The big news out of the International AIDS Conference in Mexico City this week is troubling. The Centers for Disease Control and Prevention (CDC) released its updated estimates of new HIV infections in the U.S. for 2006, revealing a total 40 percent higher than previously thought. For a study published in the August 6th edition of the Journal of the American Medical Association, researchers utilized new and more precise methods to find that about 56,300 adults and adolescents were newly infected with HIV in 2006. Their previous estimate was close to 40,000.
The CDC also used the new methods to back-calculate historical trends in HIV infections. They found that HIV infections increased sharply after 1977, the first year of data, peaking at about 130,000 per year in 1984 and 1985. Infections then began to decline, bottoming out at about 49,000 infections per year in the early 1990s. Incidents jumped again to about 58,000 in the late 1990s and have remained steady at around 55,000 each year since.
When interviewed at the conference, Dr. Kevin Fenton, M.D., Ph.D., director of the CDC's National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, called these numbers a "wake-up call" and indicated that Americans need to step-up prevention measures.
Gay and bisexual men and African Americans account for disproportionately higher numbers of new HIV infections, found the CDC. Hispanics also had a higher rate of new infections than whites, Asians, and Native Americans.
One quarter of HIV-infected people don’t know they are infected, the CDC estimates, and they account for more than half of all new infections. Because of this, the CDC recommends an HIV test for everyone between 13 and 64 years old to establish HIV status. For sexually active gay and bisexual men, and other high-risk populations, the CDC recommends at least one test per year. The American College of Obstetricians and Gynecologists recently revised their recommendations to call for routine testing of all women between 19 and 64, regardless of risk factors. The bottom line: Know your HIV status.
Read more on HIV prevention (free) and treatment (subscribers only).
—Kevin McCarthy, associate editor












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