ddodell@stjhmc.fidonet.org (David Dodell) (10/22/90)
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IV drug use 1,537 (40) 4,296 (57) 1,493 (51)
Hemophilia/coagulation disorder 28 (1) 5 (0) 1 (0)
Heterosexual contact: 1,127 (29) 2,401 (32) 1,073 (37)
Sex with IV drug user 582 1,421 883
Sex with bisexual male 254 148 53
Sex with person with hemophilia 62 6 2
Born in Pattern-II country 2 524 3
Sex with person born
in Pattern-II country 6 42 1
Sex with transfusion recipient
with HIV infection 64 10 16
Sex with person with HIV
infection, risk not specified 157 250 115
Receipt of blood transfusion,
blood components, or tissue 884 (23) 277 (4) 173 (6)
Other/undetermined 278 (7) 558 (7) 180 (6)
Female subtotal 3,854 (100) 7,537 (100) 2,920 (100)
TOTAL 83,305 41,406 23,268
* 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 September 1990, United States
(Continued)
American
Asian/ Indian/
Pacific Alaskan
MALE Islander Native Total****
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 692 (81) 116 (63) 89,155 (66)
Intravenous (IV) drug use
(heterosexual) 26 (3) 20 (11) 24,890 (18)
Male homosexual/bisexual contact
and IV drug use 19 (2) 28 (15) 10,058 (7)
Hemophilia/coagulation disorder 16 (2) 8 (4) 1,289 (1)
Heterosexual contact: 7 (1) 2 (1) 3,134 (2)
Sex with IV drug user 3 2 1,178
Sex with person with hemophilia - - 4
Born in Pattern-II* country 3 - 1,436
Sex with person born in
Pattern-II country - - 73
Sex with transfusion recipient
with HIV infection - - 43
Sex with person with HIV
infection, risk not specified 1 - 400
Receipt of blood transfusion,
blood components, or tissue** 44 (5) 1 (1) 2,149 (2)
Other/undetermined*** 50 (6) 9 (5) 4,371 (3)
Male subtotal 854 (100) 184 (100) 135,046 (100)
FEMALE
EXPOSURE CATEGORY
IV drug use 13 (17) 16 (55) 7,367 (51)
Hemophilia/coagulation disorder - (0) - (0) 34 (0)
Heterosexual contact: 27 (35) 8 (28) 4,651 (32)
Sex with IV drug user 11 5 2,912
Sex with bisexual male 8 1 465
Sex with person with hemophilia 1 - 71
Born in Pattern-II country 1 - 532
Sex with person born
in Pattern-II country - - 50
Sex with transfusion recipient
with HIV infection 1 - 92
Sex with person with HIV
infection, risk not specified 5 2 529
Receipt of blood transfusion,
blood components, or tissue 26 (34) 2 (7) 1,363 (9)
Other/undetermined 11 (14) 3 (10) 1,037 (7)
Female subtotal 77 (100) 29 (100) 14,452 (100)
TOTAL 931 213 149,498
* 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 340 males and 35 females whose race/ethnicity is unknown.
