news@CS.UCLA.EDU (Mr. News) (03/17/90)
U.S. Centers for Disease Control HIV/AIDS Surveillance Report, March, 1990 These data reflect reports received by CDC through the end of February 1990 Report Description The U.S. AIDS case data presented below are extracted from the "HIV/AIDS Surveilance 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 March 1988 through February 1989, March 1989 through February 1990; and cumulative totals, by state and age group, through February 1990 Mar. 1988- Mar. 1989- Feb. 1989 Feb. 1990 STATE OF RESIDENCE No. Rate No. Rate Alabama 218 5.3 211 5.1 Alaska 15 2.6 23 3.8 Arizona 256 7.3 350 9.8 Arkansas 80 3.3 92 3.8 California 5,779 20.6 6,591 23.1 Colorado 325 9.6 392 11.4 Connecticut 423 13.1 437 13.5 Delaware 77 12.0 74 11.4 District of Columbia 515 82.8 472 76.1 Florida 2,895 23.6 3,355 26.7 Georgia 903 14.3 1,145 17.8 Hawaii 84 7.5 206 18.0 Idaho 12 1.2 27 2.6 Illinois 1,021 8.8 1,159 10.0 Indiana 176 3.2 298 5.4 Iowa 54 1.9 46 1.6 Kansas 84 3.4 127 5.1 Kentucky 110 2.9 119 3.2 Louisiana 425 9.2 558 12.0 Maine 34 2.9 66 5.5 Maryland 608 13.5 789 17.4 Massachusetts 732 12.4 791 13.4 Michigan 464 5.1 491 5.4 Minnesota 166 3.9 181 4.2 Mississippi 120 4.5 210 7.8 Missouri 424 8.3 481 9.4 Montana 12 1.4 16 1.9 Nebraska 42 2.6 47 2.9 Nevada 119 11.8 175 17.0 New Hampshire 41 3.9 53 5.0 New Jersey 2,448 31.8 2,301 29.8 New Mexico 58 3.8 95 6.1 New York 7,006 39.1 6,977 38.8 North Carolina 337 5.2 392 6.0 North Dakota 4 0.6 7 1.0 Ohio 486 4.5 515 4.8 Oklahoma 136 4.0 209 6.1 Oregon 173 6.4 246 9.0 Pennsylvania 855 7.2 1,191 10.1 Rhode Island 91 9.3 85 8.6 South Carolina 185 5.3 341 9.7 South Dakota 7 1.0 2 0.3 Tennessee 301 6.2 248 5.1 Texas 2,396 13.7 2,599 14.6 Utah 75 4.3 86 4.9 Vermont 11 2.0 21 3.8 Virginia 316 5.3 577 9.6 Washington 405 8.8 458 9.9 West Virginia 24 1.3 57 3.0 Wisconsin 107 2.2 145 3.0 Wyoming 9 1.7 12 2.3 U.S. TOTAL 31,644 12.9 35,546 14.3 Guam 1 0.8 2 1.5 Pacific Islands, U.S. 1 0.7 - - Puerto Rico 1,401 42.5 1,577 47.7 Virgin Islands, U.S. 47 41.5 17 14.8 TOTAL 33,094 13.3 37,142 14.8 Table 1. AIDS cases and annual incidence rates per 100,000 population, by state, reported March 1988 through February 1989, March 1989 through February 1990; and cumulative totals, by state and age group, through February 1990 (Continued) Cumulative totals Adults/ Children STATE OF RESIDENCE adolescents <13 years old Total Alabama 672 16 688 Alaska 80 2 82 Arizona 1,045 6 1,051 Arkansas 274 3 277 California 24,095 169 24,264 Colorado 1,290 8 1,298 Connecticut 1,476 52 1,528 Delaware 235 4 239 District of Columbia 2,004 29 2,033 Florida 9,944 276 10,220 Georgia 3,237 38 3,275 Hawaii 499 2 501 Idaho 55 2 57 Illinois 3,584 51 3,635 Indiana 743 8 751 Iowa 167 3 170 Kansas 326 3 329 Kentucky 338 5 343 Louisiana 1,699 25 1,724 Maine 167 2 169 Maryland 2,283 52 2,335 Massachusetts 2,612 50 2,662 Michigan 1,492 22 1,514 Minnesota 652 7 659 Mississippi 431 7 438 Missouri 1,359 10 1,369 Montana 42 - 42 Nebraska 142 1 143 Nevada 463 4 467 New Hampshire 148 4 152 New Jersey 8,137 222 8,359 New Mexico 249 1 250 New York 27,370 635 28,005 North Carolina 1,141 23 1,164 North Dakota 18 - 18 Ohio 1,710 27 1,737 Oklahoma 539 9 548 Oregon 740 3 743 Pennsylvania 3,443 61 3,504 Rhode Island 298 7 305 South Carolina 732 19 751 South Dakota 17 - 17 Tennessee 780 12 792 Texas 8,583 74 8,657 Utah 257 5 262 Vermont 58 1 59 Virginia 1,504 25 1,529 Washington 1,584 11 1,595 West Virginia 124 2 126 Wisconsin 442 2 444 Wyoming 31 - 31 U.S. TOTAL 119,311 2,000 121,311 Guam 7 - 7 Pacific Islands, U.S. 1 - 1 Puerto Rico 3,481 112 3,593 Virgin Islands, U.S. 68 4 72 TOTAL 122,868 2,116 124,984 Table 2. AIDS cases and annual incidence rates per 100,000 population, by metropolitan area with 500,000 or more population, reported March 1988 through February 1989, March 1989 through February 1990; and cumulative totals, by area and age group, through February 1990 Mar. 1988- Mar. 1989- METROPOLITAN Feb. 1989 Feb. 1990 AREA OF RESIDENCE No. Rate No. Rate Akron, Ohio 28 4.4 19 3.0 Albany-Schenectady, N.Y. 67 7.9 67 7.9 Allentown, Pa. 31 4.7 45 6.8 Anaheim, Calif. 245 11.0 276 12.2 Atlanta, Ga. 673 24.9 871 31.5 Austin, Tex. 113 14.0 226 27.0 Bakersfield, Calif. 