ddodell@stjhmc.fidonet.org (David Dodell) (02/02/91)
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with HIV infection 67 11 17
Sex with person with HIV
infection, risk not specified 174 276 125
Receipt of blood transfusion,
blood components, or tissue 910 (23) 284 (4) 177 (6)
Other/undetermined 277 (7) 570 (7) 190 (6)
Female subtotal 4,014 (100) 7,879 (100) 3,096 (100)
TOTAL 85,884 43,094 24,269
* See technical notes (available only in the printed version of this report
** Includes 14 transfusion recipients who received blood screened for HIV
antibody, and 1 tissue recipient.
*** "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 November 1990, United States
(Continued)
American
Asian/ Indian/
Pacific Alaskan
MALE Islander Native Total****
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 717 (81) 120 (63) 92,049 (66)
Intravenous (IV) drug use
(heterosexual) 26 (3) 21 (11) 25,995 (19)
Male homosexual/bisexual contact
and IV drug use 20 (2) 29 (15) 10,356 (7)
Hemophilia/coagulation disorder 16 (2) 8 (4) 1,327 (1)
Heterosexual contact: 7 (1) 2 (1) 3,260 (2)
Sex with IV drug user 3 2 1,229
Sex with person with hemophilia - - 6
Born in Pattern-II* country 3 - 1,467
Sex with person born in
Pattern-II country - - 77
Sex with transfusion recipient
with HIV infection - - 47
Sex with person with HIV
infection, risk not specified 1 - 434
Receipt of blood transfusion,
blood components, or tissue** 45 (5) 1 (1) 2,222 (2)
Other/undetermined*** 49 (6) 10 (5) 4,449 (3)
Male subtotal 880 (100) 191 (100) 139,658 (100)
FEMALE
EXPOSURE CATEGORY
IV drug use 14 (18) 16 (52) 7,699 (51)
Heterosexual contact: 28 (35) 8 (26) 4,944 (33)
Sex with IV drug user 11 5 3,105
Sex with bisexual male 9 1 488
Sex with person with hemophilia 1 - 72
Born in Pattern-II country 1 - 549
Sex with person born
in Pattern-II country - - 51
Sex with transfusion recipient
with HIV infection 1 - 97
Sex with person with HIV
infection, risk not specified 5 2 582
Receipt of blood transfusion,
blood components, or tissue 26 (33) 3 (10) 1,402 (9)
Other/undetermined 11 (14) 4 (13) 1,055 (7)
Female subtotal 79 (100) 31 (100) 15,133 (100)
TOTAL 959 222 154,791
* See technical notes (available only in the printed version of this report
** Includes 14 transfusion recipients who received blood screened for HIV
antibody, and 1 tissue recipient.
*** "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 329 males and 34 females whose race/ethnicity is unknown.
HIV/AIDS Surveillance Report; December 11, 1990
Table 6. AIDS cases in adolescents and adults under age 25, by exposure
category, reported December 1988 through November 1989, December 1989
through November 1990, and cumulative totals through November 1990,
United States
13-19 years old
Dec. 1988- Dec. 1989- Cumulative
Nov. 1989 Nov. 1990 Total
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 36 (29) 29 (17) 163 (27)
Intravenous (IV) drug use
(heterosexual) 18 (14) 14 (8) 69 (11)
Male homosexual/bisexual contact
and IV drug use 2 (2) 4 (2) 26 (4)
Heterosexual contact: 17 (13) 37 (22) 84 (14)
Sex with IV drug user 13 28 55
Sex with bisexual male 1 1 4
Sex with person with hemophilia - 1 1
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 10
Receipt of blood transfusion,
blood components, or tissue 6 (5) 11 (7) 47 (8)
Undetermined** 7 (6) 23 (14) 40 (7)
TOTAL 126 (100) 168 (100) 615 (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 December 1988 through November 1989, December 1989
through November 1990, and cumulative totals through November 1990,
United States (Continued)
20-24 years old
Dec. 1988- Dec. 1989- Cumulative
Nov. 1989 Nov. 1990 Total
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 794 (55) 816 (50) 3,728 (57)
Intravenous (IV) drug use
(heterosexual) 267 (18) 294 (18) 1,071 (16)
Male homosexual/bisexual contact
and IV drug use 129 (9) 133 (8) 608 (9)
Hemophilia/coagulation disorder 37 (3) 32 (2) 165 (3)
Heterosexual contact: 146 (10) 202 (12) 626 (10)
Sex with IV drug user 85 129 355
Sex with bisexual male 11 8 50
Sex with person with hemophilia 7 4 15
Born in Pattern-II* country 18 21 109
Sex with person born in
Pattern-II country 2
Sex with transfusion recipient
with HIV infection 1 5 7
Sex with person with HIV
infection, risk not specified 22 30 81
Receipt of blood transfusion,
blood components, or tissue 14 (1) 25 (2) 100 (2)
Undetermined** 57 (4) 125 (8) 281 (4)
TOTAL 1,444 (100) 1,627 (100) 6,579 (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.