Table 6. AIDS cases in adolescents and adults under age 25, by exposure
category, reported October 1988 through September 1989, October 1989
through September 1990, and cumulative totals through September 1990,
United States
13-19 years old
Oct. 1988- Oct. 1989- Cumulative
Sept 1989 Sept 1990 Total
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 36 (30) 29 (18) 157 (27)
Intravenous (IV) drug use
(heterosexual) 16 (13) 18 (11) 67 (11)
Male homosexual/bisexual contact
and IV drug use 4 (3) 2 (1) 24 (4)
Hemophilia/coagulation disorder 39 (33) 46 (29) 179 (31)
Heterosexual contact: 14 (12) 32 (20) 74 (13)
Sex with IV drug user 10 22 46
Sex with bisexual male 1 - 3
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 2 6 10
Receipt of blood transfusion,
blood components, or tissue 7 (6) 11 (7) 47 (8)
Undetermined** 4 (3) 23 (14) 37 (6)
TOTAL 120 (100) 161 (100) 585 (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 October 1988 through September 1989, October 1989
through September 1990, and cumulative totals through September 1990,
United States (Continued)
20-24 years old
Oct. 1988- Oct. 1989- Cumulative
Sept 1989 Sept 1990 Total
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 799 (55) 841 (51) 3,623 (57)
Intravenous (IV) drug use
(heterosexual) 264 (18) 288 (17) 1,028 (16)
Male homosexual/bisexual contact
and IV drug use 120 (8) 146 (9) 598 (9)
Hemophilia/coagulation disorder 40 (3) 35 (2) 160 (3)
Heterosexual contact: 146 (10) 199 (12) 595 (9)
Sex with IV drug user 86 119 333
Sex with bisexual male 8 9 47
Sex with person with hemophilia 6 4 14
Born in Pattern-II* country 16 23 106
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 27 35 80
Receipt of blood transfusion,
blood components, or tissue 16 (1) 22 (1) 95 (1)
Undetermined** 60 (4) 119 (7) 272 (4)
TOTAL 1,445 (100) 1,650 (100) 6,371 (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 September 1990, United States
White, not Black, not
MALE Hispanic Hispanic Hispanic
AGE AT DIAGNOSIS (YEARS) No. (%) No. (%) No. (%)
Under 5 191 (0) 608 (2) 293 (1)
5-12 152 (0) 90 (0) 65 (0)
13-19 213 (0) 135 (0) 85 (0)
20-24 2,771 (3) 1,606 (5) 955 (5)
25-29 12,112 (15) 5,485 (16) 3,562 (17)
30-34 18,716 (23) 8,692 (25) 5,260 (25)
35-39 17,487 (22) 7,927 (23) 4,535 (22)
40-44 11,903 (15) 4,600 (13) 2,816 (14)
45-49 7,103 (9) 2,512 (7) 1,439 (7)
50-54 3,993 (5) 1,368 (4) 826 (4)
55-59 2,499 (3) 844 (2) 504 (2)
60-64 1,393 (2) 439 (1) 222 (1)
65 or older 1,262 (2) 261 (1) 144 (1)
Male subtotal 79,795 (100) 34,567 (100) 20,706(100)
FEMALES
AGE AT DIAGNOSIS (YEARS)
Under 5 181 (4) 580 (7) 278 (9)
5-12 40 (1) 77 (1) 48 (1)
13-19 38 (1) 78 (1) 22 (1)
20-24 263 (6) 476 (6) 239 (7)
25-29 733 (18) 1,486 (18) 679 (21)
30-34 878 (22) 2,202 (27) 792 (24)
35-39 607 (15) 1,682 (21) 574 (18)
40-44 331 (8) 778 (9) 297 (9)
45-49 182 (4) 337 (4) 132 (4)
50-54 137 (3) 200 (2) 79 (2)
55-59 161 (4) 130 (2) 46 (1)
60-64 145 (4) 76 (1) 26 (1)
65 or older 379 (9) 92 (1) 34 (1)
Female subtotal 4,075 (100) 8,194 (100) 3,246(100)
TOTAL 83,870 42,761 23,952
Table 7. AIDS cases by sex, age at diagnosis, and race/ethnicity,
reported through September 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) 1,100 (1)
5-12 5 (1) - (0) 314 (0)
13-19 6 (1) 5 (3) 445 (0)
20-24 28 (3) 12 (6) 5,382 (4)
25-29 112 (13) 42 (23) 21,352 (16)
30-34 187 (22) 46 (25) 32,978 (24)
35-39 192 (22) 31 (17) 30,262 (22)
40-44 141 (16) 21 (11) 19,538 (14)
45-49 86 (10) 15 (8) 11,182 (8)
50-54 43 (5) 3 (2) 6,251 (5)
55-59 27 (3) 6 (3) 3,893 (3)
60-64 7 (1) 3 (2) 2,068 (2)
65 or older 25 (3) - (0) 1,696 (1)
Male subtotal 862 (100) 186 (100) 136,461 (100)
FEMALES
AGE AT DIAGNOSIS (YEARS)
Under 5 1 (1) 3 (9) 1,044 (7)
5-12 3 (4) - (0) 169 (1)
13-19 1 (1) 1 (3) 140 (1)
20-24 3 (4) 4 (13) 989 (6)
25-29 8 (10) 4 (13) 2,918 (19)
30-34 16 (20) 10 (31) 3,907 (25)
35-39 10 (12) 5 (16) 2,884 (18)
40-44 15 (19) 2 (6) 1,425 (9)
45-49 7 (9) - (0) 662 (4)
50-54 5 (6) 1 (3) 422 (3)
55-59 3 (4) - (0) 342 (2)
60-64 6 (7) 1 (3) 254 (2)
65 or older 3 (4) 1 (3) 509 (3)
Female subtotal 81 (100) 32 (100) 15,665 (100)
TOTAL 943 218 152,126
* Includes 382 persons whose race/ethnicity is unknown.
