5th Conference on Retroviruses and Opportunistic Infections


Chicago, IL - February 1-5, 1998



ACCELERATING DECLINE IN NEW YORK CITY AIDS MORTALITY

Conf Retroviruses Opportunistic Infect 1998 Feb 1-5; 5th:80 (abstract no. 9b)

Chiasson MA, Berenson L, Li W, Schwartz S, Singh T, Forlenza S, Mojica B
New York City Department of Health, New York, NY.

OBJECTIVE AND BACKGROUND: To compare AIDS mortality in NYC for the 2nd half of '96 and the 1st half of '97 by gender, race/ethnicity, and age. Comparisons by HIV transmission category are for '95 and '96. AIDS deaths declined 29% from 7,046 in '95 to 4,998 in '96, the first drop since the beginning of the epidemic.

METHODS:The analysis includes all NYC death certificates filed with NYCDOH by 9/11/97. Data for the 1st half of '97 are provisional, but only small changes are expected. ICD-9 codes 042-044 were used to identify AIDS deaths. AIDS case surveillance data were used for estimates of mortality by risk behavior.

RESULTS: AIDS deaths fell 33% (2,118 to 1,423) from the 2nd half of '96 to the 1st half of '97. Deaths declined 33% (1,517 to 1,016) for men and 32% for women (601 to 407). Deaths fell for both men (M) and women (W) by race/ethnicity: whites, 41%M & 33%W; blacks, 28%M & 30%W; and Hispanics, 34%M & 37%W. The largest change was seen in black women whose 30% decline nearly doubled from 16% between the 1st and 2nd half of '96. Deaths also declined in all age groups: 45% in 0-14 yrs.; 39% in 15-24 yrs.; 36% in 25-34 yrs.; 35% in 35-44 yrs.; and, 28% in 45+ yrs. By risk, deaths fell approximately 40% in MSM and approximately 30% in IDU and heterosexuals from '95 to '96.

CONCLUSION: The dramatic decline in AIDS deaths first observed in NYC in 1996 continued through the 1st half of 1997 in all demographic groups. This occurred at a time when new antiretroviral therapy became widely available.

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, Blacks, Whites, Hispanic Americans, HIV Infections, Death Certificates, Ethnic Groups, Disease Outbreaks, HIV Seroprevalence, New York City, Human, Female, Male, mortality, AIDS

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1998-02-01
9b

Copyright © 1998 - Foundation for Retrovirology and Human Health (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the Foundation for Retrovirology and Human Health. Licensed from National Library of Medicine.