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SANFRANCISCOPUBLICLIBRARY 3 1223 06447 3839 LI 2 SanFranciscoPublicLibrary ationCenter SanFranciscoPublicLibrary 100LarkinStreet, 5thFloor SanFrancisco,CA 94102 REFERENCE BOOK Not to be takenfrom the Library Digitized by the Internet Archive in 2012 with funding from California State Library Califa/LSTA Grant http://archive.org/details/aidssur200104sanf 1 QUARTERLY AIDS SURVEILLANCE REPORT ** DOCUMENTS DEPT- San Francisco Department of Public Health AIDS Cases Reported Through March 2001 APR 1 1 2001 A- SAN FRANCISCO PUBLIC LIBRARY Contents Page QuarterlySurveillance Summary 1 Table 1: Adult/AdolescentAIDS Cases byTransmission Category 2 Table 2: AIDS Cases byGenderand YearofDiagnosis 2 Table 3: AIDS Cases byTransmission Categoryand Race/Ethnicity 3 Table 4: AIDS Cases byTransmission Categoryand Asian/Pacific IslanderEthnicity 3 Table 5: AIDS Cases byTransmission Categoryand YearofDiagnosis 4 Table 6: AIDS Cases by Gender,Age Groupand Race/Ethnicity 5 Table 7: AIDS Cases by Race/Ethnicityand YearofDiagnosis 6 Table 8: AIDS Casesand Cumulative Rates per 100,000 by Race/Ethnicityand Gender 6 Table 9: AIDS Incidence, Mortality, and Prevalence byYear 7 Table 10: Cases by Initial AIDS-Defining Condition 8 Table 11: CumulativeAIDS IndicatorConditions among Personswith AIDS 9 Table 12: Living Adult/AdolescentAIDS Cases byTransmission Category 10 Table 13: Living AIDS Cases byTransmission Categoryand Race/Ethnicity 10 Table 14: Living AIDS Cases by Gender, Age Group and Race/Ethnicity 1 Table 15: Living AIDS Cases by InitialAIDS-Defining Condition 12 Table 16: CumulativeAIDS Indicator Conditions among Persons Living with AIDS 13 TheAIDS Surveillance Report is publishedquarterlybytheSan FranciscoDepartmentofPublic Health, HIVSeroepidemiologyand SurveillanceSection, AIDS Surveillance Unit 25Van NessAvenue, Suite500, San Francisco, CA94102: Phone(415)554-9050, FAX(415)431-0353 DirectorofHealth: Mitchell Katz, MD; Surveillance Unit Director: SandraSchwarcz, MD, MPH Surveillance UnitAssistantDirector: Ling Hsu, MPH; Field StaffCoordinator: Maree Kay Parisi Epidemiologists: Priscilla LeeChu, MPH; Susan Scheer, PhD TheAIDSSurveillanceReportisaccessibleviainternet: www.dph.sf.ca.us/PHP/AIDSSurvUnit.htm . 