"AIDS Toll Underestimated in IV Drug Users"

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Important note: Information in this article was accurate in 1988. The state of the art may have changed since the publication date.

"AIDS Toll Underestimated in IV Drug Users"

Science News (11/12/88) Vol. 134, No. 20, P. 311
Fackelmann, K.

Abstract: AIDS-related deaths among New York City's intravenous (IV) drug abusers are greatly underestimated, according to a report in the Nov. 11 Science magazine by Don Des Jarlais of the New York State Division of Substance Abuse Services, Rand L. Stoneburner of the New York City Department of Health, and their colleagues. Between 1982 and 1986, the city recorded 1197 official AIDS deaths among IV drug users. While researching narcotics-related death rates, however, Des Jarlais and his colleagues found an additional 2520 deaths that they believe were AIDS-related. Public health researchers have long suspected that officially recorded narcotics-related deaths, which have sharply risen since 1982, hide a large number of AIDS-related deaths. Stoneburner and his colleagues suggest that many addicts with AIDS-weakened immune systems succumb to tuberculosis, heart-valve infection, pneumonia, and other conditions that were not included among opportunistic infections that meet the strict Centers for Disease Control AIDS definition. Minority IV drug abusers seem most likely to be exposed to these pathogens and less likely to receive prompt treatment.
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