[sci.med.aids] November 1990 Federal AIDS Stats Part 3/4

ddodell@stjhmc.fidonet.org (David Dodell) (12/05/90)

--- begin part 3 of 4, cut here ---
Hemophilia/coagulation disorder       26   (1)         5   (0)         2   (0)
Heterosexual contact:              1,159  (29)     2,480  (32)     1,119  (37)

    Sex with IV drug user               595           1,480             924 
    Sex with bisexual male              260             150              53 
    Sex with person with hemophilia      62               6               2 
    Born in Pattern-II country            3             532               3 
    Sex with person born
      in Pattern-II country               6              42               1 
    Sex with transfusion recipient
      with HIV infection                 66              11              16 
    Sex with person with HIV
      infection, risk not specified     167             259             120 

Receipt of blood transfusion, 
    blood components, or tissue      894  (23)       279   (4)       176   (6)
Other/undetermined                   279   (7)       565   (7)       192   (6)
Female subtotal                    3,929 (100)     7,712 (100)     3,026 (100)

TOTAL                                84,551          42,274          23,844 

   * See technical notes (available only in the printed version of this report
  ** Includes 13 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 October 1990, United States
  (Continued) 

                                                     American 
                                     Asian/          Indian/
                                     Pacific         Alaskan
MALE                                 Islander        Native          Total****
EXPOSURE CATEGORY                    No.   (%)       No.   (%)       No.   (%)

Male homosexual/bisexual contact     705  (81)       119  (63)    90,599  (66)
Intravenous (IV) drug use 
  (heterosexual)                      26   (3)        21  (11)    25,463  (19)
Male homosexual/bisexual contact
  and IV drug use                     20   (2)        28  (15)    10,215   (7)
Hemophilia/coagulation disorder       16   (2)         8   (4)     1,311   (1)
Heterosexual contact:                  7   (1)         2   (1)     3,208   (2)

  Sex with IV drug user                   3               2           1,210 

  Born in Pattern-II* country             3               -           1,451 
  Sex with person born in 
    Pattern-II country                    -               -              76 
  Sex with transfusion recipient
    with HIV infection                    -               -              43 
  Sex with person with HIV
    infection, risk not specified         1               -             422 

Receipt of blood transfusion, 
  blood components, or tissue**       44   (5)         1   (1)     2,192   (2)
Other/undetermined***                 48   (6)         9   (5)     4,427   (3)
Male subtotal                        866 (100)       188 (100)   137,415 (100)

FEMALE
EXPOSURE CATEGORY 

IV drug use                           14  (18)        16  (53)     7,537  (51)
Hemophilia/coagulation disorder        -   (0)         -   (0)        33   (0)
Heterosexual contact:                 28  (35)         8  (27)     4,810  (32)

    Sex with IV drug user                11               5           3,026 
    Sex with bisexual male                9               1             474 
    Sex with person with hemophilia       1               -              71 
    Born in Pattern-II country            1               -             541 
    Sex with person born
      in Pattern-II country               -               -              50 
    Sex with transfusion recipient
      with HIV infection                  1               -              95 
    Sex with person with HIV
      infection, risk not specified       5               2             553 

Receipt of blood transfusion, 
    blood components, or tissue       26  (33)         3  (10)     1,380   (9)
Other/undetermined                    11  (14)         3  (10)     1,056   (7)
Female subtotal                       79 (100)        30 (100)    14,816 (100)

TOTAL                                   945             218         152,231 

   * See technical notes (available only in the printed version of this report
  ** Includes 13 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 359 males and 40 females whose race/ethnicity is unknown. 

Table 6.   AIDS cases in adolescents and adults under age 25, by exposure 
  category, reported November 1988 through October 1989, November 1989
  through October 1990, and cumulative totals through October 1990, 
  United States 

                                                13-19 years old 

                                     Nov. 1988-      Nov. 1989-     Cumulative
                                     Oct. 1989       Oct. 1990      Total 
EXPOSURE CATEGORY                    No.   (%)       No.   (%)      No.   (%) 

Male homosexual/bisexual contact     37  (30)        30  (18)      161  (27)
Intravenous (IV) drug use 
  (heterosexual)                     16  (13)        15   (9)       68  (11)
Male homosexual/bisexual contact
  and IV drug use                     3   (2)         2   (1)       24   (4)
Hemophilia/coagulation disorder      39  (31)        51  (31)      185  (31)
Heterosexual contact:                15  (12)        38  (23)       82  (14)

  Sex with IV drug user                 12              27             53 
  Sex with bisexual male                 1               1              4 
  Sex with person with hemophilia        -               1              1 
  Born in Pattern-II* country            1               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        1               6             10 

Receipt of blood transfusion, 
  blood components, or tissue         7   (6)        11   (7)       47   (8)
Undetermined**                        7   (6)        20  (12)       37   (6)

TOTAL                               124 (100)       167 (100)      604 (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 November 1988 through October 1989, November 1989
  through October 1990, and cumulative totals through October 1990, 
  United States (Continued) 

