CAUCASIAN TEEN CASES (entire USA) BETWEEN July 1983 and December 2001 =
916.
NINE HUNDRED AND SIXTEEN in nearly 18 years or a mere 51 cases a year.
NOT EVEN ONE CAUCASIAN TEEN CASE PER US STATE A YEAR.
NOT EVEN ONE!
Check for yourself at: - http://www.cdc.gov/hiv/stats/hasr1302/table7.htm
In the same period people over 60 (caucasian) had 9,338 cases.
Those old folks must be sex mad - Nine times MORE sex than teenagers.
....or could it just be that 'AIDS' is not an std?
Surely not? God forbid! Perish the thought!
________
Appendix: Revised Surveillance Case Definition for HIV Infection*
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr4813a2.htm
This revised definition of HIV infection, which applies to any HIV (e.g.,
HIV-1 or HIV-2), is intended for public health surveillance only. It
incorporates the reporting criteria for HIV infection and AIDS into a
single case definition. The revised criteria for HIV infection update the
definition of HIV infection implemented in 1993 (18); the revised HIV
criteria apply to AIDS-defining conditions for adults (18) and children
(17,19), which require laboratory evidence of HIV. This definition is not
presented as a guide to clinical diagnosis or for other uses (17,18).
I. In adults, adolescents, or children aged greater than or equal to 18
months**, a reportable case of HIV infection must meet at least one of the
following criteria:
Laboratory Criteria
*
* Positive result on a screening test for HIV antibody (e.g., repeatedly
reactive enzyme immunoassay), followed by a positive result on a
confirmatory (sensitive and more specific) test for HIV antibody (e.g.,
Western blot or immunofluorescence antibody test)
or
* Positive result or report of a detectable quantity on any of the
following HIV virologic (nonantibody) tests:
* HIV nucleic acid (DNA or RNA) detection (e.g., DNA polymerase chain
reaction [PCR] or plasma HIV-1 RNA)***
* HIV p24 antigen test, including neutralization assay
* HIV isolation (viral culture)
OR
Clinical or Other Criteria (if the above laboratory criteria are not met)
*
* Diagnosis of HIV infection, based on the laboratory criteria above, that
is documented in a medical record by a physician
or
* Conditions that meet criteria included in the case definition for AIDS
(17-19)
*
II. In a child aged less than 18 months, a reportable case of HIV
infection must meet at least one of the following criteria:
Laboratory Criteria
Definitive
*
* Positive results on two separate specimens (excluding cord blood) using
one or more of the following HIV virologic (nonantibody) tests:
* HIV nucleic acid (DNA or RNA) detection
* HIV p24 antigen test, including neutralization assay, in a child greater
than or equal to 1 month of age
* HIV isolation (viral culture)
or
Presumptive
A child who does not meet the criteria for definitive HIV infection but
who has:
*
* Positive results on only one specimen (excluding cord blood) using the
above HIV virologic tests and no subsequent negative HIV virologic or
negative HIV antibody tests
OR
Clinical or Other Criteria (if the above definitive or presumptive
laboratory criteria are not met)
*
* Diagnosis of HIV infection, based on the laboratory criteria above, that
is documented in a medical record by a physician
or
* Conditions that meet criteria included in the 1987 pediatric
surveillance case definition for AIDS (17,19)
*
III. A child aged less than 18 months born to an HIV-infected mother will
be categorized for surveillance purposes as "not infected with HIV" if the
child does not meet the criteria for HIV infection but meets the following
criteria:
Laboratory Criteria
Definitive
*
* At least two negative HIV antibody tests from separate specimens
obtained at greater than or equal to 6 months of age
or
* At least two negative HIV virologic tests* from separate specimens, both
of which were performed at greater than or equal to 1 month of age and one
of which was performed at greater than or equal to 4 months of age
AND
No other laboratory or clinical evidence of HIV infection (i.e., has not
had any positive virologic tests, if performed, and has not had an
AIDS-defining condition)
or
Presumptive
A child who does not meet the above criteria for definitive "not infected"
status but who has:
*
* One negative EIA HIV antibody test performed at greater than or equal to
6 months of age and NO positive HIV virologic tests, if performed
or
* One negative HIV virologic test* performed at greater than or equal to 4
months of age and NO positive HIV virologic tests, if performed
or
* One positive HIV virologic test with at least two subsequent negative
virologic tests****, at least one of which is at greater than or equal to
4 months of age; or negative HIV antibody test results, at least one of
which is at greater than or equal to 6 months of age
AND
No other laboratory or clinical evidence of HIV infection (i.e., has not
had any positive virologic tests, if performed, and has not had an
AIDS-defining condition).
OR
Clinical or Other Criteria (if the above definitive or presumptive
laboratory criteria are not met)
*
* Determined by a physician to be "not infected", and a physician has
noted the results of the preceding HIV diagnostic tests in the medical
record
AND
NO other laboratory or clinical evidence of HIV infection (i.e., has not
had any positive virologic tests, if performed, and has not had an
AIDS-defining condition)
*
IV. A child aged less than 18 months born to an HIV-infected mother will
be categorized as having perinatal exposure to HIV infection if the child
does not meet the criteria for HIV infection (II) or the criteria for "not
infected with HIV" (III).
* Draft revised surveillance criteria for HIV infection were approved and
recommended by the membership of the Council of State and Territorial
Epidemiologists (CSTE) at the 1998 annual meeting (11). Draft versions of
these criteria were previously reviewed by state HIV/AIDS surveillance
staffs, CDC, CSTE, and laboratory experts. In addition, the pediatric
criteria were reviewed by an expert panel of consultants. [External
Pediatric Consultants: C. Hanson, M. Kaiser, S. Paul, G. Scott, and P.
Thomas. CDC staff: J. Bertolli, K. Dominguez, M. Kalish, M.L. Lindegren,
M. Rogers, C. Schable, R.J. Simonds, and J. Ward]
** Children aged greater than or equal to 18 months but less than 13 years
are categorized as "not infected with HIV" if they meet the criteria in
III.
*** In adults, adolescents, and children infected by other than perinatal
exposure, plasma viral RNA nucleic acid tests should NOT be used in lieu
of licensed HIV screening tests (e.g., repeatedly reactive enzyme
immunoassay). In addition, a negative (i.e., undetectable) plasma HIV-1
RNA test result does not rule out the diagnosis of HIV infection.
**** HIV nucleic acid (DNA or RNA) detection tests are the virologic
methods of choice to exclude infection in children aged less than 18
months. Although HIV culture can be used for this purpose, it is more
complex and expensive to perform and is less well standardized than
nucleic acid detection tests. The use of p24 antigen testing to exclude
infection in children aged less than 18 months is not recommended because
of its lack of sensitivity.
Disclaimer * All MMWR HTML versions of articles are electronic conversions
from ASCII text into HTML. This conversion may have resulted in character
translation or format errors in the HTML version. Users should not rely on
this HTML document, but are referred to the electronic PDF version and/or
the original MMWR paper copy for the official text, figures, and tables.
An original paper copy of this issue can be obtained from the
Superintendent of Documents, U.S. Government Printing Office (GPO),
Washington, DC 20402-9371; telephone: (202) 512-1800. Contact GPO for
current prices.
**Questions or messages regarding errors in formatting should be addressed
to mmwrq@cdc.gov.
