ddodell@stjhmc.fidonet.org (David Dodell) (05/09/91)
Table 5. Adult/adolescent AIDS cases by sex, exposure category, and race/ethnicity, reported through March 1991, United States White, not Black, not MALE Hispanic Hispanic Hispanic EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 71,039 (80) 17,020 (44) 10,757 (46) Intravenous (IV) drug use (heterosexual) 5,753 (6) 13,618 (35) 9,064 (39) Male homosexual/bisexual contact and IV drug use 6,453 (7) 3,030 (8) 1,605 (7) Hemophilia/coagulation disorder 1,187 (1) 98 (0) 115 (0) Heterosexual contact: 623 (1) 2,627 (7) 389 (2) Sex with IV drug user 376 789 244 Sex with person with hemophilia 5 - 1 Born in Pattern-II* country 5 1,533 12 Sex with person born in Pattern-II country 37 40 7 Sex with transfusion recipient with HIV infection 33 14 8 Sex with person with HIV infection, risk not specified 167 251 117 Receipt of blood transfusion, blood components, or tissue** 1,738 (2) 363 (1) 212 (1) Other/undetermined*** 1,930 (2) 1,788 (5) 1,188 (5) Male subtotal 88,723 (100) 38,544 (100) 23,330 (100) FEMALE EXPOSURE CATEGORY IV drug use 1,798 (41) 4,948 (57) 1,743 (50) Hemophilia/coagulation disorder 26 (1) 5 (0) 2 (0) Heterosexual contact: 1,338 (30) 2,846 (33) 1,291 (37) Sex with IV drug user 678 1,704 1,039 Sex with bisexual male 291 170 66 Sex with person with hemophilia 70 7 2 Born in Pattern-II country 3 575 6 Sex with person born in Pattern-II country 7 49 1 Sex with transfusion recipient with HIV infection 81 15 22 Sex with person with HIV infection, risk not specified 208 326 155 Receipt of blood transfusion, blood components, or tissue 964 (22) 310 (4) 187 (5) Other/undetermined 306 (7) 642 (7) 232 (7) Female subtotal 4,432 (100) 8,751 (100) 3,455 (100) TOTAL 93,155 47,295 26,785 * See technical notes (available only in the printed version of this report ** Thirteen adults/adolescents and 2 children developed AIDS after receiving blood screened for HIV antibody. One additional person received only HIV-infected tissue. *** "Other" refers to 3 health-care workers who seroconverted to HIV and developed AIDS after occupational exposure to HIV-infected blood. "Undetermined" refers to patients whose mode of exposure to HIV is unknown. This includes patients under investigation; patients who died, were lost to follow-up, or refused interview; and patients whose mode of exposure to HIV remains undetermined after investigation. Table 5. Adult/adolescent AIDS cases by sex, exposure category, and race/ethnicity, reported through March 1991, United States (Continued) American Asian/ Indian/ Pacific Alaskan MALE Islander Native Total**** EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 777 (82) 130 (63) 99,941 (66) Intravenous (IV) drug use (heterosexual) 32 (3) 22 (11) 28,553 (19) Male homosexual/bisexual contact and IV drug use 21 (2) 32 (15) 11,153 (7) Hemophilia/coagulation disorder 17 (2) 8 (4) 1,429 (1) Heterosexual contact: 9 (1) 3 (1) 3,657 (2) Sex with IV drug user 5 3 1,417 Sex with person with hemophilia - - 6 Born in Pattern-II* country 3 - 1,557 Sex with person born in Pattern-II country - - 84 Sex with transfusion recipient with HIV infection - - 56 Sex with person with HIV infection, risk