HIV Infection in Areas Conducting HIV Reporting Using Coded Patient Identifiers, 2000. HIV/AIDS Surveillance Technical Report, Volume 1, Number 1

摘要

Since the early 1980s, confidential name-based surveillance has been conducted for AIDS cases; in this process, patient names associated with cases have been reported to local and state public health departments and stored in AIDS registries for ongoing surveillance activities. Since the advent of the epidemic, AIDS surveillance data have provided information critical to understanding the epidemiology of HIV and clinical conditions associated with HIV infection, have served as the backbone to evaluate the effect of treatment and prevention efforts, and have allowed population-based monitoring of the epidemic. However, with advances in treatment, such as highly active antiretroviral therapy, persons with HIV infection are living longer without progressing to AIDS. As a result, AIDS incidence has decreased, and no longer provides the most accurate population-level information on the state of the HIV epidemic. HIV infection surveillance, however, provides information on more recently infected persons, and thereby a more accurate representation of the current trends of the epidemic. Based on these facts, CDC has recommended that all states conduct HIV case surveillance as an extension of current AIDS surveillance activities.