HIV/AIDS Surveillance Report: Cases of HIV Infections and AIDS in the United States, 2003

Details

• Alternative Title:
  HIV/AIDS Surveillance Report; Vol. 15: Cases of HIV Infections and AIDS in the United States, 2003
• Personal Author:
  Brzuskiewicz, Janet ; Campsmith, Michael ; Frey, Robert ; Hu, Xiaohong ; Hughes, Denise ; McGhee, Katrina ; McKenna, Matthew ; Morgan, Marie ; Nakashima, Allyn ; Satcher Johnson, Anna ; Steele, Brooke
• Corporate Authors:
  Centers for Disease Control and Prevention (CDC) (U.S.) ; National Center for HIV, STD, and TB Prevention. Division of HIV/AIDS Prevention — Surveillance and Epidemiology ; Division of HIV/AIDS Prevention. Surveillance Branch. Reporting and Analysis Section ; Division of HIV/AIDS Prevention. Statistics and Data Management Branch
• Description:
  Commentary: Since the use of highly active antiretroviral therapy (HAART) in the United States became widespread during 1996, trends in AIDS incidence have become less reflective of underlying trends in HIV transmission. To better monitor the patterns of HIV diagnoses, most states have implemented HIV surveillance. The figure on the cover depicts the estimated number of cases of HIV/AIDS among adults and adolescents, from 2000 through 2003, by transmission category for persons residing in the 33 areas with integrated HIV and AIDS surveillance since at least 1999. The term HIV/AIDS is used to refer to persons with a diagnosis of HIV infection, regardless of their AIDS status at diagnosis. From 2000 through 2003, the total number of new cases of HIV/AIDS in the 33 areas increased slightly. HIV/ AIDS prevalence (i.e., the number of persons living with HIV/AIDS) also increased during this time: at the end of 2003, an estimated 351,614 persons in the 33 areas were living with HIV/AIDS. According to the number of reported AIDS cases, these 33 areas represent approximately 43% of the epidemic in the United States.
  
  Some persons with a newly diagnosed case of HIV infection were infected recently; others were infected some time in the past. Therefore, new HIV diagnoses do not necessarily reflect trends in HIV incidence (i.e., new infections). One method for estimating HIV incidence is to apply the serologic testing algorithm for recent HIV seroconversion (STARHS) to the serum specimens from which recent HIV diagnoses were made. A total of 33 areas are using this method: 5 areas were funded in FY 2002 to pilot this method, 19 additional areas were funded in FY 2003, and another 9 areas were funded in FY 2004. The monitoring of HIV incidence will be critical in evaluating progress toward CDC’s HIV Prevention Strategic Plan goal of reducing the number of new HIV infections in the United States from 40,000 to 20,000 per year.
  
  Surveillance data on HIV infection provide a more complete picture of the epidemic and the need for prevention and care services than does the picture provided by AIDS data alone. Such comprehensive information is needed to allocate resources and evaluate program effectiveness. The 2003 HIV/AIDS Surveillance Report presents data on cases of HIV/ AIDS. For analyses of HIV/AIDS data, we used data from 33 areas (i.e., 32 states and the U.S. Virgin Islands) with mature HIV reporting systems (i.e., HIV reporting at least since 1999) to allow for stabilization of data collection and for adjustment of the data in order to monitor trends. Tables 1, 2, 8, and 9 summarize cases and prevalence of HIV/AIDS. For analyses of AIDS cases, we used data from the 50 states, the District of Columbia, U.S. dependencies, possessions, and associated nations.
  
  This report is organized in 5 sections: (1) cases of HIV/AIDS and AIDS, (2) deaths of persons with AIDS, (3) persons living with HIV/AIDS, AIDS, or HIV infection (not AIDS), (4) length of survival after AIDS diagnosis, and (5) reports of cases of AIDS, HIV infection (not AIDS), and HIV/AIDS. In Sections 1–3, we present point estimates of case counts that have been adjusted for reporting delays and for redistribution of cases in persons initially reported without an identified risk factor. CDC routinely adjusts data for the presentation of trends in the epidemic. Data to estimate the number of cases of HIV/AIDS or AIDS; the number of persons living with HIV/AIDS, AIDS, or HIV infection (not AIDS); and the number of deaths among persons with AIDS have been statistically adjusted to correct for delays in the reporting of cases and deaths. To assess trends in cases, deaths, or prevalence, it is preferable to use adjusted data, presented by year of diagnosis instead of year of report, to eliminate artifacts of reporting in the surveillance system. Therefore, for trends, you are encouraged to use the tables in Sections 1–3 that present trends by year of diagnosis, year of death, or year-end prevalence. Section 4 presents estimates of survival for persons whose AIDS diagnosis was made during 1999 (Table 13) and for persons whose diagnosis was made during 1995–2002 (Figures 2–4). Proportions of persons who survived for various lengths of time after diagnosis are presented by year of diagnosis, age group, race/ethnicity, and HIV transmission category. Finally, Section 5 presents reports of cases of HIV infection (not AIDS) and cases of AIDS reported through 2003. The areas included in tabulations of reported cases of HIV infection (not AIDS) are based on the date that confidential name-based HIV infection reporting was implemented. For Tables 16, 18, 20, and 22, we used data from 41 areas to describe reports of HIV infection. These data have not been adjusted for delays in reporting and are presented by year of report to CDC. Tables that present cases by year of report represent the most up-to-date information reported to CDC; however, cases by year of report do not represent incident cases, the most recent diagnoses, trends, or deaths
  
  
• Content Notes:
  Publication date approximated.
• Subjects:
  Acquired Immunodeficiency Syndrome Acquired Immunodeficiency Syndrome / Epidemiology Data Interpretation, Statistical Epidemics Epidemiological Monitoring HIV Public Health Surveillance Statistics Tables
• Keywords:
  DHP_HIV_Reports
• Series:
  HIV Surveillance Report
• Subseries:
  HIVSR
• Publisher:
  Centers for Disease Control and Prevention (CDC) (U.S.)
• Document Type:
  Text
• Genre:
  Statistics ; Report
• Place as Subject:
  United States
• Rights:
  Public Domain
• CIO:
  National Center for HIV, STD, and TB Prevention (NCHSTP)
• Division:
  DHPSE - Division of HIV/AIDS Prevention — Surveillance and Epidemiology
• Topic:
  Diseases & Conditions
• Location:
  North America
• Pages in Document:
  46 pdf pages
• Volume:
  15
• Citation:
  Suggested citation: Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2003 (Vol. 15). Atlanta: US Department of Health and Human Services, Centers for Disease Control and Prevention; 2004:[inclusive page numbers]. Also available at: http://www.cdc.gov/hiv/stats/hasrlink.htm.
• Collection(s):
  Infectious Diseases
• Main Document Checksum:
  urn:sha-512:497eb346f5c5923e590bf05d14d37b708512cd0ccd00d41325b3da15ada5c6a3aa3dcd42b0a15936f02fc513df280265e444b350629768184e4bf7023a992427
• Download URL:
  https://stacks.cdc.gov/view/cdc/149082/cdc_149082_DS1.pdf
• File Type:
  [PDF - 1.14 MB ]