                                                20-24 years old 

                                     Nov. 1988-      Nov. 1989-     Cumulative
                                     Oct. 1989       Oct. 1990      Total 
EXPOSURE CATEGORY                    No.   (%)       No.   (%)      No.   (%) 

Male homosexual/bisexual contact     809  (56)       828  (50)    3,671  (57) 
Intravenous (IV) drug use 
  (heterosexual)                     257  (18)       297  (18)    1,048  (16) 
Male homosexual/bisexual contact
  and IV drug use                    123   (8)       141   (9)      605   (9) 
Hemophilia/coagulation disorder       43   (3)        33   (2)      163   (3) 
Heterosexual contact:                150  (10)       198  (12)      613   (9) 

  Sex with IV drug user                  89             123            345
  Sex with bisexual male                 10               8             49
  Sex with person with hemophilia         6               5             15
  Born in Pattern-II* country            18              22            109
  Sex with person born in 
    Pattern-II country                    2               5              9
  Sex with transfusion recipient
    with HIV infection                    1               4              6
  Sex with person with HIV
    infection, risk not specified        24              31             80

Receipt of blood transfusion, 
  blood components, or tissue         15   (1)        23   (1)       98   (2) 
Undetermined**                        59   (4)       121   (7)      274   (4) 

TOTAL                              1,456 (100)     1,641 (100)    6,472 (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 October 1990, United States

                                     White, not      Black, not 
MALE                                 Hispanic        Hispanic        Hispanic 
AGE AT DIAGNOSIS (YEARS)             No.   (%)       No.   (%)       No.   (%)

Under 5                              196   (0)       619   (2)        302  (1)
 5-12                                155   (0)        91   (0)         69  (0)
13-19                                216   (0)       140   (0)         88  (0)
20-24                              2,802   (3)     1,631   (5)        971  (5)
25-29                             12,285  (15)     5,593  (16)      3,645 (17)
30-34                             18,985  (23)     8,851  (25)      5,377 (25)
35-39                             17,731  (22)     8,093  (23)      4,652 (22)
40-44                             12,103  (15)     4,701  (13)      2,875 (14)
45-49                              7,227   (9)     2,577   (7)      1,482  (7)
50-54                              4,037   (5)     1,399   (4)        840  (4)
55-59                              2,539   (3)       864   (2)        510  (2)
60-64                              1,416   (2)       447   (1)        230  (1)
65 or older                        1,281   (2)       266   (1)        148  (1)
Male subtotal                     80,973 (100)    35,272 (100)     21,189(100)

FEMALES 
AGE AT DIAGNOSIS (YEARS)

Under 5                              185   (4)       595   (7)        280  (8)
 5-12                                 42   (1)        77   (1)         50  (1)
13-19                                 40   (1)        82   (1)         24  (1)
20-24                                272   (7)       483   (6)        247  (7)
25-29                                746  (18)     1,511  (18)        705 (21)
30-34                                897  (22)     2,240  (27)        816 (24)
35-39                                620  (15)     1,728  (21)        598 (18)
40-44                                338   (8)       805  (10)        304  (9)
45-49                                184   (4)       352   (4)        137  (4)
50-54                                142   (3)       209   (2)         85  (3)
55-59                                162   (4)       132   (2)         49  (1)
60-64                                146   (4)        77   (1)         26  (1)
65 or older                          382   (9)        93   (1)         35  (1)
Female subtotal                    4,156 (100)     8,384 (100)      3,356(100)

TOTAL                                85,129          43,656          24,545 

Table 7.   AIDS cases by sex, age at diagnosis, and race/ethnicity, 
  reported through October 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)     1,126   (1)
 5-12                                  5   (1)         -   (0)       322   (0)
13-19                                  6   (1)         5   (3)       456   (0)
20-24                                 28   (3)        12   (6)     5,456   (4)
25-29                                114  (13)        43  (23)    21,722  (16)
30-34                                189  (22)        47  (25)    33,531  (24)
35-39                                197  (23)        33  (17)    30,799  (22)
40-44                                143  (16)        21  (11)    19,901  (14)
45-49                                 85  (10)        15   (8)    11,415   (8)
50-54                                 43   (5)         3   (2)     6,340   (5)
55-59                                 28   (3)         6   (3)     3,962   (3)
60-64                                  8   (1)         3   (2)     2,108   (2)
65 or older                           25   (3)         -   (0)     1,725   (1)
Male subtotal                        874 (100)       190 (100)   138,863 (100)

FEMALES 
AGE AT DIAGNOSIS (YEARS)

Under 5                                1   (1)         3   (9)     1,065   (7)
 5-12                                  3   (4)         -   (0)       173   (1)
13-19                                  1   (1)         1   (3)       148   (1)
20-24                                  4   (5)         5  (15)     1,016   (6)
25-29                                  8  (10)         4  (12)     2,982  (19)
30-34                                 17  (20)        10  (30)     3,989  (25)
35-39                                 10  (12)         5  (15)     2,969  (18)
40-44                                 15  (18)         2   (6)     1,467   (9)
45-49                                  7   (8)         -   (0)       684   (4)
50-54                                  5   (6)         1   (3)       442   (3)
55-59                                  3   (4)         -   (0)       348   (2)
60-64                                  6   (7)         1   (3)       256   (2)
65 or older                            3   (4)         1   (3)       515   (3)
Female subtotal                       83 (100)        33 (100)    16,054 (100)

TOTAL                                   957             223         154,917 

* Includes 407 persons whose race/ethnicity is unknown. 

