AIDS UPDATE * SIDA: LE POINT
AIDS surveillance in Canada s of Dec. 31, 1989, the Federal Centre for In 41 of the pediatric cases (20 boys, 21 girls) AIDS had received reports of 3360 cases that the infection was acquired through perinatal transmet the surveillance case definition of AIDS mission. Infants less than 1 year of age accounted for (acquired immune deficiency syndrome).' Adults 22 of the pediatric cases and those aged from 1 to 4 accounted for 3310 of the cases (3123 men, 187 years for 18. women), and children less than 15 years of age The geographic distribution of all the cases is accounted for 50 (25 boys, 25 girls). A total of 2006 shown in Table 4. deaths (59.7%) had been reported. The distribution of the adult cases by risk factor Reference and sex are shown in Table 1. People 30 to 39 years of age accounted for the largest number of cases 1. Revision of the CDC surveillance case definition for acquired (1452 [43.9%]) (Table 2). Table 3 shows the distribuimmunodeficiency syndrome. Can Dis Wklv Rep 1987; 13: tion by primary disease and sex. 169-176
A
Table 1: Distribution of adult cases of acquired immune deficiency syndrome (AIDS) reported in Canada as of Dec. 31, 1989, by risk factor and sex Risk factor Homosexual or bisexual activity Injection drug use Both of the above Recipient of blood or blood products Heterosexual activity Origin in pattern-Il country* With person at risk of human immunodeficiency virus (HIV) infection None reported Total
No. (and %) of cases Male Female Total
2673 23 98
0 9 0
118
50
168
(5.1)
110(65.5)
86
52
138
(4.2)
103 (74.6)
38 87 3123
62
100 (3.0) 101 (3.1) 3310 (100.0)
53 (53.0) 68 (67.3) 1974 (59.6)
14
187
2673 (80.8) 32 (1.0) 98 (3.0)
No. of deaths (and % of cases)
1552 (58.1) 21 (65.6) 67 (68.4)
*Defined by the World Health Organization as countries with a high rate of HIV infection and where the predominant means of transmission is heterosexual contact.
Based on material previouslv reported in Canada Diseases Weekly Report (a publication of the Bureau of Commnunicable Disease Tunnev's Pasture. Ottawa, Ont. KIA OL2) bv the Federal Centre for AIDS, Ottawa (1989; 15: 259-261). Publication in CMAJ is with perinission of the centre and the
Epidemiology' Laboratory Centre for Disease Control, Departmnent of National Health and Welfare, bureau.
Reprint requests to: Ms. Kimnberlv D. Elinslie, acting director, Bureau of Epideiniology, and Surveillance, Federal Centre for AIDS, Departinent of National Health and Welfare, 301 Elgin St., Ottawa, Ont. KIA OL2 552
CAN MED ASSOC J 1990; 142 (6)
Table 2: Distribution of adult cases by age and sex Age, yr 15-19 20-29 30-39 40-49 > 50 Unknown
Total
Male 11 603 1394
801 314 0 3123
No. (and %) of cases Total Female 13 (0.4) 2 662 (20.0) 59 1452 (43.9) 58 823 (24.9) 22 360 (10.9) 46 0 (0.0) 0 3310 (100.0) 187
No. of deaths (and % of cases) 6 (46.2) 386 (58.3) 843 (58.1) 482 (58.6) 257 (71.4) 0 (0.0) 1974 (59.6)
Table 3: Distribution of adult cases by primary disease and sex No. (and %) of cases
Primary disease Kaposi's sarcoma With Pneumocystis carinii pneumonia Without P. carinii pneumonia P. carinii pneumonia without Kaposi's sarcoma Other opportunistic infections Other malignant diseases HIV wasting syndrome HIV encephalopathy Total
Male
Total
No. of deaths (and % of cases)
122 (3.7) 537 (16.2)
80 (65.6) 308 (57.4)
1766 (53.4) 648 (19.6) 99 (3.0) 90 (2.7) 48 (1.5) 3310 (100.0)
1041 (58.9) 397 (61.3) 71 (71.7) 47 (52.2) 30 (62.5) 1974 (59.6)
Female
121 534
1671 577 96 80
1
3
95
44
71 3 10 4
3123
187
Table 4: Geographic distribution of all AIDS cases No. (and %) of casest Total Male Female 16 637 (19.0) 621 202 (6.0) 191 -11 NA 32 (1.0) NA 41 (1.2) 1 40 44 1377 (41.0) 1333 977 (29.1) 127 850 4 19 (0.6) 15 55 (1.6) 6 49 3 (0.1) 0 3 14 (0.4) 1 13 2 (0.1) NA NA 1 (0.03) NA NA NA 3360 (100.0) NA _________
Province/territory* British Columbia Alberta
Saskatchewan Manitoba Ontario Quebec New Brunswick Nova Scotia Prince Edward Island Newfoundland Northwest Territories Yukon Territory Total
________
________
No. of
deaths 355 87 20 25 928 537 9 33 2 10 0 0 2006
Cumulative rate of AIDS per million populationt 208.5 83.2 31.8 37.8 143.9 146.1 26.4 62.0 23.0 24.6 37.5 39.4 128.2
*Where illness indicative of AIDS began. tNA = not available. tPopulation estimates from Statistics Canada, June 1, 1989.
