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January 26, 1994

Reporting AIDS in New York City-Reply

Author Affiliations

Centers for Disease Control and Prevention Atlanta, Ga
New York City Department of Health New York, NY

JAMA. 1994;271(4):274. doi:10.1001/jama.1994.03510280035027

In Reply.  —Smith et al raise an important question regarding the origin of case reports in our study. Among patients of 14 private physicians who participated in our study, completeness of AIDS case reporting was 88%, but those patients reported had likely required hospital care and were reported through New York City's hospital-based AIDS surveillance network. This is an active surveillance system in which health department staff routinely contact hospitals. The system does not depend on physician-initiated reporting, which is historically much less complete.1,2Regarding our assessment of completeness of reporting by hospitals, Smith et al are correct that we intentionally used a conservative method to calculate completeness. Nevertheless, reporting by hospitals is likely less complete in New

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