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Improvement in AIDS Case Reporting, South Carolina

Jeffrey L. Jones, MD, MPH; Pamela Rion, MSPH; Patricia Hermann, MD, MPH; Lynda Kettinger, MPH; William B. Gamble, MD, MPH
JAMA. 1991;265(3):356. doi:10.1001/jama.1991.03460030062021.
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To the Editor. —  Earlier this year we commented in a letter to The Journal1 about the reporting of acquired immunodeficiency syndrome (AIDS) cases in South Carolina before the state implemented an active surveillance program (previous to July 1987). In the 18-month study period prior to an active surveillance program, Conway et al2 found 59.5% reporting of AIDS cases. We have completed an analysis of AIDS case reporting in the subsequent 18 months during which active surveillance was started in South Carolina (July 1, 1987, through December 31, 1988), using the same methodology as Conway et al, a computerized search of a statewide hospital discharge database combined with chart review. During this 18-month period, 181 cases identified on the statewide hospital discharge database met the 1987 Centers for Disease Control AIDS case definition. Of the 181 cases, 159 (88%) had been reported to the South Carolina AIDS registry


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