1 AIDS REPORTED CASES (From 07/1981 to 03/31/2001)1 San Francisco Cumulative cases: 27,484 Cumulativedeaths: 18,605 Cases reported this quarter: 162 Deaths reported this quarter: 81 California (as of03/31/01) Cumulativecases: 120,802 Cumulativedeaths: 73,992 United States (as of06/30/00) Cumulative cases: 753,907 Cumulative deaths: 438,795 San FranciscoAIDS Incidence, Mortality, and Prevalence by QuarterYear, 1980-20012 10000 8000 6000 i 4000 5" CO 2000 r i il.l.l.li 1.1.hi.1.1.1.1.1 il.LI.1. .lil.Mil.l.li Uihi.liMiliMil 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 00 01 QuarterYear Cases —t—Deaths - PersonslivingwithAIDS 1 IncludesSF residentsdiagnosedin SF, SF residentsdiagnosed inotherjurisdictions, andpersons diagnosed inSFwhoresided inotherjurisdictionsatthetimeoftheirAIDSdiagnosis. 2. Reportingforrecentquartersisincomplete. 3 1223 06447 3839 Acquired Immunodeficiency Syndrome (AIDS) Quarterly Surveillance Report Summary of Cases Meeting the CDC Surveillance Definition in San Francisco Reported through March 31, 2001 Table 1. Adult/AdolescentAIDS Cases (>12 years) by Transmission Category, San Francisco, 1980-2001 Transmission Category No. (%) Gay or bisexual male 21070 (76.8) Heterosexual male injection drug user 1316 ( 4.8) Heterosexual female injection drug user 556 ( 2.0) Gay or bisexual male injection drug user 3367 (12.3) Lesbian or bisexual injection drug user 40 (0.1) Transgender (1) 251 ( 0.9) Hemophiliac 45 ( 0.2) Heterosexual contact male (2) 84 ( 0.3) Heterosexual contact female (2) 289 ( 1.1) Transfusion recipient 205 ( 0.7) None of the above/Other (3) 200 ( 0.7) Total 27423 ( 100) Table 2. AIDS Cases by Gender and Year of Diagnosis, San Francisco, 1980-2001 Year of Diagnosis < 1991 1991 1992 1993 1994 1995 Gender No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) Male 11904 (98.1) 2498 (97.1) 2544 (95.9) 2247 (95.5) 1907 (94.5) 1658 (94.9) Female 230 ( 1.9) 74 ( 2.9) 110 ( 4.1) 105 ( 4.5) 112 ( 5.5) 89 ( 5.1) Transgender (1) Total 12134 ( 100) 2572 ( 100) 2654 ( 100) 2352 ( 100) 2019 ( 100) 1747 ( 100) Year of Diagnosis 1996 1997 1998 1999 2000 2001 Gender No. (%) No. (%) No. (7.) No. (%) No. (%) No. (%) Male 1095 (92.3) 829 (91.0) 657 (91.3) 532 (88.4) 464 (87.4) 50 (89.3) Female 91 ( 7.7) 60 ( 6.6) 51 ( 7.1) 53 ( 8.8) 57 (10.7) 5 ( 8.9) Transgender (1) 22 ( 2.4) 12 ( 1.7) 17 ( 2.8) 10 ( 1.9) 1 ( 1.8) Total 1186 ( 100) 911 ( 100) 720 ( 100) 602 ( 100) 531 ( 100) 56 ( 100) (1) Transgender information was collected since September 1996. Data prior to this are incomplete. (2) Includes persons who have had heterosexual contact with a person with AIDS or with a person who is at risk for HIV. (3) Includes persons for whom risk information is incomplete (due to death, refusal to be interviewed or loss to follow-up), cases still under investigation, or interviewed patients who offered no plausible risk for HIV. Acquired Immunodeficiency Syndrome (AIDS) Quarterly Surveillance Report Summary of Cases Meetingthe CDC Surveillance Definition in San Francisco