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Show Infectious Diseases Acquired Immune Deficiency Syndrome (ICD-9=042-044, ICD-10=B20-B24) Compiled by Clint Thompson 2001 Utah Total AIDS Patients: 1,529 The incidence of and mortality rates from AIDS in Utah are markedly lower than the corresponding national rates, hi both Utah and the U.S., mortality and incidence rates peaked in the early 1990s, but have since declined and leveled off (Table 1). Because of the decline in mortality, the prevalence of AIDS continues to climb. Treatments for AIDS became more widespread in 1996, allowing an increasing number of people with HIV/AIDS to live longer. An estimated 362,827 persons were living with ADDS in the United States at the end of 2001. Accurate HIV surveillance data have not been available nationwide; thus AIDS surveillance data serves as a proxy for HIV transmission. Several states are implementing new policy and infrastructure for the surveillance of HIV, so a more accurate representation of HTV transmission and incidence should emerge in the next few years. Currently, by using preventative and educational programs, the CDC is aiming to reduce the number of new HIV infections in the U.S. from its current estimate of 40,000 per year to 20.000 by 2005. AIDS prevalence is increasing at both the state and national levels (Table 1). This suggests that more people are living with HTV/AIDS for longer periods. A larger population of HTV positive persons necessitates the need for more treatment and care, and the risk for increased transmission is expected to climb over the next several years. This could be reduced by heightened awareness and education regarding safe sex and needle use. Table 1. Mortality, Incidence, and Prevalence of AIDS, Utah and U.S. , 1983-1999. Mortali tya lncid( ;nceb Prevalence0 Year Utah U.S. Utah U.S. Utah U.S. 1983 0.1 1.3 0.1 0.5 1984 0.5 2.7 0.1 0.3 1985 1.2 5.1 0.4 2.0 1986 1.4 8.1 1.1 4.8 1987 2.2 5.6 2.7 12.0 2.1 8.3 1988 2.6 6.9 4.0 14.8 2.1 10.9 1989 2.8 9.0 4.7 17.6 4.3 15.5 1990 4.1 10.2 7.4 19.6 6.5 19.4 1991 4.7 11.8 31.8 23.7 9.1 27.3 1992 4.4 13.2 23.2 30.8 13.2 42.1 1993 5.2 14.5 11.1 30.5 12.8 44.2 1994 5.3 16.2 10.1 27.5 14.9 53.5 1995 5.6 16.4 8.0 26.0 18.3 66.2 1996 3.5 11.7 9.0 22.2 22.9 127.0 1997 1.3 6.1 7.5 17.5 27.5 91.6 1998 0.9 5.0 6.2 14.1 32.5 103.0 1999 1.6 5.4 5.9 9.3 36.9 112.5 2000 1.2 5.9 5.6 8.8 37.3 113.8 2001 0.7 5.7 5.0 8.0 40.4 123.4 aRate per 100,000. Age adjusted to standard 2000 population. bRate per 100,000. Not age adjusted. Values for 1991 & 1992 Utah Incidence are inflated due to a database error. cCrude rate per 100,000. Not age adjusted. These numbers do not represent the actual number of persons living with AIDS. Rather, these numbers are point estimates of the number of persons living with AIDS derived by subtracting the estimated cumulative number of deaths in persons with AIDS from the estimated cumulative number of persons with AIDS diagnosed. Estimated AIDS incidence and estimated deaths are adjusted for reporting delays, but not for incomplete reporting. Sources: Utah Department of Health (2002). HIV Surveillance Report and Community Epidemiological Profile. Salt Lake City, UT: Utah Department of Health. [online] htip:;/www.healdLutah,g()v/els/biv3sds/whatBnew/q)ipr(>nJe2001.|?dl. Retrieved 03/19/2003. U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, [online] http://w\vur.cde.sov/hi.v/stats^i3sr1302.pdr. Retrieved 03/20/2003. Centers for Disease Control and Prevention. HIV/AIDS Surveillance Report, 2001; 13(No.2): 5. [online] !]tt£://ww;w.c^.gov^iv/stsy>/nasrj:302.Edi:" Utah Department of Health. HIVSw-veillance Report and Community Epidemiological Profile, 2002: xi-xii. [online] Utah's Health: An Annual Review Volume DC 87 |