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HomeMy WebLinkAboutM-88-0079It E December 220 1967 Mr. Aurelio Perez 3500 Pan American Miami. Fl 33133 Dear Mr. Perez, Drive LIGA HISPANA CONTRA EL SIDA P. O. BOX 450648 MIAMI. FLORIDA 33245-0648 We are placing ourselves in contact with you in order to ask support for the newly created Liga Hispana Contra el SIDA. The support we need from the city besides being economical must also be moral. We wish to carry out a distinctive program which may service the minority community of Dade. In order for this to happen it is necessary for us to have a location site. If it were possible to have it provided by the City; the city government of Miami would be providing a great service to its ethnic community. The term minority in this specific _ instance refers to National Minority groups. The space does not need to be big, we think that 39000 square feet will be enough to provide adequate service to the Miami Minority Community. Media coverage and public perception based on the original high risk grouping of PWAS to the effect that AIDS is a white Gay male disease together with homophobia and racism act to curtail the access of _ minority groups to AIDS information and services. The incidence of AIDS among minorities presents additional special challenges to the overall battle against AIDS. As a whole, Black people are 11.7/.. of '- the U.S. population, yet make up 25'/. of all AIDS diagnosed cases. Latino or Hispanic people are 6.4% of the U.S. population, yet 14% of AIDS cases. The distribution of AIDS by risk factors among Hispanics and Blacks are substantially different from that among Whites. Within the Hispanic and Black communities on the national level, I.V. Drug use accounts for a much larger proportion of AIDS cases. Moreover, a higher proportion of Hispanic and Black patients are women, children and heterosexual males. Within the boundaries of Dade County we have an extremely diverse Black and Hispanic population. The fact that there are many nationalities classified under these two headings makes our educational/prevention task much more diverse and unique as compared to the rest of the nation. �i o -n atJ s"sr It As of December 79 1987 the statistics from the AIDS weekly surveillance report, CDC, indicate that the distribution of cases by ethicality in Dade is the followings Race/Ethicality Cases % of Total 1. Black 581 44% 2. White 409 31% 3. Hispanic 327 25Y. This demonstrates a remarkable difference as compared to the national statistics. It is only a reflection of the uniqueness and complex- ities with which we will be faced. The dissimilarities between our community and the nation do not end here, there also exists a great difference when comparing transmission categories. Transmission Categories Adult/Adolescent total cases V. of total I. Homo/Bi Male 675 53.1Y. 2. Homo/Bi I.V.D. 60 4.8 3. I.V. Drug 182 14.3 4. Heterosex. 274 21.6 5. Hemophiliac 8 0.6 6. Transfusion 23 1.8 7. undetermined 48 3.8 Pediatric 1. Parent at risk 40 78 2. Hemophiliac 1 2.0 3. Transfusion 1 2 4. Undetermined 9 17.6 When we compare Dade County to the rest of the nation, the increased percentage of total possible heterosexual adult transmission, the sum of subgroup 3, 4; 59 gives us the total of 36.5.. as we compare this 'to 22Y. reflected in the nations statistics (see appendix). The high percentage of Blacks with AIDS in our community stresses the needs of adequate education and prevention of HIV infection among the Black population. This need is amplified and complicated when taking into consideration the multiple groups that compose the Black community of Dade. The fact that Haitians, Black Americans, and other non -Spanish speaking Caribbean people are classified as Blacks add a multiethnic component to this already ethnic subgroup within our population. For example, of the 489 total Black cases