Reported through March 31, 2001 Table 3. AIDS Cases byTransmission Category and Race/Ethnicity, San Francisco, 1980-2001 African Asian/Pacific Native White American Latino Islander American Transmission Category (1) No. (%) No. (%) No. (%) No. (%) No. (%) Adult/Adolescent Gay or bisexual male 16780 (82.4) 1575 (47.5) 2167 (74.6) 599 (76.7) 66 (50.8) Injection drug user (IDU) 657 ( 3.2) 939 (28.3) 228 ( 7.9) 38 ( 4.9) 19 (14.6) Gay or bisexual male IDU 2525 (12.4) 548 (16.5) 328 (11.3) 49 ( 6.3) 40 (30.8) Lesbian or bisexual IDU 20 ( 0.1) 12 ( 0.4) 5 ( 0.2) 2 ( 0.3) 1 ( 0.8) HemophiIiac 27 ( 0.1) 2 ( 0.1) 9 ( 0-3) 7 ( 0.9) ( 0.0) Heterosexual (2) 142 ( 0.7) 132 ( 4.0) 68 ( 2.3) 32 ( 4.1) 1 ( 0.8) Transfusion recipient 111 ( 0.5) 31 ( 0.9) 32 ( 1.1) 31 ( 4.0) ( 0.0) None of the above/Other (3) 73 ( 0.4) 55 ( 1.7) 54 ( 1.9) 16 ( 2.0) 2 ( 1-5) Pediatric (0-12 years) (4) 18 ( 0.1) 22 ( 0.7) 13 ( 0.4) 7 ( 0.9) 1 ( 0.8) Total 20353 ( 100) 3316 ( 100) 2904 ( 100) 781 ( 100) 130 ( 100) Table 4. AIDS Cases byTransmission Categoryand Asian/Pacific Islander Ethnicity, San Francisco, 1980-2001 Southeast Pacific Chinese Japanese Filipino Asian Korean Islander Other Transmission Category (1) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) Adult/Adolescent Gay or bisexual male 153 (77.7) 81 (83.5) 209 (77.1) 52 (78.8) 9 (69.2) 40 (59.7) 55 (78.6) Injection drug user (IDU) 9 ( 4.6) 1 ( 1.0) 7 ( 2.6) 4 ( 6.1) 2 (15.4) 9 (13.4) 6 ( 8.6) Gay or bisexual male IDU 6 ( 3.0) 7 ( 7.2) 22 ( 8.1) 3 ( 4.5) 1 ( 7.7) 6 ( 9.0) 4 ( 5.7) Lesbian or bisexual IDU ( 0.0) ( 0.0) ( 0.0) ( 0.0) ( 0.0) 2 ( 3.0) ( 0.0) Hemophiliac 1 ( 0.5) 2 ( 2.1) 3 ( 1.1) ( 0.0) ( 0.0) 1 ( 1.5) ( 0.0) Heterosexual (2) 4 ( 2.0) 2 ( 2.1) 14 ( 5.2) 4 ( 6.1) 1 ( 7.7) 6 ( 9.0) 1 ( 1-4) Transfusion recipient 15 ( 7.6) 3 ( 3.1) 11 ( 4.1) 1 ( 1.5) ( 0.0) 1 ( 1.5) ( 0.0) None of the above/Other (3) 6 ( 3.0) 1 ( 1.0) 4 ( 1.5) 2 ( 3.0) ( 0.0) 1 ( 1.5) 2 ( 2.9) Pediatric (0-12 years) (4) 3 ( 1.5) ( 0.0) 1 ( 0.4) ( 0.0) ( 0.0) 1 ( 1.5) 2 ( 2.9) 197 ( 100) 97 ( 100) 271 ( 100) 66 ( 100) 13 ( 100) 67 ( 100) 70 ( 100) (1) Persons with more than one risk factor (other than the combinations listed in the tables) are tabulated only in the most likely transmission category. (2) Includes persons who have had heterosexual contact with a person with AIDS or with a person who is at risk for HIV. (3) Includes persons for whom risk information is incomplete (due to death, refusal to be interviewed or loss to follow-up), cases still under investigation, or interviewed patients who offered no plausible risk for HIV. (4) Includes children who have hemophlia or other coagulation