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May 1993

Pediatric Human Immunodeficiency Virus Infection and the Acquired Immunodeficiency Syndrome: A Progress Report

Am J Dis Child. 1993;147(5):524-525. doi:10.1001/archpedi.1993.02160290030013

The number of children and adolescents in the United States infected with the human immunodeficiency virus (HIV) continues to rise at an alarming rate. Since the start of the acquired immunodeficiency syndrome (AIDS) epidemic, more than 4000 children and nearly 1000 adolescents with AIDS have been identified. In addition, there are more than 9000 young adults, 20 to 24 years of age, with AIDS who certainly acquired their infections during adolescence. Moreover, AIDS represents only one portion of the spectrum of disease resulting from infection with HIV; at least an additional 10 000 children in the United States are infected with HIV but do not yet carry an AIDS diagnosis. The HIV epidemic among children is spreading from large urban centers to include smaller cities and rural areas, particularly in the southeastern United States. This changing pattern of AIDS in children mirrors changes in the pattern of AIDS in women.