CDC WEEKLY AIDS REPORT: 6/8/87
ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS)
WEEKLY SURVEILLANCE REPORT*
UNITED STATES CASES REPORTED TO CDC
As of June 8, CDC had received reports of 36,003 adult/adolescent cases of
AIDS in the United States. In addition, 511 pediatric cases have been
reported among persons under age 13, with a total of deaths occurring in
21,155, or 58% of these cases. *These data are provisional.
========================================================================
========================================================================
1. TRANSMISSION CATEGORIES (MALES) Since Jan. 1 Cumulative
Number (%) Number (%)
Homosexual/Bisexual Male 4922 (72) 23688 (71)
Intravaneous Drug Abuser 865 (13) 4779 (14)
Homosexual Male and IV Drug Abuser 491 (7) 2733 (8)
Hemophilia/Coagulation Disorder 83 (1) 323 (1)
Heterosexual Cases 114 (2) 677 (2)
Transfusion, Blood/Components 129 (2) 466 (1)
Undetermined 258 (4) 836 (2)
-----------------------------------------------------------------------
Subtotal:Adults/Adolescents 6862 ( 93) 33502 ( 93)
TRANSMISSION CATEGORIES (FEMALES) Since Jan. 1. Cumulative
Number (%) Number (%)
Intravaneous Drug Abuser 245 (45) 1258 (50)
Hemophilia/Coagulation Disorder 1 (0) 8 (0)
Heterosexual Cases 162 (30) 725 (29)
Transfusion, Blood/Components 74 (14) 263 (11)
Undetermined 62 (11) 247 (10)
TRANSMISSION CATEGORIES (TOTAL) Since Jan. 1. Cumulative
Number (%) Number (%)
Homosexual/Bisexual Male 4922 (67) 23688 (66)
Intravaneous Drug Abuser 1110 (15) 6037 (17)
Homosexual males/IV Drug Abuser 491 ( 7) 2733 (08)
Hemophilia/Coagulation Disorder 84 ( 1) 331 (01)
Heterosexual Cases 276 ( 4) 1402 (04)
Transfusion, Blood/Components 203 ( 3) 729 (02)
Undetermined 320 ( 4) 1083 (03)
Subtotal: Adults/Adolescents 7406 (100) 36003(100)
---------------------------------------------------------------------
TRANSMISSION CATEGORIES (CHILDREN) Since Jan. 1. Cumulative
(MALE) Number (%) Number (%)
Hemophilia/Coagulation Disorder 6 (11) 27 (10)
Parent with/at risk of AIDS 38 (69) 201 (72)
Transfusion, Blood/Components 6 (11) 39 (14)
Undetermined 5 (09) 12 (04)
----------------------------------------------------------------------
Subtotal: 55 ( 54) 279( 55)
TRANSMISSION CATEGORIES (CHILDREN) Since Jan. 1 Cumulative
(FEMALE) Number (%) Number (%)
Hemophilia/Coagulation Disorder 0 ( 0) 2 (01)
Parent with/at risk of AIDS 40 (85) 199 (86)
Transfusion, Blood/Components 3 ( 6) 22 (09)
Undetermined 9 (04) 9 (04)
----------------------------------------------------------------------
Subtotal: 47 ( 46) 232( 45)
TRANSMISSION CATEGORIES (CHILDREN) Since Jan. 1 Cumulative
(TOTAL) Number (%) Number (%)
Hemophilia/Coagulation Disorder 6 ( 6) 29 (06)
Parent with/at risk of AIDS 78 (76) 400 (78)
Transfusion, Blood/Components 9 (09) 61 (12)
None of the Above 9 (09) 21 (04)
----------------------------------------------------------------------
Subtotal: 102 (100) 511(100)
TOTAL
MALES FEMALES TOTAL
Since Jan. Cumulative Since Jan Cumulative Since Jan Cumulative
1.-Number Number 1.-Number Number 1. Number Number
6917 33781 591 2733 7508 36514
========================================================================
========================================================================
2. TRANSMISSION CATEGORIES BY RACIAL/ETHNIC GROUPS
More [Y,n]?