approximately 30% of these, or 2 10 147 are Haitians, verbal communication (DCPHU). The point is further emphasized by the fact that approximately 40-50% of the pediatric cases in Dade County are of Haitian origin, the rest being Black American or Hispanic. The incidence of AIDS within all of these communities can only be expected to rise drastically unless adequate and culturally sensitive educational/prevention approaches are instituted quickly. To achieve the goal of preventing HIV infection among the members of our minority community we must improve the understanding of the determinants of risk in minorities, and expand intervention and support services, and adapt them to their unique requirements. The primary prevention strategies are to inform and educate so that ALL persons in minority communities understand the basic facts about AIDS and the risks of HIV infection. This way we can accomplish the minimizing of their risk, the support of prevention efforts targeted to people with high risk behaviors, and get them to respect the needs and rights of persons who are infected. Major goals and objectives for AIDS education and support services to minorities. Goal 0 1 To reduce the spread of the Human Immunodeficiency Virus among people that practice high risk activities, through development of adequate Education/Preventional programs, particularly targeting the ethnic and racial minorities of Miami, Black Americans, Haitians, and Hispanics. Objective 01: To identify and/or develop printed materials relevant to target populations for structured AIDS prevention lectures. Objective M2: To identify and/or develop educational audio/visual materials relevant to target populations. Objective 113: To develop evaluation and feedback procedures. Objective 04: To recruit and train volunteer educators to deliver educational/preventive lectures. Objective I15: To promote the use of *PSA's about AIDS on Black American, Haitian, and Hispanic AM/FM radio stations and Television. Objective 061 To promote the implementation of AIDS awareness/prevention advertising in Black American, Haitian, and Hispanic newspapers. 3 3 s � � Objective 07: To promote the activities of the South Florida AIDS Network within the minority communities of our region. Goal 112: To identify community based centers that deliver services to the minority community specifically targeting: I.V. drug users, heterosexual general community, high risk mothers and infants, adolescents, healthy Gay/Bisexual men, hemophiliacs, female and male prostitutes, and HIV infected people. Objective 01: To implement educational/training programs for staff and clients at primary health care centers that service mainly minorities. Objective M2: To implement educational/training programs to staff and clients at minority health clinics (HMO), family planning clinicsp runaway centers, detention centers Hemophilia clinic JMH . Goal 03: To develop a culturally sensitive time -limited comprehensive educational program that will enable people with HIV infection to have more productive and less stressful lives. Objective M1: To identify the educational and _ counseling needs of minority (Black Am., Haitian, Hispanic) HIV infected individuals. Objective 012: To create educational materials that are tailored for such groups, in the appropriate language, and with emphasis on the following subject matter: 1. Health and Nutrition 2. Medications/Side Effects/Dosage 3. Basic Fundamental Immunology 4. Newest Protocols S. Relaxation/Stress Reduction Techniques. Objective 03: To create a patient manual in Spanish and Creole. Objective M4: To develop evaluation and feedback procedures for presentations. 