Guidelines for national human immunodeficiency virus case surveillance, including monitoring for human immunodeficiency virus infection and acquired immunodeficiency syndrome ; Revised surveillance case definition for HIV infection ;

CDC recommends that all states and territories conduct case surveillance for human immunodeficiency virus (HIV) infection as an extension of current acquired immunodeficiency syndrome (AIDS) surveillance activities. The expansion of national surveillance to include both HIV infection and AIDS cases is a necessary response to the impact of advances in antiretroviral therapy, the implementation of new HIV treatment guidelines, and the increased need for epidemiologic data regarding persons at all stages of HIV disease. Expanded surveillance will provide additional data about HIV-infected populations to enhance local, state, and federal efforts to prevent HIV transmission, improve allocation of resources for treatment services, and assist in evaluating the impact of public health interventions. CDC will provide technical assistance to all state and territorial health departments to continue or establish HIV and AIDS case surveillance systems and to evaluate the performance of their surveillance programs. This report includes a revised case definition for HIV infection in adults and children, recommended program practices, and performance and security standards for conducting HIV/AIDS surveillance by local, state, and territorial health departments. The revised surveillance case definition and associated recommendations become effective January 1, 2000.

The following CDC staff members prepared this report: Patricia L. Fleming, John W. Ward, Robert S. Janssen, Kevin M. De Cock, Division of HIV/AIDS Prevention-Surveillance and Epidemiology, National Center for HIV, STD, and TB Prevention; Ronald O. Valdiserri, Helene D. Gayle, Office of the Director, National Center for HIV, STD, and TB Prevention; in collaboration with: Jeffrey L. Jones, Stan Lehman, Mary Lou Lindegren, Allyn K. Nakashima, Joseph M. Posid, Patrick S. Sullivan, Patricia A. Sweeney, Pascale M. Wortley, Division of HIV/AIDS Prevention National Center for HIV, STD, and TB Prevention; Eva M. Seiler, Office of the Director, National Center for HIV, STD, and TB Prevention; Harold W. Jaffe, Division of AIDS, STD, and TB Laboratory Research, National Center for Infectious Diseases. Includes bibliographical references (p. 22-27).

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Journal Issue

United States

Guidelines and Recommendations
Stephen B. Thacker CDC Library collection