AIDS Cases by Geographic Area of Residence and Metropolitan Statistical Area of Residence, 2004. HIV/AIDS Surveillance Supplemental Report, Volume 12, Number 2

摘要

The HIV/AIDS epidemic was first recognized in the United States in 1981. Since that time, all states have conducted AIDS surveillance by using a standardized, confidential name-based reporting system. Since 1985, many states have also implemented HIV case reporting as part of their comprehensive HIV/AIDS surveillance programs. AIDS is the end stage of the natural history of HIV infection, and treatment advances since the mid-1990s have diminished the capacity of AIDS surveillance data to accurately represent the trends in the incidence of HIV infection or the need for prevention and care services (increasingly, AIDS data represent late diagnosis of HIV disease, lack of access to effective therapies, or treatment failures). As of January 1, 2006, 44 states and territories had laws or regulations requiring the reporting of adults, adolescents, and children with confirmed HIV infection by using a confidential name-based reporting system (the same as the AIDS reporting system for all jurisdictions in the United States).