4 ,t 3 ' 7 Goal 04: To provide education and training to health care workers, mental health workers, and addiction treatment personnel and all others who work with HIV infected individuals. Objective 01: To identify the needs of professionals who encounter HIV infected individuals specially those of minority origin. Objective 02: To identify and create relevant educational materials. Objective M3: To deliver 4 educational/training presentations to such groups each month. Objective M4: To develop evaluation and feedback procedures. Sincerely, Manuel laureano-Vega, .; M.S. Executive Director ilaul Miranda Vice President, Board of Directors 5 Is M► OOMTq, 4" LIGA HISPANA CONTRA EL SIDA e P. O. BOX 450648 MIAMI. FLORIDA 33245-0648 o� La Liga Hispana Contra el S.I.D.A., es una organizacion privada,sin fines de lucro. Esta organizacion ha comenzado pars llenar el vacio que existe en los servicios comunitarios relacionados al SIDA que se le brindan al Hispano y a las otros communidades minoritarias del Condado de Dade. Los servicios basicos que la Liga estara prestando incluyen: 1) Facilitar, coordinar y proveer un enlace de acceso a las agencias que proveen servicios de apoyo comunitario , psicosocial y de salud. Este servicio de orientation sera pars individuos y los familiares de este que esten enfrentando los dilemas associados con infeccion por el virus de la inmunodeficiencia human. (VIH) (HIV) 2) Brindarle a la comunidad Hispana un programa educativo de preven- tion al SIDA, presentandolo en formas que sean culturalmente aceptables. 3) Proveerle a otros grupos u organizaciones que le brindan servicios a personas con SIDA o infectadas con el virus, con ayuda technica y entrenamiento. 4) Proveer a la comunidad Hispana con un grupo organisado y entrenados de voluntarios para proveer con los servicios antes menciondos. La Liga Hispana ha sido creada para suplir servicios para la diversidad etnica que caracteriza la poblacion del sur de la Florida. Pensamos que ademas de las organizaciones Anglo y Haitians que existen ya, hay un nesecidad imperante de tener un organizacion dedicada al SIDA operando dentro de nuestra comunidad Latin. �A 10 10 ... ���..�. ....•�1�w.�• wb1Vg1 yn61sw ilwlii AIDS PROGRAM, CENTER MR iNt MOOS DISEASES CENTERS :OR DISEASE CONTROL DECEMBER 7, 1987 UNITED STATES GASES REPORTED 70-CDC 2 - A. TRANSMISSION CATEGORIES IYLES Sines fan ,I tuxr,lativa ADULTS/ADOLESCENTS Number M lhsnb�ar ( 1 Homosesual/Bisesual Male 12084 (70) 30913 (70) Intravenous (IV) Drug Abuser 2394 (14) 6337 (14) Mowesesual Male and IV Drug Abuser 1323 (B) 3585 (B) Memophilia/Cosgulation Disorder 201 (1) 467 (1) Msteresesual C68e13 30S (2) BB5 (2) Transfusion, flood/Compon"te 358 (2) 701 (2) Undetar Inse S"+1 ilia 111 = SUBTOTAL IS of all e68e63 17262 E623 43996 9933 5 Msmrophilia/Coagulation Disorder parent with/at risk of AIDS6 Transfusion, Blood/Components Undetemi nee SUBTOTAL tx of all cases] TOTAL E% of all Cases] B. TRANSMISSION CATEGORIES BY RACIAL/ETMIIC GROUP FIMLES Sinea Jan 1 twwlative Nux6or M Nuwb�r, 692 (47) 1721 (50) 7 (0) 19 (1) AN (31) 1024 (30) 190 t_ (131 375 "I (11) 1469 to) _—i 3"0 973 TOTAL Since Ja_i 1 it Number M Number M 120" (65) 30913 (GS) 3086 (16) 8050 (17) 1323 (7) 35S5 (a) 209 (1) 476 (1) 755 (4) 1909 (4) $48 (3) 1076 (2) 18731 t100) 47436 E100) 1S (10) 36 (9) 1 (1) 3 (1) 16 (6) 100 (68) 261 (71) 104 (76) 265 (82) 204 (72) 22 (15) 57 (1S) 1B (13) 38 (12) 40 (14) 147 [521 379 E541 136 t483 324 E461 283 [100] 17409 t92) 44375 E923 1605 td) 3764 Ell 19014 E1001 ADULTS/AOOLES[ENTS Momose■ual/Bise■ual Male Intravenou: (IV) drug Abuser Monosexual Okla and IV Drug Abuser Hemophilia/Coagulation Disorder Heterosoxuat Case53 Transfusion. Blood/Components Undeter�ni ned4 SUBTOTAL Ex of all casts) 5 CHILDREN Hemophilia/Cosgulation Disorder •arent with/at risk of AI056 Transfusion, Blood/Components Uhdoterpined4 SUBTOTAL Ex of all cases] TOTAL EA of all cases) 39 (6) 533 (76) 95 (14) 3._. 6_ 51 703 1100) 481397 E1003 WHITE. 11=1 OTHERS/ NOT "ISPANI[ NOT HISPANI[ -HISPANIC `NOHN TOTAL Cumulative Cumulative Cumulative Cumulative Cumulative Nu0be�M Number (9) fMabo_ �_2) tab=� P 22904 (79) 4602 (39) 3107 (48) 300 (69) 30913 (65) 1601 (6) 4141 (35) 2274 (35) 42 (10) _ BCSB 07). 