5th International AIDS Conference


Montreal, Quebec, Canada — Jun 4-9, 1989

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Trends in AIDS incidence based on active surveillance in 12 medical school affiliated hospitals.

Int Conf AIDS 1989 Jun 4-9; 5:169 (abstract no. A.551)
Lavenhar MA, Schneider DJ; UMDNJ-New Jersey Medical School, Newark, New Jersey, USA

OBJECTIVE: To demonstrate how trends in AIDS incidence can be assessed utilizing data obtained through active surveillance in 12 hospitals affiliated with the New Jersey Medical School.

METHODS: Analyses will focus on descriptive methods for presenting data in tabular or graphic form. Survival analysis (with co-factors) will be used for comparing survival following diagnosis among population subgroups.

RESULTS: Some of the major findings to be presented include: 1. Since 1981, 2219 confirmed adult cases of AIDS have been reported, including 75% males, 68% Black, 20% White, and 12% Hispanic. 2. After annual increases from 1981 to 1987, new cases declined in 1988. 3. The primary modes of transmission were: a) IV drug use (66%), b) homosexual/bisexual contact (16%), a and b (5%) and heterosexual contact (8%). 4. AIDS incidence among homosexuals/bisexuals has decreased; heterosexually transmitted AIDS has increased, accounting for 12% of new cases in 1988. 5. Case fatality rates are highest among homosexuals/bisexuals with AIDS. 6. Among homosexuals/bisexuals with AIDS, the incidence of Cryptococcosis and Kaposi's sarcoma is increasing; HIV encephalopathy is increasing among heterosexuals with AIDS.

CONCLUSION: The application of descriptive methods to local surveillance data can be useful for projecting future treatment needs, targeting population subgroups for intervention, and identifying leads for further investigation.

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, Incidence, Homosexuality, Sarcoma, Kaposi, Heterosexuality, Hospitals, Schools, Medical, Hispanic Americans, AIDS Dementia Complex, Risk Management, Caucasoid Race, New Jersey, Human, Male, Adult, epidemiology, trends, economics, ICA5

890604
A551

Copyright © 1989 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.