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AIDS Surveillance - General Epidemiology (through 2007)
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Instructions for downloading and using HIV/AIDS surveillance slides.

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While the content is in the public domain and no copyright restriction applies, we do ask that users preserve the slides in their current format and cite CDC as the source.

Slide 1: The upper curve represents estimated AIDS incidence (number of new cases); the lower one represents the estimated number of deaths of adults and adolescents with AIDS. The peak in 1993 was associated with the expansion of the AIDS surveillance case definition implemented in January 1993. The overall declines in new AIDS cases and deaths of persons with AIDS are due in part to the success of highly active antiretroviral therapies, introduced in 1996.   In recent years, AIDS incidence and deaths of persons with AIDS have leveled. Note: The data have been adjusted for reporting delays.
Slide 1
Estimated Number of AIDS Cases and Deaths among Adults and Adolescents with AIDS, 1985–2006—United States and Dependent Areas
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Slide 2: From the beginning of the epidemic through 2007, a total of 1,030,832 cases of AIDS were reported to CDC. Of the 1,021,242 adults and adolescents reported with AIDS, 562,637 (55%) have died. Of the 9,590 children younger than 13 years reported with AIDS, 5,625 (59%) have died. Note: Slides containing information on leading causes of death in the United States, including HIV infection and AIDS, are available at http://www.cdc.gov/hiv/topics/surveillance/resources/slides/mortality/index.htm.
Slide 2
 Reported AIDS Cases and Deaths Cumulative through 2006—United States and Dependent Areas
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Slide 3: This slide shows the distribution of AIDS cases, by age at diagnosis and sex. From the beginning of the epidemic through 2007, a total of 1,030,832 cases of AIDS have been reported to CDC: 80% were in males and 20% in females. Most of the cases were diagnosed when the men and women were 25–49 years of age.
Slide 3
Reported AIDS Cases, by Age and Sex Cumulative through 2006—United States and Dependent Areas
PDF File PDF icon or PPT File

Slide 4: This slide shows increases in the number of adults and adolescents living with AIDS in the United States and dependent areas from 1993 through 2007. The increase is due primarily to the widespread use of highly active antiretroviral therapy, introduced in 1996, which has delayed the progression of AIDS to death. At the end of 2007, an estimated 467,664 adults and adolescents were living with AIDS; of these, 77% were males and 23% were females. Note: The data have been adjusted for reporting delays.
Slide 4
Estimated Number of Adults and Adolescents Living with AIDS, by Sex, 1993–2006—United States and Dependent Areas
PDF File PDF icon or PPT File

Slide 5: The estimated number of persons living with AIDS in the United States and dependent areas increased from 169,246 at the end of 1993 to 468,578 at the end of 2007. Increases in the number of persons living with AIDS occurred in all racial/ethnic groups.   From 1993 through 2007, the number of blacks/African Americans living with AIDS increased from 58,703 to 199,876. At the end of 1997, the number of blacks/African Americans living with AIDS exceeded the number of whites living with AIDS.   From 1993 through 2007, the number of whites living with AIDS increased from 76,594 to 159,715. The number of Hispanic/Latino persons living with AIDS increased from 30,443 to 97,975.   (On slide 6, Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders are shown on a different scale.)   Note: The data have been adjusted for reporting delays. Asian/Pacific Islander legacy cases are cases that were collected under the old race/ethnicity classification system. Asian/Pacific Islander legacy cases are included in the totals for Asians. Hispanics/Latinos can be of any race.
Slide 5
Estimated Number of Persons Living with AIDS by Race/Ethnicity,1993–2006—United States and Dependent Areas
PDF File PDF icon or PPT File

Slide 6: On slide 5, the estimated number of Asians, American Indians/Alaska Natives, and Native Hawaiians/other Pacific Islanders living with AIDS is shown with the other racial/ethnic groups; on this slide, a different scale is used for the vertical axis. From 1993 through 2007, the number of Asians living with AIDS increased from 1,029 to 4,440. The number of American Indians/Alaska Natives living with AIDS increased from 539 to 1,705. The number of Native Hawaiian/other Pacific Islanders living with AIDS increased from 66 to 437.   Note: The data have been adjusted for reporting delays. Asian/Pacific Islander legacy cases are cases that were collected under the old race/ethnicity classification system. Asian/Pacific Islander legacy cases are included in the totals for Asians. Hispanics/Latinos can be of any race. Slides containing more information on HIV and AIDS in racial and ethnic minorities are available at http://www.cdc.gov/hiv/topics/surveillance/resources/slides/race-ethnicity/index.htm.
Slide 6
Estimated Number of Asians/Pacific Islanders and of American Indians/Alaska Natives Living with AIDS 1993–2006—United States and Dependent Areas
PDF File PDF icon or PPT File