2295 (a) B37 (7) 432 (7) 21 (5) 3505 (B) 404 (1) 29 (0) 32 (0) 11 (3) 476 (1)• 313 (1) 1340 (11) 247 (4) 9 (2) 1909 (4)• 815 (3) 157 (1) 74 (1) 30 (7) 1076 (2) 516� 2 —L&L S7`1 267 IAI 221, (5) 1419 /31 tdd94 t613 116BO E253 6428 E141 434 Ell 47436 (1001 26 (17) 6 (2) 6 (4) 1 (20) 39 (6) 64 (42) 332 (17) 133 (81) 4 (BO) 533 (76) 52 11 (34) (7)_ 23 to) (6) 20 6 (12) (4) 95 (14) 26, 61 153 E221 3B0 043 165 E233 5 El] 703 (1001 29047 E601 12M US] 6593 (143 439 Ell 48139711003 1 These data are provisional. 2 Cases with Mors than one risk factor other than the eombiestions listed in the tables or footnotes are tabulated only in the category listed first. 3 Includes 1076 persons (241 wen, 135 women) wha have had heterosexual contact with a person with AIDS or at risk for AIDS and 133 persons (644 men, 189 women) without other identified risks who were born in countries in which heterosexual transmission is believed to play a major role although precise weans of transmission have rot yet been fully defined. 4 Includes patients on whom risk information Is incomplete (due to death, refusal to be interviewed or loss to follow-up), patients still under investigation, man reported only to have had heterosexual contact with a prostitute, and interviewed patients for whom no specific risk was identified. 5 Includes all patients under 13 years of ago at time of diagnosis. 6 Epidemiclogic data suggest transmission from an infected mother to her fetus or infant during the porinatal period. 7 Includes 2224 patients who meet only the 1987 revised surveillance definition for AIDS. B Includes patients whose rate/othnicity is Asian/►"Ific Islander (276 persons) and American Indian/Alaskan Native (49 persons). 7 ft AS C. AIDS CASES 8Y STATE OF RESIDENCE AND OAIJ OF REpoat TO CDC Year Ending STATE OF DEC 7. IOU hmbtPercent Now York 3633 t 28.0 California 2780 ( 21.5) Florida 910 ( 7.0) Teat 902 ( 7.0) New Jersey 739 t 5.7) ,Illinois 355 ( 2.7) Pennsylvania , 301 ( 2.3) Maesaehusett� i68 ( 2.1) Georgia 302 ( 2.3) District of Columbia 211 ( 1.6) Maryland 197 ( 1.5) Washington ISO ( 1.2) Louisiana 153 ( 1.2) Ohio IN ( 1.3) Connecticut 161 t 1.2) Virginia 1ss ( 1.2) Colorado 171 ( 1.3) Pwrto Rico 126 ( 1.0) Michigan 137 ( 1.1) Misseuri 7S t 0.6) North Carolina 80 ( 0.6) Amma, 79 ( 0.6) Oregon GS ( 0.5) Minnesota 90 ( 0.7) Indiana 60 ( 0.5) Ataew 29 ( 0.2) South Carolina 58 ( 0.4) Oklahoma 46 ( 0.4) iiaraii 52 ( 0.4) Wisconsin 38 ( 0.3) Tennessee 74 ( 0.6) Move" 37 ( 6.3) Rhode Island 27 ( 0.2) Kentucky 28 ( 0.2) Kansas 33 ( 0.3) Utah 20 ( 0.2) Now Ib•ico 22 ( 0.2) Arkansas 31 ( 0.2) Mississippi 2S ( 0.2) alawaro 22 t 0.2) tors, 19 ( 0.1) Maine 21 ( 0.2) Now Hampshire 12 ( 0.1) West Virginia 8 ( 0.1) Nebraska 11 ( 0.1) Alaska 14 ( 0.1) Vom"t 5 t 0.0) Idaho 5 ( 0.0) Montana 4 ( 0.0) Wyoming 4 ( 0.0) Virgin Islands 3 t 0.0) North Dakota 3 ( 0.0) South Dakota 2 ( 0.0) 7Trwq TOTAL 12930 (100.0) Year Ending --etc 7_ 191 3804 ( 19.0 4494 ( 22.5) ism ( 7.6) 1596 c 8.0) 1394 ( 7.0) $71 ( 2.9) 609 ( 3.1) 4" ( 2.4) 479 ( 2.4) 441 ( 2.2) 406 337 321 ( 1.6) 313 ( 1.6) 235 ( 1.2) 226 ( 1.1) 218 ( 1.1) Ise ( 0.8) 223 ( 1.1) 220 ( 1.1) 173 t 0.9) 170 ( 0.9) 157 ( 0.8) 119 ( 0.6) 110 ( 0.6) 147 ( 0.7) 74 ( 0.4) 103 ( 0.5) 77 ( 0.4) 100 ( 0.5) 68 ( 0.3) 78 ( 0.4) 63 ( 0.3) 46 ( 0.2) 49 ( 0.2) 43 ( 0.2) 47 ( 0.2) 45 ( 0.2) 3S ( 0.2) 29 ( 0.1) 26 ( 0.1) 27 ( 0.1) 30 ( 0.2) 20 ( 0.1) 18 ( 0.1) 16 l 0.1) 14 16 7 l 0.0) 3 ( 0.0) 3 19953 FIZZ) DECEM6Ea 71 1987 . 