ddodell@stjhmc.fidonet.org (David Dodell) (12/18/89)
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Sex with person with HIV
infection, risk not specified 5 16
Receipt of transfusion of blood,
blood components, or tissue 7 7
Has HIV infection, risk not
specified 22 36
Receipt of transfusion of blood,
blood components, or tissue 20 ( 8) 16 ( 5)
Undetermined 9 ( 4) 16 ( 5)
Pediatric subtotal 254 (100) 308 (100)
TOTAL 3,552 3,976
* See technical notes.
** Includes 1 tissue recipient and 2 transfusion recipients who received
blood screened for HIV antibody.
*** "Other" is 1 health-care worker who seroconverted to HIV and developed
AIDS after needlestick exposure to HIV-infected blood. "Undetermined"
includes . adults/adolescents ( . children) under investigation;
. adults/adolescents ( . children) who died, were lost to follow-up,
or refused interview; and . adults/adolescents ( . children) whose
mode of exposure to HIV remains undetermined after investigation.
Table 3. AIDS cases by age group, exposure category, and sex,
reported December 1987 through November 1988 and December 1988 through
November 1989; and cumulative totals, by age group and exposure
category, through November 1989, United States
Totals
Dec. 1987- Dec. 1988- Cumulative
ADULT/ADOLESCENT Nov. 1988 Nov. 1989 Total
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 18,074 ( 57) 19,879 ( 57) 68,567 ( 61)
Intravenous (IV) drug use
(female and heterosexual male) 7,597 ( 24) 8,134 ( 23) 23,722 ( 21)
Male homosexual/bisexual contact
and IV drug use 2,107 ( 7) 2,166 ( 6) 7,923 ( 7)
Hemophilia/coagulation disorder 304 ( 1) 301 ( 1) 1,047 ( 1)
Heterosexual contact: 1,611 ( 5) 1,930 ( 6) 5,457 ( 5)
Sex with IV drug user 880 1,106 2,770
Sex with bisexual male 101 93 341
Sex with person with hemophilia 11 21 49
Born in Pattern-II* country 399 389 1,603
Sex with person born in
Pattern-II country 26 27 82
Sex with transfusion recipient
with HIV infection 25 33 79
Sex with person with HIV
infection, risk not specified 169 261 533
Receipt of transfusion of blood,
blood components, or tissue** 886 ( 3) 780 ( 2) 2,768 ( 2)
Other/undetermined*** 966 ( 3) 1,803 ( 5) 3,727 ( 3)
Adult/adolescent subtotal 31,545 (100) 34,993 (100) 113,211 (100)
PEDIATRIC (<13 years old)
EXPOSURE CATEGORY
Hemophilia/coagulation disorder 36 ( 6) 28 ( 4) 104 ( 5)
Mother with/at risk for AIDS/
HIV infection: 457 ( 79) 563 ( 84) 1,572 ( 81)
IV drug use 240 260 808
Sex with IV drug user 87 127 322
Sex with bisexual male 12 11 35
Sex with person with hemophilia 3 1 7
Born in Pattern-II country 44 53 167
Sex with person born
in Pattern-II country 1 5 7
Sex with transfusion recipient
with HIV infection 3 7 10
Sex with person with HIV
infection, risk not specified 16 28 62
Receipt of transfusion of blood,
blood components, or tissue 9 11 33
Has HIV infection, risk not
specified 42 60 121
Receipt of transfusion of blood,
blood components, or tissue 63 ( 11) 46 ( 7) 208 ( 11)
Undetermined 19 ( 3) 30 ( 4) 63 ( 3)
Pediatric subtotal 575 (100) 667 (100) 1,947 (100)
TOTAL 32,120 35,660 115,158
* See technical notes.
** Includes 1 tissue recipient and 2 transfusion recipients who received
blood screened for HIV antibody.
