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HIV/AIDS: federal and state efforts to identify infected individuals and connect them to care: report to congressional requesters
by:United States. Government
Original publisher: [Washington, D.C.] : U.S. Govt. Accountability Office,  OCLC Number: (OCoLC)502244817 Subject: Interagency coordination -- United States. Excerpt: ... diagnoses, the number of deaths among persons with HIV, the number of persons living with HIV or AIDS, and the estimated number of new HIV infections. HIV laboratory tests,...
Original publisher: [Washington, D.C.] : U.S. Govt. Accountability Office,  OCLC Number: (OCoLC)502244817 Subject: Interagency coordination -- United States. Excerpt: ... diagnoses, the number of deaths among persons with HIV, the number of persons living with HIV or AIDS, and the estimated number of new HIV infections. HIV laboratory tests, specifically CD4 or viral load tests, can be used to determine the stage of the disease, measure unmet health care needs among HIV-infected persons, and evaluate HIV testing and screening 29 activities. Current CDC estimates related to HIV are not based on data from all states because not all states have been reporting such data by name long enough to be included in CDC's estimates. While all states collect AIDS case counts through name-based systems, prior to 2008 states collected HIV 30 data in one of two different formats, either by name or by code. CDC does not accept code-based case counts for counting HIV cases because CDC does not consider them to be accurate and reliable, primarily because they include duplicate case counts. In order for CDC to use HIV case counts from a state for CDC's estimated diagnoses of HIV infection, the name-based system must be mature, meaning that the state has been reporting HIV name-based data to CDC for 4 full calendar years. CDC requires this time period to allow for the stabilization of data collection and for adjustment of the data in order to monitor trends. In its most recent surveillance report, CDC used the name-based HIV case counts from 34 states and 5 territories and associated jurisdictions in its national 29 CD4 cells help the body fight infection and are susceptible to attack by the HIV virus. A CD4 test is used to determine the number of CD4 cells in the blood to assess the functioning of the immune system. An HIV-positive individual will have a lower CD4 cell count than an individual without HIV. A viral load test measures the amount of HIV in the blood. 30 In name...
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