CAN MED ASSOC J 1990; 142 (6)
553
AIDS surveillance in Canada s of Dec. 31, 1989, the Federal Centre for In 41 of the pediatric cases (20 boys, 21 girls) AIDS had received reports of 3360 cases that the infection was acquired through perinatal transmet the surveillance case definition of AIDS mission. Infants less than 1 year of age accounted for (acquired immune deficiency syndrome).' Adults 22 of the pediatric cases and those aged from 1 to 4 accounted for 3310 of the cases (3123 men, 187 years for 18. women), and children less than 15 years of age The geographic distribution of all the cases is accounted for 50 (25 boys, 25 girls). A total of 2006 shown in Table 4. deaths (59.7%) had been reported. The distribution of the adult cases by risk factor Reference and sex are shown in Table 1. People 30 to 39 years of age accounted for the largest number of cases 1. Revision of the CDC surveillance case definition for acquired (1452 [43.9%]) (Table 2). Table 3 shows the distribuimmunodeficiency syndrome. Can Dis Wklv Rep 1987; 13: tion by primary disease and sex. 169-176
A
Table 1: Distribution of adult cases of acquired immune deficiency syndrome (AIDS) reported in Canada as of Dec. 31, 1989, by risk factor and sex Risk factor Homosexual or bisexual activity Injection drug use Both of the above Recipient of blood or blood products Heterosexual activity Origin in pattern-Il country* With person at risk of human immunodeficiency virus (HIV) infection None reported Total
No. (and %) of cases Male Female Total
2673 23 98
0 9 0
118
50
168
(5.1)
110(65.5)
86
52
138
(4.2)
103 (74.6)
38 87 3123
62
100 (3.0) 101 (3.1) 3310 (100.0)
53 (53.0) 68 (67.3) 1974 (59.6)
14
187
2673 (80.8) 32 (1.0) 98 (3.0)
No. of deaths (and % of cases)
1552 (58.1) 21 (65.6) 67 (68.4)
*Defined by the World Health Organization as countries with a high rate of HIV infection and where the predominant means of transmission is heterosexual contact.
Based on material previouslv reported in Canada Diseases Weekly Report (a publication of the Bureau of Commnunicable Disease Tunnev's Pasture. Ottawa, Ont. KIA OL2) bv the Federal Centre for AIDS, Ottawa (1989; 15: 259-261). Publication in CMAJ is with perinission of the centre and the
Epidemiology' Laboratory Centre for Disease Control, Departmnent of National Health and Welfare, bureau.
Reprint requests to: Ms. Kimnberlv D. Elinslie, acting director, Bureau of Epideiniology, and Surveillance, Federal Centre for AIDS, Departinent of National Health and Welfare, 301 Elgin St., Ottawa, Ont. KIA OL2 552
CAN MED ASSOC J 1990; 142 (6)
Table 2: Distribution of adult cases by age and sex Age, yr 15-19 20-29 30-39 40-49 > 50 Unknown
Total
Male 11 603 1394
801 314 0 3123
No. (and %) of cases Total Female 13 (0.4) 2 662 (20.0) 59 1452 (43.9) 58 823 (24.9) 22 360 (10.9) 46 0 (0.0) 0 3310 (100.0) 187
No. of deaths (and % of cases) 6 (46.2) 386 (58.3) 843 (58.1) 482 (58.6) 257 (71.4) 0 (0.0) 1974 (59.6)
Table 3: Distribution of adult cases by primary disease and sex No. (and %) of cases
Primary disease Kaposi's sarcoma With Pneumocystis carinii pneumonia Without P. carinii pneumonia P. carinii pneumonia without Kaposi's sarcoma Other opportunistic infections Other malignant diseases HIV wasting syndrome HIV encephalopathy Total
Male
Total
No. of deaths (and % of cases)
122 (3.7) 537 (16.2)
80 (65.6) 308 (57.4)
1766 (53.4) 648 (19.6) 99 (3.0) 90 (2.7) 48 (1.5) 3310 (100.0)
1041 (58.9) 397 (61.3) 71 (71.7) 47 (52.2) 30 (62.5) 1974 (59.6)
Female
121 534
1671 577 96 80
1
3
95
44
71 3 10 4
3123
187
Table 4: Geographic distribution of all AIDS cases No. (and %) of casest Total Male Female 16 637 (19.0) 621 202 (6.0) 191 -11 NA 32 (1.0) NA 41 (1.2) 1 40 44 1377 (41.0) 1333 977 (29.1) 127 850 4 19 (0.6) 15 55 (1.6) 6 49 3 (0.1) 0 3 14 (0.4) 1 13 2 (0.1) NA NA 1 (0.03) NA NA NA 3360 (100.0) NA _________
Province/territory* British Columbia Alberta
Saskatchewan Manitoba Ontario Quebec New Brunswick Nova Scotia Prince Edward Island Newfoundland Northwest Territories Yukon Territory Total
________
________
No. of
deaths 355 87 20 25 928 537 9 33 2 10 0 0 2006
Cumulative rate of AIDS per million populationt 208.5 83.2 31.8 37.8 143.9 146.1 26.4 62.0 23.0 24.6 37.5 39.4 128.2
*Where illness indicative of AIDS began. tNA = not available. tPopulation estimates from Statistics Canada, June 1, 1989.
CAN MED ASSOC J 1990; 142 (6)
553
