The Centers for Disease Control and Prevention maintains a national surveillance system that provides data about the HIV/AIDS epidemic for program planning and resource allocation. Until recently, incidence of HIV infection (i.e., the number of individuals recently infected with HIV) has not been directly measured. New serologic testing methods make it possible to distinguish between recent and long-standing HIV-1 infection on a population level. This article describes the new National HIV Incidence Surveillance System.
References
1.
Institute of Medicine. No time to lose: getting more from HIV prevention. Washington: National Academy of Sciences; 2000.
2.
JanssenRSSattenGAStramerSLRawalBDO'BrienTRWeiblenBJ. New testing strategy to detect early HIV-1 infection for use in incidence estimates and for clinical and prevention purposes. JAMA1998;280:42–8.
3.
RosenbergPS. Scope of the AIDS epidemic in the United States. Science1995;270:1372–5.
4.
KaronJMKhareMRosenbergPS. The current status of methods for estimating the prevalence of human immunodeficiency virus in the United States of America. Stat Med1998;17:127–42.
5.
VuMQSteketeeRWValleroyLWeinstockHKaronJJanssenR. HIV incidence in the United States, 1978–1999. J Acquir Immune Defic Syndr2002;31:188–201.
6.
KaplanEHBrookmeyerR. Snapshot estimators of recent HIV incidence rates. Operations Research1999;47:29–37.
7.
BrookmeyerRQuinnTC. Estimation of current human immunodeficiency virus incidence rates for a cross-sectional survey using early diagnostic tests. Am J Epidemiol1995;141:166–72.
8.
NakashimaAKFlemingPL. HIV/AIDS surveillance in the United States, 1981–2001. J Acquir Immune Defic Syndr2003;32 (Suppl 1):S68–85.
9.
Centers for Disease Control and Prevention (US). HIPAA privacy rule and public health: guidance from CDC and the U.S. Department of Health and Human Services. MMWR Morb Mortal Wkly Rep2003;52(Suppl):1–17, 19–20.
ParekhBSKennedyMSDobbsTPauCPByersRGreenT. Quantitative detection of increasing HIV type 1 antibodies after seroconversion: a simple assay for detecting recent HIV infection and estimating incidence. AIDS Res Hum Retroviruses2002;18:295–307.
12.
RehleTPurenAZumaKPillayVDanaPShisanaO. National HIV prevalence and BED HIV incidence estimates: South Africa 2005. In: Abstract from XIII Conference on Retroviruses and Opportunistic Infections (CROI);2006 Feb 5–9; Denver, CO.
13.
GlynnMKLeeLMMcKennaMT. The status of national HIV case surveillance, United States 2006. Public Health Rep2007;122(Suppl 1):63–71.
14.
MortimerJYSalathielJA. “Soundex” codes of surnames provide confidentiality and accuracy in a national HIV database. Commun Dis Rep CDR Rev1995;5:R183–6.
15.
Council of State and Territorial Epidemiologists. Reciprocal (interstate) notification of HIV cases. 01-ID-04 [cited 2006 Sep 13]. Available from: URL: http://www.CSTE.org/ps/2001/2001-id-04.htm.
16.
SongRKaronJMWhiteEGoldbaumG. Estimating the distribution of a renewal process from times at which events from an independent process are detected. Biometrics2006;62:838–46.
17.
ChaissonREKerulyJCMooreRD. Race, sex, drug use, and progression of human immunodeficiency virus disease. N Engl J Med1995;333:751–6.
18.
LonginiIMJrClarkWSGardnerLIBrundageJF. The dynamics of CD4+ T-lymphocyte decline in HIV-infected individuals: a Markov modeling approach. J Acquir Immun Defic Syndr1991;4:1141–7.