'AGE 2 MPULATIVE TOTAL SINCE RUNE 1091 Adult/Adeleaeent Children _ total Numbar Pereent 2UY60d Partn M f r• 12503 ( 26.4) 220 ( 31.3) 12723 ( 26.4) 10706 t 22.6) 55 ( 7.8) 10761 ( 22.4) 3391 ( 7.1) 86 ( 12.2) 3477 ( 7.2) 3245 ( 6.8) 27 ( 3.8) 3272 ( 6.8) MS ( 6.2) 96 ( 13.7) 3041 ( 6.3) 1249 ( 2.6) 13 ( 1.8) 1262 ( 2.6) • 1204 ( 2.5) 15 ( 2.1) 1219 ( 2.5) 1019 ( 2.1) 18 ( 2.6) 1037 ( 2.2) 1022 ( 2.2) 14 ( 2.0) 1036 ( 2.2) 924 ( 1.9) 8 ( 1.1) 932 ( 1.9) 813 ( 1.7) 17 ( 2.4) 830 ( 1.7) 669 ( 1.4) 4 ( 0.6) 673 ( 1.4) 633 ( 1.3) 9 ( 1.3) 642 ( 1.3) 575 ( 1.2) 4 ( 0.6) S79 ( 1.2) $45 ( 1.1) 17 ( 2.4) 562 ( 1.2) 540 ( 1.1) 9 ( 1.3) 549 ( 1.1) 497 ( 1.0) 2 ( 0.3) 499 ( 1.0) 436 ( 0.9) 30 ( 4.3) 466 ( 1.0) 4$3 ( 1.0) 9 ( 1.3) 462 ( 1.0) 375 ( 0.8) 4 ( 0.6) 379 ( 0.8) 333 ( 0.7) 4 ( 0.6) 337 ( 0.7) 322 ( 0.7) 3 t 0.4) 325 ( 0.7) 271 ( 0.6) 1 ( 0.1) 272 ( 0.6) 264 t 0.6) 2 ( 0.3) 266 ( 0.6) 222 ( 0.5) 2 ( 0.3) 224 ( 0.5) 207 ( 0.4) 7 ( 1.0) 214 ( 0.4) 17S ( 0.4) S ( 0.7) 180 ( 0.4) 176 ( 0.4) 3 ( 0.4) 179 ( 0.4) 174 ( 0.4) 1 ( 0.0 175 ( 0.4) 173 ( 0.4) 1 ( 0.1) 174 ( 0.4) 16S ( 0.3) 1 ( 0.1) 166 ( 0.3) 141 ( 0.3) 141 ( 0.3) 110 ( 0.2) 2 ( 0.3) 112 ( 0.2) 105 ( 0.2) 105 ( 0.2) 100 ( 0.2) 1 ( 0.1) 101 ( 0.2) 87 ( 0.2) 3 ( 0.4) 90 ( 0.2) 87 ( 0.2) 87 ( 0.2) es ( 0.2) eS ( 0.2) 71 ( 0.1) 71 ( 0.1) 65 ( 0.1) 2 ( 0.3) 67 ( 0.1) 60 ( 0.1) 1 ( 0.1) 61 ( 0.1) 57 ( 0.1) 1 ( 0.1) s8 ( 0.1) 49 ( 0.1) 2 ( 0.3) 51 ( 0.1) 0.3) 40 ( 0.1) 39 ( 0.1) 36 ( 0.1) 36 ( 0.1) 23 ( 0.0) 23 ( 0.0) 14 ( 0.0) 2 ( 0.3) 16 ( 0.0) 12 ( 0.0) 12 ( 0.0) 8 ( 0.0) 8 ( 0.0) 7 ( 0.0) 7 ( 0.0) 6 l 0.0) 6 ( 0.0) S t 0.0) S ( 0.0) 4 ( 0.0) 8-81 4 ( 0.0) _1 474M (100.0) 703 (100.0) _1 48139 ( 0.01 (100.0) IJ 10 1* DECEMBER 7. 1997 - WE 3 D. AIDS CASES BY TRANSMISSION CATEGORIES AND DATE OF REPORT TO CDC, TWELVE4W14 TOTALS 1 jRANSMISSIDN CATEGORIES rear Ending Yost, Ending CUMULATIVE CASES AND DEATHS DEt 7. 1286 Ott 7_ 1017 SINCE 3mt 19BI ADULTVADOLESCENTS Numbs, (%I humbZ (Y1 Number 1%) Deaths cz c_:r:I Hometexual/Bisexual Male $415 ( 66.0) 12645 ( 64.3) 30913 ( 6S.2) 17131 ( 63.9) Intravenous (IV) Drug Abuser 215S ( 16.9) 3275 ( 16.7) BOSB ( 17.0) 4686 ( 17.5) Homosexual Mate and IV Drug Abater 9SO ( 7.S) 1393 ( 7.1) 3SBS ( 7.6) 2113 ( 7.9) Hewophilia/teagulation Disorder 134 ( 1.1) 216 ( 1.1) 06 ( 1.0) 279 ( 1.0) Heterosexual C48e82 519 ( AM In ( AM 1909 ( 4.0) 1062 ( 4.0) Transfusion, Blood/Components 27S i 2.2) 567 ( 2.9) 1076 ( 2.3) 722 ( 2.7) Undstarmined3 229 2.23 _760 1 2,21 1812 „1 2.01 act_ • t 3.11 SUBTOTAL 12746 (100.0) 196S4 (100.0) 47435 (100.0) 26816 (100.0) 4 2CLNEN N9110 Mlia/Cagrlation Disorder 10 ( 5.4) 17 ( 5.7) 39 ( S-S) 25 ( 6.0) Parent with/at risk of AIDSS 1" ( 78.3) 219 ( 73.2) 533 ( 75.8) 313 ( 74.7) Transfusion. 81ood/Components 26 ( 14.1) 40 ( 13.4) 9S ( 13.5) 61 ( 14.6) (kldeterm+ined3 c 2.2) n_ l �.71 __.M_ 5.11 __.20_ ( A-1) SUBTOTAL 184 (100.0) 299 (100.0) 703 (100.0) 419 (100.0) TOTAL 12930 19M 48139 2723S E. AIDS CASES BY DATE OF DIAGNOSIS AND STANDARD METROPOLITAN STATISTICAL AREA (SMSA) OF RESIDENCEG 7 8 2W of RESIDENCE POPULATION ALrML.M _1284 19e5_ 1286 1997 CMLATIvE New York, NY 9.12 1571 1700 2578 3385 2273 11507 San Francisco, CA 3.25 460 610 944 1346 1056 4416 Los Angeles, CA 7.48 354 450 963 1279 1003 3249 Houston, TX 2.91 107 179 333 S44 377 1540 Vashington, OC 3.06 79 142 336 434 SOS 1496 Miami. FL 1.63 179 191 285 388 279 1322 Newark, NJ 1.97 129 139 235 334 445 1282 Chicago, IL 7.10 69 125 227 370 352 ' 01143 Dallas. TX 2.97 33 83 174 321 408 1019 Philadelphia, PA 4.72 58 114 204 303 293 972 Atlanta, CA 2.03 41 71 169 259 234 174 Boston, 19A 2.76 S8 77 149 211 250 745 San Diego, CA 1.66 30 48 118 211 238 645 Ft Lauderdale, FL 1.02 37 58 131 203 191 620 Jersey City, NJ 0.56 56 58 IV 164 168 573 Nassau -Suffolk, NY 2.61 55 66 116 183 134 554 Seattie, WA 1.61 12 54 96 174 l88 524 New Orleans. LA 1.19 19 51 95 142 ISO 457 Donver.00 1.62 25 37 81 127 153 423 Baltimore, No 2.17 27 32 81 128 347 415 REST of U.S. ,'s_ 721 -jj4 -W 13VE3 TOTAL 230.11 4190 Sul 1OD56 14835 13387 48139 I Cases with more than one risk factor other than the combinations listed in the tables or footnotes are tabulated only In the category listed first. 