Slide 7: The estimated number of adults and adolescents living with AIDS in each region of the 50 states and the District of Columbia increased from 1993 through 2007. This increase is due primarily to the widespread use of highly active antiretroviral therapy, introduced in 1996, which has delayed the progression of AIDS to death. At the end of 2007, an estimated 183,409 (40%) of adults and adolescents living with AIDS resided in the South, 130,739 (29%) in the Northeast, 91,278 (20%) in the West, 49,320 (11%) in the Midwest. Note: The data have been adjusted for reporting delays.   Regions of residence are defined as follows: Northeast—Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Midwest—Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, Wisconsin South—Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia West—Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming
Slide 7
Estimated Number of Adults and Adolescents Living with AIDS, by Region, 1993–2006—United States and Dependent Areas
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Slide 8: The distribution of AIDS cases among racial/ethnic groups has changed since the beginning of the epidemic. The percentage of AIDS cases among whites has decreased while the percentages among blacks/African Americans and Hispanics/Latinos have increased. The percentages of AIDS cases among Asians, American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders have remained relatively constant, at approximately 1% of all cases.   Of persons diagnosed with AIDS in the United States and dependent areas in 2007, 48% were black/African American, 28% were white, 21% were Hispanic/Latino, 1% were Asian, and less than 1% each were American Indian/Alaska Native and Native Hawaiian/other Pacific Islander.   Note: The data have been adjusted for reporting delays. Asian/Pacific Islander legacy cases are cases that were collected under the old race/ethnicity classification system. Asian/Pacific Islander legacy cases are included in the totals for Asians. Hispanics/Latinos can be of any race. Slides containing more information on HIV and AIDS in racial and ethnic minorities are available at http://www.cdc.gov/hiv/topics/surveillance/resources/slides/race-ethnicity/index.htm.
Slide 8
Proportion of AIDS Cases among Adults and Adolescents, by Race/Ethnicity and Year of Diagnosis, 1985–2006—United States and Dependent Areas
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Slide 9: The distribution of AIDS cases by transmission category has shifted since the beginning of the epidemic. In 1985, male-to-male sexual contact accounted for 65% of all AIDS cases; in 2007, this transmission category accounted for 46% of all AIDS cases.   The percentage of AIDS cases attributed to injection drug use increased from 19% to 31% during 1985–1994 and decreased since that time accounting for 17% of cases in 2007.   The percentage of AIDS cases attributed to male-to-male sexual contact and injection drug use decreased from 9% in 1985 to 5% in 2007.   The percentage of AIDS cases attributed to high-risk heterosexual contact increased from 3% in 1985 to 31% in 2007.   The remaining AIDS cases were those attributed to hemophilia or the receipt of blood or blood products and those in persons without an identified risk factor.   Note: The data have been adjusted for reporting delays and missing risk-factor information.
Slide 9
Proportion of AIDS Cases among Adults and Adolescents, by Transmission Category and Year of Diagnosis, 1985–2006—United States and Dependent Areas
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Slide 10: Of AIDS cases diagnosed in 2007 among male adults and adolescents, 64% were attributed to male-to-male sexual contact and 14% were attributed to injection drug use. Approximately 15% of cases were attributed to high-risk heterosexual contact and 6% were attributed to male-to-male sexual contact and injection drug use.   Most (74%) of the AIDS cases diagnosed in 2007 among female adults and adolescents were attributed to high-risk heterosexual contact, and 24% were attributed to injection drug use.   Note: The data have been adjusted for reporting delays and missing risk-factor information.
Slide 10
Proportion of AIDS Cases among Adults and Adolescents, by Sex and Transmission Category Diagnosed in 2006—50 States and DC
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Slide 11: For cases reported in 2007, AIDS rates (cases per 100,000) are shown for each state, the District of Columbia, American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands.   Areas with the highest rates in 2007 were the District of Columbia, the U.S. Virgin Islands, New York, and Maryland. The District of Columbia is a metropolitan area. Use caution when comparing its AIDS rate to state AIDS rates.
Slide 11
AIDS Rates, Reported in 2006—United States and Dependent Areas
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Slide 12: The pie chart on the left illustrates the distribution of AIDS cases reported in 2007 among racial/ethnic groups. The pie chart on the right shows the distribution of the U.S. population (excluding U.S. dependent areas) in 2007. Blacks/African Americans and Hispanics/Latinos are disproportionately affected by the AIDS epidemic in comparison with their distribution in the general population. In 2007, blacks/African Americans made up 12% of the population but accounted for 48% of reported AIDS cases in the 50 states and the District of Columbia. Hispanics/Latinos made up 15% of the population but accounted for 19% of reported AIDS cases. Whites made up 66% of the U.S. population but accounted for 31% of reported AIDS cases. Note: Asian/Pacific Islander legacy cases are cases that were collected under the old race/ethnicity classification system. Asian/Pacific Islander legacy cases are included in the totals for Asians. Hispanics/Latinos can be of any race. More information on the HIV/AIDS epidemic and HIV prevention among blacks/African Americans and Hispanics/Latinos is available in a CDC fact sheet at http://www.cdc.gov/hiv/resources/factsheets/index.htm.
Slide 12
Proportion of AIDS Cases and Population by Race/Ethnicity, Reported in 2006—50 States and DC
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Slide 13: For male adults and adolescents, in 2007 the AIDS diagnosis rate (AIDS cases per 100,000) for blacks/African Americans (81.3) was more than 7 times as high as whites (10.6) and more than twice as high as the rate for Hispanics/Latinos (31.0). Relatively few cases were diagnosed among Asian, American Indian/Alaska Native, and Native Hawaiian/other Pacific Islander males, although the rate for Native Hawaiian/other Pacific Islander (37.5) and American Indian/Alaska Native males (12.2) was higher than that for white males. Note: The data have been adjusted for reporting delays. Asian/Pacific Islander legacy cases are cases that were collected under the old race/ethnicity classification system. Asian/Pacific Islander legacy cases are included in the totals for Asians. Hispanics/Latinos can be of any race.
Slide 13
Estimated Number of AIDS Cases and Rates for Male Adults and Adolescents, by Race/Ethnicity 2006—50 States and DC
PDF File PDF icon or PPT File

