About 1.2 million people aged 13 and older were living with HIV in the United States at year-end 2022, counting both diagnosed and undiagnosed infections[1]. Roughly 13% — 158,249 people — did not know they had HIV[1]. CDC's newer count of people living with diagnosed HIV is 1,158,701 as of year-end 2024[2].
The current national estimate
Two numbers get used, and they measure different things. The estimate of people living with HIV (PLHIV) includes people who have not been diagnosed yet: about 1.2 million people aged 13 and older at year-end 2022[1]. The surveillance count of people living with diagnosed HIV (PWDH) is a headcount of reported diagnoses: 1,158,701 as of year-end 2024 across the U.S. and its territories[2]. AIDSVu frames the 2023 surveillance data as more than 1.13 million people living with HIV[5].
New diagnoses each year run just under 40,000: 37,981 in 2022[1], 39,182 in 2023[5], and 38,793 in 2024, a national rate of 13.3 per 100,000 people[2]. Because about 13% of people with HIV are undiagnosed, roughly 87% of people living with HIV know their status — a figure CDC also states directly as 87% diagnosed using 2019 prevalence data[1].
How many people are in care and undetectable
Among people with diagnosed HIV in 2022 (48 states and D.C.): more than 80% were linked to care within one month of diagnosis, 76% received some HIV care, 54% were retained in care, and 65% were virally suppressed[3]. The same figures are restated on HIV.gov's statistics page[1].
AIDSVu's read of the 2023 data is slightly higher: 82.8% of newly diagnosed people linked to care, 76.3% received care, and 67.2% were virally suppressed[5]. Viral suppression matters for the person and for the epidemic — an undetectable viral load means HIV cannot be passed on sexually, the basis of U=U.
Where people living with HIV live
The epidemic is concentrated in the South. 46% of people living with diagnosed HIV — 532,812 people — lived in the South at year-end 2024, and 51% of 2024's new diagnoses (19,785) were among people in the South[2]. AIDSVu reports the same 51% share for 2023 and notes that 8 of the 9 states with the highest new-diagnosis rates and 9 of the 10 highest-rate EHE counties were in the South[5].
By state, CDC's December 2023 residence-based tables put the four largest counts of people living with diagnosed HIV at California 145,781, New York 125,192, Florida 119,527, and Texas 105,388[6]. State health departments publish their own counts that differ from CDC's because of age scope, residence rules, and data close dates.
HIV is also not evenly distributed by age or race. The largest age group among people with diagnosed HIV in 2024 was ages 55–64, at 300,819 people (26%), and Black/African American people made up 39% (446,585 people)[2]. AIDSVu puts 2023 prevalence at 1,245 per 100,000 among Black people versus 180 per 100,000 among White people — about seven times higher[5].
EHE jurisdictions and the trend line
The federal Ending the HIV Epidemic in the U.S. (EHE) initiative focuses on 57 priority jurisdictions: 48 counties, Washington D.C., San Juan Municipio in Puerto Rico, and 7 states with a substantial rural HIV burden — Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina[4]. Those 48 counties plus D.C. and San Juan accounted for more than half of all new HIV diagnoses in 2016 and 2017[4]. At year-end 2022 the 50 county-and-city EHE jurisdictions held an estimated 638,900 people aged 13+ living with HIV, of whom 567,156 (89%) were diagnosed[1].
The trend is mixed rather than dramatic. New diagnoses in 2022 were stable compared with 2018 but up 5% from 2021[1], while AIDSVu reports diagnoses down 17% since 2008 through 2023[5]. Prevention access is improving: the national PrEP-to-Need Ratio rose 52%, from 9.9 in 2021 to 15.1 in 2024[5]. If you want to explore your own county or state, AIDSVu publishes interactive maps built from these surveillance datasets; its methods are documented publicly[7].
Related questions
Does the 1.2 million figure include people who don't know they have HIV?
Yes. The roughly 1.2 million estimate for year-end 2022 covers both diagnosed and undiagnosed HIV among people aged 13 and older. CDC's separate figure of 1,158,701 for year-end 2024 counts only people living with diagnosed HIV.
How many people are newly diagnosed with HIV each year in the U.S.?
There were 37,981 new HIV diagnoses in 2022, 39,182 in 2023 per AIDSVu's read of surveillance data, and 38,793 in 2024 — a national rate of 13.3 per 100,000 people.
What are the 57 EHE priority jurisdictions?
Ending the HIV Epidemic focuses on 48 counties, Washington D.C., San Juan Municipio in Puerto Rico, and 7 states with substantial rural HIV burden: Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina.
How many people with HIV have an undetectable viral load?
Among people with diagnosed HIV, 65% were virally suppressed in 2022 according to CDC's care outcomes data. AIDSVu puts viral suppression at 67.2% using 2023 data.
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References & Sources
- HIV.gov — U.S. Statistics. National estimate of people living with HIV, undiagnosed share, new diagnoses, care continuum, and EHE jurisdiction totals. ↩ ↩ ↩ ↩ ↩ ↩ ↩ ↩
- CDC — HIV Diagnoses, Deaths, and Prevalence (2026 update). Year-end 2024 count of people living with diagnosed HIV, new diagnoses, and breakdowns by region, age, and race. ↩ ↩ ↩ ↩ ↩
- CDC — National HIV Prevention and Care Outcomes. 2022 care continuum: linkage, receipt of care, retention, and viral suppression. ↩
- HIV.gov — EHE Priority Jurisdictions. The 57 EHE priority jurisdictions, including the 7 rural-burden states. ↩ ↩
- AIDSVu — 2023 Data and Interactive Maps launch. AIDSVu's 2023 figures for prevalence, new diagnoses, care continuum, racial disparity, and the PrEP-to-Need Ratio. ↩ ↩ ↩ ↩ ↩ ↩ ↩
- CDC — HIV and AIDS data through December 2023 (state tables). Residence-based state counts of people living with diagnosed HIV as of December 2023. ↩
- AIDSVu — State and county data methods. How AIDSVu builds its state and county maps from federal surveillance data. ↩
Community publications like POZ, Positively Aware, and TheBody inform framing and lived-experience context on RiseUpToHIV. Every clinical, epidemiological, or public-health claim above is anchored to a primary source.