disorder, have received a blood transfusion, or who have acquired their infection from an infected mother during the perinatal period. Acquired Immunodeficiency Syndrome (AIDS) Quarterly Surveillance Report Summary of Cases Meeting the CDC Surveillance Definition in San Francisco Reported through March 31, 2001 fable 5. AIDS Cases byTransmission Category and Year of Diagnosis, San Francisco, 1980-2001 Year of Diagnosis < 1991 1991 1992 1993 1994 1995 rransmission Category (1) No. (%) No. (%) No. (%) No. (%) No. (70 No. (%) iduIt/Adolescent Gay or bisexual male 9963 (82.1) 1976 (76.8) 2008 (75.7) 1791 (76.1) 1484 (73.5) 1281 (73.3) Injection drug user (IDU) 377 ( 3.1) 167 ( 6.5) 212 ( 8.0) 180 ( 7.7) 185 ( 9.2) 175 (10.0) Gay or bisexual male IDU 1503 (12.4) 350 (13.6) 347 (13.1) 297 (12.6) 277 (13.7) 217 (12.4) Lesbian or bisexual IDU 9 ( 0.1) 2 ( 0.1) 7 ( 0.3) 6 ( 0.3) 4 ( 0.2) 4 ( 0.2) Hemophiliac 21 ( 0.2) 3 ( 0.1) 7 ( 0.3) 2 ( 0.1) 4 ( 0.2) 5 ( 0.3) Heterosexual (2) 76 ( 0.6) 30 ( 1.2) 39 ( 1.5) 40 ( 1.7) 35 ( 1.7) 32 ( 1.8) Transfusion recipient 119 ( 1.0) 24 ( 0.9) 11 ( 0.4) 17 ( 0.7) 11 ( 0.5) 10 ( 0.6) None of the above/Other (3) 37 ( 0.3) 15 ( 0.6) 19 ( 0.7) 16 ( 0.7) 15 ( 0.7) 18 ( 1.0) 'ediatric (0-12 years) (4) 29 ( 0.2) 5 ( 0.2) 4 ( 0.2) 3 ( 0.1) 4 ( 0.2) 5 ( 0.3) otal 12134 ( 100) 2572 ( 100) 2654 ( 100) 2352 ( 100) 2019 ( 100) 1747 ( 100) Year of Diagnosis 1996 1997 1998 1999 2000 2001 ransmission Category (1) No. (7.) No. (%) No. (%) No. (%) No. (%) No. (%) dult/Adolescent Gay or bisexual male 813 (68.5) 645 (70.8) 484 (67.2) 386 (64.1) 323 (60.8) 33 (58.9) Injection drug user (IDU) 156 (13.2) 126 (13.8) 97 (13.5) 98 (16.3) 96 (18.1) 12 (21.4) Gay or bisexual male IDU 156 (13.2) 94 (10.3) 104 (14.4) 74 (12.3) 67 (12.6) 4 ( 7.1) Lesbian or bisexual IDU 1 ( 0.1) 2 ( 0.2) 2 ( 0.3) 1 ( 0.2) 2 ( 0.4) ( 0.0) Hemophiliac ( 0.0) ( 0.0) 2 ( 0.3) 1 ( 0.2) ( 0.0) ( 0.0) Heterosexual (2) 34 ( 2.9) 23 ( 2.5) 15 ( 2.1) 23 ( 3.8) 25 ( 4.7) 3 ( 5.4) Transfusion recipient 5 ( 0.4) 3 ( 0.3) 1 ( 0.1) 1 ( 0.2) 3 ( 0.6) ( 0.0) None of the above/Other (3) 18 ( 1.5) 15 ( 1.6) 13 ( 1.8) 16 ( 2.7) 14 ( 2.6) 4 ( 7.1) ediatric (0-12 years) (4) 3 ( 0.3) 3 ( 0.3) 2 ( 0.3) 2 ( 0.3) 1 ( 0.2) ( 0.0) otal 1186 ( 100) 911 ( 100) 720 ( 100) 602 ( 100) 531 ( 100) 56 ( 100) (1) Persons with more than one risk factor (other than the combinations listed in the tables) are tabulated only in the most likely transmission category. (2) Includes persons who have had heterosexual contact with a person with AIDS or with a person who is at risk for HIV. (3) Includes persons for whom risk information is incomplete (due to death, refusal to be