Slide 14: For female adults and adolescents, in 2007 the AIDS diagnosis rate (AIDS cases per 100,000) for blacks/African Americans (39.8) was 22 times as high as whites (1.8). The estimated number of AIDS cases diagnosed among females in 2007 was similar for Hispanics/Latinos and whites, but the rate for Hispanics/Latinos (8.9) was 5 times as high as whites. Relatively few cases were diagnosed among Asian, American Indian/Alaska Native, and Native Hawaiian/other Pacific Islander females, although the rates for Native Hawaiian/other Pacific Islander (7.1) and American Indian/Alaska Native (5.0) females were higher than the rate for white females. Note: The data have been adjusted for reporting delays. Asian/Pacific Islander legacy cases are cases that were collected under the old race/ethnicity classification system. Asian/Pacific Islander legacy cases are included in the totals for Asians. Hispanics/Latinos can be of any race.
Slide 14
Estimated Number of AIDS Cases and Rates for Female Adults and Adolescents, by Race/Ethnicity 2006—50 States and DC
PDF File PDF icon or PPT File

Slide 15: In 2007, approximately 46% of all AIDS cases among adults and adolescents were in the South, followed by the Northeast (25%), the West (17%), and the Midwest (11%).   In each region, most AIDS cases among adults and adolescents were in large metropolitan areas (populations of more than 500,000).   States in the Midwest and the South had the largest percentage of AIDS cases among adults and adolescents from smaller metropolitan areas (populations of 50,000 to 500,000). In 2007, the South was the region with the largest percentage of AIDS cases among adults and adolescents from non- metropolitan areas. Note: The data have been adjusted for reporting delays. Regions of residence are defined as follows: Northeast—Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, Vermont Midwest—Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, Wisconsin South—Alabama, Arkansas, Delaware, District of Columbia, Florida, Georgia, Kentucky, Louisiana, Maryland, Mississippi, North Carolina, Oklahoma, South Carolina, Tennessee, Texas, Virginia, West Virginia West—Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Utah, Washington, Wyoming
Slide 15
Proportion of AIDS Cases among Adults and Adolescents, by Region and Size of Place of Residence, Diagnosed in 2006—50 States and DC
PDF File PDF icon or PPT File