HIV/AIDS Surveillance Report; December 11, 1990
Table 7. AIDS cases by sex, age at diagnosis, and race/ethnicity,
reported through November 1990, United States
White, not Black, not
MALE Hispanic Hispanic Hispanic
AGE AT DIAGNOSIS (YEARS) No. (%) No. (%) No. (%)
Under 5 199 (0) 632 (2) 306 (1)
5-12 156 (0) 94 (0) 70 (0)
13-19 219 (0) 141 (0) 90 (0)
20-24 2,843 (3) 1,665 (5) 981 (5)
25-29 12,465 (15) 5,697 (16) 3,699 (17)
30-34 19,258 (23) 8,992 (25) 5,470 (25)
35-39 17,995 (22) 8,255 (23) 4,727 (22)
40-44 12,331 (15) 4,799 (13) 2,937 (14)
45-49 7,363 (9) 2,621 (7) 1,511 (7)
50-54 4,084 (5) 1,432 (4) 857 (4)
55-59 2,574 (3) 879 (2) 520 (2)
60-64 1,442 (2) 458 (1) 229 (1)
65 or older 1,296 (2) 276 (1) 152 (1)
Male subtotal 82,225 (100) 35,941 (100) 21,549(100)
FEMALES
AGE AT DIAGNOSIS (YEARS)
Under 5 190 (4) 608 (7) 284 (8)
5-12 41 (1) 78 (1) 50 (1)
13-19 41 (1) 86 (1) 24 (1)
25-29 757 (18) 1,539 (18) 724 (21)
30-34 918 (22) 2,274 (27) 837 (24)
35-39 635 (15) 1,771 (21) 607 (18)
40-44 352 (8) 833 (10) 311 (9)
45-49 187 (4) 363 (4) 139 (4)
50-54 144 (3) 210 (2) 89 (3)
55-59 162 (4) 133 (2) 51 (1)
60-64 152 (4) 79 (1) 27 (1)
65 or older 388 (9) 94 (1) 36 (1)
Female subtotal 4,245 (100) 8,565 (100) 3,430(100)
TOTAL 86,470 44,506 24,979
Table 7. AIDS cases by sex, age at diagnosis, and race/ethnicity,
reported through November 1990, United States (Continued)
American
Asian/ Indian/
Pacific Alaskan
MALE Islander Native Total*
AGE AT DIAGNOSIS (YEARS) No. (%) No. (%) No. (%)
Under 5 3 (0) 2 (1) 1,146 (1)
5-12 5 (1) - (0) 327 (0)
13-19 6 (1) 5 (3) 462 (0)
20-24 28 (3) 12 (6) 5,540 (4)
25-29 115 (13) 43 (22) 22,057 (16)
30-34 193 (22) 49 (25) 34,036 (24)
35-39 200 (23) 33 (17) 31,292 (22)
40-44 145 (16) 22 (11) 20,289 (14)
45-49 86 (10) 15 (8) 11,623 (8)
50-54 46 (5) 3 (2) 6,440 (5)
55-59 28 (3) 6 (3) 4,022 (3)
60-64 8 (1) 3 (2) 2,143 (2)
65 or older 25 (3) - (0) 1,754 (1)
Male subtotal 888 (100) 193 (100) 141,131 (100)
FEMALES
AGE AT DIAGNOSIS (YEARS)
Under 5 1 (1) 4 (11) 1,088 (7)
5-12 3 (4) - (0) 173 (1)
13-19 1 (1) 1 (3) 153 (1)
20-24 4 (5) 5 (14) 1,039 (6)
25-29 8 (10) 4 (11) 3,039 (19)
30-34 17 (20) 10 (29) 4,065 (25)
35-39 10 (12) 5 (14) 3,035 (19)
40-44 15 (18) 2 (6) 1,515 (9)
45-49 7 (8) 1 (3) 699 (4)
50-54 5 (6) 1 (3) 449 (3)
60-64 6 (7) 1 (3) 265 (2)
65 or older 3 (4) 1 (3) 523 (3)
Female subtotal 83 (100) 35 (100) 16,394 (100)
TOTAL 971 228 157,525
* Includes 371 persons whose race/ethnicity is unknown.
