HIV/AIDS surveillance report : U.S. HIV and AIDS cases reported through December 1999
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      As of the end of 1999, a total of 733,374 AIDS cas- es had been reported to CDC. Of these, 82% were men, 18% were women and 1% were children less than 13 years of age; 43% were in whites, 37% in blacks, 18% in Hispanics, <1% in Asians and Pacific Islanders, and <1% in American Indians and Alaska Natives; and 47% were in men who have sex with men, 25% in injection drug users, 10% in persons in- fected heterosexually, and 2% in persons infected through blood or blood products. During the 1990s the epidemic shifted steadily toward a growing proportion of AIDS cases in blacks and Hispanics and in women and toward a decreasing proportion in MSM, although this group remains the largest single exposure group (see Tables 23 and 24). Blacks and Hispanics, among whom AIDS rates have been markedly higher than among whites, have been disproportionately affected since the early years of the epidemic. In absolute numbers, blacks have outnumbered whites in new AIDS diagnoses and deaths since 1996 and in the number of persons living with AIDS since 1998. The proportion of women with AIDS increased steadily, reaching 23% in 1999, and the proportion infected heterosexually also increased, surpassing (in 1994) the proportion infected through injection drug use. Midway through the 1990s, effective therapies be- came available and their effects on decreases in AIDS incidence and in deaths were detected at the popula- tion level through surveillance as early as 1996. As deaths have decreased, AIDS prevalence has steadi- ly increased year to year, a trend that will continue as long as the number of persons with a new AIDS diag- nosis exceeds the number of persons dying each year.

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