Slide 16: This slide shows the distribution of transmission categories among AIDS cases diagnosed in 2007.   Approximately 47% of the 35,934 AIDS cases diagnosed in 2007 among adults and adolescents were attributed to male-to-male sexual contact. An additional 5% were attributed to male-to-male sexual contact and injection drug use.   Injection drug use accounted for 17% of AIDS incidence, and high-risk heterosexual contact accounted for another 31%.   Note: The data have been adjusted for reporting delays and missing risk-factor information.
Slide 16
Estimated Number and Proportion of AIDS Cases among Adults and Adolescents, by Transmission Diagnosed in 2006—United States and DC
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Slide 17: In 2007, a total of 87 cases of AIDS in children younger than 13 years of age were reported. Most (84%) of these cases were perinatally acquired.   Florida, New York, California, New Jersey, and Puerto Rico reported the largest number of cases. In 2007, 35 areas did not report any pediatric AIDS cases.
Slide 17
Estimated Number and Proportion of AIDS Cases Associated with Injection Drug Use, by Transmission Category
Diagnosed in 2006—United States and Dependent Areas
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Slide 18: Through 2007, a total of 1,030,832 persons with AIDS were reported. Persons between the ages of 25–44 years accounted for 71% of all reported cases.
Slide 18
Estimated Number and Proportion of AIDS Cases Associated with Injection Drug Use, by Race/Ethnicity Diagnosed in 2006—United States and Dependent Areas
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Slide 19: At the end of 2007, a total of 3,230 adolescents, 13–19 years of age, were reported as living with AIDS in the United States and dependent areas.
Slide 19
Reported AIDS Cases in Children <13 Years of Age at Diagnosis, 2006—United States and Dependent Areas N=93
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Slide 20: In the United States and dependent areas, the prevalence rate of AIDS among adults and adolescents was estimated at 185.1 per 100,000 at the end of 2007. The rate for adults and adolescents living with AIDS ranged from an estimated 2.2 per 100,000 in American Samoa to an estimated 1750.6 per 100,000 in the District of Columbia. The District of Columbia is a metropolitan area. Use caution when comparing its AIDS rate to state AIDS rates.   Note: The data have been adjusted for reporting delays.
Slide 20
Reported AIDS Cases, by Age Group at Diagnosis Cumulative through 2006—United States and Dependent Areas
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Slide 21: The prevalence rate of AIDS among children in the United States and dependent areas was estimated at 1.7 per 100,000 at the end of 2007. The rate for children living with AIDS ranged from an estimated zero per 100,000 in American Samoa, Guam, Idaho, Maine, Montana, Northern Mariana Islands, and Utah to an estimated 29.7 per 100,000 in the District of Columbia. The District of Columbia is a metropolitan area, use caution when comparing its AIDS rate to state AIDS rates.   Note: The data have been adjusted for reporting delays.
Slide 21
Adolescents 13–19 Years of Age Reported to be Living with AIDS Cumulative through 2006—United States and Dependent Areas N=2,875
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Slide 22: Slide 22 shows data for AIDS cases diagnosed during 1998–2005 to describe the survival of persons whose diagnoses were made during that time.   Survival (the estimated proportion of persons surviving a given length of time after diagnosis) increased with the year of diagnosis for diagnoses made during 1998–2005. Year-to-year differences were small during 2000–2005.
Slide 22
Estimated Prevalence Rates for Adults and Adolescents Living with AIDS (per 100,000 population), 2006—United States and Dependent Areas
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Slide 23: Slide 23 shows data for AIDS cases diagnosed during 1998–2005 to describe the survival of persons whose diagnosis was made during that time.   Survival decreased as age at diagnosis increased among persons at least 35 years old at diagnosis and in comparison with persons younger than 35. Survival was similar for age groups 13–24 and 25–34.
Slide 23
Estimated Prevalence Rates for Children <13 Years of Age Living with AIDS (per 100,000 population), 2006—United States and Dependent Areas
PDF File PDF icon or PPT File

Slide 24: Slide 24 shows data for AIDS cases diagnosed during 1998–2005 to describe the survival of persons whose diagnosis was made during that time.   Survival was greater among Asians, whites, and Hispanics/Latinos, than among blacks/African Americans. Results must be interpreted with caution for American Indians/Alaska Natives and Native Hawaiians/other Pacific Islanders because the numbers of persons in these racial/ethnic categories were small.   Note: Asian/Pacific Islander legacy cases are cases that were collected under the old race/ethnicity classification system. Asian/Pacific Islander legacy cases are included in the totals for Asians. Hispanics/Latinos can be of any race.
Slide 24
Proportion of Persons Surviving, by Number of Months after AIDS Diagnosis during 1998–2005 and by Year of Diagnosis—United States and Dependent Areas
PDF File PDF icon or PPT File
Last Modified: October 2, 2009
Last Reviewed: October 2, 2009
Content Source:
Divisions of HIV/AIDS Prevention
National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention
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