ADULT/ADOLESCENT White/Not Black/Not Other/
Hispanic Hispanic Hispanic Unknown Total
Homosexual/Bisexual 17504 (80) 3419 (40) 2415 (48) 250 (71) 23688(66
IV Drug Abuser (DA) 1141 ( 5) 3060 (35) 1799 (36) 37 (11) 6037(17
Homosexual Male/IV DA 1762 ( 8) 609 ( 7) 346 ( 7) 16 ( 5) 2733(8)
Hemophilia/Coagulation 286 ( 1) 17 ( 0) 22 ( 0) 6 ( 2) 331(1)
Heterosexual Cases 201 (01) 1011 (12) 184 ( 4) 6 ( 2) 1402(4)
Transfusion,
Blood Components 558 ( 3) 105 ( 1) 50 ( 1) 16 ( 5) 729(2)
Undetermined 418 ( 2) 445 ( 5) 200 ( 4) 20 ( 6) 1083(3)
---------------------------------------
Subtotal 21870 (61) 8766 (24) 5016 (14) 351(1) 36003(100
========================================================================
========================================================================
3.TEN LEADING STATES FOR REPORTED CASES OF AIDS
Residence Total Cases (%)
++++++++++++++++++++++++++++++++++++++++++++++++++++++
New York State 10849 (29.7)
California 8027 (22.0)
New Jersey 2226 ( 6.1)
Florida 2499 ( 6.8)
Texas 2366 ( 6.5)
Illinois 965 ( 2.6)
Pennsylvania 826 ( 2.3)
Massachusetts 756 ( 2.1)
Georgia 769 ( 2.1)
District of Columbia 690 ( 1.9)
========================================================================
========================================================================
4. TRANSMISSION CATEGORIES**
ADULT/ADOLESCENT
CASES (%) PATIENT GROUPS
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
23688 (65.8) Homosexual/Bisexual Men
6037 (16.8) Intravenous Drug User
2733 ( 7.6) Homosexual Male & IV Drug Abuser
331 ( 0.9) Hemophilia/Coagulation Disorder
1402 ( 3.9) Heterosexual Cases
729 ( 2.0) Transfusions; Blood/Components
1083 ( 3.0) Undetermined
-----------------------------------------------------------------------
36003 (100) Total
CHILDREN (Patients under 13 years of age at time of diagnosis.)
Cases (%) PATIENT GROUPS
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
29 ( 5.7) Hemophilia/Coagulation Disorder
400 (78.3) Parent with AIDS/or at Increased Risk
61 (11.9) Transfusions; Blood or Blood Products
21 ( 4.1) None of the Above; Other
-----------------------------------------------------------------------
511 (100) Total
========================================================================
========================================================================
5. ALL AIDS Cases Per Million Population (from the 1980 Census), by
Standard Metropolitan Statistical Area (SMSA) of Residence,
Reported from June 1, 1981--UNITED STATES
SMSA of
Residence Population 1987 Cumulative Total
New York, N.Y. 9.12 782 9860
San Francisco, CA. 3.25 204 3404
Los Angeles, CA 7.48 358 3164
Washington D.C. 3.06 163 1085
Miami, FL 1.63 84 1080
Houston, TX 2.91 102 1178
Newark, NJ 1.97 113 891
Chicago, IL 7.10 114 864
Philadelphia, PA 4.72 50 670
Atlanta, GA 2.03 95 606
Boston, MA 2.76 77 558
Dallas, TX 2.97 114 679
Jersey City, NJ 0.56 62 436
Ft. Lauderdale, FL 1.02 47 440
San Diego, CA 1.86 33 410
Nassau-Suffolk, NY 2.61 43 448
Seattle 1.61 62 359
Denver 1.62 54 320
New Orleans 1.19 41 318
Rest of U.S. 170.66 1134 9743
(irrespective of SMSA)
-----------------------------------------------------------
Total--United States 230.11 3732 36514
========================================================================
========================================================================
6. AIDS CASES BY RISK FACTOR COMBINATIONS (ADULTS/ADOLESCENTS)
AIDS Cases Reported To Have
A Single Risk Factor Number Percent
Homosexual/Bisexual Male 23037 (64.0)
Intravenous (IV) Drug Abuser 5440 (15.1)
Hemophilia/Coagulation Disorder 186 (0.5)
Heterosexual Contact 1334 (3.7)
Transfusion, Blood/Components 729 (2.0)
None of the Above 1083 (3.0)
SUBTOTAL 31809 (88.4)
-----------------------------------------------------------------------
AIDS Cases Reported To Have
Multiple Risk Factors Number Percent
Homosexual-Bi Male/Blood Transfusion 429 (1.2)
Homosexual-Bi Male/Heterosexual Contact 207 (0.6)
Homosexual-Bi Male/Heterosexual Contact/
Blood Transfusion 7 (0.0)
Homosexual-Bi Male/Hemophilia 4 (0.0)
Homosexual-Bi Male/Hemophilia/Blood
Transfusion 4 (0.0)
Homosexual-Bi Male/IV Drug Abuse 2566 (7.1)
Homosexual-Bi Male/IV Drug Abuse/
Blood Transfusion 88 (0.2)
Homosexual-Bi Male/IV Drug Abuse/
Heterosexual Contact 68 (0.2)
Homosexual-Bi Male/IV Drug Abuse/
Heterosexual Contact/Blood Transfusion 6 (0.0)
Homosexual-Bi Male/IV Drug Abuse/Hemophilia 2 (0.0)
Homosexual-Bi Male/IV Drug Abuse
Hemophilia/Blood Transfusion 3 (0.0)
IV Drug Abuse/Blood Transfusion 178 (0.5)
IV Drug Abuse/Heterosexual Contact 397 (1.1)
IV Drug Abuse/Heterosexual Contact/
Blood Transfusion 17 (0.0)