HIV/AIDS Surveillance Report; December 11, 1990
Table 8. AIDS cases, case-fatality rates, and deaths by half-year and age
group, through November 1990, United States
Adults/adolescents
Cases diagnosed Case-fatality Deaths occuring
HALF-YEAR during interval rate during interval
Before 1981 78 82.1 30
1981 Jan.-June 92 93.5 38
July-Dec. 199 91.0 85
1982 Jan.-June 395 90.6 152
July-Dec. 686 88.8 283
1983 Jan.-June 1,262 92.2 516
July-Dec. 1,631 91.7 916
1984 Jan.-June 2,544 89.4 1,376
July-Dec. 3,337 90.1 1,921
1985 Jan.-June 4,814 89.1 2,753
July-Dec. 6,188 87.3 3,745
1986 Jan.-June 8,129 85.7 4,911
July-Dec. 9,770 82.8 6,249
1987 Jan.-June 12,572 82.1 7,270
July-Dec. 13,979 75.6 7,650
1988 Jan.-June 15,747 68.6 8,870
July-Dec. 16,040 61.7 10,090
1989 Jan.-June 17,608 51.2 11,310
July-Dec. 16,993 41.8 12,639
1990 Jan.-June 15,961 27.7 11,343
July-Nov. 6,766 14.8 4,802
Total* 154,791 62.7 97,107
* Death totals include 158 adults/adolescents and 3 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
group, through November 1990, United States (Continued)
Children <13 years old
Cases diagnosed Case-fatality Deaths occuring
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 32 93.8 13
July-Dec. 42 78.6 16
1984 Jan.-June 49 83.7 25
July-Dec. 62 72.6 24
1985 Jan.-June 94 73.4 44
July-Dec. 127 74.0 68
1986 Jan.-June 133 72.9 64
July-Dec. 178 66.9 84
1987 Jan.-June 220 62.3 113
July-Dec. 245 58.4 158
1988 Jan.-June 235 50.2 129
July-Dec. 317 45.1 151
1989 Jan.-June 309 42.4 155
July-Dec. 288 38.2 160
1990 Jan.-June 254 22.8 133
July-Nov. 100 17.0 60
Total* 2,734 52.0 1,423
* Death totals include 158 adults/adolescents and 3 children known to
have died, but whose dates of death are unknown.
HIV/AIDS Surveillance Report; December 11, 1990
Table 9. AIDS cases by year of diagnosis and definition category,
diagnosed through November 1990, United States
Year of diagnosis
Before Dec. 1986- Dec. 1987
Dec. 1986 Nov. 1987 Nov. 1988
DEFINITION CATEGORY* No. (%) No. (%) No. (%)
Pre-1987 definition 35,679 (93) 21,549 (82) 22,971 (72)
1987 definition:** 2,482 (7) 4,713 (18) 8,980 (28)
Specific disease
presumptively diagnosed 1,316 2,522 5,048
definitively diagnosed 390 465 628
HIV encephalopathy 230 636 1,104
HIV wasting syndrome 546 1,090 2,200
TOTAL 38,161 (100) 26,262 (100) 31,951 (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 November 1990, United States (Continued)
Year of diagnosis
Dec. 1988- Dec. 1989- Cumulative
Nov. 1989 Nov. 1990 total
DEFINITION CATEGORY* No. (%) No. (%) No. (%)
Pre-1987 definition 24,349 (69) 16,998 (66) 121,546 (77)
1987 definition:** 10,963 (31) 8,841 (34) 35,979 (23)
Specific disease
presumptively diagnosed 6,223 5,334 20,443
Specific disease
definitively diagnosed 764 553 2,800
HIV encephalopathy 1,287 904 4,161
HIV wasting syndrome 2,689 2,050 8,575
TOTAL 35,312 (100) 25,839 (100) 157,525 (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.
HIV/AIDS Surveillance Report; December 11, 1990
Table 10. Adult/adolescent AIDS cases by single and multiple exposure
categories reported through November 1990, United States
AIDS cases
EXPOSURE CATEGORY No. (%)
Male homosexual/bisexual contact 88,391
Intravenous (IV) drug use (female and heterosexual male) 28,894 (19)
Hemophilia/coagulation disorder 839 (1)
Heterosexual contact 7,809 (5)
Receipt of blood transfusion, blood component, or tissue 3,624 (2)
Other/undetermined 5,504 (4)
SINGLE MODE OF EXPOSURE SUBTOTAL 135,061 (87)
MULTIPLE MODES OF EXPOSURE
Male homosexual/bisexual contact; IV drug use 9,317 (6)
Male homosexual/bisexual contact; hemophilia 34 (0)
Male homosexual/bisexual contact; heterosexual contact 1,865 (1)
Male homosexual/bisexual contact; receipt of transfusion 1,649 (1)
IV drug use; hemophilia 40 (0)
IV drug use; heterosexual contact 3,839 (2)
IV drug use; receipt of transfusion 694 (0)
Hemophilia; heterosexual contact 9 (0)
Hemophilia; receipt of transfusion 499 (0)
Heterosexual contact; receipt of transfusion 395 (0)
Male homosexual/bisexual contact; IV drug use; hemophilia 9 (0)
Male homosexual/bisexual contact; IV drug use; heterosexual
contact 730 (0)
Male homosexual/bisexual contact; IV drug use; receipt of
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