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The MMWR is embargoed until 12 Noon, ET, Thursdays.
Notice to Readers Resumption of Routine Schedule for Diphtheria and Tetanus Toxoids and Acellular Pertussis Vaccine and Measles, Mumps, and Rubella Vaccine Contact: Greg Wallace, MD, MPH MMWR Surveillance Summaries Hysterectomy Surveillance ― United States, 19941999 Contact: Susan Hillis, PhD Malaria Surveillance ― United States, 2000 Contact: Louise Causer, MBBS Note: The Surveillance Summaries are not attached. The document is available online at http://www.cdc.gov/mmwr/mmwr_ss.html. Note: There is no telebriefing scheduled for July 11, 2002. Synopsis for July 12, 2002Infant Mortality and Low Birth Weight Among Black and White Infants ― United States, 19802000Although infant mortality rates have decreased over the last 20 years, the gap between black and white infant mortality continues to widen.
In 1980, black infants were two times more likely to die than white infants. In 2000, black infants were 2.5 times more likely to die than white infants. Studies demonstrate that black-white disparities in low birth weight are complex and not explained entirely by demographic risk factors such as maternal age, education or income. Factors that might contribute to the disparity include racial differences in maternal medical conditions, stress, lack of social support, bacterial vaginosis, previous preterm delivery, and maternal health experiences that might be unique to black women. National maternal and infant health objectives for 2010 aim to reduce deaths among infants <1 year to <4.5 per 1,000 live births among all racial/ethnic groups. Update: AIDS ― United States, 2000The number of new AIDS diagnoses (AIDS incidence) has stabilized.
Declines in AIDS deaths have slowed and the number of people living with AIDS has continued to grow. Following sharp declines in AIDS incidence between 1996 and 1998, AIDS incidence in the U.S. has since stabilized at roughly 40,000 diagnoses per year. Trends vary by region, racial/ethnic groups, and HIV exposure category, but have declined or leveled in all areas and groups with the exception of slight increases among those exposed heterosexually, and those residing in the Northeast. The number of AIDS deaths continued to decline between 1996 and 2000, but the rate of decline has slowed in recent years. Further reductions in AIDS incidence and deaths will require improved access to and use of HIV testing, expanded access to care, and improvements in HIV therapies. Diagnosis and Reporting of HIV and AIDS in States with HIV/AIDS Surveillance ― United States, 19942002HIV diagnoses in these 25 states declined steadily from 1994 through 1999 but stabilized during the latter part of the decade.
The overall stability in these states in recent years masks an increase in HIV diagnoses among individuals exposed through heterosexual contact. The majority of diagnoses in these states occurred among African-Americans, pointing to the disproportionate toll of the epidemic in this population. The declines in HIV diagnoses from 1994 through 1999 occurred almost exclusively among 25-44 year-olds and were likely the result of both prevention efforts and declines in HIV incidence from its peak in the late 1980s. HIV diagnoses among 13-24 year-olds, a better indication of recent infections, remained roughly stable throughout the study period. Roughly 25 percent of persons diagnosed with HIV throughout the period of analysis had AIDS at the time of diagnosis.
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