*** "Other" is 1 health-care worker who seroconverted to HIV and developed
AIDS after needlestick exposure to HIV-infected blood. "Undetermined"
includes . adults/adolescents ( . children) under investigation;
. adults/adolescents ( . children) who died, were lost to follow-up,
or refused interview; and . adults/adolescents ( . children) whose
mode of exposure to HIV remains undetermined after investigation.
Table 4. AIDS cases by age group, exposure category, and race/ethnicity,
reported through November 1989, United States
White, not Black, not
ADULT/ADOLESCENT Hispanic Hispanic Hispanic
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 49,371 ( 77) 11,244 ( 37) 7,218 ( 41)
Intravenous (IV) drug use
(female and heterosexual male) 4,789 ( 7) 11,834 ( 39) 6,983 ( 40)
Male homosexual/bisexual contact
and IV drug use 4,678 ( 7) 2,068 ( 7) 1,134 ( 7)
Hemophilia/coagulation disorder 876 ( 1) 69 ( 0) 77 ( 0)
Heterosexual contact: 1,093 ( 2) 3,411 ( 11) 905 ( 5)
Sex with IV drug user 604 1,412 734
Sex with bisexual male 178 112 44
Sex with person with hemophilia 44 3 1
Born in Pattern-II* country 3 1,582 9
Sex with person born in
Pattern-II country 25 55 2
Sex with transfusion recipient
with HIV infection 59 10 8
Sex with person with HIV
infection, risk not specified 180 237 107
Receipt of transfusion of blood,
blood components, or tissue** 2,008 ( 3) 434 ( 1) 262 ( 2)
Other/undetermined*** 1,378 ( 2) 1,427 ( 5) 829 ( 5)
Adult/adolescent subtotal 64,193 (100) 30,487 (100) 17,408 (100)
PEDIATRIC (<13 years old)
EXPOSURE CATEGORY
Hemophilia/coagulation disorder 71 ( 17) 15 ( 1) 14 ( 3)
Mother with/at risk for AIDS/
HIV infection: 225 ( 53) 932 ( 91) 404 ( 85)
IV drug use 109 476 219
Sex with IV drug user 46 150 125
Sex with bisexual male 13 17 5
Sex with person with hemophilia 5 1 1
Born in Pattern-II country 2 164 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 10 26 23
Receipt of transfusion of blood,
blood components, or tissue 11 12 10
Has HIV infection, risk not
specified 24 77 18
Receipt of transfusion of blood,
blood components, or tissue 117 ( 28) 45 ( 4) 43 ( 9)
Undetermined 12 ( 3) 35 ( 3) 16 ( 3)
Pediatric subtotal 425 (100) 1,027 (100) 477 (100)
TOTAL 64,618 31,514 17,885
* See technical notes.
** Includes 1 tissue recipient and 2 transfusion recipients who received
blood screened for HIV antibody.
*** "Other" is 1 health-care worker who seroconverted to HIV and developed
AIDS after needlestick exposure to HIV-infected blood. "Undetermined"
includes 280 adults/adolescents ( _ children) under investigation;
_ adults/adolescents ( _ children) who died, were lost to follow-up,
or refused interview; and _ adults/adolescents ( _ children) whose
mode of exposure to HIV remains undetermined after investigation.