interviewed or loss to follow-up), cases still under investigation, or interviewed patients who offered no plausible risk for HIV. (4) Includes children who have hemophlia or other coagulation disorder, have received a blood transfusion, or who have acquired their infection from an infected mother during the perinatal period. Acquired Immunodeficiency Syndrome (AIDS) Quarterly Surveillance Report Summary ofCases Meeting the CDC Surveillance Definition in San Francisco Reportedthrough March 31, 2001 Table 6. AIDS Cases by Gender, Age Group and Race/Ethnicity, San Francisco, 1980-2001 Male African Asian/Pacific Native White American La1ino Islander Ame•ican Total Age (years) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) - 12 11 ( 0.1) 6 ( 0.2) 8 ( 0.3) 5 ( 0.7) 1 ( 0.9) 31 ( 0.1) 13 - 19 12 ( 0.1) 1 ( 0.0) 14 ( 0.5) 4 ( 0.6) 1 ( 0.9) 32 ( 0.1) 20 - 24 314 ( 1.6) 60 ( 2.2) 87 ( 3.2) 19 ( 2.7) 2 ( 1.7) 482 ( 1.8) 25 - 29 1802 ( 9.1) 262 ( 9.4) 386 (14.3) 83 (11.9) 23 (19.8) 2556 ( 9.8) 30 - 39 9144 (45.9) 1218 (43.9) 1331 (49.3) 308 (44.3) 58 (50.0) 12059 (46.0) 40 - 49 6361 (31.9) 862 (31.1) 643 (23.8) 202 (29.1) 23 (19.8) 8091 (30.9) 50 - 59 1809 ( 9.1) 288 (10.4) 184 ( 6.8) 52 ( 7.5) 7 ( 6.0) 2340 ( 8.9) 60 + 458 ( 2.3) 79 ( 2.8) 47 ( 1.7) 22 ( 3.2) 1 ( 0.9) 607 ( 2-3) Male subtotal 19911 ( 100) 2776 ( 100) 2700 ( 100) 695 ( 100) 116 ( 100) 26198 ( 100) Female African Asian/Pacific Native White American Latino Islender American Total Age (years) No. (%) No. (%) No. (%) No. (%) No. (%) No. (%) - 12 7 ( 1.9) 16 ( 3.5) 5 ( 3.7) 2 ( 3.1) ( 0.0) 30 ( 2.9) 13 - 19 2 ( 0.5) 1 ( 0.2) 3 ( 2.2) ( 0.0) ( 0.0) 6 ( 0.6) 20 - 24 15 ( 4.1) 11 ( 2.4) 7 ( 5.2) ( 0.0) 1 ( 8.3) 34 ( 3.3) 25 - 29 49 (13.4) 43 ( 9.4) 20 (14.9) 9 (14.1) ( 0.0) 121 (11.7) 30 - 39 148 (40.3) 187 (40.8) 49 (36.6) 21 (32.8) 9 (75.0) 414 (40.0) 40 - 49 84 (22.9) 153 (33.4) 32 (23.9) 23 (35.9) 2 (16.7) 294 (28.4) 50 - 59 29 ( 7.9) 29 ( 6.3) 11 ( 8.2) 6 ( 9.4) ( 0.0) 75 ( 7.2) 60 + 33 ( 9.0) 18 ( 3.9) 7 ( 5.2) 3 ( 4.7) ( 0.0) 61 ( 5.9) Female subtotal 367 ( 100) 458 ( 100) 134 ( 100) 64 ( 100) 12 ( 100) 1035 ( 100) Transgender (1) African Asian/Pac fie Islander White American Latino Native American Total Age (years) No. (%) No. (%) No. (%) No. (%) No. (%) 13 - 29 22 (29.3) 20 (24.4) 23 (32 9) 8 (33.3) 73 (29.1) 30 - 39 36 (48.0) 31 (37.8) 34 (48 6) 11 (45.8) 112 (44.6) 40 + 17 (22.7) 31 (37.8) 13 (18 6) 5 (20.8) 66 (26.3) Transgender subtotal 75 ( 100) 82 ( 100) 70 ( 100) 24 ( 100) 251 ( 100) (1) Transgender information was collected since September 1996. Certain age or race/ethnic groups are combined for transgender cases because of small number.