An individual in the Ontario HIV Laboratory Cohort is considered to be a person with diagnosed HIV who is living in Ontario until administratively lost to follow-up, defined as having had no viral load test for more than two consecutive years and no viral load test in later years. Individuals lost to follow-up are assumed to have died or migrated out of the province, and are removed from the cohort. Based on the constraints of this definition, a diagnosed individual who is actually living in Ontario would be removed from the cohort if they haven’t had a VL test in more than two years. If this individual goes on to have a viral load test in the future, they are re-entered into the cohort. In additional analyses, the lost to follow-up criteria is increased to three years.