Table 4. AIDS cases by age group, exposure category, and race/ethnicity,
reported through November 1989, United States
American
Asian/ Indian/
Pacific Alaskan
ADULT/ADOLESCENT Islander Native Total*****
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 515 ( 74) 78 ( 51) 68,567 ( 61)
Intravenous (IV) drug use
(female and heterosexual male) 26 ( 4) 26 ( 17) 23,722 ( 21)
Male homosexual/bisexual contact
and IV drug use 12 ( 2) 21 ( 14) 7,923 ( 7)
Hemophilia/coagulation disorder 15 ( 2) 6 ( 4) 1,047 ( 1)
Heterosexual contact: 26 ( 4) 9 ( 6) 5,457 ( 5)
Sex with IV drug user 10 4 2,770
Sex with bisexual male 5 1 341
Sex with person with hemophilia 1 _ 49
Born in Pattern-II* country 4 _ 1,603
Sex with person born in
Pattern-II country _ _ 82
Sex with transfusion recipient
with HIV infection 1 _ 79
Sex with person with HIV
infection, risk not specified 5 4 533
Receipt of transfusion of blood,
blood components, or tissue** 55 ( 8) 3 ( 2) 2,768 ( 2)
Other/undetermined*** 47 ( 7) 9 ( 6) 3,727 ( 3)
Adult/adolescent subtotal 696 (100) 152 (100) 113,211 (100)
PEDIATRIC (<13 years old)
EXPOSURE CATEGORY
Hemophilia/coagulation disorder 3 ( 33) _ ( .) 104 ( 5)
Mother with/at risk for AIDS/
HIV infection: 3 ( 33) 4 (100) 1,572 ( 81)
IV drug use 1 2 808
Sex with IV drug user _ _ 322
Sex with bisexual male _ _ 35
Sex with person with hemophilia _ _ 7
Born in Pattern-II country _ _ 167
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 62
Receipt of transfusion of blood,
blood components, or tissue _ _ 33
Has HIV infection, risk not
specified 1 1 121
Receipt of transfusion of blood,
blood components, or tissue 3 ( 33) _ ( .) 208 ( 11)
Undetermined _ ( .) _ ( .) 63 ( 3)
Pediatric subtotal 9 (100) 4 (100) 1,947 (100)
TOTAL 705 156 115,158
* See technical notes.
** Includes 1 tissue recipient and 2 transfusion recipients who received
blood screened for HIV antibody.
*** "Other" is 1 health-care worker who seroconverted to HIV and developed
AIDS after needlestick exposure to HIV-infected blood. "Undetermined"
includes 280 adults/adolescents ( _ children) under investigation;
_ adults/adolescents ( _ children) who died, were lost to follow-up,
or refused interview; and _ adults/adolescents ( _ children) whose
mode of exposure to HIV remains undetermined after investigation.
**** Includes _ persons whose race/ethnicity is unknown.
Table 5. Adult/adolescent AIDS cases by sex, exposure category, and
race/ethnicity, reported through November 1989, United States
White, not Black, not
MALE Hispanic Hispanic Hispanic
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 49,371 ( 80) 11,244 ( 45) 7,218 ( 47)
Intravenous (IV) drug use
(heterosexual) 3,643 ( 6) 8,729 ( 35) 5,891 ( 38)
Male homosexual/bisexual contact
and IV drug use 4,678 ( 8) 2,068 ( 8) 1,134 ( 7)
Hemophilia/coagulation disorder 851 ( 1) 65 ( 0) 76 ( 0)
Heterosexual contact: 339 ( 1) 1,723 ( 7) 161 ( 1)
Sex with IV drug user 222 442 114
Sex with person with hemophilia 3 1 _
Born in Pattern-II country 2 1,157 7
Sex with person born in
Pattern-II country 24 24 2
Sex with transfusion recipient
with HIV infection 13 6 1
Sex with person with HIV
infection, risk not specified 75 93 37
Receipt of transfusion of blood,
blood components, or tissue 1,311 ( 2) 228 ( 1) 145 ( 1)
Other/undetermined 1,184 ( 2) 1,059 ( 4) 714 ( 5)
Male subtotal 61,377 (100) 25,116 (100) 15,339 (100)
FEMALE
EXPOSURE CATEGORY
IV drug use 1,146 ( 41) 3,105 ( 58) 1,092 ( 53)
Hemophilia/coagulation disorder 25 ( 1) 4 ( 0) 1 ( 0)
Heterosexual contact: 754 ( 27) 1,688 ( 31) 744 ( 36)
Sex with IV drug user 382 970 620
Sex with bisexual male 178 112 44
Sex with person with hemophilia 41 2 1
Born in Pattern-II country 1 425 2
Sex with person born
in Pattern-II country 1 31 _
Sex with transfusion recipient
with HIV infection 46 4 7
Sex with person with HIV
infection, risk not specified 105 144 70
Receipt of transfusion of blood,
blood components, or tissue 697 ( 25) 206 ( 4) 117 ( 6)
Other/undetermined 194 ( 7) 368 ( 7) 115 ( 6)
Female subtotal 2,816 (100) 5,371 (100) 2,069 (100)
TOTAL 64,193 30,487 17,408
* See technical notes.
