ddodell@ncar.UCAR.EDU (David Dodell) (09/15/89)
blood components, or tissue 10 8
Has HIV infection, risk not
specified 21 31
Receipt of transfusion of blood,
blood components, or tissue 29 ( 12) 15 ( 5)
Undetermined 7 ( 3) 11 ( 4)
Pediatric subtotal 247 (100) 278 (100)
TOTAL 3,227 3,735
* 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 September 1987 through August 1988 and September 1988 through
August 1989; and cumulative totals, by age group and exposure
category, through August 1989, United States
Totals
Sept 1987- Sept 1988- Cumulative
ADULT/ADOLESCENT Aug. 1988 Aug. 1989 Total
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 17,439 ( 58) 18,803 ( 57) 63,497 ( 61)
Intravenous (IV) drug use
(female and heterosexual male) 6,858 ( 23) 7,618 ( 23) 21,370 ( 21)
Male homosexual/bisexual contact
and IV drug use 2,082 ( 7) 2,079 ( 6) 7,379 ( 7)
Hemophilia/coagulation disorder 301 ( 1) 317 ( 1) 996 ( 1)
Heterosexual contact: 1,401 ( 5) 1,742 ( 5) 4,807 ( 5)
Sex with IV drug user 742 1,010 2,402
Sex with bisexual male 94 76 300
Sex with person with hemophilia 13 14 41
Born in Pattern-II* country 373 355 1,477
Sex with person born in
Pattern-II country 23 26 74
Sex with transfusion recipient
with HIV infection 20 32 70
Sex with person with HIV
infection, risk not specified 136 229 443
Receipt of transfusion of blood,
blood components, or tissue** 882 ( 3) 769 ( 2) 2,566 ( 2)
Other/undetermined*** 942 ( 3) 1,740 ( 5) 3,595 ( 3)
Adult/adolescent subtotal 29,905 (100) 33,068 (100) 104,210 (100)
PEDIATRIC (<13 years old)
EXPOSURE CATEGORY
Hemophilia/coagulation disorder 29 ( 5) 35 ( 6) 102 ( 6)
Mother with/at risk for AIDS/
HIV infection: 432 ( 79) 513 ( 82) 1,422 ( 80)
IV drug use 221 238 728
Sex with IV drug user 85 112 288
Sex with bisexual male 11 8 30
Sex with person with hemophilia 5 1 7
Born in Pattern-II country 37 52 155
Sex with person born
in Pattern-II country 1 4 6
Sex with transfusion recipient
with HIV infection 1 9 10
Sex with person with HIV
infection, risk not specified 16 25 56
Receipt of transfusion of blood,
blood components, or tissue 13 11 32
Has HIV infection, risk not
specified 42 53 110
Receipt of transfusion of blood,
blood components, or tissue 72 ( 13) 49 ( 8) 200 ( 11)
Undetermined 14 ( 3) 25 ( 4) 56 ( 3)
Pediatric subtotal 547 (100) 622 (100) 1,780 (100)
TOTAL 30,452 33,690 105,990
* 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 August 1989, United States
White, not Black, not
ADULT/ADOLESCENT Hispanic Hispanic Hispanic
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 45,916 ( 77) 10,310 ( 37) 6,606 ( 42)
Intravenous (IV) drug use
(female and heterosexual male) 4,322 ( 7) 10,710 ( 39) 6,234 ( 40)
Male homosexual/bisexual contact
and IV drug use 4,389 ( 7) 1,899 ( 7) 1,050 ( 7)
Hemophilia/coagulation disorder 833 ( 1) 64 ( 0) 75 ( 0)
Heterosexual contact: 963 ( 2) 3,041 ( 11) 767 ( 5)
Sex with IV drug user 538 1,222 629
Sex with bisexual male 158 97 39
Sex with person with hemophilia 36 3 1
Born in Pattern-II* country 3 1,457 10
Sex with person born in
