Trends in the first ten years of AIDS in New York city

FRANÇAIS :
De 1981 à 1991, 37436 cas de Sida (20% de tous les cas aux USA) ont été recensés à New York : 83% chez les hommes de plus de 19 ans, 15% chez les femmes de plus de 19 ans, 2% chez des enfants de moins de 13 ans et moins de 1% chez les adolescents de 13 à 19 ans. Les taux cumulatifs d'adultes à New York atteignent 100 pour 10 000 dans 9 districts. Globalement, si de nombreux cas concernent les homosexuels, on constate également un accroissement continu de cas de toxicomanes intraveineux et de femmes contaminées lors de rapports hétérosexuels. Les décès dus au virus HIV de femmes, hommes et enfants sont en augmentation constante du début à la fin de la décennie. La surveillance des cas new yorkais a été très utile pour l'étude de l'ensemble de l'épidémie.
ENGLISH :
With over 37,000 cases of acquired immunodeficiency syndrome (AIDS) reported by the end of 1991, New York City had reported nearly 20% of all US cases in the first decade of the AIDS epidemic. This report examines cases diagnosed through 1990 and reported through 1991 to describe rates and trends in the affected subpopulations. From 1981 through 1990, 37,436 cases of AIDS were diagnosed : 83% in men over the age of 19 years, 15% in women over 19, 2% in children under 13, and less than 1% in teenagers aged 13-19. Cumulative rates in New York City adults were as high as 100 per 10,000 in nine neighborhoods. Predominant trends included a substained plateau in reported incidence in men who reported having sex with men and a continuing rise in cases in injection drug users and women infected through heterosexual intercourse. HIV-related deaths in men, women, and children were continuing to rise at the end of the decade. During the first decade of the AIDS/HIV epidemic, case surveillance in New York City measured the visible portion of the epidemic and provided important data on subepidemics. (Extract from author's abstract)