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  • Title: HIV update: the latest CDC figures on the AIDS epidemic.
    Journal: Contracept Rep; 1994 Jul; 5(3):8-9. PubMed ID: 12287816.
    Abstract:
    Between 1980 and December 1993, more than 360,000 people in the US have died of AIDS. During 1990-1992, the annual number of reported AIDS cases stabilized at about 45,000. The number increased 3-fold in the 1st quarter of 1993 due to the change in the AIDS case definition. It then started to fall. The numbers should level off as the new case definition becomes more established. The expanded definition of AIDS includes the 23 original clinical conditions plus invasive cervical cancer, pulmonary tuberculosis, and recurrent pneumonia. It incorporates HIV-infected persons with CD4+ counts less than 200 or CD4+ percentages less than 14% of total lymphocytes. In 1993, the Centers for Disease Control and Prevention (CDC) received reports of 103,500 AIDS cases in the US among adults and adolescents. HIV/AIDS has surpassed all other causes of death as the leading cause of death in the US among 25-44 year old men. Unintentional injuries, which held the number 1 position for at least a decade, are now the 2nd cause. HIV-related mortality is no longer limited to major urban centers. HIV/AIDS is the 4th leading cause of death among 25-44 year old women. The upward trend of HIV-related mortality among women and its increasing slope predict continual increases in HIV-related mortality in women. Heterosexual contact is increasing more rapidly than all other exposure categories (2-9% between 1985-1993). Women predominate in only the heterosexual transmission category. The proportion of women exposed through injection drug use has fallen since the mid 1980s. Heterosexual transmission is soon to become the key mode of HIV transmission in women. Reproductive health practitioners should focus counseling efforts on increasing awareness of personal risks for HIV infection.
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