Pattern-II country 21 49 4
Sex with transfusion recipient
with HIV infection 54 8 6
Sex with person with HIV
infection, risk not specified 153 205 78
Receipt of transfusion of blood,
blood components, or tissue** 1,878 ( 3) 395 ( 1) 233 ( 1)
Other/undetermined*** 1,334 ( 2) 1,385 ( 5) 798 ( 5)
Adult/adolescent subtotal 59,635 (100) 27,804 (100) 15,763 (100)
PEDIATRIC (<13 years old)
EXPOSURE CATEGORY
Hemophilia/coagulation disorder 73 ( 18) 12 ( 1) 14 ( 3)
Mother with/at risk for AIDS/
HIV infection: 209 ( 52) 849 ( 90) 353 ( 84)
IV drug use 100 428 196
Sex with IV drug user 43 140 104
Sex with bisexual male 11 15 4
Sex with person with hemophilia 5 1 1
Born in Pattern-II country 2 152 1
Sex with person born
in Pattern-II country _ 5 _
Sex with transfusion recipient
with HIV infection 5 3 2
Sex with person with HIV
infection, risk not specified 9 25 19
Receipt of transfusion of blood,
blood components, or tissue 10 12 10
Has HIV infection, risk not
specified 24 68 16
Receipt of transfusion of blood,
blood components, or tissue 111 ( 27) 46 ( 5) 40 ( 10)
Undetermined 12 ( 3) 32 ( 3) 12 ( 3)
Pediatric subtotal 405 (100) 939 (100) 419 (100)
TOTAL 60,040 28,743 16,182
* 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 246 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 August 1989, United States
American
Asian/ Indian/
Pacific Alaskan
ADULT/ADOLESCENT Islander Native Total*****
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 471 ( 75) 69 ( 50) 63,497 ( 61)
Intravenous (IV) drug use
(female and heterosexual male) 24 ( 4) 24 ( 18) 21,370 ( 21)
Male homosexual/bisexual contact
and IV drug use 11 ( 2) 21 ( 15) 7,379 ( 7)
Hemophilia/coagulation disorder 14 ( 2) 6 ( 4) 996 ( 1)
Heterosexual contact: 21 ( 3) 8 ( 6) 4,807 ( 5)
Sex with IV drug user 8 3 2,402
Sex with bisexual male 4 1 300
Sex with person with hemophilia 1 _ 41
Born in Pattern-II* country 4 _ 1,477
Sex with person born in
Pattern-II country _ _ 74
Sex with transfusion recipient
with HIV infection 1 _ 70
Sex with person with HIV
infection, risk not specified 3 4 443
Receipt of transfusion of blood,
blood components, or tissue** 52 ( 8) 3 ( 2) 2,566 ( 2)
Other/undetermined*** 36 ( 6) 6 ( 4) 3,595 ( 3)
Adult/adolescent subtotal 629 (100) 137 (100) 104,210 (100)
PEDIATRIC (<13 years old)
EXPOSURE CATEGORY
Hemophilia/coagulation disorder 3 ( 33) _ ( .) 102 ( 6)
Mother with/at risk for AIDS/
HIV infection: 3 ( 33) 4 (100) 1,422 ( 80)
IV drug use 1 2 728
Sex with IV drug user _ _ 288
Sex with bisexual male _ _ 30
Sex with person with hemophilia _ _ 7
Born in Pattern-II country _ _ 155
Sex with person born
in Pattern-II country _ _ 6
Sex with transfusion recipient
with HIV infection _ _ 10
Sex with person with HIV
infection, risk not specified 1 1 56
Receipt of transfusion of blood,
blood components, or tissue _ _ 32
Has HIV infection, risk not
specified 1 1 110
Receipt of transfusion of blood,
blood components, or tissue 3 ( 33) _ ( .) 200 ( 11)
Undetermined _ ( .) _ ( .) 56 ( 3)
Pediatric subtotal 9 (100) 4 (100) 1,780 (100)
TOTAL 638 141 105,990