21 4.0 36 6.6 Baltimore, Md. 363 15.9 499 21.7 Baton Rouge, La. 41 7.2 53 9.1 Bergen-Passaic, N.J. 275 21.1 249 19.1 Birmingham, Ala. 77 8.4 67 7.3 Boston, Mass. 585 15.6 617 16.5 Bridgeport, Conn. 124 14.9 130 15.6 Buffalo, N.Y. 40 4.2 63 6.7 Charleston, S.C. 43 8.4 68 13.0 Charlotte, N.C. 77 7.0 78 7.0 Chicago, Ill. 866 13.9 941 15.0 Cincinnati, Ohio 62 4.4 73 5.1 Cleveland, Ohio 128 7.0 138 7.5 Columbus, Ohio 116 8.8 108 8.1 Dallas, Tex. 574 22.6 600 23.0 Dayton, Ohio 52 5.6 60 6.5 Denver, Colo. 265 15.5 313 18.0 Detroit, Mich. 326 7.6 344 8.1 El Paso, Tex. 13 2.3 34 5.8 Fort Lauderdale, Fla. 427 35.9 537 44.4 Fort Worth, Tex. 137 10.3 146 10.6 Fresno, Calif. 46 7.4 52 8.2 Gary, Ind. 12 2.0 35 5.8 Grand Rapids, Mich. 28 4.2 20 3.0 Greensboro, N.C. 56 6.1 55 5.9 Greenville, S.C. 16 2.6 36 5.8 Harrisburg, Pa. 40 6.9 48 8.3 Hartford, Conn. 121 11.1 143 13.1 Honolulu, Hawaii 71 8.2 135 15.4 Houston, Tex. 964 28.2 969 27.7 Indianapolis, Ind. 85 6.9 147 11.9 Jacksonville, Fla. 155 17.4 205 22.5 Jersey City, N.J. 453 81.4 307 55.2 Kansas City, Mo. 236 15.4 260 16.8 Knoxville, Tenn. 26 4.3 22 3.6 Las Vegas, Nev. 82 13.5 126 20.2 Little Rock, Ark. 33 6.4 42 8.1 Los Angeles, Calif. 1,946 23.0 2,278 26.5 Louisville, Ky. 55 5.7 52 5.4 Memphis, Tenn. 92 9.5 75 7.7 Miami, Fla. 774 42.9 856 47.1 Middlesex, N.J. 217 22.6 179 18.5 Milwaukee, Wis. 60 4.4 81 5.9 Minneapolis-Saint Paul, Minn. 148 6.3 161 6.8 Monmouth-Ocean City, N.J. 145 14.9 186 18.9 Nashville, Tenn. 123 13.0 75 7.8 Nassau-Suffolk, N.Y. 358 13.4 362 13.5 New Haven, Conn. 137 17.4 120 15.2 New Orleans, La. 241 17.8 339 24.9 New York, N.Y. 6,055 70.7 5,953 69.3 Newark, N.J. 1,054 56.0 979 52.1 Norfolk, Va. 80 5.8 127 9.1 Oakland, Calif. 380 19.0 391 19.3 Oklahoma City, Okla. 23 2.3 24 2.3 Omaha, Neb. 32 5.1 34 5.4 Orlando, Fla. 179 18.5 165 16.5 Oxnard-Ventura, Calif. 40 6.3 35 5.4 Philadelphia, Pa. 643 13.3 853 17.6 Phoenix, Ariz. 187 9.0 263 12.3 Pittsburgh, Pa. 80 3.8 174 8.4 Portland, Oreg. 138 11.8 186 15.7 Providence, R.I. 85 9.5 79 8.8 Raleigh-Durham, N.C. 71 10.4 96 13.8 Richmond, Va. 55 6.7 121 14.5 Riverside-San Bernardino, Calif. 170 8.0 243 11.0 Rochester, N.Y. 85 8.6 60 6.0 Sacramento, Calif. 162 11.9 155 11.2 Saint Louis, Mo. 187 7.7 202 8.2 Salt Lake City, Utah 63 5.8 70 6.4 San Antonio, Tex. 267 20.1 207 15.2 San Diego, Calif. 424 18.4 548 23.3 San Francisco, Calif. 1,734 105.3 1,866 112.1 San Jose, Calif. 151 10.3 141 9.5 San Juan, P.R. 866 77.4 968 86.1 Scranton, Pa. 22 3.1 34 4.7 Seattle, Wash. 296 16.4 349 19.1 Springfield, Mass. 31 5.3 46 7.8 Syracuse, N.Y. 23 3.5 39 5.9 Tacoma, Wash. 18 3.3 34 6.2 Tampa, Fla. 435 21.6 367 17.8 Toledo, Ohio 21 3.5 26 4.3 Tucson, Ariz. 41 6.6 57 9.1 Tulsa, Okla. 46 6.0 63 8.1 Washington, D.C. 820 22.6 907 24.6 West Palm Beach, Fla. 310 38.5 319 38.3 Wilmington, Del. 62 11.1 62 11.0 Worcester, Mass. 45 6.8 36 5.4 METROPOLITAN AREA SUBTOTAL* 27,870 19.6 30,303 21.1 ALL OTHER AREAS 5,224 4.9 6,839 6.3 TOTAL 33,094 13.3 37,142 14.8 * 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 March 1988 through February 1989, March 1989 through February 1990; and cumulative totals, by area and age group, through February 1990 (Continued) Cumulative totals METROPOLITAN Adults/ Children AREA OF RESIDENCE adolescents <13 years old Total Akron, Ohio 81 - 81 Albany-Schenectady, N.Y. 246 2 248 Allentown, Pa. 115 4 119 Anaheim, Calif. 943 7 950 Atlanta, Ga. 2,447 21 2,468 Austin, Tex. 528 5 533 Bakersfield, Calif. 81 - 81 Baltimore, Md. 1,293 37 1,330 Baton Rouge, La. 146 - 146 Bergen-Passaic, N.J. 1,040 24 1,064 Birmingham, Ala. 215 6 221 Boston, Mass. 2,073 42 2,115 Bridgeport, Conn. 429 16 445 Buffalo, N.Y. 174 - 174 Charleston, S.C. 164 - 164 Charlotte, N.C. 242 4 246 Chicago, Ill. 3,025 36 3,061 Cincinnati, Ohio 236 3 239 Cleveland, Ohio 464 7 471 Columbus, Ohio 374 3 377 Dallas, Tex. 2,107 8 2,115 Dayton, Ohio 176 3 179 Denver, Colo. 1,047 5 1,052 Detroit, Mich. 1,048 16 1,064 El Paso, Tex. 76 1 77 Fort Lauderdale, Fla. 1,622 25 1,647 Fort Worth, Tex. 450 5 455 Fresno, Calif. 