MMWR Recomm Rep. 1999 Dec 10;48(RR-13):1-27, 29-31.
CDC recommends that all states and territories conduct case surveillance for human immunodeficiency virus (HIV) infection as an extension of current acquired immunodeficiency syndrome (AIDS) surveillance activities. The expansion of national surveillance to include both HIV infection and AIDS cases is a necessary response to the impact of advances in antiretroviral therapy, the implementation of new HIV treatment guidelines, and the increased need for epidemiologic data regarding persons at all stages of HIV disease. Expanded surveillance will provide additional data about HIV-infected populations to enhance local, state, and federal efforts to prevent HIV transmission, improve allocation of resources for treatment services, and assist in evaluating the impact of public health interventions. CDC will provide technical assistance to all state and territorial health departments to continue or establish HIV and AIDS case surveillance systems and to evaluate the performance of their surveillance programs. This report includes a revised case definition for HIV infection in adults and children, recommended program practices, and performance and security standards for conducting HIV/AIDS surveillance by local, state, and territorial health departments. The revised surveillance case definition and associated recommendations become effective January 1, 2000.
美国疾病控制与预防中心建议,所有州和地区开展人类免疫缺陷病毒(HIV)感染病例监测,作为当前获得性免疫缺陷综合征(AIDS,艾滋病)监测活动的延伸。将国家监测范围扩大到包括HIV感染和艾滋病病例,是对抗逆转录病毒疗法进展的影响、新的HIV治疗指南的实施,以及对HIV疾病各阶段人群流行病学数据需求增加的必要回应。扩大监测将提供有关HIV感染人群的更多数据,以加强地方、州和联邦预防HIV传播的努力,改善治疗服务资源的分配,并协助评估公共卫生干预措施的影响。美国疾病控制与预防中心将向所有州和地区卫生部门提供技术援助,以继续或建立HIV和艾滋病病例监测系统,并评估其监测项目的绩效。本报告包括成人和儿童HIV感染的修订病例定义、推荐的项目实践,以及地方、州和地区卫生部门开展HIV/AIDS监测的绩效和安全标准。修订后的监测病例定义及相关建议于2000年1月1日生效。