not specified 1 - 537 Receipt of blood transfusion, blood components, or tissue** 43 (5) 2 (1) 2,365 (2) Other/undetermined*** 54 (6) 10 (5) 5,010 (3) Male subtotal 953 (100) 207 (100) 152,108 (100) FEMALE EXPOSURE CATEGORY IV drug use 14 (16) 18 (53) 8,537 (51) Hemophilia/coagulation disorder - (0) - (0) 33 (0) Heterosexual contact: 32 (36) 8 (24) 5,534 (33) Sex with IV drug user 11 5 3,451 Sex with bisexual male 10 1 540 Sex with person with hemophilia 1 - 80 Born in Pattern-II country 1 - 586 Sex with person born in Pattern-II country - - 58 Sex with transfusion recipient with HIV infection 2 - 121 Sex with person with HIV infection, risk not specified 7 2 698 Receipt of blood transfusion, blood components, or tissue 27 (30) 4 (12) 1,496 (9) Other/undetermined 16 (18) 4 (12) 1,205 (7) Female subtotal 89 (100) 34 (100) 16,805 (100) TOTAL 1,042 241 168,913 * See technical notes (available only in the printed version of this report ** Thirteen adults/adolescents and 2 children developed AIDS after receiving blood screened for HIV antibody. One additional person received only HIV-infected tissue. *** "Other" refers to 3 health-care workers who seroconverted to HIV and developed AIDS after occupational exposure to HIV-infected blood. "Undetermined" refers to patients whose mode of exposure to HIV is unknown. This includes patients under investigation; patients who died, were lost to follow-up, or refused interview; and patients whose mode of exposure to HIV remains undetermined after investigation. **** Includes 351 males and 44 females whose race/ethnicity is unknown. Table 6. AIDS cases in adolescents and adults under age 25, by exposure category, reported April 1989 through March 1990, April 1990 through March 1991, and cumulative totals through March 1991, United States 13-19 years old Apr. 1989- Apr. 1990- Cumulative Mar. 1990 Mar. 1991 Total EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 37 (27) 31 (18) 176 (26) Intravenous (IV) drug use (heterosexual) 15 (11) 19 (11) 76 (11) Male homosexual/bisexual contact and IV drug use 3 (2) 5 (3) 28 (4) Hemophilia/coagulation disorder 42 (30) 48 (29) 203 (30) Heterosexual contact: 24 (17) 31 (18) 90 (13) Sex with IV drug user 17 24 59 Sex with bisexual male 1 1 4 Sex with person with hemophilia 1 1 2 Born in Pattern-II* country 2 - 13 Sex with person born in Pattern-II country - - - Sex with transfusion recipient with HIV infection - 1 1 Sex with person with HIV infection, risk not specified 3 4 11 Receipt of blood transfusion, blood components, or tissue 5 (4) 11 (7) 50 (7) Undetermined** 13 (9) 23 (14) 47 (7) TOTAL 139 (100) 168 (100) 670 (100) * See technical notes (available only in the printed version of this report ** "Undetermined" refers to patients whose mode of exposure to HIV is unknown. This includes patients under investigation; patients who died, were lost to follow-up, or refused interview; and patients whose mode of exposure to HIV remains undetermined after investigation. Table 6. AIDS cases in adolescents and adults under age 25, by exposure category, reported April 1989 through March 1990, April 1990 through March 1991, and cumulative totals through March 1991, United States (Continued) 