140 1 141 Gary, Ind. 71 - 71 Grand Rapids, Mich. 71 1 72 Greensboro, N.C. 169 3 172 Greenville, S.C. 84 - 84 Harrisburg, Pa. 131 4 135 Hartford, Conn. 412 10 422 Honolulu, Hawaii 379 2 381 Houston, Tex. 3,630 31 3,661 Indianapolis, Ind. 333 2 335 Jacksonville, Fla. 508 11 519 Jersey City, N.J. 1,395 33 1,428 Kansas City, Mo. 744 3 747 Knoxville, Tenn. 83 - 83 Las Vegas, Nev. 331 4 335 Little Rock, Ark. 119 1 120 Los Angeles, Calif. 8,472 73 8,545 Louisville, Ky. 150 2 152 Memphis, Tenn. 248 4 252 Miami, Fla. 2,921 124 3,045 Middlesex, N.J. 650 21 671 Milwaukee, Wis. 253 1 254 Minneapolis-Saint Paul, Minn. 566 6 572 Monmouth-Ocean City, N.J. 484 17 501 Nashville, Tenn. 259 6 265 Nassau-Suffolk, N.Y. 1,285 37 1,322 New Haven, Conn. 462 26 488 New Orleans, La. 1,090 16 1,106 New York, N.Y. 23,885 576 24,461 Newark, N.J. 3,450 99 3,549 Norfolk, Va. 322 7 329 Oakland, Calif. 1,460 10 1,470 Oklahoma City, Okla. 152 - 152 Omaha, Neb. 100 - 100 Orlando, Fla. 493 5 498 Oxnard-Ventura, Calif. 114 - 114 Philadelphia, Pa. 2,594 40 2,634 Phoenix, Ariz. 765 4 769 Pittsburgh, Pa. 444 1 445 Portland, Oreg. 580 1 581 Providence, R.I. 277 6 283 Raleigh-Durham, N.C. 257 7 264 Richmond, Va. 290 1 291 Riverside-San Bernardino, Calif. 724 12 736 Rochester, N.Y. 272 1 273 Sacramento, Calif. 510 5 515 Saint Louis, Mo. 578 6 584 Salt Lake City, Utah 221 4 225 San Antonio, Tex. 604 9 613 San Diego, Calif. 1,702 16 1,718 San Francisco, Calif. 7,707 15 7,722 San Jose, Calif. 553 6 559 San Juan, P.R. 2,155 80 2,235 Scranton, Pa. 90 3 93 Seattle, Wash. 1,204 9 1,213 Springfield, Mass. 122 1 123 Syracuse, N.Y. 122 4 126 Tacoma, Wash. 100 1 101 Tampa, Fla. 1,155 21 1,176 Toledo, Ohio 80 1 81 Tucson, Ariz. 195 2 197 Tulsa, Okla. 155 2 157 Washington, D.C. 3,420 53 3,473 West Palm Beach, Fla. 1,043 44 1,087 Wilmington, Del. 192 3 195 Worcester, Mass. 127 3 130 METROPOLITAN AREA SUBTOTAL* 104,496 1,777 106,273 ALL OTHER AREAS 18,372 339 18,711 TOTAL 122,868 2,116 124,984 * 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 March 1988 through February 1989, March 1989 through February 1990; and cumulative totals, by age group and exposure category, through February 1990, United States Males Mar. 1988- Mar. 1989- ADULT/ADOLESCENT Feb. 1989 Feb. 1990 EXPOSURE CATEGORY No. (%) No. (%) Male homosexual/bisexual contact 18,563 (64) 20,572 (63) Intravenous (IV) drug use (female and heterosexual male) 6,087 (21) 6,619 (20) Male homosexual/bisexual contact and IV drug use 2,193 (8) 2,193 (7) Hemophilia/coagulation disorder 304 (1) 268 (1) Heterosexual contact: 634 (2) 834 (3) Sex with IV drug user 273 391 Sex with bisexual male - - Sex with person with hemophilia 1 3 Born in Pattern-II* country 256 301 Sex with person born in Pattern-II country 18 13 Sex with transfusion recipient with HIV infection 9 13 Sex with person with HIV infection, risk not specified 77 113 Receipt of blood transfusion, blood components, or tissue** 505 (2) 471 (1) Other/undetermined*** 852 (3) 1,622 (5) Adult/adolescent subtotal 29,138 (100) 32,579 (100) PEDIATRIC (<13 years old) EXPOSURE CATEGORY Hemophilia/coagulation disorder 34 (11) 24 (7) Mother with/at risk for HIV infection: 232 (74) 293 (83) IV drug use 122 142 Sex with IV drug user 51 73 Sex with bisexual male 3 7 Sex with person with hemophilia - - Born in Pattern-II country 24 28 Sex with person born in Pattern-II country - 1 Sex with transfusion recipient with HIV infection 2 1 Sex with person with HIV infection, risk not specified 13 9 Receipt of blood transfusion, blood components, or tissue 1 4 Has HIV infection, risk not specified 16 28 Receipt of blood transfusion, blood components, or tissue 40 (13) 27 (8) Other/undetermined 8 (3) 11 (3) Pediatric subtotal 314 (100) 355 (100) TOTAL 29,452 32,934 * See technical notes (available only in the printed version of this report) ** Includes 6 transfusion recipients who received blood screened for HIV antibody, and 1 tissue recipient. *** "Other" refers to 2 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 March 1988 through February 1989, March 1989 through February 1990; and cumulative totals, by age group and exposure category, through February 1990, United States (Continued) Females Mar. 1988- Mar. 1989- ADULT/ADOLESCENT Feb. 1989 Feb. 1990 EXPOSURE CATEGORY No. (%) No. (%) Male homosexual/bisexual contact - - Intravenous (IV) drug use (female and heterosexual male) 1,823 (54) 1,944 (50) Male homosexual/bisexual contact and IV