       Document 0054
 DOCN  M9460054
 TI    An update on the epidemiology of AIDS in Missouri.
 DT    9408
 AU    Hamm RH; Donnell HD Jr; Watkins W; Office of Epidemiology, Missouri
       Department of Health, Jefferson; City 65102.
 SO    Mo Med. 1994 Mar;91(3):132-6. Unique Identifier : AIDSLINE MED/94224219
 AB    It has been 13 years since the initial report from the Centers for
       Disease Control and Prevention (CDC) describing the condition that came
       to be known as the acquired immunodeficiency syndrome (AIDS). Because of
       the public health significance of the AIDS epidemic, an elaborate
       national surveillance system, involving CDC along with state and local
       health departments, came to be established. The surveillance system now
       provides detailed information about the epidemiology of AIDS in this
       country. At the national level, through September 1993, 339,250 cases of
       AIDS have been reported to CDC; 204,390 of these individuals have died,
       for a case-fatality rate of 60.2%. Human immunodeficiency virus (HIV)
       infection/AIDS is now the leading cause of death in American men aged
       25-44, and the fourth leading cause of death for women in this age
       group. The AIDS epidemic continues to disproportionately affect
       minorities. For blacks, the cumulative incidence rate is approximately
       3.7 times that of whites; for Hispanics it is approximately 2.7 times
       that of whites. The majority of AIDS cases nationally are attributable
       to transmission of HIV among men who have sex with other men. However,
       the annual incidence of AIDS is currently rising faster among women than
       among men, and AIDS incidence is increasing more rapidly among persons
       who are reported to have acquired their infection through heterosexual
       contact than among persons in other exposure categories. Along with the
       increase in the number of cases in women, there has been a corresponding
       increase in the number of pre- or perinatally-acquired cases in
       children.(ABSTRACT TRUNCATED AT 250 WORDS)
 DE    Acquired Immunodeficiency Syndrome/CONGENITAL/*EPIDEMIOLOGY/
       TRANSMISSION  Adolescence  Adult  Age Factors  Child  Ethnic
       Groups/STATISTICS & NUMER DATA  Female  Human  HIV
       Infections/CONGENITAL/*EPIDEMIOLOGY/TRANSMISSION  Incidence  Male
       Missouri/EPIDEMIOLOGY  Risk Factors  Sex Factors  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