20-24 years old Apr. 1989- Apr. 1990- Cumulative Mar. 1990 Mar. 1991 Total EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 797 (53) 806 (50) 3,990 (56) Intravenous (IV) drug use (heterosexual) 294 (20) 289 (18) 1,177 (17) Male homosexual/bisexual contact and IV drug use 136 (9) 115 (7) 643 (9) Hemophilia/coagulation disorder 36 (2) 36 (2) 180 (3) Heterosexual contact: 163 (11) 215 (13) 696 (10) Sex with IV drug user 93 136 396 Sex with bisexual male 7 11 53 Sex with person with hemophilia 9 2 16 Born in Pattern-II* country 21 16 113 Sex with person born in Pattern-II country 2 6 10 Sex with transfusion recipient with HIV infection 2 5 8 Sex with person with HIV infection, risk not specified 29 39 100 Receipt of blood transfusion, blood components, or tissue 9 (1) 25 (2) 103 (1) Undetermined** 67 (4) 126 (8) 308 (4) TOTAL 1,502 (100) 1,612 (100) 7,097 (100) * See technical notes (available only in the printed version of this report) ** "Undetermined" refers to patients whose mode of exposure to HIV is unknown. This includes patients under investigation; patients who died, were lost to follow-up, or refused interview; and patients whose mode of exposure to HIV remains undetermined after investigation. Table 7. AIDS cases by sex, age at diagnosis, and race/ethnicity, reported through March 1991, United States White, not Black, not MALE Hispanic Hispanic Hispanic AGE AT DIAGNOSIS (YEARS) No. (%) No. (%) No. (%) Under 5 211 (0) 692 (2) 319 (1) 5-12 169 (0) 101 (0) 76 (0) 13-19 235 (0) 154 (0) 99 (0) 20-24 3,012 (3) 1,809 (5) 1,086 (5) 25-29 13,435 (15) 6,192 (16) 4,053 (17) 30-34 20,832 (23) 9,748 (25) 5,986 (25) 35-39 19,586 (22) 9,056 (23) 5,233 (22) 40-44 13,473 (15) 5,321 (14) 3,251 (14) 45-49 8,012 (9) 2,893 (7) 1,683 (7) 50-54 4,386 (5) 1,573 (4) 925 (4) 55-59 2,773 (3) 975 (2) 573 (2) 60-64 1,586 (2) 504 (1) 263 (1) 65 or older 1,393 (2) 319 (1) 178 (1) Male subtotal 89,103 (100) 39,337 (100) 23,725(100) FEMALES AGE AT DIAGNOSIS (YEARS) Under 5 210 (4) 666 (7) 295 (8) 5-12 50 (1) 87 (1) 56 (1) 13-19 45 (1) 99 (1) 25 (1) 20-24 299 (6) 549 (6) 275 (7) 25-29 840 (18) 1,688 (18) 793 (21) 30-34 1,017 (22) 2,504 (26) 922 (24) 35-39 699 (15) 1,968 (21) 674 (18) 40-44 403 (9) 931 (10) 365 (10) 45-49 214 (5) 418 (4) 170 (4) 50-54 161 (3) 243 (3) 102 (3) 55-59 174 (4) 146 (2) 55 (1) 60-64 162 (3) 101 (1) 30 (1) 65 or older 418 (9) 104 (1) 44 (1) Female subtotal 4,692 (100) 9,504 (100) 3,806(100) TOTAL 93,795 48,841 27,531 Table 7. AIDS cases by sex, age at diagnosis, and race/ethnicity, reported through March 1991, United States (Continued) American Asian/ Indian/ Pacific Alaskan MALE Islander Native Total* AGE AT DIAGNOSIS (YEARS) No. (%) No. (%) No. (%) Under 5 5 (1) 3 (1) 1,234 (1) 5-12 5 (1) - (0) 353 (0) 13-19 6 (1) 5 (2) 499 (0) 20-24 30 (3) 13 (6) 5,961 (4) 25-29 129 (13) 44 (21) 23,896 (16) 30-34 204 (21) 53 (25) 36,901 (24) 35-39 218 (23) 39 (19) 34,212 (22) 40-44 152 (16) 23 (11) 22,279 (14) 45-49 94 (10) 15 (7) 12,730 (8) 50-54 51 (5) 4 (2) 6,960 (5) 55-59 34 (4) 6 (3) 4,377 (3) 60-64 9 (1) 4 (2) 2,371 (2) 65 or older 26 (3) 1 (0) 1,922 (1) Male subtotal 963 (100) 210 (100) 153,695 (100) FEMALES AGE AT DIAGNOSIS (YEARS) Under 5 1 (1) 4 (11) 1,177 (6) 5-12 5 (5) - (0) 199 (1) 13-19 1 (1) 1 (3) 171 (1) 20-24 4 (4) 5 (13) 1,136 (6) 25-29 8 (8) 4 (11) 3,341 (18) 30-34 17 (18) 11 (29) 4,483 (25) 35-39 13 (14) 5 (13) 3,367 (19) 40-44 20 (21) 3 (8) 1,725 (9) 45-49 7 (7) 2 (5) 816 (4) 50-54 5 (5) 1 (3) 512 (3) 55-59 3 (3) - (0) 380 (2) 60-64 7 (7) 1 (3) 301 (2) 65 or older 4 (4) 1 (3) 573 (3) Female subtotal 95 (100) 38 (100) 18,181 (100) TOTAL 1,058 248 171,876 * Includes 403 persons whose race/ethnicity is unknown. Table 8. AIDS cases, case-fatality rates, and deaths by half-year and age group, through March 1991, United States Adults/adolescents Cases diagnosed Case-fatality Deaths occurring HALF-YEAR during interval rate during interval Before 1981 77 84.4 30 1981 Jan.-June 92 93.5 38 July-Dec. 203 91.1 86 1982 Jan.-June 393 90.6 152 July-Dec. 687 88.9 283 1983 Jan.-June 1,273 92.3 518 July-Dec. 1,634 91.9 921 1984 Jan.-June 2,544 90.1 1,380 July-Dec. 3,342 90.6 1,930 1985 Jan.-June 4,831 89.8 2,766 July-Dec. 6,222 87.9 3,760 1986 Jan.-June 8,167 86.5 4,948 July-Dec. 9,827 83.8 6,294 1987 Jan.-June 12,684 83.3 7,336 July-Dec. 14,093 77.7 7,714 1988 Jan.-June 15,926 72.1 8,962 July-Dec. 16,319 66.8 10,163 1989 Jan.-June 18,046 56.8 11,635 July-Dec. 17,720 48.8 13,156 1990 Jan.-June 17,465 36.8 12,226 July-Dec. 14,321 22.6 10,606 1991 Jan.-Mar. 3,047 11.2 2,116 Total1 168,913 63.5 107,210 * Death totals include 190 adults/adolescents and 4 children known to have died, but whose dates of death are unknown. Table 8. AIDS cases, case-fatality rates, and deaths by half-year and age group, through March 1991, United States (Continued) Children <13 years old Cases diagnosed Case-fatality Deaths occurring HALF-YEAR during interval rate during interval Before 1981 6 66.7 1 1981 Jan.-June 8 62.5 2 July-Dec. 6 100.0 6 1982 Jan.-June 14 78.6 9 July-Dec. 15 80.0 5 1983 Jan.-June 33 93.9 13 July-Dec. 42 78.6 16 1984 Jan.-June 48 83.3 25 July-Dec. 62 74.2 24 1985 Jan.-June 94 74.5 44 July-Dec. 126 75.4 67 1986 Jan.-June 136 75.0 65 July-Dec. 181 66.9 84 1987 Jan.-June 219 63.9 113 July-Dec. 248 60.1 159 1988 Jan.-June 237 50.6 129 July-Dec. 319 47.6 153 1989 Jan.-June 319 42.9 155 July-Dec. 298 40.6 161 1990 Jan.-June 278 27.3 146 July-Dec. 229 18.8 123 1991 Jan.-Mar. 45 15.6 17 Total1 2,963 51.3 1,521 * Death totals include 190 adults/adolescents and 4 children known to have died, but whose dates of death are unknown. Table 9. AIDS cases by year of diagnosis and definition category, diagnosed through March 1991, United States Year of diagnosis Before Apr. 1987- Apr. 1988 Apr. 1987 Mar. 1988 Mar. 1989 DEFINITION CATEGORY* No. (%) No. (%) No. (%) Pre-1987 definition 42,716 (92) 22,483 (77) 24,010 (71) 1987 definition:** 3,532 (8) 6,586 (23) 9,799 (29) Specific disease presumptively diagnosed 1,893 3,585 5,563 Specific disease definitively diagnosed 525 564 645 HIV encephalopathy 357 888 1,180 HIV wasting syndrome 757 1,549 2,411 TOTAL 46,248 (100) 29,069 (100) 33,809 (100) * Persons who meet the criteria for more than one definition category are classified in the definition category listed first. ** Persons who meet only the 1987 AIDS case definition and whose date of diagnosis is before September 1987 were