drug use - - Hemophilia/coagulation disorder 4 (0) 9 (0) Heterosexual contact: 1,044 (31) 1,265 (33) Sex with IV drug user 673 815 Sex with bisexual male 99 97 Sex with person with hemophilia 10 22 Born in Pattern-II* country 121 133 Sex with person born in Pattern-II country 6 12 Sex with transfusion recipient with HIV infection 21 21 Sex with person with HIV infection, risk not specified 114 165 Receipt of blood transfusion, blood components, or tissue** 345 (10) 322 (8) Other/undetermined*** 177 (5) 348 (9) Adult/adolescent subtotal 3,393 (100) 3,888 (100) PEDIATRIC (<13 years old) EXPOSURE CATEGORY Hemophilia/coagulation disorder - 1 (0) Mother with/at risk for HIV infection: 229 (92) 285 (89) IV drug use 118 119 Sex with IV drug user 37 67 Sex with bisexual male 6 6 Sex with person with hemophilia 1 - Born in Pattern-II country 23 27 Sex with person born in Pattern-II country - 3 Sex with transfusion recipient with HIV infection 2 4 Sex with person with HIV infection, risk not specified 8 15 Receipt of blood transfusion, blood components, or tissue 9 7 Has HIV infection, risk not specified 25 37 Receipt of blood transfusion, blood components, or tissue 14 (6) 17 (5) Other/undetermined 6 (2) 17 (5) Pediatric subtotal 249 (100) 320 (100) TOTAL 3,642 4,208 * See technical notes (available only in the printed version of this report) ** Includes 6 transfusion recipients who received blood screened for HIV antibody, and 1 tissue recipient. *** "Other" refers to 2 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 March 1988 through February 1989, March 1989 through February 1990; and cumulative totals, by age group and exposure category, through February 1990, United States (Continued) Totals Mar. 1988- Mar. 1989- Cumulative ADULT/ADOLESCENT Feb. 1989 Feb. 1990 Total**** EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 18,563 (57) 20,572 (56) 73,990 (60) Intravenous (IV) drug use (female and heterosexual male) 7,910 (24) 8,563 (23) 26,092 (21) Male homosexual/bisexual contact and IV drug use 2,193 (7) 2,193 (6) 8,530 (7) Hemophilia/coagulation disorder 308 (1) 277 (1) 1,114 (1) Heterosexual contact: 1,678 (5) 2,099 (6) 6,027 (5) Sex with IV drug user 946 1,206 3,102 Sex with bisexual male 99 97 366 Sex with person with hemophilia 11 25 55 Born in Pattern-II* country 377 434 1,724 Sex with person born in Pattern-II country 24 25 89 Sex with transfusion recipient with HIV infection 30 34 90 Sex with person with HIV infection, risk not specified 191 278 601 Receipt of blood transfusion, blood components, or tissue** 850 (3) 793 (2) 2,984 (2) Other/undetermined*** 1,029 (3) 1,970 (5) 4,131 (3) Adult/adolescent subtotal 32,531 (100) 36,467 (100) 122,868 (100) PEDIATRIC (<13 years old) EXPOSURE CATEGORY Hemophilia/coagulation disorder 34 (6) 25 (4) 108 (5) Mother with/at risk for HIV infection: 461 (82) 578 (86) 1,734 (82) IV drug use 240 261 881 Sex with IV drug user 88 140 364 Sex with bisexual male 9 13 39 Sex with person with hemophilia 1 - 7 Born in Pattern-II country 47 55 182 Sex with person born in Pattern-II country - 4 7 Sex with transfusion recipient with HIV infection 4 5 10 Sex with person with HIV infection, risk not specified 21 24 66 Receipt of blood transfusion, blood components, or tissue 10 11 36 Has HIV infection, risk not specified 41 65 142 Receipt of blood transfusion, blood components, or tissue 54 (10) 44 (7) 219 (10) Other/undetermined 14 (2) 28 (4) 55 (3) Pediatric subtotal 563 (100) 675 (100) 2,116 (100) TOTAL 33,094 37,142 124,984 * See technical notes (available only in the printed version of this report ** Includes 6 transfusion recipients who received blood screened for HIV antibody, and 1 tissue recipient. *** "Other" refers to 2 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 February 1990, United States White, not Black, not ADULT/ADOLESCENT Hispanic Hispanic Hispanic EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 53,155 (77) 12,222 (37) 7,808 (41) Intravenous (IV) drug use (female and heterosexual male) 5,244 (8) 13,010 (39) 7,704 (40) Male homosexual/bisexual contact and IV drug use 5,031 (7) 2,225 (7) 1,229 (6) Hemophilia/coagulation disorder 932 (1) 72 (0) 85 (0) Heterosexual contact: 1,217 (2) 3,747 (11) 1,012 (5) Sex with IV drug user 681 1,572 827 Sex with bisexual male 192 120 46 Sex with person with hemophilia 49 4 1 Born in Pattern-II* country 3 1,703 9 Sex with person born in Pattern-II country 26 60 3 Sex with transfusion recipient with HIV infection 66 14 8 Sex with person with HIV infection, risk not specified 200 274 118 Receipt of blood transfusion, blood components, or tissue** 2,147 (3) 482 (1) 285 (1) Other/undetermined*** 1,552 (2) 1,569 (5) 913 (5) Adult/adolescent subtotal 69,278 (100) 33,327 (100) 19,036 (100) PEDIATRIC (<13 years old) EXPOSURE CATEGORY Hemophilia/coagulation disorder 75 (16) 15 (1) 14 (3) Mother with/at risk for HIV infection: 259 (56) 1,012 (92) 452 (85) IV drug use 126 512 239 Sex with IV drug user 55 163 145 Sex with bisexual male 13 18 8 Sex with person with hemophilia 5 1 1 Born in Pattern-II country 2 179 1 Sex with person born in Pattern-II country - 6 - Sex with transfusion recipient with HIV infection 5 3 2 Sex with person with HIV infection, risk not specified 11 28 24 Receipt of blood transfusion, blood components, or tissue 13 13 10 Has HIV infection, risk not specified 29 89 22 Receipt of blood transfusion, blood components, or tissue 122 (26) 48 (4) 46 (9) Other/undetermined 9 (2) 29 (3) 17 (3) Pediatric subtotal 465 (100) 1,104 (100) 529 (100) TOTAL 69,743 34,431 19,565 * See technical notes (available only in the printed version of this report) ** Includes 6 transfusion recipients who received blood screened for HIV antibody, and 1 tissue recipient. *** "Other" refers to 2 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 February 1990, United States (Continued) American Asian/ Indian/ Pacific Alaskan ADULT/ADOLESCENT Islander Native Total**** EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 567 (74) 83 (52) 73,990 (60) Intravenous (IV) drug use (female and heterosexual male) 31 (4) 27 (17) 26,092 (21) Male homosexual/bisexual contact and IV drug use 12 (2) 21 (13) 8,530 (7) Hemophilia/coagulation disorder 15 (2) 6 (4) 1,114 (1) Heterosexual contact: 29 (4) 9 (6) 6,027 (5) Sex with IV drug user 12 4 3,102 Sex with bisexual male 6 1 366 Sex with person with hemophilia 1 - 55 Born in Pattern-II* country 4 - 1,724 Sex with person born in Pattern-II country - - 89 Sex with transfusion recipient with HIV infection 1 - 90 Sex with person with HIV infection, risk not specified 5 4 601 Receipt of blood transfusion, blood components, or tissue** 61 (8) 3 (2) 2,984 (2) Other/undetermined*** 48 (6) 10 (6) 4,131 (3) Adult/adolescent subtotal 763 (100) 159 (100) 122,868 (100) PEDIATRIC (<13 years old) EXPOSURE CATEGORY Hemophilia/coagulation disorder 3 (33) - 108 (5) Mother with/at risk for HIV infection: 3 (33) 4 (100) 1,734 (82) IV drug use 1 2 881 Sex with IV drug user - - 364 Sex with bisexual male - - 39 Sex with person with hemophilia - - 7 Born in Pattern-II country - - 182 Sex with person born in Pattern-II country - - 7 Sex with transfusion recipient with HIV infection - - 10 Sex with person with HIV infection, risk not specified 1 1 66 Receipt of blood transfusion, blood components, or tissue - - 36 Has HIV infection, risk not specified 1 1 142 Receipt of blood transfusion, blood components, or tissue 3 (33) - 219 (10) Other/undetermined - - 55 (3) Pediatric subtotal 9 (100) 4 (100) 2,116 (100) TOTAL 772 163 124,984 * See technical notes (available only in the printed version of this report ** Includes 6 transfusion recipients who received blood screened for HIV antibody, and 1 tissue recipient. *** "Other" refers to 2 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 310 persons whose race/ethnicity is unknown. Table 5. Adult/adolescent AIDS cases by sex, exposure category, and race/ethnicity, reported through February 1990, United States White, not Black, not MALE Hispanic Hispanic Hispanic EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 53,155 (80) 12,222 (45) 7,808 (47) Intravenous (IV) drug use (heterosexual) 3,987 (6) 9,606 (35) 6,498 (39) Male homosexual/bisexual contact and IV drug use 5,031 (8) 2,225 (8) 1,229 (7) Hemophilia/coagulation disorder 908 (1) 69 (0) 84 (1) Heterosexual contact: 379 (1) 1,887 (7) 186 (1) Sex with IV drug user 245 491 130 Sex with person with hemophilia 4 1 - Born in