ddodell@stjhmc.fidonet.org (David Dodell) (05/09/91)
HIV/AIDS Surveillance Report Suggested Citation and Report Description Centers for Disease Control. HIV/AIDS Surveillance Report, April, 1991 Report Description: The U.S. AIDS case data presented below are extracted from the "HIV/AIDS Surveillance Report", published each month by the Division of HIV/AIDS, Center for Infectious Diseases, Centers for Disease Control, Atlanta, GA 30333 In addition to the data presented here, the printed report contains maps, figures, and technical notes. Single copies of the printed report are available free from: National AIDS Information Clearinghouse P.O. Box 6003 Rockville, MD 20850 Table 1. AIDS cases and annual incidence rates per 100,000 population, by state, reported April 1989 through March 1990, April 1990 through March 1991; and cumulative totals, by state and age group, through March 1991 Apr. 1989- Apr. 1990- Mar. 1990 Mar. 1991 STATE OF RESIDENCE No. Rate No. Rate Alabama 206 5.1 284 7.0 Alaska 22 4.1 20 3.6 Arizona 386 10.8 256 7.0 Arkansas 98 4.2 206 8.8 California 6,577 22.6 7,683 25.8 Colorado 405 12.4 404 12.3 Connecticut 459 14.0 428 13.0 Delaware 73 11.1 89 13.4 District of Columbia 502 82.3 746 122.9 Florida 3,408 27.0 4,746 36.7 Georgia 1,219 19.1 1,181 18.2 Hawaii 209 19.1 159 14.3 Idaho 28 2.8 24 2.4 Illinois 1,190 10.4 1,294 11.3 Indiana 348 6.3 267 4.8 Iowa 49 1.8 69 2.5 Kansas 135 5.5 130 5.2 Kentucky 133 3.6 189 5.1 Louisiana 585 13.9 680 16.1 Maine 59 4.8 63 5.1 Maryland 791 16.7 997 20.9 Massachusetts 796 13.3 850 14.1 Michigan 513 5.5 601 6.5 Minnesota 172 4.0 201 4.6 Mississippi 191 7.4 273 10.6 Missouri 491 9.6 591 11.5 Montana 15 1.9 19 2.4 Nebraska 39 2.5 57 3.6 Nevada 152 13.1 214 17.8 New Hampshire 56 5.1 52 4.7 New Jersey 2,194 28.5 2,502 32.4 New Mexico 106 7.1 112 7.4 New York 7,071 39.4 7,871 43.8 North Carolina 507 7.7 490 7.4 North Dakota 6 0.9 6 0.9 Ohio 512 4.7 699 6.4 Oklahoma 172 5.5 190 6.0 Oregon 258 9.1 308 10.8 Pennsylvania 1,161 9.8 1,166 9.8 Rhode Island 87 8.7 83 8.3 South Carolina 385 11.2 309 8.9 South Dakota 2 0.3 8 1.1 Tennessee 303 6.2 334 6.8 Texas 2,572 15.4 3,267 19.2 Utah 84 5.0 90 5.2 Vermont 20 3.6 22 3.9 Virginia 514 8.4 660 10.7 Washington 608 12.7 571 11.7 West Virginia 64 3.5 53 3.0 Wisconsin 147 3.0 232 4.7 Wyoming 11 2.4 10 2.2 U.S. TOTAL 36,091 14.6 41,756 16.8 Guam 1 0.7 2 1.4 Pacific Islands, U.S. - 0.0 1 0.5 Puerto Rico 1,544 46.7 1,764 53.2 Virgin Islands, U.S. 18 15.6 9 7.7 TOTAL 37,654 15.1 43,532 17.2 Table 1. AIDS cases and annual incidence rates per 100,000 population, by state, reported April 1989 through March 1990, April 1990 through March 1991; and cumulative totals, by state and age group, through March 1991 (Continued) Cumulative totals Adults/ Children STATE OF RESIDENCE adolescents <13 years old Total Alabama 964 24 988 Alaska 102 2 104 Arizona 1,343 10 1,353 Arkansas 485 12 497 California 32,326 221 32,547 Colorado 1,703 11 1,714 Connecticut 1,946 63 2,009 Delaware 331 4 335 District of Columbia 2,813 42 