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Updated: Aug 14, 2026

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
Trends in HIV/AIDS diagnoses--33 states, 2001-2004
Insights
HIV diagnoses decreased among Black individuals, but remained disproportionately high. Enhanced HIV surveillance and care access are crucial for prevention among affected populations.
Area of Science:
- Public Health
- Epidemiology
- Infectious Diseases
Background:
- Advances in highly active antiretroviral therapy (HAART) have increased lifespan for individuals with human immunodeficiency virus (HIV).
- Acquired immunodeficiency syndrome (AIDS) surveillance is no longer sufficient for monitoring the current HIV epidemic.
- The Centers for Disease Control and Prevention (CDC) recommends confidential, name-based HIV reporting systems.
Purpose of the Study:
- To describe characteristics of individuals diagnosed with HIV infection between 2001-2004.
- To analyze trends in HIV diagnosis rates using name-based reporting data.
Main Methods:
- Analysis of HIV infection diagnoses reported to 33 state and local health departments utilizing name-based surveillance.
- Comparison of HIV diagnosis rates across different racial/ethnic groups from 2001 to 2004.
Main Results:
- The rate of HIV diagnosis decreased among non-Hispanic Black individuals from 2001 to 2004.
- Despite a decrease, HIV diagnosis rates remained disproportionately high among Black individuals.
- In 2004, the HIV diagnosis rate for Black individuals was 8.4 times higher than for White individuals.
Conclusions:
- Name-based HIV surveillance provides valuable data for understanding the epidemic.
- Targeted interventions are needed to address the persistent disparities in HIV diagnosis rates among Black populations.
- Improving HIV status awareness and access to care and prevention services is essential to reduce new infections.
Abstract:
In 2003, more than 1 million persons in the United States were estimated to be living with human immunodeficiency virus (HIV) infection. As a result of advances in treatment with highly active antiretroviral therapy (HAART) since 1996, persons infected with HIV are living longer than before and progression to acquired immunodeficiency syndrome (AIDS) has decreased. Consequently, AIDS surveillance no longer provides accurate population-based monitoring of the current HIV epidemic. Therefore, CDC recommends that all states and territories adopt confidential, name-based surveillance systems to report HIV infection. This report describes the characteristics of persons for whom HIV infection was diagnosed during 2001-2004 and reported to 33 state and local health departments with name-based HIV reporting. The findings indicate that the rate of HIV diagnosis in these states decreased among non-Hispanic blacks from 2001 to 2004; however, the rate of HIV diagnosis among blacks remained disproportionately high. In 2004, the rate among blacks was 8.4 times higher than among whites. Improved knowledge of HIV status and access to care and prevention services is important to decrease the number of new HIV infections among those populations most affected.
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