Human Immunodeficiency Virus Epidemic Control in the United States: An Assessment of Proposed UNAIDS Metrics, 2010–2015

Abstract Epidemic control is necessary to eliminate human immunodeficiency virus infections. We assessed epidemic control in the United States by applying 4 proposed UNAIDS metrics to national surveillance data collected between 2010 and 2015. Although epidemic control in the United States is possible, progress by UNAIDS metrics has been mixed.

Download Full-text

Estimating the future health burden of chronic hepatitis C and human immunodeficiency virus infections in the United States

Journal of Viral Hepatitis ◽

10.1111/j.1365-2893.2006.00785.x ◽

2007 ◽

Vol 14 (2) ◽

pp. 107-115 ◽

Cited By ~ 108

Author(s):

S. Deuffic-Burban ◽

T. Poynard ◽

M. S. Sulkowski ◽

J. B. Wong

Keyword(s):

United States ◽

Human Immunodeficiency Virus ◽

Chronic Hepatitis ◽

Hepatitis C ◽

Chronic Hepatitis C ◽

The United States ◽

Virus Infections ◽

Future Health ◽

Health Burden ◽

Immunodeficiency Virus

Download Full-text

Occupationally Acquired Human Immunodeficiency Virus (HIV) Infection: National Case Surveillance Data During 20 Years of the HIV Epidemic in the United States

Infection Control and Hospital Epidemiology ◽

10.1086/502178 ◽

2003 ◽

Vol 24 (2) ◽

pp. 86-96 ◽

Cited By ~ 119

Author(s):

Ann N. Do ◽

Carol A. Ciesielski ◽

Russ P. Metler ◽

Teresa A. Hammett ◽

Jianmin Li ◽

...

Keyword(s):

United States ◽

Human Immunodeficiency Virus ◽

Hiv Infection ◽

Healthcare Workers ◽

The United States ◽

Surveillance Systems ◽

National Surveillance ◽

Immunodeficiency Virus ◽

Acquired Immunodeficiency ◽

Immunodeficiency Syndrome

AbstractObjective:To characterize occupationally acquired human immunodeficiency virus (HIV) infection detected through case surveillance efforts in the United States.Design:National surveillance systems, based on voluntary case reporting.Setting:Healthcare or laboratory (clinical or research) settings.Patients:Healthcare workers, defined as individuals employed in healthcare or laboratory settings (including students and trainees), who are infected with HIV.Methods:Review of data reported through December 2001 in the HIV/AIDS Reporting System and the National Surveillance for Occupationally Acquired HIV Infection.Results:Of 57 healthcare workers with documented occupationally acquired HIV infection, most (86%) were exposed to blood, and most (88%) had percutaneous injuries. The circumstances varied among 51 percutaneous injuries, with the largest proportion (41%) occurring after a procedure, 35% occurring during a procedure, and 20% occurring during disposal of sharp objects. Unexpected circumstances difficult to anticipate during or after procedures accounted for 20% of all injuries. Of 55 known source patients, most (69%) had acquired immunodeficiency syndrome (AIDS) at the time of occupational exposure, but some (11%) had asymptomatic HIV infection. Eight (14%) of the healthcare workers were infected despite receiving postexposure prophylaxis (PEP).Conclusions:Prevention strategies for occupationally acquired HIV infection should continue to emphasize avoiding blood exposures. Healthcare workers should be educated about both the benefits and the limitations of PEP, which does not always prevent HIV infection following an exposure. Technologic advances (eg, safety-engineered devices) may further enhance safety in the healthcare workplace

Download Full-text