Pattern-II* country 2 1,250 7 Sex with person born in Pattern-II country 24 25 3 Sex with transfusion recipient with HIV infection 16 7 1 Sex with person with HIV infection, risk not specified 88 113 45 Receipt of blood transfusion, blood components, or tissue** 1,392 (2) 255 (1) 153 (1) Other/undetermined*** 1,336 (2) 1,166 (4) 787 (5) Male subtotal 66,188 (100) 27,430 (100) 16,745 (100) FEMALE EXPOSURE CATEGORY IV drug use 1,257 (41) 3,404 (58) 1,206 (53) Hemophilia/coagulation disorder 24 (1) 3 (0) 1 (0) Heterosexual contact: 838 (27) 1,860 (32) 826 (36) Sex with IV drug user 436 1,081 697 Sex with bisexual male 192 120 46 Sex with person with hemophilia 45 3 1 Born in Pattern-II country 1 453 2 Sex with person born in Pattern-II country 2 35 - Sex with transfusion recipient with HIV infection 50 7 7 Sex with person with HIV infection, risk not specified 112 161 73 Receipt of blood transfusion, blood components, or tissue 755 (24) 227 (4) 132 (6) Other/undetermined 216 (7) 403 (7) 126 (5) Female subtotal 3,090 (100) 5,897 (100) 2,291 (100) TOTAL 69,278 33,327 19,036 * See technical notes (available only in the printed version of this report ** Includes 6 transfusion recipients who received blood screened for HIV antibody, and 1 tissue recipient. *** "Other" refers to 2 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 February 1990, United States (Continued) American Asian/ Indian/ Pacific Alaskan MALE Islander Native Total**** EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 567 (81) 83 (62) 73,990 (66) Intravenous (IV) drug use (heterosexual) 20 (3) 13 (10) 20,186 (18) Male homosexual/bisexual contact and IV drug use 12 (2) 21 (16) 8,530 (8) Hemophilia/coagulation disorder 15 (2) 6 (4) 1,086 (1) Heterosexual contact: 5 (1) 1 (1) 2,462 (2) Sex with IV drug user 1 1 868 Sex with person with hemophilia - - 5 Born in Pattern-II* country 3 - 1,265 Sex with person born in Pattern-II country - - 52 Sex with transfusion recipient with HIV infection - - 25 Sex with person with HIV infection, risk not specified 1 - 247 Receipt of blood transfusion, blood components, or tissue** 38 (5) 1 (1) 1,844 (2) Other/undetermined*** 41 (6) 9 (7) 3,369 (3) Male subtotal 698 (100) 134 (100) 111,467 (100) FEMALE EXPOSURE CATEGORY IV drug use 11 (17) 14 (56) 5,906 (52) Hemophilia/coagulation disorder - - 28 (0) Heterosexual contact: 24 (37) 8 (32) 3,565 (31) Sex with IV drug user 11 3 2,234 Sex with bisexual male 6 1 366 Sex with person with hemophilia 1 - 50 Born in Pattern-II country 1 - 459 Sex with person born in Pattern-II country - - 37 Sex with transfusion recipient with HIV infection 1 - 65 Sex with person with HIV infection, risk not specified 4 4 354 Receipt of blood transfusion, blood components, or tissue 23 (35) 2 (8) 1,140 (10) Other/undetermined 7 (11) 1 (4) 762 (7) Female subtotal 65 (100) 25 (100) 11,401 (100) TOTAL 763 159 122,868 * See technical notes (available only in the printed version of this report ** Includes 6 transfusion recipients who received blood screened for HIV antibody, and 1 tissue recipient. *** "Other" refers to 2 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 272 males and 33 females whose race/ethnicity is unknown. Table 6. AIDS cases in adolescents and adults under age 25, by exposure category, reported March 1988 through February 1989, March 1989 through February 1990, and cumulative totals through February 1990, United States 13-19 years old Mar. 1988- Mar. 1989- Cumulative Feb. 1989 Feb. 1990 Total EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 32 (27) 33 (25) 139 (29) Intravenous (IV) drug use (heterosexual) 19 (16) 13 (10) 55 (11) Male homosexual/bisexual contact and IV drug use 6 (5) 3 (2) 23 (5) Hemophilia/coagulation disorder 35 (30) 40 (31) 150 (31) Heterosexual contact: 11 (9) 23 (18) 57 (12) Sex with IV drug user 5 17 34 Sex with bisexual male - 1 3 Sex with person with hemophilia - 1 1 Born in Pattern-II* country 3 1 12 Sex with person born in Pattern-II country - - - Sex with transfusion recipient with HIV infection - - - Sex with person with HIV infection, risk not specified 3 3 7 Receipt of blood transfusion, blood components, or tissue 13 (11) 5 (4) 38 (8) Undetermined** 1 (1) 14 (11) 24 (5) TOTAL 117 (100) 