Quarterly AIDS surveillance report

240 Pages·1998·9.8 MB·English

by  San Francisco (Calif.). Dept. of Public Health

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1
QUARTERLY AIDS SURVEILLANCE REPORT
** DOCUMENTS DEPT-
San Francisco Department of Public Health
AIDS Cases Reported Through March 2001 APR 1 1 2001
A- SAN FRANCISCO
PUBLIC LIBRARY
Contents Page
QuarterlySurveillance Summary 1
Table 1: Adult/AdolescentAIDS Cases byTransmission Category 2
Table 2: AIDS Cases byGenderand YearofDiagnosis 2
Table 3: AIDS Cases byTransmission Categoryand Race/Ethnicity 3
Table 4: AIDS Cases byTransmission Categoryand Asian/Pacific IslanderEthnicity 3
Table 5: AIDS Cases byTransmission Categoryand YearofDiagnosis 4
Table 6: AIDS Cases by Gender,Age Groupand Race/Ethnicity 5
Table 7: AIDS Cases by Race/Ethnicityand YearofDiagnosis 6
Table 8: AIDS Casesand Cumulative Rates per 100,000 by Race/Ethnicityand Gender 6
Table 9: AIDS Incidence, Mortality, and Prevalence byYear 7
Table 10: Cases by Initial AIDS-Defining Condition 8
Table 11: CumulativeAIDS IndicatorConditions among Personswith AIDS 9
Table 12: Living Adult/AdolescentAIDS Cases byTransmission Category 10
Table 13: Living AIDS Cases byTransmission Categoryand Race/Ethnicity 10
Table 14: Living AIDS Cases by Gender, Age Group and Race/Ethnicity 1
Table 15: Living AIDS Cases by InitialAIDS-Defining Condition 12
Table 16: CumulativeAIDS Indicator Conditions among Persons Living with AIDS 13
TheAIDS Surveillance Report is publishedquarterlybytheSan FranciscoDepartmentofPublic Health,
HIVSeroepidemiologyand SurveillanceSection, AIDS Surveillance Unit
25Van NessAvenue, Suite500, San Francisco, CA94102: Phone[phone], FAX[phone]
DirectorofHealth: Mitchell Katz, MD; Surveillance Unit Director: SandraSchwarcz, MD, MPH
Surveillance UnitAssistantDirector: Ling Hsu, MPH; Field StaffCoordinator: Maree Kay Parisi
Epidemiologists: Priscilla LeeChu, MPH; Susan Scheer, PhD
TheAIDSSurveillanceReportisaccessibleviainternet: www.dph.sf.ca.us/PHP/AIDSSurvUnit.htm
. 1
AIDS REPORTED CASES
(From 07/1981 to 03/31/2001)1
San Francisco
Cumulative cases: 27,484
Cumulativedeaths: 18,605
Cases reported this quarter: 162
Deaths reported this quarter: 81
California (as of03/31/01)
Cumulativecases: 120,802
Cumulativedeaths: 73,992
United States (as of06/30/00)
Cumulative cases: 753,907
Cumulative deaths: 438,795
San FranciscoAIDS Incidence, Mortality, and Prevalence
by QuarterYear, 1980-20012
10000
8000
6000 i
4000 5"
CO
2000 r
i il.l.l.li 1.1.hi.1.1.1.1.1 il.LI.1. .lil.Mil.l.li Uihi.liMiliMil
81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01
QuarterYear
Cases —t—Deaths - PersonslivingwithAIDS
1 IncludesSF residentsdiagnosedin SF, SF residentsdiagnosed inotherjurisdictions, andpersons
diagnosed inSFwhoresided inotherjurisdictionsatthetimeoftheirAIDSdiagnosis.
