Abstract

National infant mortality rates among non-Hispanic black women are twice those of non-Hispanic white women (1). Nearly two-thirds of this disparity is attributable to a higher rate of preterm delivery (PTD) (i.e., < or = 37 weeks' gestation) among blacks (2). To investigate state-specific changes in PTD rates among blacks and whites, natality data for 1990 and 1997 were analyzed from 50 states and the District of Columbia (DC). These data indicated that, although the PTD rate was twice as high among blacks than among whites, the disparity decreased as the result of an increase in preterm births among whites and a decrease among blacks (3).

Highlights

  • FROM FEBRUARY THROUGH JUNE 1999, seven human immunodeficiency virus (HIV)-infected young persons were identified in a small town in rural Mississippi

  • Two persons were identified through routine voluntary HIV testing during sexually transmitted disease (STD) evaluations, and five were identified subsequently through contact investigation by the local health department

  • CDC recommends that local health laboratories with the capacity to perform antimicrobial susceptibility testing on N. gonorrhoeae isolates routinely test for susceptibility to antimicrobials used locally for gonorrhea treatment

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Summary

AND PREVENTION

FROM FEBRUARY THROUGH JUNE 1999, seven human immunodeficiency virus (HIV)-infected young persons were identified in a small town in rural Mississippi. A sexual contact network of 44 persons (the seven HIV-infected persons and their sex partners) was identified. HIV-infected persons and uninfected sex partners were interviewed, and a case-control analysis was performed to assess risk factors for infection. Uninfected female social contacts who had not had sex with the infected men were interviewed and compared with the HIV-infected women to assess risk factors for exposure. HIV-infected persons (five women) and 22 uninfected sex partners (10 women) indicated that HIV was acquired locally through heterosexual contact. Of the 29 persons, 15 (52%, [four infected and 11 uninfected]) had a history of other STDs, and 28 (97%) reported multiple lifetime sex partners. Interviews with seven uninfected female social contacts indicated they were similar to the infected women in age (median: 18 years for the social contacts)

Common characteristics of infected women and social contacts included low
Clinicians who suspect or identify a
Black and White
Findings
THE EIGHTH BIENNIAL SYMPOSIUM ON

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