2 Includes 1076 persons (241 men, 835 women) who have had heterosexual contact with a person with AIDS or at risk for AIDS and 833 persons (644 men, 189 women) without other identified risks whe were born in countries in which heterosexual transmission is believed to play a major role although precise swans of transmission have not yet been fully defined. 3 Includes patients on whom risk information is incomplete (due to death, refusal to be interviewed or loss to follow-up), patients still wader investigation, men reported only to have had heterosexual contact with a prostitute, and interviewed patients for whom no specific risk was identified. 4 Includes all patients under 13 years of age at time of diagnosis. 5 Epidamiclogie data suggest transmission from an infected mother to her fetus or infant during the perinatal period. 6 This table cumulates cases by DATE OF DIAGNOSIS rather than DATE OF REPORT. Because of this difference. totals may differ from those in other tables and will change with late reports and now data or information. Data are provice: for the 20 SMSA's currently reporting the largest number of AIDS cases. 9 Population of SMSA'i in millions as reported In the INN CENSUS. 8 Cases diagnosed in this calendar year and reported to CDC as of date of this summary. 9 Is E F. AIDS CASES By RISK FACTOR COM/IMMONS (ADULTS/AMUSCENTS)l AID& r.eee REPORTED TO HUE A MrKt-t2S FAMN Meuesexual/9ise■ual !late Intravenous (IV) Drug Abuse Nemophilia/Coagulation Disorder Heterosexual Contact2 Transfusion. stood/Components Undstr in d3 SPATOTAL DECEMlER 7. 1037 - PAGE 4 �i ` Parcom M59 7163 259 Isis 1076 141.2 ISM I �iDS LSES REPORTED TO HAVE_MULTIPLE RISK FACTORS Nemosexual-Bi Ma1e/11ood Transfusion Nomsesual-91 NaleMeterosexual Contact homosexual-94 MateAloterosexual ContUM10e0 Transfusion Nomoaexual•94 Mate/MesapM Zia Nemsexuat-91 Male/iismophilia/91ood Transfusion Nomosexual-9i Mate/Mewophili~9r9sexual Contact Nomosexual-94 Mato/IV Drug Abuse Momesexuat-94 Male/IV Drug Abuss/91ood Transfusion NemOsexual-81 Mato/IV Drug Abuse Meterosexual Contact homosexual-91 Nale/IV Oren AbuseMotorosexual Contactnlood Transfusion Homosexual-91 Hale/IV Drug Abuse/hemophilia homosexual-94 Hale/IV Drug AbuseMemophitia/91ood Transfusion homosoxusl-94 Halo/IV Drug Abuse/Memophi1ia/14terosexual Contact IV Drug Abuse/91ood Transfusion IV Drug Abuso~orososual Contact IV Drug AbuseMstorose■ual Contact/Blood Transfusion IV Drug Abuse/HomOphitia IV Orug-AbuseMemophiliaMlood Transfusion IV Drug AbuseMemoohiliaMetorosoxual Contact IV Drug Abuse/►bmophilia/Msterosesual Contect/alood Transfusion Momophilianlood Transfusion IbxaephiliaMotorosexual Contact hemophiliaMeterosexual Contact/Slow Transfusion Netereiesual rontoet/mlood Transfutien SIXTOTAI. TOTAL 5d7 412 13 22 19 1 33" 120 10 6 6 1 241 SS2 30 a 10 3 1 212 1 4 U25 47436 tb2.9) t15.1) tO.S) ta.9) t2.3> (s7.7) 0.2) (0.9) (0.0) (0.0) (0.0) (0.0) (7.0) (0.2) (0.3) (0.0) (0.0) (0.0) (0.0) (0.$) (1.2) (0.1) (0.0) (0.0) (0.0) MID) (0.4) (0.0) (0.0) 02.3) (100.0) 1 Those data are Provisional. Not all risk factors way have been determined or reported for all Cases- 2 Includes persons who have had hoterOSaxuat contact with a person with AIDS or at risk for AIDS and persons without other identified risks the were born in countries in which heterosexual transmission is believed to play a major role although precise wean= Of transmission Mva not yet been fully defined. 3 Includes patients on whom risk information is incomplete (due to death, refusal to be interviowed Or toss to follow-up). patients Still under Investigation, wen reported only to have had heterosexual contact with a prostitute, and interviewed patients for whom me specific risk was identified. �o Is 4 •• CASES OF AIDS AND CASE -FATALITY RATES Br MALF-YEAR OF OIAWSIS. O UTED STATES OECEMIER 1,, 1987 • PAGE S NVUR OF OMEN OF 1 CASE -FATALITY tNt San-30+e —USES_ RAM Bt as Jelr-Dec In l6S 9ts 1082 Jan-39" MG 320 Julr-Dec 648 us 1983 Jae-3une IM low 381r•0ec 1l97 1366 IM4 Jae-Jw+e 2464 2006 JMIr est 3t17 2591 INS Jan•30ne 4629 3419 30r-Dec i627 AM 1li6 Jae-30+e i9O1 4t35 Julr-Oee 7934 3609 1987 Jan-3" ii15 M3 MCC__ TOTALZ —. 