* 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 246 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 August 1989, United States
White, not Black, not
MALE Hispanic Hispanic Hispanic
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 45,916 ( 80) 10,310 ( 45) 6,606 ( 47)
Intravenous (IV) drug use
(heterosexual) 3,273 ( 6) 7,903 ( 34) 5,279 ( 38)
Male homosexual/bisexual contact
and IV drug use 4,389 ( 8) 1,899 ( 8) 1,050 ( 8)
Hemophilia/coagulation disorder 812 ( 1) 61 ( 0) 74 ( 1)
Heterosexual contact: 303 ( 1) 1,555 ( 7) 133 ( 1)
Sex with IV drug user 198 377 97
Sex with person with hemophilia 3 1 _
Born in Pattern-II country 2 1,077 7
Sex with person born in
Pattern-II country 21 20 4
Sex with transfusion recipient
with HIV infection 11 5 _
Sex with person with HIV
infection, risk not specified 68 75 25
Receipt of transfusion of blood,
blood components, or tissue 1,219 ( 2) 204 ( 1) 135 ( 1)
Other/undetermined 1,134 ( 2) 1,024 ( 4) 679 ( 5)
Male subtotal 57,046 (100) 22,956 (100) 13,956 (100)
FEMALE
EXPOSURE CATEGORY
IV drug use 1,049 ( 41) 2,807 ( 58) 955 ( 53)
Hemophilia/coagulation disorder 21 ( 1) 3 ( 0) 1 ( 0)
Heterosexual contact: 660 ( 25) 1,486 ( 31) 634 ( 35)
Sex with IV drug user 340 845 532
Sex with bisexual male 158 97 39
Sex with person with hemophilia 33 2 1
Born in Pattern-II country 1 380 3
Sex with person born
in Pattern-II country _ 29 _
Sex with transfusion recipient
with HIV infection 43 3 6
Sex with person with HIV
infection, risk not specified 85 130 53
Receipt of transfusion of blood,
blood components, or tissue 659 ( 25) 191 ( 4) 98 ( 5)
Other/undetermined 200 ( 8) 361 ( 7) 119 ( 7)
Female subtotal 2,589 (100) 4,848 (100) 1,807 (100)
TOTAL 59,635 27,804 15,763
* 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 217 adults/adolescents under investigation; 25 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 August 1989, United States
American
Asian/ Indian/
Pacific Alaskan
MALE Islander Native Total****
EXPOSURE CATEGORY No. (%) No. (%) No. (%)
Male homosexual/bisexual contact 471 ( 82) 69 ( 61) 63,497 ( 67)
Intravenous (IV) drug use
(heterosexual) 13 ( 2) 10 ( 9) 16,523 ( 17)
Male homosexual/bisexual contact
and IV drug use 11 ( 2) 21 ( 18) 7,379 ( 8)
Hemophilia/coagulation disorder 14 ( 2) 6 ( 5) 971 ( 1)
Heterosexual contact: 4 ( 1) 1 ( 1) 1,998 ( 2)
Sex with IV drug user 1 1 674
Sex with person with hemophilia _ _ 4
Born in Pattern-II country 3 _ 1,090
Sex with person born in
Pattern-II country _ _ 45
Sex with transfusion recipient
with HIV infection _ _ 17
Sex with person with HIV
infection, risk not specified _ _ 168
Receipt of transfusion of blood,
blood components, or tissue 34 ( 6) 1 ( 1) 1,598 ( 2)
Other/undetermined 28 ( 5) 6 ( 5) 2,898 ( 3)
Male subtotal 575 (100) 114 (100) 94,864 (100)
FEMALE
EXPOSURE CATEGORY
IV drug use 11 ( 20) 14 ( 61) 4,847 ( 52)
Hemophilia/coagulation disorder _ ( .) _ ( .) 25 ( 0)
Heterosexual contact: 17 ( 31) 7 ( 30) 2,809 ( 30)
Sex with IV drug user 7 2 1,728
Sex with bisexual male 4 1 300
Sex with person with hemophilia 1 _ 37