2. Reportingforrecentquartersisincomplete.
3 1223 06447 3839
Acquired Immunodeficiency Syndrome (AIDS) Quarterly Surveillance Report
Summary of Cases Meeting the CDC Surveillance Definition in San Francisco
Reported through March 31, 2001
Table 1. Adult/AdolescentAIDS Cases (>12 years) by Transmission Category, San Francisco, 1980-2001
Transmission Category No. (%)
Gay or bisexual male 21070 (76.8)
Heterosexual male injection drug user 1316 ( 4.8)
Heterosexual female injection drug user 556 ( 2.0)
Gay or bisexual male injection drug user 3367 (12.3)
Lesbian or bisexual injection drug user 40 (0.1)
Transgender (1) 251 ( 0.9)
Hemophiliac 45 ( 0.2)
Heterosexual contact male (2) 84 ( 0.3)
Heterosexual contact female (2) 289 ( 1.1)
Transfusion recipient 205 ( 0.7)
None of the above/Other (3) 200 ( 0.7)
Total 27423 ( 100)
Table 2. AIDS Cases by Gender and Year of Diagnosis, San Francisco, 1980-2001
Year of Diagnosis
< 1991 1991 1992 1993 1994 1995
Gender No. (%) No. (%) No. (%) No. (%) No. (%) No. (%)
Male 11904 (98.1) 2498 (97.1) 2544 (95.9) 2247 (95.5) 1907 (94.5) 1658 (94.9)
Female 230 ( 1.9) 74 ( 2.9) 110 ( 4.1) 105 ( 4.5) 112 ( 5.5) 89 ( 5.1)
Transgender (1)
Total 12134 ( 100) 2572 ( 100) 2654 ( 100) 2352 ( 100) 2019 ( 100) 1747 ( 100)
Year of Diagnosis
1996 1997 1998 1999 2000 2001
Gender No. (%) No. (%) No. (7.) No. (%) No. (%) No. (%)
Male 1095 (92.3) 829 (91.0) 657 (91.3) 532 (88.4) 464 (87.4) 50 (89.3)
Female 91 ( 7.7) 60 ( 6.6) 51 ( 7.1) 53 ( 8.8) 57 (10.7) 5 ( 8.9)
Transgender (1) 22 ( 2.4) 12 ( 1.7) 17 ( 2.8) 10 ( 1.9) 1 ( 1.8)
Total 1186 ( 100) 911 ( 100) 720 ( 100) 602 ( 100) 531 ( 100) 56 ( 100)
(1) Transgender information was collected since September 1996. Data prior to this are incomplete.
(2) Includes persons who have had heterosexual contact with a person with AIDS or with a person who is at
risk for HIV.
(3) Includes persons for whom risk information is incomplete (due to death, refusal to be interviewed or
loss to follow-up), cases still under investigation, or interviewed patients who offered no plausible
risk for HIV.
Acquired Immunodeficiency Syndrome (AIDS) Quarterly Surveillance Report
Summary of Cases Meetingthe CDC Surveillance Definition in San Francisco
Reported through March 31, 2001
Table 3. AIDS Cases byTransmission Category and Race/Ethnicity, San Francisco, 1980-2001
African Asian/Pacific Native
White American Latino Islander American
Transmission Category (1) No. (%) No. (%) No. (%) No. (%) No. (%)
Adult/Adolescent