2,855 Florida 14,866 411 15,277 Georgia 4,567 50 4,617 Hawaii 672 7 679 Idaho 82 2 84 Illinois 4,952 72 5,024 Indiana 1,080 10 1,090 Iowa 241 3 244 Kansas 467 4 471 Kentucky 552 5 557 Louisiana 2,422 44 2,466 Maine 229 2 231 Maryland 3,315 69 3,384 Massachusetts 3,506 80 3,586 Michigan 2,119 36 2,155 Minnesota 862 8 870 Mississippi 713 14 727 Missouri 1,976 12 1,988 Montana 60 1 61 Nebraska 198 2 200 Nevada 688 7 695 New Hampshire 203 5 208 New Jersey 10,648 307 10,955 New Mexico 371 3 374 New York 35,622 837 36,459 North Carolina 1,730 37 1,767 North Dakota 24 - 24 Ohio 2,450 40 2,490 Oklahoma 726 12 738 Oregon 1,065 7 1,072 Pennsylvania 4,681 80 4,761 Rhode Island 385 10 395 South Carolina 1,099 22 1,121 South Dakota 25 - 25 Tennessee 1,166 15 1,181 Texas 11,928 119 12,047 Utah 349 9 358 Vermont 80 1 81 Virginia 2,210 38 2,248 Washington 2,293 13 2,306 West Virginia 182 4 186 Wisconsin 690 4 694 Wyoming 41 - 41 U.S. TOTAL 163,548 2,791 166,339 Guam 8 - 8 Pacific Islands, U.S. 2 - 2 Puerto Rico 5,278 168 5,446 Virgin Islands, U.S. 77 4 81 TOTAL 168,913 2,963 171,876 Table 2. AIDS cases and annual incidence rates per 100,000 population, by metropolitan area with 500,000 or more population, reported April 1989 through March 1990, April 1990 through March 1991; and cumulative totals, by area and age group, through March 1991 Apr. 1989- Apr. 1990- METROPOLITAN Mar. 1990 Mar. 1991 AREA OF RESIDENCE No. Rate No. Rate Akron, Ohio 15 2.3 35 5.3 Albany-Schenectady, N.Y. 75 8.6 92 10.5 Allentown, Pa. 48 7.0 45 6.6 Anaheim, Calif. 304 12.9 381 15.8 Atlanta, Ga. 923 33.4 928 32.8 Austin, Tex. 234 30.9 218 27.9 Bakersfield, Calif. 35 6.6 39 7.2 Baltimore, Md. 517 21.9 662 27.8 Baton Rouge, La. 53 10.1 54 10.2 Bergen-Passaic, N.J. 236 18.4 325 25.4 Birmingham, Ala. 68 7.5 82 9.0 Boston, Mass. 602 16.0 576 15.2 Bridgeport, Conn. 129 15.6 116 14.0 Buffalo, N.Y. 73 7.5 103 10.6 Charleston, S.C. 81 16.2 62 12.2 Charlotte, N.C. 99 8.7 71 6.1 Chicago, Ill. 965 15.9 1,098 18.1 Cincinnati, Ohio 77 5.3 132 9.1 Cleveland, Ohio 135 7.3 152 8.3 Columbus, Ohio 99 7.3 162 11.8 Dallas, Tex. 559 22.4 716 28.0 Dayton, Ohio 61 6.4 70 7.4 Denver, Colo. 325 20.3 340 20.9 Detroit, Mich. 360 8.2 409 9.3 El Paso, Tex. 32 5.5 57 9.6 Fort Lauderdale, Fla. 558 45.3 1,034 82.4 Fort Worth, Tex. 123 9.5 213 16.0 Fresno, Calif. 54 8.3 65 9.7 Gary, Ind. 43 7.1 22 3.6 Grand Rapids, Mich. 21 3.1 40 5.8 Greensboro, N.C. 77 8.3 86 9.1 Greenville, S.C. 39 6.2 51 8.0 Harrisburg, Pa. 49 8.4 38 6.5 Hartford, Conn. 156 14.0 147 13.1 Honolulu, Hawaii 137 16.5 112 13.4 Houston, Tex. 1,049 32.3 1,329 40.2 Indianapolis, Ind. 179 14.4 122 9.8 Jacksonville, Fla. 238 26.8 260 28.7 Jersey City, N.J. 309 55.8 382 69.1 Kansas City, Mo. 264 17.0 269 17.2 Knoxville, Tenn. 27 4.5 27 4.5 Lake County, Ill. 21 4.1 19 3.7 Las Vegas, Nev. 114 16.0 167 22.5 Little Rock, Ark. 50 9.8 73 14.2 Los Angeles, Calif. 