Born in Pattern-II country 1 _ 387
Sex with person born
in Pattern-II country _ _ 29
Sex with transfusion recipient
with HIV infection 1 _ 53
Sex with person with HIV
infection, risk not specified 3 4 275
Receipt of transfusion of blood,
blood components, or tissue 18 ( 33) 2 ( 9) 968 ( 10)
Other/undetermined 8 ( 15) _ ( .) 697 ( 7)
Female subtotal 54 (100) 23 (100) 9,346 (100)
TOTAL 629 137 104,210
* 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 217 adults/adolescents under investigation; 25 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 August 1989, United States
White, not Black, not
MALES Hispanic Hispanic Hispanic
AGE AT DIAGNOSIS (YEARS) No. (%) No. (%) No. (%)
Under 5 135 ( 0) 425 ( 2) 199 ( 1)
5-12 117 ( 0) 56 ( 0) 37 ( 0)
13-19 168 ( 0) 97 ( 0) 60 ( 0)
20-24 2,104 ( 4) 1,154 ( 5) 680 ( 5)
25-29 8,700 ( 15) 3,865 ( 16) 2,437 ( 17)
30-34 13,526 ( 24) 5,997 ( 26) 3,682 ( 26)
35-39 12,519 ( 22) 5,325 ( 23) 3,064 ( 22)
40-44 8,435 ( 15) 2,934 ( 13) 1,920 ( 14)
45-49 4,947 ( 9) 1,643 ( 7) 951 ( 7)
50-54 2,873 ( 5) 950 ( 4) 565 ( 4)
55-59 1,832 ( 3) 557 ( 2) 352 ( 2)
60-64 1,008 ( 2) 277 ( 1) 145 ( 1)
65 or older 934 ( 2) 157 ( 1) 100 ( 1)
Male subtotal 57,298 (100) 23,437 (100) 14,192 (100)
FEMALES
AGE AT DIAGNOSIS (YEARS)
Under 5 129 ( 5) 405 ( 8) 158 ( 8)
5-12 24 ( 1) 53 ( 1) 25 ( 1)
13-19 16 ( 1) 49 ( 1) 14 ( 1)
20-24 187 ( 7) 303 ( 6) 154 ( 8)
25-29 501 ( 18) 1,008 ( 19) 446 ( 22)
30-34 596 ( 22) 1,495 ( 28) 500 ( 25)
35-39 380 ( 14) 1,022 ( 19) 350 ( 18)
40-44 209 ( 8) 476 ( 9) 174 ( 9)
45-49 114 ( 4) 205 ( 4) 71 ( 4)
50-54 92 ( 3) 119 ( 2) 37 ( 2)
55-59 103 ( 4) 67 ( 1) 26 ( 1)
60-64 105 ( 4) 49 ( 1) 16 ( 1)
65 or older 286 ( 10) 55 ( 1) 19 ( 1)
Female subtotal 2,742 (100) 5,306 (100) 1,990 (100)
TOTAL 60,040 28,743 16,182
Table 6. AIDS cases by sex, age at diagnosis, and race/ethnicity,
reported through August 1989, United States
American
Asian/ Indian/
Pacific Alaskan
MALES Islander Native Total*
AGE AT DIAGNOSIS (YEARS) No. (%) No. (%) No. (%)
Under 5 3 ( 1) 2 ( 2) 766 ( 1)
5-12 3 ( 1) _ ( .) 214 ( 0)
13-19 5 ( 1) 3 ( 3) 334 ( 0)
20-24 25 ( 4) 9 ( 8) 3,979 ( 4)
25-29 77 ( 13) 20 ( 17) 15,123 ( 16)
30-34 122 ( 21) 31 ( 27) 23,408 ( 24)
35-39 131 ( 23) 20 ( 17) 21,111 ( 22)
40-44 80 ( 14) 14 ( 12) 13,421 ( 14)
45-49 63 ( 11) 9 ( 8) 7,629 ( 8)
50-54 32 ( 6) 3 ( 3) 4,435 ( 5)
55-59 18 ( 3) 3 ( 3) 2,772 ( 3)
60-64 7 ( 1) 2 ( 2) 1,444 ( 2)
65 or older 15 ( 3) _ ( .) 1,208 ( 1)
Male subtotal 581 (100) 116 (100) 95,844 (100)
FEMALES
AGE AT DIAGNOSIS (YEARS)
Under 5 1 ( 2) 2 ( 8) 696 ( 7)
5-12 2 ( 4) _ ( .) 104 ( 1)
13-19 1 ( 2) 1 ( 4) 81 ( 1)
20-24 2 ( 4) 1 ( 4) 651 ( 6)
25-29 5 ( 9) 4 ( 16) 1,973 ( 19)
30-34 14 ( 25) 9 ( 36) 2,620 ( 26)
35-39 6 ( 11) 3 ( 12) 1,765 ( 17)
40-44 11 ( 19) 2 ( 8) 872 ( 9)
45-49 5 ( 9) _ ( .) 397 ( 4)
50-54 3 ( 5) 1 ( 4) 252 ( 2)
55-59 1 ( 2) _ ( .) 197 ( 2)
60-64 3 ( 5) 1 ( 4) 174 ( 2)
65 or older 3 ( 5) 1 ( 4) 364 ( 4)
Female subtotal 57 (100) 25 (100) 10,146 (100)
TOTAL 638 141 105,990
* Includes 246 persons whose race/ethnicity is unknown.
