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The completeness of AIDS case reporting, 1988: a multisite collaborative surveillance project
L Rosenblum1, J W Buehler, M W Morgan
1Division of HIV/AIDS, National Center for Infectious Diseases, Centers for Disease Control, Atlanta, Ga. 30333.
American Journal of Public Health
|November 1, 1992
Summary
Acquired immunodeficiency syndrome (AIDS) case reporting completeness was high across demographic groups and HIV exposure categories in six sites. Surveillance data provides timely and accurate information on individuals diagnosed with AIDS.
Area of Science:
- Public Health
- Epidemiology
- Infectious Disease Surveillance
Background:
- Accurate and timely surveillance of Acquired Immunodeficiency Syndrome (AIDS) is crucial for effective public health interventions.
- Assessing the completeness of AIDS case reporting is essential to understand the reliability of surveillance data.
Purpose of the Study:
- To evaluate the completeness of Acquired Immunodeficiency Syndrome (AIDS) case reporting in six different sites.
- To determine the accuracy and timeliness of current AIDS surveillance data.
Main Methods:
- Linked statewide or hospital-specific 1988 medical records with AIDS surveillance data from six sites.
- Reviewed medical records of individuals with diagnoses suggestive of Human Immunodeficiency Virus (HIV) infection or AIDS not reported by September 1989.
Main Results:
- Overall reporting completeness for AIDS cases was 92% (95% CI = 89%-96%) across six sites.
- High completeness was observed across various demographic groups (e.g., males, females, Whites, Blacks, Hispanics) and HIV exposure categories (sexual contact, injecting-drug use, heterosexual contact).
- Reporting completeness was 99% for inpatients and 90% for outpatients among Medicaid enrollees, with 82% of reported cases appearing within 5 months of diagnosis.
Conclusions:
- AIDS case reporting completeness is high overall and within major demographic and HIV exposure groups.
- Current surveillance data from these six sites are timely and accurate for monitoring individuals with AIDS.
- The findings support the utility of existing surveillance systems for public health decision-making.