** Includes 2 transfusion recipients who received blood screened for HIV
antibody.
*** "Other" is 1 health-care worker who seroconverted to HIV and developed
AIDS after needlestick exposure to HIV-infected blood. "Undetermined"
includes 247 adults/adolescents under investigation; 28 persons
who died, were lost to follow-up, or refused interview; and _
persons 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 1989, United States
American
Asian/ Indian/
Pacific Alaskan
MALE Islander Native Total****
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 515 ( 81) 78 ( 61) 68,567 ( 67)
Intravenous (IV) drug use
(heterosexual) 15 ( 2) 12 ( 9) 18,344 ( 18)
Male homosexual/bisexual contact
and IV drug use 12 ( 2) 21 ( 17) 7,923 ( 8)
Hemophilia/coagulation disorder 15 ( 2) 6 ( 5) 1,017 ( 1)
Heterosexual contact: 5 ( 1) 1 ( 1) 2,233 ( 2)
Sex with IV drug user 1 1 780
Sex with person with hemophilia _ _ 4
Born in Pattern-II country 3 _ 1,172
Sex with person born in
Pattern-II country _ _ 50
Sex with transfusion recipient
with HIV infection _ _ 21
Sex with person with HIV
infection, risk not specified 1 _ 206
Receipt of transfusion of blood,
blood components, or tissue 34 ( 5) 1 ( 1) 1,724 ( 2)
Other/undetermined 40 ( 6) 8 ( 6) 3,034 ( 3)
Male subtotal 636 (100) 127 (100) 102,842 (100)
FEMALE
EXPOSURE CATEGORY
IV drug use 11 ( 18) 14 ( 56) 5,378 ( 52)
Hemophilia/coagulation disorder _ ( .) _ ( .) 30 ( 0)
Heterosexual contact: 21 ( 35) 8 ( 32) 3,224 ( 31)
Sex with IV drug user 9 3 1,990
Sex with bisexual male 5 1 341
Sex with person with hemophilia 1 _ 45
Born in Pattern-II country 1 _ 431
Sex with person born
in Pattern-II country _ _ 32
Sex with transfusion recipient
with HIV infection 1 _ 58
Sex with person with HIV
infection, risk not specified 4 4 327
Receipt of transfusion of blood,
blood components, or tissue 21 ( 35) 2 ( 8) 1,044 ( 10)
Other/undetermined 7 ( 12) 1 ( 4) 693 ( 7)
Female subtotal 60 (100) 25 (100) 10,369 (100)
TOTAL 696 152 113,211
* See technical notes.
** Includes 2 transfusion recipients who received blood screened for HIV
antibody.
*** "Other" is 1 health-care worker who seroconverted to HIV and developed
AIDS after needlestick exposure to HIV-infected blood. "Undetermined"
includes 247 adults/adolescents under investigation; 28 persons
who died, were lost to follow-up, or refused interview; and _
persons whose mode of exposure to HIV remains undetermined after
investigation.