2,232 25.6 2,505 28.3 Louisville, Ky. 61 6.4 63 6.6 Memphis, Tenn. 94 9.6 106 10.8 Miami, Fla. 952 49.9 1,323 68.3 Middlesex, N.J. 173 17.2 189 18.5 Milwaukee, Wis. 80 5.6 121 8.4 Minneapolis-Saint Paul, Minn. 158 6.5 176 7.1 Monmouth-Ocean City, N.J. 163 16.8 211 21.4 Nashville, Tenn. 91 9.4 116 11.8 Nassau-Suffolk, N.Y. 377 14.5 415 15.9 New Bedford, Mass. 46 9.1 63 12.4 New Haven, Conn. 134 16.8 137 17.0 New Orleans, La. 354 28.5 398 32.1 New York, N.Y. 5,992 70.3 6,674 78.1 Newark, N.J. 949 51.9 993 54.4 Norfolk, Va. 118 8.6 157 11.2 Oakland, Calif. 430 21.0 601 28.9 Oklahoma City, Okla. 87 9.2 94 9.8 Omaha, Neb. 30 4.9 36 5.8 Orlando, Fla. 174 16.8 320 29.8 Oxnard-Ventura, Calif. 35 5.3 43 6.4 Philadelphia, Pa. 791 16.3 917 18.9 Phoenix, Ariz. 292 14.2 178 8.4 Pittsburgh, Pa. 175 8.4 127 6.2 Portland, Oreg. 196 16.0 251 20.2 Providence, R.I. 82 9.0 80 8.7 Raleigh-Durham, N.C. 119 16.6 105 14.3 Richmond, Va. 118 13.8 107 12.4 Riverside-San Bernardino, Calif. 302 12.1 309 11.9 Rochester, N.Y. 75 7.5 79 7.9 Sacramento, Calif. 143 9.9 154 10.4 Saint Louis, Mo. 206 8.5 300 12.3 Salt Lake City, Utah 70 6.6 82 7.6 San Antonio, Tex. 211 16.5 220 16.9 San Diego, Calif. 560 23.0 748 29.9 San Francisco, Calif. 1,875 117.8 2,155 134.4 San Jose, Calif. 123 8.3 192 12.8 San Juan, P.R. 972 61.2 1,122 70.3 Scranton, Pa. 37 5.0 41 5.6 Seattle, Wash. 454 23.4 414 21.0 Springfield, Mass. 63 10.5 97 16.1 Syracuse, N.Y. 42 6.4 42 6.4 Tacoma, Wash. 51 8.9 45 7.7 Tampa-Saint Petersburg, Fla. 369 18.2 488 23.6 Toledo, Ohio 29 4.7 45 7.3 Tucson, Ariz. 59 9.0 57 8.5 Tulsa, Okla. 52 7.4 48 6.8 Washington, D.C. 899 23.3 1,296 33.0 West Palm Beach, Fla. 317 38.0 419 48.5 Wilmington, Del. 62 10.8 71 12.3 Worcester, Mass. 33 4.7 65 9.2 METROPOLITAN AREA SUBTOTAL* 31,120 21.4 36,376 24.7 ALL OTHER AREAS 6,534 6.2 7,156 6.8 TOTAL 37,654 15.0 43,532 17.2 * Only includes data from metropolitan areas which have populations of 500,000 or more. Table 2. AIDS cases and annual incidence rates per 100,000 population, by metropolitan area with 500,000 or more population, reported April 1989 through March 1990, April 1990 through March 1991; and cumulative totals, by area and age group, through March 1991 (Continued) Cumulative totals METROPOLITAN Adults/ Children AREA OF RESIDENCE adolescents <13 years old Total Akron, Ohio 115 - 115 Albany-Schenectady, N.Y. 347 4 351 Allentown, Pa. 168 5 173 Anaheim, Calif. 1,386 9 1,395 Atlanta, Ga. 3,496 30 3,526 Austin, Tex. 756 8 764 Bakersfield, Calif. 124 - 124 Baltimore, Md. 2,016 50 2,066 Baton Rouge, La. 203 4 207 Bergen-Passaic, N.J. 1,389 29 1,418 Birmingham, Ala. 303 7 310 Boston, Mass. 2,694 57 2,751 Bridgeport, Conn. 572 20 592 Buffalo, N.Y. 284 2 286 Charleston, S.C. 243 - 243 Charlotte, N.C. 330 7 337 Chicago, Ill. 4,181 55 4,236 Cincinnati, Ohio 382 6 388 Cleveland, Ohio 621 10 631 Columbus, Ohio 542 4 546 Dallas, Tex. 2,863 16 2,879 Dayton, Ohio 246 6 252 Denver, Colo. 1,397 7 1,404 Detroit, Mich. 1,481 25 1,506 El Paso, Tex. 133 1 134 Fort Lauderdale, Fla. 2,714 52 2,766 Fort Worth, Tex. 664 10 674 Fresno, Calif. 