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"CDC recommends that all states and territories conduct case surveillance for human immunodeficiency virus (HIV) infection as an extension of current acquired immunodeficiency syndrome (AIDS) surveillance activities. The expansion of national surveillance to include both HIV infection and AIDS cases is a necessary response to the impact of advances in antiretroviral therapy, the implementation of new HIV treatment guidelines, and the increased need for epidemiologic data regarding persons at all stages of HIV disease. Expanded surveillance will provide additional data about HIV-infected populations to enhance local, state, and federal efforts to prevent HIV transmission, improve allocation of resources for treatment services, and assist in evaluating the impact of public health interventions. CDC will provide technical assistance to all state and territorial health departments to continue or establish HIV and AIDS case surveillance systems and to evaluate the performance of their surveillance programs. This report includes a revised case definition for HIV infection in adults and children, recommended program practices, and performance and security standards for conducting HIV/AIDS surveillance by local, state, and territorial health departments. The revised surveillance case definition and associated recommendations become effective January 1, 2000." CDC-HIV monitoring

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Guidelines for National Human Immunodeficiency Virus Case Surveillance, Including Monitoring for Human Immunodeficiency Virus Infection and Acquired Immunodeficiency Syndrome

This report provides a revised case definition for HIV infection in adults and children, recommended program practices, and performance and security standards for conducting HIV/AIDS surveillance by local, state, and territorial health departments. The case definition for HIV infection was revised in consultation with CSTE and includes the current AIDS surveillance criteria as a component (11). The recommended program practices and performance and security standards are based on a) the established practices of AIDS and other public health surveillance systems; b) reviews of state and local surveillance programs, confidentiality statutes, and security procedures; c) studies of the performance of surveillance systems; d) ongoing evaluations of determinants of test-seeking or test-avoidance in relation to state policies and practices on HIV testing and reporting; and e) discussions at a consultation held by CDC and CSTE in May 1997. A draft of this report was made available for public comment from December 10, 1998, to January 11, 1999, through a notice published in the Federal Register

 

 


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