[sci.med] Changes to AIDS posting since last month

werner@aecom.UUCP (Craig Werner) (11/07/86)

<>
2a3
> 
4,5c5,7
< 16,458 persons (16,227 adults and 231 children), with 8,361 (51% of the adults
< and 59% of the children) deaths as of Jan 13, 1986. 71% of the patients 
---
> 26,566 persons with 14,977 deaths as of Oct. 20, 1986. Similar figures as
> of Jan 13, 1986 were 16,458 persons (16,227 adults and 231 children), with 
> 8,361 (51% of the adults and 59% of the children). 71% of the patients 
7,10c9,15
< 	In the first 37 weeks (Jan 1 - Sept. 17, 1986) of this year, 8,781 new
< cases were reported (compared to 5,432 in the similar period last year).
< 	In perspective, there were 612,692 (622,293) reported cases of
< Gonnorhea, 18,283 (18,832) cases of Syphillis, and 15,394 (15,036) cases
---
> 	A revised definition of AIDS recently proposed would increase the
> number of cases to over 30,000 by reclassifying some patients currently
> diagnosed as having AIDS-related complex (ARC).
> 	In the first 42 weeks (Jan 1 - Oct. 18, 1986) of this year, 10,474 new
> cases were reported (compared to 6,433 in the similar period last year).
> 	In perspective, there were 713,742 (716,749) reported cases of
> Gonnorhea, 21,253 (21,740) cases of Syphillis, and 15,394 (15,036) cases
24a30,35
> 	The recently published Surgeon General's report is available
> 	free from the Public Health Service by writing:
> 		AIDS
> 		Box 14252
> 		Washington DC 20044
> 		
39a51,57
> 	The actual diagnosis of AIDS is made according to a very strict
> case definition set up by the Centers for Disease Control (CDC). Evidence
> of infection and illness not meeting the strict case definition is called
> AIDS-related complex (ARC). Assymptomatic infection is also possible.
> It is not clear at this time what percentage of each group will progess,
> however, once the diagnosis of full-blown AIDS is made, the mortality
> approaches 100% by 5 years after diagnosis.
45a64,67
> 	It is also known that virtually all AIDS patients, if they live
> long enough will develop changes in mental status. In most cases, these
> are due to opportunistic infections of the nervous system. However, in 
> some cases it is due to a direct CNS infection by the virus itself. 
59d80
< [See accompanying article: 'Focus: AIDS and Africa', Oct. 86 only]
93a115,120
> 	Numbers may not add up to 100% due to incomplete reporting.
> 	Blacks and Hispanics accounted for 23% and 14% of the male cases,
> respectively, but 51% and 21% of the female cases.  The relative risk
> for Black and Hispanic women is 13.3 and 11.1 times higher than for
> white women.  The cumulative incidence among Blacks and Hispanics is
> 3 times as much as their proportional population. 
99,102c126,130
< parenteral (*) transmission, celibacy and avoidance of IV drug use will
< efectively reduce one's chance of contracting AIDS to near Zero,
< especially since blood products are now screened for contamination.
< Given the general unpopularity of complete celibacy, the use of
---
> parenteral (Blood and body fluid, includes IV drug use) transmission, 
> celibacy and avoidance of IV drug use will efectively reduce one's 
> chance of contracting AIDS to near Zero, especially since blood 
> products are now screened for contamination.
> 	Given the general unpopularity of complete celibacy, the use of
112,124c140,141
< sex with a male homosexual/bisexual since 1977, contact your local 
< Red Cross to become a blood donor.
< 
< (*) parenteral: defined as 'not by mouth', i.e., related to blood and
< other body fluids. Example: Intravenous drugs.
< It has nothing to do with parentage (that's 'parental')
< 
< 
< [I am grateful for comments from Barry Hayes, Steve Dyer, Mike Lipsie,
< hokey@plus5, Alan J. Rosenthal, James Van Artsdalen, Joseph Yao, 
< Peter Rubin, bam@bigbang, tim@uw-nsr, and Henry Mensch.]
< [Also Andrew Klossner, Gary Cottrell, Matt Crawford, Stephen Hutchison,
< and Jerry Natowitz for suggestions and corrections.] 
---
> sex with a male homosexual/bisexual since 1977, and have not engaged in
> prostitution, contact your local Red Cross to become a blood donor.
-- 
			      Craig Werner (MD/PhD '91)
				!philabs!aecom!werner
              (1935-14E Eastchester Rd., Bronx NY 10461, 212-931-2517)
            "When I was your age, I always did it for half an hour a day."