213 2 215 Gary, Ind. 101 - 101 Grand Rapids, Mich. 111 1 112 Greensboro, N.C. 273 6 279 Greenville, S.C. 141 - 141 Harrisburg, Pa. 171 4 175 Hartford, Conn. 587 15 602 Honolulu, Hawaii 505 4 509 Houston, Tex. 5,037 49 5,086 Indianapolis, Ind. 510 3 513 Jacksonville, Fla. 799 27 826 Jersey City, N.J. 1,797 47 1,844 Kansas City, Mo. 1,036 4 1,040 Knoxville, Tenn. 115 1 116 Lake County, Ill. 80 2 82 Las Vegas, Nev. 509 7 516 Little Rock, Ark. 197 6 203 Los Angeles, Calif. 11,315 94 11,409 Louisville, Ky. 226 2 228 Memphis, Tenn. 373 6 379 Miami, Fla. 4,464 169 4,633 Middlesex, N.J. 857 24 881 Milwaukee, Wis. 382 2 384 Minneapolis-Saint Paul, Minn. 770 6 776 Monmouth-Ocean City, N.J. 699 25 724 Nashville, Tenn. 391 6 397 Nassau-Suffolk, N.Y. 1,719 43 1,762 New Bedford, Mass. 175 4 179 New Haven, Conn. 628 27 655 New Orleans, La. 1,533 24 1,557 New York, N.Y. 30,880 755 31,635 Newark, N.J. 4,428 143 4,571 Norfolk, Va. 489 7 496 Oakland, Calif. 2,173 15 2,188 Oklahoma City, Okla. 370 - 370 Omaha, Neb. 137 1 138 Orlando, Fla. 835 9 844 Oxnard-Ventura, Calif. 162 - 162 Philadelphia, Pa. 3,541 56 3,597 Phoenix, Ariz. 978 6 984 Pittsburgh, Pa. 586 2 588 Portland, Oreg. 843 4 847 Providence, R.I. 361 9 370 Raleigh-Durham, N.C. 382 10 392 Richmond, Va. 414 9 423 Riverside-San Bernardino, Calif. 1,104 17 1,121 Rochester, N.Y. 368 4 372 Sacramento, Calif. 665 9 674 Saint Louis, Mo. 901 7 908 Salt Lake City, Utah 309 6 315 San Antonio, Tex. 842 12 854 San Diego, Calif. 2,525 19 2,544 San Francisco, Calif. 9,925 18 9,943 San Jose, Calif. 748 8 756 San Juan, P.R. 3,303 111 3,414 Scranton, Pa. 137 3 140 Seattle, Wash. 1,724 10 1,734 Springfield, Mass. 234 11 245 Syracuse, N.Y. 162 6 168 Tacoma, Wash. 160 3 163 Tampa-Saint Petersburg, Fla. 1,680 28 1,708 Toledo, Ohio 126 3 129 Tucson, Ariz. 258 3 261 Tulsa, Okla. 203 4 207 Washington, D.C. 4,814 72 4,886 West Palm Beach, Fla. 1,468 58 1,526 Wilmington, Del. 272 3 275 Worcester, Mass. 191 4 195 METROPOLITAN AREA SUBTOTAL* 144,062 2,479 146,541 ALL OTHER AREAS 24,851 484 25,335 TOTAL 168,913 2,963 171,876 * Only includes data from metropolitan areas which have populations of 500,000 or more. Table 3. AIDS cases by age group, exposure category, and sex, reported April 1989 through March 1990, April 1990 through March 1991; and cumulative totals, by age group and exposure category, through March 1991, United States Males Apr. 1989- Apr. 1990- ADULT/ADOLESCENT Mar. 1990 Mar. 1991 EXPOSURE CATEGORY No. (%) No. (%) Male homosexual/bisexual contact 21,066 (64) 23,726 (63) Intravenous (IV) drug use (female and heterosexual male) 6,856 (21) 7,610 (20) Male homosexual/bisexual contact and IV drug use 2,288 (7) 2,275 (6) Hemophilia/coagulation disorder 280 (1) 317 (1) Heterosexual contact: 820 (2) 1,122 (3) Sex with IV drug user 383 519 Sex with bisexual male - - Sex with person with hemophilia 1 2 Born in Pattern-II* country 276 294 Sex with person born in Pattern-II country 16 28 Sex with transfusion recipient with HIV infection 16 25 Sex with person with HIV infection, risk not specified 128 254 Receipt of blood transfusion, blood