Table 8.   AIDS cases, case-fatality rates, and deaths by half-year and age 
  group, through October 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                         394          90.6              152 
     July-Dec.                         685          88.6              282 
1983 Jan.-June                       1,261          92.1              515 
     July-Dec.                       1,631          91.4              917 
1984 Jan.-June                       2,543          89.0            1,374 
     July-Dec.                       3,334          89.8            1,917 
1985 Jan.-June                       4,815          88.7            2,741 
     July-Dec.                       6,187          87.0            3,730 
1986 Jan.-June                       8,119          85.2            4,900 
     July-Dec.                       9,760          82.3            6,231 
1987 Jan.-June                      12,544          81.4            7,245 
     July-Dec.                      13,947          74.5            7,611 
1988 Jan.-June                      15,719          66.9            8,815 
     July-Dec.                      16,003          59.9            9,999 
1989 Jan.-June                      17,523          49.0           11,146 
     July-Dec.                      16,839          39.4           12,280 
1990 Jan.-June                      15,558          25.6           10,637 
     July-Oct.                       5,000          13.1            3,565 

Total1                             152,231          62.0           94,375 

* Death totals include 165 adults/adolescents and 2 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 October 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.                         126          74.6               68 
1986 Jan.-June                         132          72.0               64 
     July-Dec.                         177          67.2               84 
1987 Jan.-June                         219          61.6              112 
     July-Dec.                         245          58.4              157 
1988 Jan.-June                         238          49.2              129 
     July-Dec.                         314          44.9              150 
1989 Jan.-June                         309          41.7              155 
     July-Dec.                         283          36.4              158 
1990 Jan.-June                         242          21.5              128 
     July-Oct.                          73          19.2               47 

Total1                               2,686          52.0            1,399 

* Death totals include 165 adults/adolescents and 2 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 October 1990, United States 

                                               Year of diagnosis

                                     Before          Nov. 1986-      Nov. 1987
                                     Nov. 1986       Oct. 1987       Oct. 1988
DEFINITION CATEGORY*                 No.   (%)       No.   (%)       No.   (%)

Pre-1987 definition               34,254  (94)    21,187  (83)    22,779  (72)
1987 definition:**                 2,327   (6)     4,287  (17)     8,765  (28)
  Specific disease
   presumptively diagnosed            1,239           2,272           4,912 
  Specific disease
   definitively diagnosed               367             459             612 
  HIV encephalopathy                    210             579           1,085 
  HIV wasting syndrome                  511             977           2,156 

TOTAL                             36,581 (100)    25,474 (100)    31,544 (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 October 1990, United States (Continued) 

                                               Year of diagnosis

                                     Nov. 1988-      Nov. 1989-     Cumulative
                                     Oct. 1989       Oct. 1990         total
DEFINITION CATEGORY*                 No.   (%)       No.   (%)      No.   (%) 

Pre-1987 definition               24,218  (69)    17,394  (66)  119,832  (77) 
1987 definition:**                10,891  (31)     8,815  (34)   35,085  (23) 
  Specific disease
   presumptively diagnosed            6,177           5,289         19,889
  Specific disease
   definitively diagnosed               740             557          2,735
  HIV encephalopathy                  1,284             909          4,067
  HIV wasting syndrome                2,690           2,060          8,394

TOTAL                             35,109 (100)    26,209 (100)  154,917 (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 October 1990, United States 

                                                                  AIDS cases

EXPOSURE CATEGORY                                                 No.     (%) 

 Male homosexual/bisexual contact                              86,999    (57) 
 Intravenous (IV) drug use (female and heterosexual male)      28,310    (19) 
 Hemophilia/coagulation disorder                                  829     (1) 
 Heterosexual contact                                           7,635     (5) 
 Receipt of blood transfusion, blood component, or tissue       3,572     (2) 
 Other/undetermined                                             5,483     (4) 

 SINGLE MODE OF EXPOSURE SUBTOTAL                             132,828    (87) 

 MULTIPLE MODES OF EXPOSURE 

 Male homosexual/bisexual contact; IV drug use                  9,199     (6) 
 Male homosexual/bisexual contact; hemophilia                      32     (0) 
 Male homosexual/bisexual contact; heterosexual contact         1,833     (1) 
 Male homosexual/bisexual contact; receipt of transfusion       1,626     (1) 
--- end part 3 of 4, cut here ---

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