4139 27235 REPORTED CASES AM DEATHS Btt OMTUMISTIC DISEASE CATEGORII DISEASE'tATEGORY RESORTED ftommocvstis earinii Pneumonia Other Opportunistic Diseases Kage24as Sartoom TOTAL AGE AT OIA6MOSIS BY RACIAL/ETM E GROUP (finder S 5-12 13 - 19 20-29 30 - 39 40 - 49 TOTAL IS OF ALL CASE USES REPORTED SINCE 3ANl1W 1/DEATMS Reported Cases Know Oeaths4 Number fY Total ) Number M Cases) 11728 (62) 3855 (33) 5615 (30) 2378 (42) 1671 to)� MR 122) 19014 (100) owl (35) B7K s7s B9K B6s Blf Bt1t rn 729 61% 41 32% S7Z [LMM sTIVE CASES/DEATHS Reported Cases Knorr Oeaths Number M Total) Neer M Cases) 305" (64) 17481 (57) 12079 (25) 7220 (60) Sa61 fill 2534 Mi 48139 (100) 27235 (57) MATE. BLACK, OTHMS/ NOT HISPANIC OT_ HISPANIC _ 1119FMIC UNKNM_ TOTAL Cumulative Cumulative Cumulative Cumulative Cumulative Number M Number (:) thodwr M �e—r—M N"he_ r M IDS (0) 346 (3) 146 (2) 4 (1) 602 (1) 47 (0) 34 (0) 19 (0) 1 (0) 101 (0) 90 (0) i6 (1) 37 (1) S (1) 198 (0) 5561 (19) MS (24) MI (22) 79 (18) 10046 (21) 13229 (46) 5769 (48) 3132 (48) 199 (4S) 22329 (46) GM (23) 2061 (17) 1265 (19) 103 (23) 10015 (21) M 112)- M (71 191„2 is% 8 (11'. 4948 (1(1_0) 29M 1601 12060 [251 SM 9141 439 [1] 43139 11003 Reporting of deaths is incomplete. TWO totals include 75 cases diagnosed prior to 1901- Of these 75 cases. 64 are known to have died. Disease categories are ordered hierarchically. Cases with more than one disease are tabulated only in the disease category listed first. Kaposi's sarcoma has been reported in 2616 cases since January 1 and in 8948 cases cumulatively. Deaths are only in cases reported to CDC since January 1 of current year. Includes Patients whose race/ethnicity is Asian/Pacific Islander (276 persons) and American Indian/Alaskan Native (49 persons). A% 4 DEPARTMENT OF HEALTH i HUMAN SERVICES Public Health Service _ Cenm for Dium Control At4nts GA 30:W Official 1101101013 fte wty for Private Use aw IS 33136KESL24 8721 LORI KESSLER S FL AIDS NETWORK MORIAL HEST3IW12TAOfWGD FLNF or use Patepe end Fees Paid U.S. Dept~ of H.H.S. HNS 396 1C*rX 0 i AS 4 AIDS WEEKLY SURVEILLANCE REPORT - UNITED STATES Page 1 AIDS PROGRAM, CENTERS FOR DISEASE CONTROL DECEMBER 79 1987 Miami FL CASES REPORTED TO CDC PERCENT PERCENT 1. PRIMARY DISEASE REPORTED(!) ----- ------------ -............ CASES OF TOTAL DEATHS DEAD Pneumocystis carinii Pneumonia ..... 778 ........ ---.-- 58.9 493 ---- ---- 63.4 Other Opportunistic Diseases 368 27.8 229 62.2 Kaposi's Sarcoma 176 13.3 84 47.7 -..... •----- ----- ----------- -- Total ....-- 1322 ...... ... 100.0 806 ------- 61.0 PERCENT 2. AGE CASES OF TOTAL PERCENT ••.... -- ---.--- .... -- 3. RACE/ETHNICITY CASES OF TOTAL Under 5 46 3.5 --------- •.-•--- ----- ---•---- OS - 13 5 0.4 White, not Hispanic 409 30.9 13 • 19 4 0.3 Black, not Hispanic 581 43.9 20 - 29 327 24.7 Hispanic 327 24.7 30 - 39 535 40.5 Other 1 0.1 40 - 49 280 21.2 Unknown 4 0.3 Over 49 125 9.5 -------- ----- ------- Unknown 0 0.0 -------- Total 1322 100.0 ----- .....--- Total 1322 100.0 4. TRANSMISSION CATEGORIES(2) --------•-------------- --------------- MALES FEMALES TOTAL PERCENT --------- -...... PERCENT -------------- PERCENT CASES OF MALES CASES OF FEMALES CASES OF TOTAL ADULT/ADOLESCENT: ----- -------- .--------- --.