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)
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