Gay or bisexual male 16780 (82.4) 1575 (47.5) 2167 (74.6) 599 (76.7) 66 (50.8)
Injection drug user (IDU) 657 ( 3.2) 939 (28.3) 228 ( 7.9) 38 ( 4.9) 19 (14.6)
Gay or bisexual male IDU 2525 (12.4) 548 (16.5) 328 (11.3) 49 ( 6.3) 40 (30.8)
Lesbian or bisexual IDU 20 ( 0.1) 12 ( 0.4) 5 ( 0.2) 2 ( 0.3) 1 ( 0.8)
HemophiIiac 27 ( 0.1) 2 ( 0.1) 9 ( 0-3) 7 ( 0.9) ( 0.0)
Heterosexual (2) 142 ( 0.7) 132 ( 4.0) 68 ( 2.3) 32 ( 4.1) 1 ( 0.8)
Transfusion recipient 111 ( 0.5) 31 ( 0.9) 32 ( 1.1) 31 ( 4.0) ( 0.0)
None of the above/Other (3) 73 ( 0.4) 55 ( 1.7) 54 ( 1.9) 16 ( 2.0) 2 ( 1-5)
Pediatric (0-12 years) (4) 18 ( 0.1) 22 ( 0.7) 13 ( 0.4) 7 ( 0.9) 1 ( 0.8)
Total 20353 ( 100) 3316 ( 100) 2904 ( 100) 781 ( 100) 130 ( 100)
Table 4. AIDS Cases byTransmission Categoryand Asian/Pacific Islander Ethnicity, San Francisco, 1980-2001
Southeast Pacific
Chinese Japanese Filipino Asian Korean Islander Other
Transmission Category (1) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%)
Adult/Adolescent
Gay or bisexual male 153 (77.7) 81 (83.5) 209 (77.1) 52 (78.8) 9 (69.2) 40 (59.7) 55 (78.6)
Injection drug user (IDU) 9 ( 4.6) 1 ( 1.0) 7 ( 2.6) 4 ( 6.1) 2 (15.4) 9 (13.4) 6 ( 8.6)
Gay or bisexual male IDU 6 ( 3.0) 7 ( 7.2) 22 ( 8.1) 3 ( 4.5) 1 ( 7.7) 6 ( 9.0) 4 ( 5.7)
Lesbian or bisexual IDU ( 0.0) ( 0.0) ( 0.0) ( 0.0) ( 0.0) 2 ( 3.0) ( 0.0)
Hemophiliac 1 ( 0.5) 2 ( 2.1) 3 ( 1.1) ( 0.0) ( 0.0) 1 ( 1.5) ( 0.0)
Heterosexual (2) 4 ( 2.0) 2 ( 2.1) 14 ( 5.2) 4 ( 6.1) 1 ( 7.7) 6 ( 9.0) 1 ( 1-4)
Transfusion recipient 15 ( 7.6) 3 ( 3.1) 11 ( 4.1) 1 ( 1.5) ( 0.0) 1 ( 1.5) ( 0.0)
None of the above/Other (3) 6 ( 3.0) 1 ( 1.0) 4 ( 1.5) 2 ( 3.0) ( 0.0) 1 ( 1.5) 2 ( 2.9)
Pediatric (0-12 years) (4) 3 ( 1.5) ( 0.0) 1 ( 0.4) ( 0.0) ( 0.0) 1 ( 1.5) 2 ( 2.9)
197 ( 100) 97 ( 100) 271 ( 100) 66 ( 100) 13 ( 100) 67 ( 100) 70 ( 100)
(1) Persons with more than one risk factor (other than the combinations listed in the tables) are tabulated
only in the most likely transmission category.
(2) Includes persons who have had heterosexual contact with a person with AIDS or with a person who is at
risk for HIV.
(3) Includes persons for whom risk information is incomplete (due to death, refusal to be interviewed or
loss to follow-up), cases still under investigation, or interviewed patients who offered no plausible
risk for HIV.
(4) Includes children who have hemophlia or other coagulation disorder, have received a blood transfusion,
or who have acquired their infection from an infected mother during the perinatal period.
