MMWR Morb Mortal Wkly Rep. 1998 Apr 24;47(15):309-14.
Recent reports based on acquired immunodeficiency syndrome (AIDS) surveillance data have highlighted substantial declines in AIDS incidence and deaths. As a result of improvements in treatment and care of persons infected with human immunodeficiency virus (HIV), surveillance of AIDS alone no longer accurately reflects the magnitude or direction of the epidemic. Current public health and clinical recommendations promote early diagnosis and treatment of HIV disease. Data on persons in whom HIV infection is diagnosed before AIDS is diagnosed are needed to determine populations in need of prevention and treatment services. This report examines data for persons aged > or =13 years in whom HIV infection was diagnosed in 25 states that conducted name-based HIV surveillance in addition to AIDS surveillance during January 1994-June 1997. Provisional data indicate that declines in AIDS incidence in these states were not accompanied by comparable declines in the number of newly diagnosed HIV cases.
近期基于获得性免疫缺陷综合征（艾滋病）监测数据的报告突显了艾滋病发病率和死亡率的显著下降。由于对感染人类免疫缺陷病毒（HIV）者的治疗和护理有所改善，仅对艾滋病进行监测已无法准确反映该流行病的规模或趋势。当前的公共卫生和临床建议提倡对HIV疾病进行早期诊断和治疗。需要有关在诊断出艾滋病之前就被诊断出感染HIV者的数据，以确定需要预防和治疗服务的人群。本报告研究了1994年1月至1997年6月期间除艾滋病监测外还进行基于姓名的HIV监测的25个州中年龄大于或等于13岁且被诊断出感染HIV者的数据。初步数据表明，这些州艾滋病发病率的下降并未伴随着新诊断出的HIV病例数的相应下降。