-- ---- • -------- Homosexual/Bisexual Men 675 60.8 0 0.0 675 53.1 Intravenous (IV) Drug User 128 11.5 54 33.8 182 14.3 Homosexual (IV) Drug User 61 5.5 0 0.0 61 4.8 Hemophilia/Coag Disorder 8 0.7 0 0.0 8 0.6 Heterosexual Cases(3) 183 16.5 91 56.9 274 21.6 Transfusion 16 1.4 7 4.4 23 1.8 Undetermined(4) 40 3.6 8 5.0 48 3.8 ----- Total 1111 -------- 100.0 ----- ---------- 160 100.0 ----- 1271 -------- 100.0 PEDIATRIC: Hemophiliac 0 0.0 1 3.0 1 2.0 _ Parent at risk(5) 16 88.9 24 72.7 40 78.4 Transfusion 0 0.0 1 3.0 1 2.0 Undetermined(4) 2 11.1 7 21.2 9 17.6 •--•- Total 18 -------- 100.0 --------------- 33 100.0 ----- 51 -------- 100.0 (!)Categories are ordered hierarchically. Cases with more than one disease are tabulated only in the disease category listed first. Kaposi's sarcoma has been reported in 81 cases since January 1 and in 282 cases cumulatively. (2)Cases with more than one risk factor other than the combinations listed in the tables or footnotes are tabulated only in the category listed first. (3)Includes 38 persons (13 men, 25 women) who have had heterosexual contact with a person with AIDS or at risk for AIDS and 236 persons (170 men, 66 women) without other identified risks who were born in countries in which heterosexual transmission is believed to play a major role although precise means of transmission have not yet been fully defined. (4)Includes patients on whom risk information is incomplete (due to death, refusal to be interviewed or loss to follow-up), patients still under investigation, men reported only to have'had heterosexual contact with a prostitute, and interviewed patients for whom no risk was identified. (5)Epidemiologic data suggest transmission from an infected mother to her fetus or infant during the perinatal period. t3 8B-7s 10 Ej KIDS CASES REPORTED TO CDC - Page 2 S. Reported Cases of AIDS and Case -Fatality Rates by by Half -Year Of Diagnosis, 1979 - DECEMBER 70 1987 Miami FL DECEMBER 7, 1987 NUMBER OF NUMBER OF CASE -FATALITY CASES DEATHS RATE 1980 Jan -June ......... 1 - - - - - - - - - 1 - • - - - - - - - - - - - 100% July -Dec 2 2 100% 1981 Jan -June 4 4 100% July -Dec 4 4 100% 1982 Jan -June 24 23 96% July -Dec 20 14 70% 1983 Jan -June 59 51 86% July -Dec 65 51 78% 1984 Jan -June 90 63 70% July -Dec 101 74 73% 1985 Jan -June 130 92 71% July -Dec 155 109 70% 1986 Jan -June 179 110 61% July -Dec 209 110 53% 1987 Jan -June 192 77 40% July 1- December 7 87 21 24% Total* 1322 806 61% 6. AIDS Cases Per Million Population (from the 1980 Census), by Standard Metropolitan Statistical Area (SMSA) of Residence, Reported from JUNE 1, - 1981 to DECEMBER 7, 1987 - United States ----------------------------------------------------- -- ---------- ------------ Cases SMSA of Percentage per Million Residence ------------ ------------------------ Cases -------------- of Total Population _ San Francisco, CA 4416 ------------------------- 9.2 1358.5 New York, NY 11507 23.9 1261.7 Jersey City, NJ 573 1.2 1028.8 Miami, FL 1322 2.7 813.1 M PALM BCH-BOCA 404 0.8 700.3 Elsewhere (irrespective of SMSA) --------------------- ----------------- 29917 62.1 139.2 Total - United States ------ - 48139 ------------ ------ 100.0 ---- •------- 209.2 ly 17, AIDS CASES REPORTED TO CDC - Page 3 DECEMBER 7, 1987 7. RESIDENCE CASES PERCENT OF TOTAL .-._._-.--••-------------- New York ._.._ 12723 ---------------- 26.4 California 10761 22.4 Florida 3477 7.2 Texas 3272 6.8 New Jersey 3041 6.3 Illinois 1262 2.6 Pennsylvania 1219 • 2.5 Massachusetts 1037 2.2 Georgia 1036 2.2 District of Columbia 932 1.9 Maryland 830 1.7 Washington 673 1.4 Louisiana 642 1.3 Ohio 579 1.2 Connecticut 562 1.2 Virginia 549 1.1 Colorado 499 1.0 RQ 466 1.0 Michigan 462 1.0 Missouri 379 0.8 North Carolina 337 0.7 Arizona 325 0.7 Oregon 272 0.6 Minnesota 266 0.6 Indiana 224 0.5 Alabama 214 0.4 South Carolina ISO 0.4 Oklahoma 179 0.4 Hawaii 175 0.4 Wisconsin 174 0.4 Tennessee 166 0.3 Nevada 141 0.3 Rhode Island 112 0.2 Kentucky 105 0.2 Kansas 101 0.2 Utah 90 0.2 New Mexico 87 0.2 Arkansas 85 0.2 Mississippi 71 0.1 Delaware 67 0.1 Iowa 61 0.1 Maine 58 0.1 New Hampshire 51 0.1 West Virginia 40 0.1 Nebraska 39 0.1 Alaska 36 0.1 Vermont 23 0.0 Idaho 16 0.0 Montana 12 0.0 Other States ( 6 ) 31 0.1 ...-- -------•----------------- Total - USA ----- 48139 100.0 AIDS ACTIVITY, CID, CDC, ATLANTA, GA. !0 a. .. -101