Table 7. AIDS deaths and case-fatality rates, by half-year of diagnosis
and age group, diagnosed through August 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 79 64 81.0 6 4 66.7
1981 Jan.-June 88 81 92.0 8 5 62.5
July-Dec. 194 178 91.8 5 5 100.0
1982 Jan.-June 383 348 90.9 13 10 76.9
July-Dec. 659 587 89.1 14 11 78.6
1983 Jan.-June 1,248 1,140 91.3 33 30 90.9
July-Dec. 1,607 1,462 91.0 40 28 70.0
1984 Jan.-June 2,504 2,162 86.3 47 39 83.0
July-Dec. 3,293 2,871 87.2 61 44 72.1
1985 Jan.-June 4,688 4,035 86.1 94 64 68.1
July-Dec. 6,054 5,087 84.0 127 94 74.0
1986 Jan.-June 7,887 6,341 80.4 128 90 70.3
July-Dec. 9,446 7,040 74.5 159 100 62.9
1987 Jan.-June 11,947 8,202 68.7 200 117 58.5
July-Dec. 13,093 7,372 56.3 231 118 51.1
1988 Jan.-June 14,201 6,315 44.5 196 82 41.8
July-Dec. 13,767 4,728 34.3 242 77 31.8
1989 Jan.-June 12,157 2,575 21.2 166 52 31.3
July-Aug. 915 96 10.5 10 1 10.0
Total 104,210 60,684 58.2 1,780 971 54.6
Table 8. AIDS cases by year of diagnosis and definition category, diagnosed
through August 1989, United States
Year of diagnosis
Before Sept 1985- Sept 1986-
Sept 1985 Aug. 1986 Aug. 1987
DEFINITION CATEGORY* No. (%) No. (%) No. (%)
Pre-1987 definition 16,756 ( 98) 13,789 ( 91) 19,802 ( 86)
1987 definition: 395 ( 2) 1,396 ( 9) 3,258 ( 14)
Specific disease
presumptively diagnosed 193 762 1,708
Specific disease
definitively diagnosed 109 198 426
HIV encephalopathy 33 118 417
HIV wasting syndrome 60 318 707
TOTAL 17,151 (100) 15,185 (100) 23,060 (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 August 1989, United States
Year of diagnosis
Sept 1987- Sept 1988- Cumulative
Aug. 1988 Aug. 1989 total
DEFINITION CATEGORY* No. (%) No. (%) No. (%)
Pre-1987 definition 20,461 ( 72) 15,460 ( 69) 86,268 ( 81)
1987 definition: 7,774 ( 28) 6,899 ( 31) 19,722 ( 19)
Specific disease
presumptively diagnosed 4,299 3,871 10,833
Specific disease
definitively diagnosed 548 460 1,741
HIV encephalopathy 990 801 2,359
HIV wasting syndrome 1,937 1,767 4,789
TOTAL 28,235 (100) 22,359 (100) 105,990 (100)
* Persons who meet the criteria for more than one definition category are
classifed in the definition category listed first.
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