**** Includes _ males and _ females whose race/ethnicity is unknown.
Table 6. AIDS cases by sex, age at diagnosis, and race/ethnicity,
reported through November 1989, United States
White, not Black, not
MALES Hispanic Hispanic Hispanic
AGE AT DIAGNOSIS (YEARS) No. (%) No. (%) No. (%)
Under 5 146 ( 0) 456 ( 2) 222 ( 1)
5-12 120 ( 0) 64 ( 0) 40 ( 0)
13-19 178 ( 0) 104 ( 0) 66 ( 0)
20-24 2,229 ( 4) 1,236 ( 5) 746 ( 5)
25-29 9,360 ( 15) 4,186 ( 16) 2,665 ( 17)
30-34 14,569 ( 24) 6,537 ( 25) 4,054 ( 26)
35-39 13,452 ( 22) 5,847 ( 23) 3,384 ( 22)
40-44 9,096 ( 15) 3,232 ( 13) 2,115 ( 14)
45-49 5,376 ( 9) 1,809 ( 7) 1,043 ( 7)
50-54 3,075 ( 5) 1,045 ( 4) 609 ( 4)
55-59 1,967 ( 3) 625 ( 2) 391 ( 3)
60-64 1,076 ( 2) 313 ( 1) 159 ( 1)
65 or older 999 ( 2) 182 ( 1) 107 ( 1)
Male subtotal 61,643 (100) 25,636 (100) 15,601 (100)
FEMALES
AGE AT DIAGNOSIS (YEARS)
Under 5 133 ( 4) 448 ( 8) 186 ( 8)
5-12 26 ( 1) 59 ( 1) 29 ( 1)
13-19 19 ( 1) 52 ( 1) 17 ( 1)
20-24 207 ( 7) 329 ( 6) 176 ( 8)
25-29 542 ( 18) 1,109 ( 19) 503 ( 22)
30-34 649 ( 22) 1,647 ( 28) 563 ( 25)
35-39 424 ( 14) 1,146 ( 19) 409 ( 18)
40-44 232 ( 8) 533 ( 9) 198 ( 9)
45-49 119 ( 4) 232 ( 4) 90 ( 4)
50-54 103 ( 3) 134 ( 2) 40 ( 2)
55-59 113 ( 4) 78 ( 1) 33 ( 1)
60-64 112 ( 4) 51 ( 1) 17 ( 1)
65 or older 296 ( 10) 60 ( 1) 23 ( 1)
Female subtotal 2,975 (100) 5,878 (100) 2,284 (100)
TOTAL 64,618 31,514 17,885
American
Asian/ Indian/
Pacific Alaskan
MALES Islander Native Total*
AGE AT DIAGNOSIS (YEARS) No. (%) No. (%) No. (%)
Under 5 3 ( 0) 2 ( 2) 831 ( 1)
5-12 3 ( 0) _ ( .) 229 ( 0)
13-19 5 ( 1) 3 ( 2) 357 ( 0)
20-24 25 ( 4) 9 ( 7) 4,253 ( 4)
25-29 89 ( 14) 24 ( 19) 16,353 ( 16)
30-34 133 ( 21) 33 ( 26) 25,385 ( 24)
35-39 144 ( 22) 22 ( 17) 22,905 ( 22)
40-44 93 ( 14) 16 ( 12) 14,597 ( 14)
45-49 66 ( 10) 11 ( 9) 8,323 ( 8)
50-54 35 ( 5) 3 ( 2) 4,779 ( 5)
55-59 21 ( 3) 4 ( 3) 3,019 ( 3)
60-64 7 ( 1) 2 ( 2) 1,562 ( 2)
65 or older 18 ( 3) _ ( .) 1,309 ( 1)
Male subtotal 642 (100) 129 (100) 103,902 (100)
FEMALES
AGE AT DIAGNOSIS (YEARS)
Under 5 1 ( 2) 2 ( 7) 771 ( 7)
5-12 2 ( 3) _ ( .) 116 ( 1)
13-19 1 ( 2) 1 ( 4) 90 ( 1)
20-24 2 ( 3) 1 ( 4) 719 ( 6)
25-29 6 ( 10) 5 ( 19) 2,173 ( 19)
30-34 15 ( 24) 9 ( 33) 2,890 ( 26)
35-39 6 ( 10) 4 ( 15) 1,994 ( 18)
40-44 13 ( 21) 2 ( 7) 978 ( 9)
45-49 5 ( 8) _ ( .) 449 ( 4)
50-54 4 ( 6) 1 ( 4) 282 ( 3)
55-59 1 ( 2) _ ( .) 226 ( 2)
60-64 4 ( 6) 1 ( 4) 185 ( 2)
65 or older 3 ( 5) 1 ( 4) 383 ( 3)
Female subtotal 63 (100) 27 (100) 11,256 (100)
TOTAL 705 156 115,158
* Includes 280 persons whose race/ethnicity is unknown.