components, or tissue** 468 (1) 504 (1) Other/undetermined*** 1,194 (4) 2,173 (6) Adult/adolescent subtotal 32,972 (100) 37,727 (100) PEDIATRIC (<13 years old) EXPOSURE CATEGORY Hemophilia/coagulation disorder 28 (7) 30 (8) Mother with/at risk for HIV infection: 316 (84) 326 (83) IV drug use 153 153 Sex with IV drug user 81 60 Sex with bisexual male 7 3 Sex with person with hemophilia - 3 Born in Pattern-II country 27 21 Sex with person born in Pattern-II country - 2 Sex with transfusion recipient with HIV infection 1 1 Sex with person with HIV infection, risk not specified 11 18 Receipt of blood transfusion, blood components, or tissue 5 6 Has HIV infection, risk not specified 31 59 Receipt of blood transfusion, blood components, or tissue 28 (7) 22 (6) Other/undetermined 5 (1) 15 (4) Pediatric subtotal 377 (100) 393 (100) TOTAL 33,349 38,120 * 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 3. AIDS cases by age group, exposure category, and sex, reported April 1989 through March 1990, April 1990 through March 1991; and cumulative totals, by age group and exposure category, through March 1991, United States (Continued) Females Apr. 1989- Apr. 1990- ADULT/ADOLESCENT Mar. 1990 Mar. 1991 EXPOSURE CATEGORY No. (%) No. (%) Male homosexual/bisexual contact - (0) - (0) Intravenous (IV) drug use (female and heterosexual male) 2,032 (51) 2,397 (48) Male homosexual/bisexual contact and IV drug use - (0) - (0) Hemophilia/coagulation disorder 8 (0) 7 (0) Heterosexual contact: 1,362 (34) 1,745 (35) Sex with IV drug user 870 1,078 Sex with bisexual male 118 142 Sex with person with hemophilia 25 26 Born in Pattern-II* country 132 119 Sex with person born in Pattern-II country 15 22 Sex with transfusion recipient with HIV infection 23 51 Sex with person with HIV infection, risk not specified 179 307 Receipt of blood transfusion, blood components, or tissue** 313 (8) 333 (7) Other/undetermined*** 268 (7) 556 (11) Adult/adolescent subtotal 3,983 (100) 5,038 (100) PEDIATRIC (<13 years old) EXPOSURE CATEGORY Hemophilia/coagulation disorder - (0) 1 (0) Mother with/at risk for HIV infection: 297 (92) 346 (93) IV drug use 127 151 Sex with IV drug user 66 77 Sex with bisexual male 9 5 Sex with person with hemophilia - 1 Born in Pattern-II country 24 16 Sex with person born in Pattern-II country 3 3 Sex with transfusion recipient with HIV infection 4 - Sex with person with HIV infection, risk not specified 18 20 Receipt of blood transfusion, blood components, or tissue 7 6 Has HIV infection, risk not specified 39 67 Receipt of blood transfusion, blood components, or tissue 14 (4) 14 (4) Other/undetermined 11 (3) 13 (3) Pediatric subtotal 322 (100) 374 (100) TOTAL 4,305 5,412 * 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 3. AIDS cases by age group, exposure category, and sex, reported April 1989 through March 1990, April 1990 through March 1991; and cumulative totals, by age group and exposure category, through March 1991, United States (Continued) Totals Apr. 1989- Apr. 1990- Cumulative