131 (100) 486 (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 investiggation. Table 6. AIDS cases in adolescents and adults under age 25, by exposure category, reported March 1988 through February 1989, March 1989 through February 1990, and cumulative totals through February 1990, United States (Continued) 20-24 years old Mar. 1988- Mar. 1989- Cumulative Feb. 1989 Feb. 1990 Total EXPOSURE CATEGORY No. (%) No. (%) No. (%) Male homosexual/bisexual contact 812 (57) 792 (52) 3,104 (58) Intravenous (IV) drug use (heterosexual) 254 (18) 277 (18) 842 (16) Male homosexual/bisexual contact and IV drug use 121 (8) 133 (9) 507 (9) Hemophilia/coagulation disorder 43 (3) 35 (2) 141 (3) Heterosexual contact: 120 (8) 168 (11) 466 (9) Sex with IV drug user 75 94 250 Sex with bisexual male 12 9 43 Sex with person with hemophilia 1 8 12 Born in Pattern-II* country 11 23 94 Sex with person born in Pattern-II country - 2 5 Sex with transfusion recipient with HIV infection - 2 3 Sex with person with HIV infection, risk not specified 21 30 59 Receipt of blood transfusion, blood components, or tissue 25 (2) 8 (1) 79 (1) Undetermined** 58 (4) 99 (7) 225 (4) TOTAL 1,433 (100) 1,512 (100) 5,364 (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 February 1990, United States White, not Black, not MALE Hispanic Hispanic Hispanic AGE AT DIAGNOSIS (YEARS) No. (%) No. (%) No. (%) Under 5 161 (0) 493 (2) 246 (1) 5-12 125 (0) 68 (0) 42 (0) 13-19 195 (0) 112 (0) 68 (0) 20-24 2,389 (4) 1,336 (5) 813 (5) 25-29 10,071 (15) 4,538 (16) 2,930 (17) 30-34 15,690 (24) 7,106 (25) 4,408 (26) 35-39 14,501 (22) 6,395 (23) 3,697 (22) 40-44 9,848 (15) 3,581 (13) 2,301 (14) 45-49 5,853 (9) 1,997 (7) 1,155 (7) 50-54 3,307 (5) 1,126 (4) 659 (4) 55-59 2,110 (3) 688 (2) 426 (3) 60-64 1,150 (2) 349 (1) 175 (1) 65 or older 1,074 (2) 202 (1) 113 (1) Male subtotal 66,474 (100) 27,991 (100) 17,033 (100) FEMALES AGE AT DIAGNOSIS (YEARS) Under 5 150 (5) 480 (7) 209 (8) 5-12 29 (1) 63 (1) 32 (1) 13-19 23 (1) 59 (1) 18 (1) 20-24 224 (7) 361 (6) 188 (7) 25-29 592 (18) 1,196 (19) 561 (22) 30-34 710 (22) 1,790 (28) 617 (24) 35-39 481 (15) 1,288 (20) 451 (18) 40-44 252 (8) 586 (9) 235 (9) 45-49 134 (4) 252 (4) 96 (4) 50-54 113 (3) 147 (2) 48 (2) 55-59 121 (4) 92 (1) 35 (1) 60-64 119 (4) 58 (1) 19 (1) 65 or older 321 (10) 68 (1) 23 (1) Female subtotal 3,269 (100) 6,440 (100) 2,532 (100) TOTAL 69,743 34,431 19,565 Table 7. AIDS cases by sex, age at diagnosis, and race/ethnicity, reported through February 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) 907 (1) 5-12 3 (0) - 240 (0) 13-19 5 (1) 3 (2) 384 (0) 20-24 27 (4) 9 (7) 4,582 (4) 25-29 98 (14) 26 (19) 17,696 (16) 30-34 149 (21) 36 (26) 27,454 (24) 35-39 151 (21) 23 (17) 24,835 (22) 40-44 107 (15) 17 (13) 15,899 (14) 45-49 72 (10) 11 (8) 9,107 (8) 50-54 39 (6) 3 (2) 5,147 (5) 55-59 23 (3) 4 (3) 3,263 (3) 60-64 8 (1) 2 (1) 1,689 (1) 65 or older 19 (3) - 1,411 (1) Male subtotal 704 (100) 136 (100) 112,614 (100) FEMALES AGE AT DIAGNOSIS (YEARS) Under 5 1 (1) 2 (7) 843 (7) 5-12 2 (3) - 126 (1) 13-19 1 (1) 1 (4) 102 (1) 20-24 3 (4) 1 (4) 782 (6) 25-29 6 (9) 5 (19) 2,368 (19) 30-34 15 (22) 9 (33) 3,149 (25) 35-39 6 (9) 4 (15) 2,237 (18) 40-44 13 (19) 2 (7) 1,088 (9) 45-49 6 (9) - 492 (4) 50-54 4 (6) 1 (4) 313 (3) 55-59 3 (4) - 252 (2) 60-64 5 (7) 1 (4) 202 (2) 65 or older 3 (4) 1 (4) 416 (3) Female subtotal 68 (100) 27 (100) 12,370 (100) TOTAL 772 163 124,984 * Includes 310 persons whose race/ethnicity is unknown. Table 8. AIDS cases, case-fatality rates, and deaths by half-year and age group, through February 1990, United States* Adults/adolescents Cases diagnosed Case-fatality Deaths occuring HALF-YEAR during interval rate during interval Before 1981 77 83.1 30 1981 Jan.-June 91 92.3 38 July-Dec. 196 91.8 83 1982 Jan.-June 385 90.6 153 July-Dec. 665 89.5 277 1983 Jan.-June 1,250 91.4 508 July-Dec. 1,613 91.2 904 1984 Jan.-June 2,522 88.0 1,361 July-Dec. 3,315 88.7 1,896 1985 Jan.-June 4,745 87.6 2,706 July-Dec. 6,122 85.9 3,682 1986 Jan.-June 8,007 83.3 4,829 July-Dec. 9,594 79.5 6,125 1987 Jan.-June 12,294 76.2 7,092 July-Dec. 13,569 66.5 7,429 1988 Jan.-June 15,006 56.5 8,556 July-Dec. 15,010 47.6 9,594 1989 Jan.-June 15,549 34.9 10,340 July-Dec. 12,044 21.6 8,576 1990 Jan.