IV Drug Abuse/Hemophilia 1 (0.0)
IV Drug Abuse/Hemophilia/Blood Transfusion 4 (0.0)
Hemophilia/Blood Transfusion 143 (0.4)
Hemophilia/Heterosexual Contact 1 (0.0)
Hemophilia/Heterosexual Contact/
Blood Transfusion 1 (0.0)
Heterosexual Contact/Blood Transfusion 68 (0.2)
----------------------------------------------------------------------
SUBTOTAL 4194 (11.6)
TOTAL 36003 (100.0)
========================================================================
========================================================================
7. All Reported Cases of AIDS and Case-Fatality Rates by Half-Year of
Diagnosis, from 1979--UNITED STATES
Number of Number of Case-Fatality
Dates Cases Known Deaths Rate
1981 Jan.-June 85 78 92%
July-Dec. 179 160 89%
1982 Jan.-June 366 319 87%
July-Dec. 641 558 87%
1983 Jan.-June 1206 1053 87%
July-Dec. 1583 1331 84%
1984 Jan.-June 2416 1934 80%
July-Dec. 3168 2497 79%
1985 Jan.-June 4336 3176 73%
July-Dec. 5381 3521 65%
1986 Jan.-June 6408 3320 52%
July-Dec. 6939 2329 34%
1987 Jan.-June 8 3732 816 22%
-----------------------------------------------------------
Totals* 36514 21155 58%
========================================================================
========================================================================
8. REPORTED CASES AND DEATHS BY
OPPORTUNISTIC DISEASE GROUP CASES REPORTED SINCE JAN. 1/DEATHS
Reported Cases Known Deaths
PRIMARY DISEASE REPORTED Number (% Total) Number (%Deaths)
Pneumocystis carinii Pneumonia 4940 (66) 1419 (29)
Other Opportunistic Diseases 1842 (25) 729 (40)
Kaposi's Sarcoma 726 (10) 131 (18)
----------------------------------------------------------------------
TOTAL 7508 (100) 2279 (30)
REPORTED CASES AND DEATHS BY
OPPORTUNISTIC DISEASE GROUP CUMULATIVE CASES/DEATHS
Reported Cases Known Deaths
PRIMARY DISEASE REPORTED Number (% Total) Number (%Deaths)
Pneumocystis carinii Pneumonia 23646 (65) 13803 (58)
More [Y,n]?
Other Opportunistic Diseases 8248 (23) 5207 (63)
Kaposi's Sarcoma 4620 (13) 2145 (46)
----------------------------------------------------------------------
TOTAL 36514 (100) 21155 (58)
========================================================================
========================================================================
9.Age at Diagnosis By Racial/Ethnic Group
AGE White,Not Black,Not Other/
Hispanic Hispanic Hispanic Unknown Total
Under 5 77 ( 0) 254 (3) 114 ( 2) 2 ( 1) 447 ( 1)
05-12 27 (0) 23 (0) 13 ( 0) 1 ( 0) 64 ( 0)
13-19 61 (0) 55 (1) 29 ( 1) 3 ( 1) 148 ( 0)
20-29 4191 (19) 2269 (25) 1160 (23) 67 (19) 7687 (21)
30-39 10142 (46) 4296 (48) 2436 (47) 163 (46) 17037 (47)
40-49 4970 (23) 1506 (17) 985 (19) 87 (25) 7548 (21)
Over 49 2506 (11) 640 ( 7) 406 ( 8) 31 ( 9) 3583 (10)
-----------------------------------------------------------------------
Total 21974 (60) 9043 (25) 5143 (14) 354 ( 1) 36514(100)
========================================================================
========================================================================
*Table totals include 74 cases diagnosed prior to 1981. Of these 74 cases,
63 are known to have died.
---------------
AIDS THREAT TO BE KNOWN SOON
---------------
U.S. Surgeon General Everett Koop said Friday that AIDS researchers were on
the verge of determining the seriousness of the threat to the general
population. ''We could be facing an explosion in the heterosexual community as
we did in '81 or '82 in the homosexual community,'' he said on U.S.
television. ''Or it could just filter through the community. I think the next
six months will tell you whether we have to be as concerned about the
heterosexual transmission as many people think,'' he said, adding that AIDS
researchers were ''standing on the threshold of information that you'd like to
have. Hopefully people have heard our message and changed their behavior
patterns.''
A report released Thursday at the Third International Conference on AIDS
estimated a one-in-1,000 chance of an AIDS-infected man passing the disease to
an uninfected woman in a single sexual encounter. Doctor Warren Winkelstein,
who presented the University of California at Berkeley paper, said too few men
have contracted the disease from infected women to calculate men's risk of
being infected through heterosexual intercourse.
''The likelihood is that the spread of AIDS in the heterosexual community will
be limited to segmnents of the populations that engage in a lot of sexual
contacts,'' Dr. Winkelstein said. The university study also concluded that the
risk of AIDS infection is ten times greater in homosexual intercourse than in
heterosexual encounters.
../