diagnosed retrospectively. Table 9. AIDS cases by year of diagnosis and definition category, diagnosed through March 1991, United States (Continued) Year of diagnosis Apr. 1989- Apr. 1990- Cumulative Mar. 1990 Mar. 1991 total DEFINITION CATEGORY* No. (%) No. (%) No. (%) Pre-1987 definition 24,900 (68) 16,978 (65) 131,087 (76) 1987 definition:** 11,691 (32) 9,181 (35) 40,789 (24) Specific disease presumptively diagnosed 6,762 5,653 23,456 Specific disease definitively diagnosed 797 576 3,107 HIV encephalopathy 1,344 881 4,650 HIV wasting syndrome 2,788 2,071 9,576 TOTAL 36,591 (100) 26,159 (100) 171,876 (100) * Persons who meet the criteria for more than one definition category are classified in the definition category listed first. ** Persons who meet only the 1987 AIDS case definition and whose date of diagnosis is before September 1987 were diagnosed retrospectively. Table 10. Adult/adolescent AIDS cases by single and multiple exposure categories reported through March 1991, United States AIDS cases EXPOSURE CATEGORY No. (%) Male homosexual/bisexual contact 96,016 (57) Intravenous (IV) drug use (female and heterosexual male) 31,791 (19) Hemophilia/coagulation disorder 907 (1) Heterosexual contact 8,770 (5) Receipt of blood transfusion, blood component, or tissue 3,861 (2) Other/undetermined 6,215 (4) SINGLE MODE OF EXPOSURE SUBTOTAL 147,560 (87) MULTIPLE MODES OF EXPOSURE Male homosexual/bisexual contact; IV drug use 10,033 (6) Male homosexual/bisexual contact; hemophilia 36 (0) Male homosexual/bisexual contact; heterosexual contact 2,039 (1) Male homosexual/bisexual contact; receipt of transfusion 1,725 (1) IV drug use; hemophilia 40 (0) IV drug use; heterosexual contact 4,283 (3) IV drug use; receipt of transfusion 733 (0) Hemophilia; heterosexual contact 9 (0) Hemophilia; receipt of transfusion 532 (0) Heterosexual contact; receipt of transfusion 421 (0) Male homosexual/bisexual contact; IV drug use; hemophilia 8 (0) Male homosexual/bisexual contact; IV drug use; heterosexual contact 796 (0) Male homosexual/bisexual contact; IV drug use; receipt of transfusion 271 (0) Male homosexual/bisexual contact; hemophilia; heterosexual contact 3 (0) Male homosexual/bisexual contact; hemophilia; receipt of transfusion 18 (0) Male homosexual/bisexual contact; heterosexual contact; receipt of transfusion 104 (0) IV drug use; hemophilia; heterosexual contact 2 (0) IV drug use; hemophilia; receipt of transfusion 7 (0) IV drug use; heterosexual contact; receipt of transfusion 217 (0) Hemophilia; heterosexual contact; receipt of transfusion 14 (0) Male homosexual/bisexual contact; IV drug use; hemophilia; receipt of transfusion 7 (0) Male homosexual/bisexual contact; IV drug use; heterosexual contact; receipt of transfusion 38 (0) IV drug use; hemophilia; heterosexual contact; receipt of transfusion 5 (0) MULTIPLE MODES of EXPOSURE SUBTOTAL 21,353 (13) TOTAL 168,913 (100) -- ------------------------------------------------------------------------- St. Joseph's Hospital and Medical Center, Phoenix, Arizona uucp: {gatech, ames, rutgers}!ncar!asuvax!stjhmc!ddodell Bitnet: ATW1H @ ASUACAD FidoNet=> 1:114/15 Internet: ddodell@stjhmc.fidonet.org FAX: +1 (602) 451-1165