-Feb. 814 10.4 546 TOTAL** 122,868 60.9 74,887 * Reporting of diagnosed AIDS cases and deaths in more recent time periods is incomplete. See technical notes (available only in the printed version of this report). ** Death totals include 162 adults/adolescents and 5 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 February 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. 5 100.0 6 1982 Jan.-June 13 76.9 9 July-Dec. 14 78.6 4 1983 Jan.-June 33 93.9 13 July-Dec. 40 75.0 16 1984 Jan.-June 47 83.0 24 July-Dec. 63 73.0 24 1985 Jan.-June 97 71.1 43 July-Dec. 127 74.8 68 1986 Jan.-June 130 71.5 64 July-Dec. 164 66.5 82 1987 Jan.-June 207 58.9 111 July-Dec. 243 55.1 153 1988 Jan.-June 218 45.0 122 July-Dec. 280 38.2 146 1989 Jan.-June 251 37.1 140 July-Dec. 163 25.8 105 1990 Jan.-Feb. 7 0.0 5 TOTAL** 2,116 54.0 1,143 * Reporting of diagnosed AIDS cases and deaths in more recent time periods is incomplete. See technical notes (available only in the printed version of this report). ** Death totals include 162 adults/adolescents and 5 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 February 1990, United States Year of diagnosis Before Mar. 1986- Mar. 1987- Mar. 1986 Feb. 1987 Feb. 1988 DEFINITION CATEGORY* No. (%) No. (%) No. (%) Pre-1987 definition 23,005 (96) 17,212 (89) 21,350 (78) 1987 definition:** 957 (4) 2,072 (11) 5,860 (22) Specific disease presumptively diagnosed 508 1,119 3,166 Specific disease definitively diagnosed 189 282 522 HIV encephalopathy 70 228 769 HIV wasting syndrome 190 443 1,403 TOTAL 23,962 (100) 19,284 (100) 27,210 (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 February 1990, United States (Continued) Year of diagnosis Mar. 1988- Mar. 1989- Cumulative Feb. 1989 Feb. 1990 total DEFINITION CATEGORY* No. (%) No. (%) No. (%) Pre-1987 definition 21,645 (70) 16,056 (68) 99,268 (79) 1987 definition:** 9,188 (30) 7,639 (32) 25,716 (21) Specific disease presumptively diagnosed 5,195 4,304 14,292 Specific disease definitively diagnosed 622 523 2,138 HIV encephalopathy 1,111 843 3,021 HIV wasting syndrome 2,260 1,969 6,265 TOTAL 30,833 (100) 23,695 (100) 124,984 (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 February 1990, United States AIDS cases EXPOSURE CATEGORY No. (%) Male homosexual/bisexual contact 71,026 (58) Intravenous (IV) drug use (female and heterosexual male) 22,332 (18) Hemophilia/coagulation disorder 668 (1) Heterosexual contact 5,737 (5) Receipt of blood transfusion, blood component, or tissue 2,984 (2) Other/undetermined 4,131 (3) SINGLE MODE OF EXPOSURE SUBTOTAL 106878 (87) MULTIPLE MODES OF EXPOSURE Male homosexual/bisexual contact; IV drug use 7,707 (6) Male homosexual/bisexual contact; hemophilia 27 (0) Male homosexual/bisexual contact; heterosexual contact 1,441 (1) Male homosexual/bisexual contact; receipt of transfusion 1,400 (1) IV drug use; hemophilia 30 (0) IV drug use; heterosexual contact 2,933 (2) IV drug use; receipt of transfusion 602 (0) Hemophilia; heterosexual contact 5 (0) Hemophilia; receipt of transfusion 432 (0) Heterosexual contact; receipt of transfusion 290 (0) Male homosexual/bisexual contact; IV drug use; hemophilia 11 (0) Male homosexual/bisexual contact; IV drug use; heterosexual contact 548 (0) Male homosexual/bisexual contact; IV drug use; receipt of transfusion 229 (0) Male homosexual/bisexual contact; hemophilia; heterosexual contact 2 (0) Male homosexual/bisexual contact; hemophilia; receipt of transfusion 17 (0) Male homosexual/bisexual contact; heterosexual contact; receipt of transfusion 77 (0) IV drug use; hemophilia; heterosexual contact 4 (0) IV drug use; hemophilia; receipt of transfusion 17 (0) IV drug use; heterosexual contact; receipt of transfusion 169 (0) hemophilia; heterosexual contact; receipt of transfusion 9 (0) Male homosexual/bisexual contact; IV drug use; hemophilia; receipt of transfusion 8 (0) Male homosexual/bisexual contact; IV drug use; heterosexual contact; receipt of transfusion 27 (0) IV drug use; hemophilia; heterosexual contact; receipt of transfusion 5 (0) MULTIPLE MODES of EXPOSURE SUBTOTAL 15,990 (13) TOTAL 122868 (100) --- end of report --- Provided as a public service by CDC AIDS WEEKLY. 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