resources from NASTAD include a policy statement and a webinar featuring health department implementation and opportunities.