Acquired Immunodeficiency Syndrome (AIDS) Quarterly Surveillance Report
Summary of Cases Meeting the CDC Surveillance Definition in San Francisco
Reported through March 31, 2001
fable 5. AIDS Cases byTransmission Category and Year of Diagnosis, San Francisco, 1980-2001
Year of Diagnosis
< 1991 1991 1992 1993 1994 1995
rransmission Category (1) No. (%) No. (%) No. (%) No. (%) No. (70 No. (%)
iduIt/Adolescent
Gay or bisexual male 9963 (82.1) 1976 (76.8) 2008 (75.7) 1791 (76.1) 1484 (73.5) 1281 (73.3)
Injection drug user (IDU) 377 ( 3.1) 167 ( 6.5) 212 ( 8.0) 180 ( 7.7) 185 ( 9.2) 175 (10.0)
Gay or bisexual male IDU 1503 (12.4) 350 (13.6) 347 (13.1) 297 (12.6) 277 (13.7) 217 (12.4)
Lesbian or bisexual IDU 9 ( 0.1) 2 ( 0.1) 7 ( 0.3) 6 ( 0.3) 4 ( 0.2) 4 ( 0.2)
Hemophiliac 21 ( 0.2) 3 ( 0.1) 7 ( 0.3) 2 ( 0.1) 4 ( 0.2) 5 ( 0.3)
Heterosexual (2) 76 ( 0.6) 30 ( 1.2) 39 ( 1.5) 40 ( 1.7) 35 ( 1.7) 32 ( 1.8)
Transfusion recipient 119 ( 1.0) 24 ( 0.9) 11 ( 0.4) 17 ( 0.7) 11 ( 0.5) 10 ( 0.6)
None of the above/Other (3) 37 ( 0.3) 15 ( 0.6) 19 ( 0.7) 16 ( 0.7) 15 ( 0.7) 18 ( 1.0)
'ediatric (0-12 years) (4) 29 ( 0.2) 5 ( 0.2) 4 ( 0.2) 3 ( 0.1) 4 ( 0.2) 5 ( 0.3)
otal 12134 ( 100) 2572 ( 100) 2654 ( 100) 2352 ( 100) 2019 ( 100) 1747 ( 100)
Year of Diagnosis
1996 1997 1998 1999 2000 2001
ransmission Category (1) No. (7.) No. (%) No. (%) No. (%) No. (%) No. (%)
dult/Adolescent
Gay or bisexual male 813 (68.5) 645 (70.8) 484 (67.2) 386 (64.1) 323 (60.8) 33 (58.9)
Injection drug user (IDU) 156 (13.2) 126 (13.8) 97 (13.5) 98 (16.3) 96 (18.1) 12 (21.4)
Gay or bisexual male IDU 156 (13.2) 94 (10.3) 104 (14.4) 74 (12.3) 67 (12.6) 4 ( 7.1)
Lesbian or bisexual IDU 1 ( 0.1) 2 ( 0.2) 2 ( 0.3) 1 ( 0.2) 2 ( 0.4) ( 0.0)
Hemophiliac ( 0.0) ( 0.0) 2 ( 0.3) 1 ( 0.2) ( 0.0) ( 0.0)
Heterosexual (2) 34 ( 2.9) 23 ( 2.5) 15 ( 2.1) 23 ( 3.8) 25 ( 4.7) 3 ( 5.4)
Transfusion recipient 5 ( 0.4) 3 ( 0.3) 1 ( 0.1) 1 ( 0.2) 3 ( 0.6) ( 0.0)
None of the above/Other (3) 18 ( 1.5) 15 ( 1.6) 13 ( 1.8) 16 ( 2.7) 14 ( 2.6) 4 ( 7.1)
ediatric (0-12 years) (4) 3 ( 0.3) 3 ( 0.3) 2 ( 0.3) 2 ( 0.3) 1 ( 0.2) ( 0.0)
otal 1186 ( 100) 911 ( 100) 720 ( 100) 602 ( 100) 531 ( 100) 56 ( 100)
(1) Persons with more than one risk factor (other than the combinations listed in the tables) are tabulated
only in the most likely transmission category.
(2) Includes persons who have had heterosexual contact with a person with AIDS or with a person who is at
risk for HIV.
(3) Includes persons for whom risk information is incomplete (due to death, refusal to be interviewed or
loss to follow-up), cases still under investigation, or interviewed patients who offered no plausible
risk for HIV.
(4) Includes children who have hemophlia or other coagulation disorder, have received a blood transfusion,
or who have acquired their infection from an infected mother during the perinatal period.
