Abstract
OBJECTIVES. The purpose of this study was to describe the establishment of a national surveillance system for newly acquired human immunodeficiency virus (HIV) infection and present the first 3 years' results. METHODS. All new cases of diagnosed HIV infection were reported to the national HIV surveillance center through state and territory health authorities. Information sought on each case included evidence of whether the infection had been newly acquired, defined by the diagnosis of HIV seroconversion illness or by the report of a negative or indeterminate HIV antibody test result occurring within the 12 months prior to diagnosis of infection. RESULTS. Of 3602 reported cases of HIV infection in adults and adolescents newly diagnosed in Australia between 1991 and 1993, 11.4% were identified as newly acquired. The majority (85%) of cases of newly diagnosed HIV infection occurred among men who reported homosexual contact, and 15% of these cases were identified as newly acquired. Average age at diagnosis was 31 years for cases of newly acquired infection and 34 years for other cases. CONCLUSIONS. Surveillance for newly acquired HIV infection has been established at a national level in Australia and provides valuable information for planning primary HIV prevention programs.
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- Bacchetti P., Moss A. R. Incubation period of AIDS in San Francisco. Nature. 1989 Mar 16;338(6212):251–253. doi: 10.1038/338251a0. [DOI] [PubMed] [Google Scholar]
- Burcham J. L., Tindall B., Marmor M., Cooper D. A., Berry G., Penny R. Incidence and risk factors for human immunodeficiency virus seroconversion in a cohort of Sydney homosexual men. Med J Aust. 1989 Jun 5;150(11):634–639. doi: 10.5694/j.1326-5377.1989.tb136727.x. [DOI] [PubMed] [Google Scholar]
- Dax E. M., Vandenbelt T. A. HIV antibody testing in Australia. J Acquir Immune Defic Syndr. 1993;6 (Suppl 1):S24–S28. [PubMed] [Google Scholar]
- Evans B. G., Catchpole M. A., Heptonstall J., Mortimer J. Y., McCarrigle C. A., Nicoll A. G., Waight P., Gill O. N., Swan A. V. Sexually transmitted diseases and HIV-1 infection among homosexual men in England and Wales. BMJ. 1993 Feb 13;306(6875):426–428. doi: 10.1136/bmj.306.6875.426. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Garland F. C., Mayers D. L., Hickey T. M., Miller M. R., Shaw E. K., Gorham E. D., Bigbee L. R., McNally M. M. Incidence of human immunodeficiency virus seroconversion in US Navy and Marine Corps personnel, 1986 through 1988. JAMA. 1989 Dec 8;262(22):3161–3165. [PubMed] [Google Scholar]
- Gertig D., Crofts N., Stevenson E., Breschkin A. The epidemiology of HIV-1 infection in Victoria. The Victorian Collaborative Group on HIV and AIDS Surveillance (VCGHAS). Med J Aust. 1993 Jan 4;158(1):17–20. [PubMed] [Google Scholar]
- Holman C. D., Cameron P. V., Bucens M. R., Keller A. J., Machin J., McNulty J. C. Population-based epidemiology of human immunodeficiency virus infection in Western Australia. Western Australian AIDS Advisory Committee. Med J Aust. 1989 Apr 3;150(7):362-4, 367, 370. [PubMed] [Google Scholar]
- Kaldor J., Elford J., Wodak A., Crofts J. N., Kidd S. HIV prevalence among IDUs in Australia: a methodological review. Drug Alcohol Rev. 1993;12(2):175–184. doi: 10.1080/09595239300185611. [DOI] [PubMed] [Google Scholar]
- Kaldor J., McDonald A. M., Blumer C. E., Gertig D. M., Patten J. J., Roberts M., Walker C. C., Mullins S. E., Bailey K. A., Chuah J. C. The acquired immunodeficiency syndrome in Australia: incidence 1982-1991. Med J Aust. 1993 Jan 4;158(1):10–17. doi: 10.5694/j.1326-5377.1993.tb121640.x. [DOI] [PubMed] [Google Scholar]
- Kaldor J., Williamson P., Guinan J. J., Imrie A., Gold J. Falling incidence of HIV infection in a cohort of clinic attenders. Aust J Public Health. 1993 Dec;17(4):334–338. doi: 10.1111/j.1753-6405.1993.tb00165.x. [DOI] [PubMed] [Google Scholar]
- McDonald A. M., Crofts N., Blumer C. E., Gertig D. M., Patten J. J., Roberts M., Davey T., Mullins S. E., Chuah J. C., Bailey K. A. The pattern of diagnosed HIV infection in Australia, 1984-1992. AIDS. 1994 Apr;8(4):513–519. doi: 10.1097/00002030-199404000-00015. [DOI] [PubMed] [Google Scholar]
- Reid C. B., Kaldor J. M., Lord R. S., Cooper D. A. HIV risk factors and seroprevalence in surgical patients. Med J Aust. 1993 Jan 4;158(1):21–23. doi: 10.5694/j.1326-5377.1993.tb121642.x. [DOI] [PubMed] [Google Scholar]
- Rosenberg P. S., Biggar R. J., Goedert J. J. Declining age at HIV infection in the United States. N Engl J Med. 1994 Mar 17;330(11):789–790. doi: 10.1056/NEJM199403173301114. [DOI] [PubMed] [Google Scholar]
- Tindall B., Cooper D. A. Primary HIV infection: host responses and intervention strategies. AIDS. 1991 Jan;5(1):1–14. [PubMed] [Google Scholar]
- Waight P. A., Rush A. M., Miller E. Surveillance of HIV infection by voluntary testing in England. Commun Dis Rep CDR Rev. 1992 Jul 17;2(8):R85–R90. [PubMed] [Google Scholar]