Big Racial Difference in HIV Diagnosis
Blacks Still Most Affected; CDC Reports Drop in HIV Among IV Drug Users
Nov. 17, 2005 -- Federal officials reported Thursday that the number of
Americans diagnosed with human immunodeficiency virus (HIV) declined slightly
between 2001 and 2004, though blacks continue to bear the brunt of infections
in the U.S.
HIV, the virus that causes AIDS, was diagnosed in 38,685 people in 33 states
reporting data to federal officials through the end of 2004. The figure was
down slightly from 41,207 diagnoses reported in 2001.
The numbers don't actually reflect the number of new infections across the
country because some people who are newly diagnosed may have been infected for
years while hundreds of thousands of others are infected but have never been
But the figures give what public health officials say is their best picture
yet of the number of Americans who are tested and diagnosed with HIV, a key
step to entering treatment and preventing further transmissions.
Overall, officials estimate that approximately 40,000 Americans contract HIV
each year, a figure that has not changed substantially for close to a decade
despite efforts to track the virus and promote prevention.
Thursday's report shows that HIV diagnosis rates among blacks dropped about
5% per year between 2001 and 2003. But despite the declines, blacks remained
more than eight times more likely than whites to test positive.
In all, blacks accounted for 51% of HIV diagnoses during the three years
covered in the report though they make up just 13% of the U.S. population, says
Lisa Lee, an epidemiologist in the division of HIV/AIDS at the CDC.
Men remain nearly three times as likely as women to test positive for HIV.
Researchers also recorded an 8% rise in HIV diagnoses among men who have sex
with men -- also known as MSMs -- who comprise the largest single group
affected by AIDS.
"HIV continues to exact a tremendous toll on MSM of all races," says
Ronald O. Valdiserri, MD, acting director of HIV, STD, and TB prevention at
CDC. Agency officials last week reported rising levels of syphilis among men
who have sex with men, suggesting that unsafe sex practices may be on the rise
in that group.
Drop in Drug Users
Officials reported an average 9% yearly drop in diagnosis among injection
drug users, a group at high risk for infections. They attributed the drop
largely to New York state, which began reporting HIV diagnosis data to the CDC
in 2001 and was counted in the report for the first time.
New York has widespread needle exchange programs that help drug users avoid
sharing dirty syringes.
The federal government maintains a ban on funding such programs because of
concerns that they encourage drug use, but states remain free to use them.
Valdiserri attributed part of the drop to "access to sterile injection
"That likely really is a decrease in new infections we're seeing over
time," he says.
"The decline in HIV diagnosis among intravenous drug users is consistent
with prior studies, suggesting that prevention efforts have helped reduce new
HIV populations in this population," the CDC report states.