Acquired Immunodeficiency Syndrome (AIDS) Quarterly Surveillance Report
Summary ofCases Meeting the CDC Surveillance Definition in San Francisco
Reportedthrough March 31, 2001
Table 6. AIDS Cases by Gender, Age Group and Race/Ethnicity, San Francisco, 1980-2001
Male African Asian/Pacific Native
White American La1ino Islander Ame•ican Total
Age (years) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%)
- 12 11 ( 0.1) 6 ( 0.2) 8 ( 0.3) 5 ( 0.7) 1 ( 0.9) 31 ( 0.1)
13 - 19 12 ( 0.1) 1 ( 0.0) 14 ( 0.5) 4 ( 0.6) 1 ( 0.9) 32 ( 0.1)
20 - 24 314 ( 1.6) 60 ( 2.2) 87 ( 3.2) 19 ( 2.7) 2 ( 1.7) 482 ( 1.8)
25 - 29 1802 ( 9.1) 262 ( 9.4) 386 (14.3) 83 (11.9) 23 (19.8) 2556 ( 9.8)
30 - 39 9144 (45.9) 1218 (43.9) 1331 (49.3) 308 (44.3) 58 (50.0) 12059 (46.0)
40 - 49 6361 (31.9) 862 (31.1) 643 (23.8) 202 (29.1) 23 (19.8) 8091 (30.9)
50 - 59 1809 ( 9.1) 288 (10.4) 184 ( 6.8) 52 ( 7.5) 7 ( 6.0) 2340 ( 8.9)
60 + 458 ( 2.3) 79 ( 2.8) 47 ( 1.7) 22 ( 3.2) 1 ( 0.9) 607 ( 2-3)
Male subtotal 19911 ( 100) 2776 ( 100) 2700 ( 100) 695 ( 100) 116 ( 100) 26198 ( 100)
Female African Asian/Pacific Native
White American Latino Islender American Total
Age (years) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%)
- 12 7 ( 1.9) 16 ( 3.5) 5 ( 3.7) 2 ( 3.1) ( 0.0) 30 ( 2.9)
13 - 19 2 ( 0.5) 1 ( 0.2) 3 ( 2.2) ( 0.0) ( 0.0) 6 ( 0.6)
20 - 24 15 ( 4.1) 11 ( 2.4) 7 ( 5.2) ( 0.0) 1 ( 8.3) 34 ( 3.3)
25 - 29 49 (13.4) 43 ( 9.4) 20 (14.9) 9 (14.1) ( 0.0) 121 (11.7)
30 - 39 148 (40.3) 187 (40.8) 49 (36.6) 21 (32.8) 9 (75.0) 414 (40.0)
40 - 49 84 (22.9) 153 (33.4) 32 (23.9) 23 (35.9) 2 (16.7) 294 (28.4)
50 - 59 29 ( 7.9) 29 ( 6.3) 11 ( 8.2) 6 ( 9.4) ( 0.0) 75 ( 7.2)
60 + 33 ( 9.0) 18 ( 3.9) 7 ( 5.2) 3 ( 4.7) ( 0.0) 61 ( 5.9)
Female subtotal 367 ( 100) 458 ( 100) 134 ( 100) 64 ( 100) 12 ( 100) 1035 ( 100)
Transgender (1) African Asian/Pac fie Islander
White American Latino Native American Total
Age (years) No. (%) No. (%) No. (%) No. (%) No. (%)
13 - 29 22 (29.3) 20 (24.4) 23 (32 9) 8 (33.3) 73 (29.1)
30 - 39 36 (48.0) 31 (37.8) 34 (48 6) 11 (45.8) 112 (44.6)
40 + 17 (22.7) 31 (37.8) 13 (18 6) 5 (20.8) 66 (26.3)
Transgender
subtotal 75 ( 100) 82 ( 100) 70 ( 100) 24 ( 100) 251 ( 100)
(1) Transgender information was collected since September 1996. Certain age or race/ethnic groups are combined for
transgender cases because of small number.