Table 7. AIDS deaths and case-fatality rates, by half-year of diagnosis
and age group, diagnosed through November 1989, United States
Adults/adolescents Children<13 years old
Case- Case-
Fatality Fatality
HALF-YEAR OF DIAGNOSIS Cases Deaths Rate Cases Deaths Rate
Before 1981 78 64 82.1 6 4 66.7
1981 Jan.-June 90 82 91.1 8 5 62.5
July-Dec. 194 178 91.8 5 5 100.0
1982 Jan.-June 385 350 90.9 12 9 75.0
July-Dec. 665 593 89.2 14 11 78.6
1983 Jan.-June 1,247 1,141 91.5 34 32 94.1
July-Dec. 1,611 1,469 91.2 40 28 70.0
1984 Jan.-June 2,508 2,203 87.8 47 39 83.0
July-Dec. 3,300 2,916 88.4 61 45 73.8
1985 Jan.-June 4,711 4,113 87.3 97 68 70.1
July-Dec. 6,083 5,189 85.3 126 93 73.8
1986 Jan.-June 7,942 6,529 82.2 131 93 71.0
July-Dec. 9,510 7,390 77.7 162 106 65.4
1987 Jan.-June 12,121 8,821 72.8 204 119 58.3
July-Dec. 13,336 8,224 61.7 239 127 53.1
1988 Jan.-June 14,604 7,377 50.5 208 91 43.8
July-Dec. 14,419 5,836 40.5 263 95 36.1
1989 Jan.-June 14,267 3,936 27.6 222 79 35.6
July-Nov. 6,140 971 15.8 68 10 14.7
Total 113,211 67,382 59.5 1,947 1,059 54.4
Table 8. AIDS cases by year of diagnosis and definition category, diagnosed
through November 1989, United States
Year of diagnosis
Before Dec. 1985- Dec. 1986-
Dec. 1985 Nov. 1986 Nov. 1987
DEFINITION CATEGORY* No. (%) No. (%) No. (%)
Pre-1987 definition 19,619 ( 97) 15,464 ( 90) 20,698 ( 82)
1987 definition: 643 ( 3) 1,664 ( 10) 4,542 ( 18)
Specific disease
presumptively diagnosed 331 882 2,419
Specific disease
definitively diagnosed 141 243 468
HIV encephalopathy 50 163 605
HIV wasting syndrome 121 376 1,050
TOTAL 20,262 (100) 17,128 (100) 25,240 (100)
* Persons who meet the criteria for more than one definition category are
classifed in the definition category listed first.
Table 8. AIDS cases by year of diagnosis and definition category, diagnosed
through November 1989, United States
Year of diagnosis
Dec. 1987- Dec. 1988- Cumulative
Nov. 1988 Nov. 1989 total
DEFINITION CATEGORY* No. (%) No. (%) No. (%)
Pre-1987 definition 20,865 ( 71) 15,835 ( 68) 92,481 ( 80)
1987 definition: 8,457 ( 29) 7,371 ( 32) 22,677 ( 20)
Specific disease
presumptively diagnosed 4,736 4,175 12,543
Specific disease
definitively diagnosed 584 492 1,928
HIV encephalopathy 1,025 816 2,659
HIV wasting syndrome 2,112 1,888 5,547
TOTAL 29,322 (100) 23,206 (100) 115,158 (100)
* Persons who meet the criteria for more than one definition category are
classifed in the definition category listed first.
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