ADULT/ADOLESCENT Mar. 1990 Mar. 1991 Total**** EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 21,066 (57) 23,726 (55) 99,941 (59) Intravenous (IV) drug use (female and heterosexual male) 8,888 (24) 10,007 (23) 37,090 (22) Male homosexual/bisexual contact and IV drug use 2,288 (6) 2,275 (5) 11,153 (7) Hemophilia/coagulation disorder 288 (1) 324 (1) 1,462 (1) Heterosexual contact: 2,182 (6) 2,867 (7) 9,191 (5) Sex with IV drug user 1,253 1,597 4,868 Sex with bisexual male 118 142 540 Sex with person with hemophilia 26 28 86 Born in Pattern-II* country 408 413 2,143 Sex with person born in Pattern-II country 31 50 142 Sex with transfusion recipient with HIV infection 39 76 177 Sex with person with HIV infection, risk not specified 307 561 1,235 Receipt of blood transfusion, blood components, or tissue** 781 (2) 837 (2) 3,861 (2) Other/undetermined*** 1,462 (4) 2,729 (6) 6,215 (4) Adult/adolescent subtotal 36,955 (100) 42,765 (100) 168,913 (100) PEDIATRIC (<13 years old) EXPOSURE CATEGORY Hemophilia/coagulation disorder 28 (4) 31 (4) 146 (5) Mother with/at risk for HIV infection: 613 (88) 672 (88) 2,490 (84) IV drug use 280 304 1,228 Sex with IV drug user 147 137 518 Sex with bisexual male 16 8 53 Sex with person with hemophilia - 4 11 Born in Pattern-II country 51 37 221 Sex with person born in Pattern-II country 3 5 12 Sex with transfusion recipient with HIV infection 5 1 12 Sex with person with HIV infection, risk not specified 29 38 110 Receipt of blood transfusion, blood components, or tissue 12 12 49 Has HIV infection, risk not specified 70 126 276 Receipt of blood transfusion, blood components, or tissue 42 (6) 36 (5) 259 (9) Other/undetermined 16 (2) 28 (4) 68 (2) Pediatric subtotal 699 (100) 767 (100) 2,963 (100) TOTAL 37,654 43,532 171,876 * 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 3 patients known to be infected with human immunodeficiency virus type 2 (HIV-2). See MMWR 1989;38:572-580. Table 4. AIDS cases by age group, exposure category, and race/ethnicity, reported through March 1991, United States White, not Black, not ADULT/ADOLESCENT Hispanic Hispanic Hispanic EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 71,039 (76) 17,020 (36) 10,757 (40) Intravenous (IV) drug use (female and heterosexual male) 7,551 (8) 18,566 (39) 10,807 (40) Male homosexual/bisexual contact and IV drug use 6,453 (7) 3,030 (6) 1,605 (6) Hemophilia/coagulation disorder 1,213 (1) 103 (0) 117 (0) Heterosexual contact: 1,961 (2) 5,473 (12) 1,680 (6) Sex with IV drug user 1,054 2,493 1,283 Sex with bisexual male 291 170 66 Sex with person with hemophilia 75 7 3 Born in Pattern-II* country 8 2,108 18 Sex with person born in Pattern-II country 44 89 8 Sex with transfusion recipient with HIV infection 114 29 30 Sex with person with HIV infection, risk not specified 375 577 272 Receipt of blood transfusion, blood components, or tissue** 2,702 (3) 673 (1) 399 (1) Other/undetermined*** 2,236 (2) 2,430 (5) 1,420 (5) Adult/adolescent subtotal 93,155 (100) 47,295 (100) 26,785 (100) PEDIATRIC (<13 years old) EXPOSURE CATEGORY Hemophilia/coagulation disorder 100 (16) 19 (1) 24 (3) Mother with/at risk for HIV infection: 391 (61) 1,434 (93) 642 (86) IV drug use 189 703 328 Sex with IV drug user 80 231 203 Sex with bisexual male 19 23 10 Sex with person with hemophilia 7 3 1 Born in Pattern-II country 2 216 3 Sex with person born in Pattern-II country - 11 - Sex with transfusion recipient with HIV infection 5 3 3 Sex with person with HIV infection, risk not specified 23 52 31 Receipt of blood transfusion, blood components, or tissue 17 19 13 Has HIV infection, risk not specified 49 173 50 Receipt of blood transfusion, blood components, or tissue 139 (22) 55 (4) 60 (8) Other/undetermined 10 (2) 38 (2) 20 (3) Pediatric subtotal 640 (100) 1,546 (100) 746 (100) TOTAL 93,795 48,841 27,531 * 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 4. AIDS cases by age group, exposure category, and race/ethnicity, reported through March 1991, United States (Continued) American Asian/ Indian/ Pacific Alaskan ADULT/ADOLESCENT Islander Native Total**** EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 777 (75) 130 (54) 99,941 (59) Intravenous (IV) drug use (female and heterosexual male) 46 (4) 40 (17) 37,090 (22) Male homosexual/bisexual contact and IV drug use 21 (2) 32 (13) 11,153 (7) Hemophilia/coagulation disorder 17 (2) 8 (3) 1,462 (1) Heterosexual contact: 41 (4) 11 (5) 9,191 (5) Sex with IV drug user 16 8 4,868 Sex with bisexual male 10 1 540 Sex with person with hemophilia 1 - 86 Born in Pattern-II* country 4 - 2,143 Sex with person born in Pattern-II country - - 142 Sex with transfusion recipient with HIV infection 2 - 177 Sex with person with HIV infection, risk not specified 8 2 1,235 Receipt of blood transfusion, blood components, or tissue** 70 (7) 6 (2) 3,861 (2) Other/undetermined*** 70 (7) 14 (6) 6,215 (4) Adult/adolescent subtotal 1,042 (100) 241 (100) 168,913 (100) PEDIATRIC (<13 years old) EXPOSURE CATEGORY Hemophilia/coagulation disorder 3 (19) - (0) 146 (5) Mother with/at risk for HIV infection: 8 (50) 7 (100) 2,490 (84) IV drug use 2 2 1,228 Sex with IV drug user 2 1 518 Sex with bisexual male 1 - 53 Sex with person with hemophilia - - 11 Born in Pattern-II country - - 221 Sex with person born in Pattern-II country - - 12 Sex with transfusion recipient with HIV infection - - 12 Sex with person with HIV infection, risk not specified 1 2 110 Receipt of blood transfusion, blood components, or tissue - - 49 Has HIV infection, risk not specified 2 2 276 Receipt of blood transfusion, blood components, or tissue 5 (31) - (0) 259 (9) Other/undetermined - (0) - (0) 68 (2) Pediatric subtotal 16 (100) 7 (100) 2,963 (100) TOTAL 1,058 248 171,876 * 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 whose mode of exposure to HIV remains undetermined after investigation. **** Includes 403 persons whose race/ethnicity is unknown. -- ------------------------------------------------------------------------- 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