Overall, Ohio tends to fair green, meaning that we tend to have lower overall HIV infection rates (per 100,000 of the population) than some parts of the country. Hamilton County, as well, tends to fair better than either Cleveland or Columbus. The picture above represents one of the higher rates you can find in HamCo -- eclipsed only by our AIDS rates amongst African Americans.
As a whole, the South is drowning in HIV/AIDS, outside of those traditional epicenters of urban America, a fact that shouldn't surprise anyone, but always seems to. A CNN story links the disparity to stigma, lack of testing sites, a decentralized population, lack of HIV-knowledgeable healthcare professionals, and difficulties in education. Georgia tends to do the worst.