Table 8. AIDS cases, case-fatality rates, and deaths by half-year and age
group, through September 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 91 92.3 38
July-Dec. 200 91.0 85
1982 Jan.-June 391 90.5 152
July-Dec. 686 88.6 282
1983 Jan.-June 1,261 91.9 516
July-Dec. 1,631 91.4 917
1984 Jan.-June 2,537 88.9 1,371
July-Dec. 3,334 89.7 1,915
1985 Jan.-June 4,809 88.5 2,735
July-Dec. 6,181 86.9 3,720
1986 Jan.-June 8,113 84.9 4,902
July-Dec. 9,751 82.1 6,220
1987 Jan.-June 12,525 80.9 7,228
July-Dec. 13,928 73.9 7,596
1988 Jan.-June 15,685 65.8 8,792
July-Dec. 15,959 58.6 9,973
1989 Jan.-June 17,381 47.7 11,071
July-Dec. 16,619 37.9 12,119
1990 Jan.-June 14,997 24.1 10,129
July-Sep. 3,341 11.5 2,451
Total1 149,498 61.8 92,401
* Death totals include 159 adults/adolescents and 2 children known to
have died, but whose date of death is unknown.
Table 8. AIDS cases, case-fatality rates, and deaths by half-year and age
group, through September 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 95 72.6 44
July-Dec. 127 74.8 68
1986 Jan.-June 128 71.1 64
July-Dec. 176 67.0 83
1987 Jan.-June 219 60.7 113
July-Dec. 246 58.5 158
1988 Jan.-June 237 48.5 129
July-Dec. 313 43.8 149
1989 Jan.-June 307 41.4 154
July-Dec. 278 35.3 157
1990 Jan.-June 225 22.7 126
July-Sep. 43 18.6 26
Total1 2,628 52.2 1,374
* Death totals include 159 adults/adolescents and 2 children known to
have died, but whose date of death is unknown.
Table 9. AIDS cases by year of diagnosis and definition category,
diagnosed through September 1990, United States
Year of diagnosis
Before Oct. 1986- Oct. 1987
Oct. 1986 Sept 1987 Sept 1988
DEFINITION CATEGORY* No. (%) No. (%) No. (%)
Pre-1987 definition 32,586 (94) 20,962 (84) 22,734 (73)
1987 definition:** 2,139 (6) 3,893 (16) 8,486 (27)
Specific disease
presumptively diagnosed 1,147 2,043 4,763
Specific disease
definitively diagnosed 335 457 580
HIV encephalopathy 186 509 1,090
HIV wasting syndrome 471 884 2,053
TOTAL 34,725 (100) 24,855 (100) 31,220 (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 September 1990, United States (Continued)
Year of diagnosis
Oct. 1988- Oct. 1989- Cumulative
Sept 1989 Sept 1990 total
DEFINITION CATEGORY* No. (%) No. (%) No. (%)
Pre-1987 definition 23,868 (69) 17,867 (67) 118,017 (78)
1987 definition:** 10,699 (31) 8,892 (33) 34,109 (22)
Specific disease
presumptively diagnosed 6,029 5,296 19,278
Specific disease
definitively diagnosed 735 578 2,685
HIV encephalopathy 1,269 930 3,984
HIV wasting syndrome 2,666 2,088 8,162
TOTAL 34,567 (100) 26,759 (100) 152,126 (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 September 1990, United States
AIDS cases
EXPOSURE CATEGORY No. (%)
Male homosexual/bisexual contact 85,613 (57)
Intravenous (IV) drug use (female and heterosexual male) 27,662 (19)
Hemophilia/coagulation disorder 814 (1)
Heterosexual contact 7,414 (5)
Receipt of blood transfusion, blood component, or tissue 3,512 (2)
Other/undetermined 5,408 (4)
SINGLE MODE OF EXPOSURE SUBTOTAL 130,423 (87)
MULTIPLE MODES OF EXPOSURE
Male homosexual/bisexual contact; IV drug use 9,063 (6)
Male homosexual/bisexual contact; hemophilia 30 (0)
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