You are viewing an obsolete version of the DU website which is no longer supported by the Administrators. Visit The New DU.
Democratic Underground Latest Greatest Lobby Journals Search Options Help Login
Google

Reply #131: My link was the CDC. Again: do feel free to provide information you consider more accurate. [View All]

Printer-friendly format Printer-friendly format
Printer-friendly format Email this thread to a friend
Printer-friendly format Bookmark this thread
This topic is archived.
Home » Discuss » Archives » General Discussion (1/22-2007 thru 12/14/2010) Donate to DU
struggle4progress Donating Member (1000+ posts) Send PM | Profile | Ignore Mon Dec-07-09 09:04 PM
Response to Reply #114
131. My link was the CDC. Again: do feel free to provide information you consider more accurate.
I provided another link ( http://www.avert.org/usa-race-age.htm ) above, which indicates that 75% of known (M and F) HIV infections in the US are believed to result from MSM and/or intravenous drug use (IDU): this suggests that HIV contamination of blood could be reduced by a factor of four simply by eliminating those two groups as donors -- and since no HIV test is perfect, one might still expect a similar four-fold reduction in HIV contamination of HIV-tested blood by eliminating those two groups as donors

I also provided above a link ( http://egov.cityofchicago.org/webportal/COCWebPortal/COC_EDITORIAL/STD_HIV_AIDS_Chicago_July09.pdf ) to Chicago's survey last summer, which estimated 17+% HIV status for MSM (half of the individuals being unaware of their HIV status), compared to an overall rate in Chicago of 1.2%. If one adopts (say) 5-6% as the rate of MSM (see: http://www.kinseyinstitute.org/resources/bib-homoprev.html), this would suggest 75-87% of Chicago male HIV infection is associated with MSM, which is roughly consistent with the 70% estimate one obtains with national data from the avert link above. You are free, of course, to argue that the Chicago survey somehow completely failed to sample a large uninfected MSM subpopulation and that in Chicago MSM really occurs at a much higher rate (say 10%) -- so that the true HIV prevalence among Chicago MSM was actually smaller (say 12%) -- but some evidence would naturally be required that such argument had merit

One obtains similar estimates simply on the basis of new infections: the CDC ( http://www.cdc.gov/nchhstp/newsroom/docs/Fact-Sheet-on-HIV-Estimates.pdf ) estimated that 70% of all new US HIV infections in 2006 were among MSM and/or IDU. Crudely assuming that the epidemic has stabilized (which is, of course, not an entirely accurate assumption), leads to the immediate conclusion that about 70% of the epidemic will be localized in the MSM and/or IDU population -- which is what the data shows

If you want a more sophisticated analysis, you can use the 2007 HIV statistics by age table at the advert link combined with the US census 2006-2008 age and sex table data (from: http://factfinder.census.gov/servlet/ACSSAFFPeople?_submenuId=people_2&_sse=on). This will enable you to estimate the annual risk (for M and F combined) by age group. The ages 15-49 are the high risk ages, so concentrate on them. From the avert tables, we expect 50% of hiv to be associated with MSM (with or without IDU); from Kinsey, take (say) 6% of the population MSM; adjust the age-risks accordingly; set up a spreadsheet and follow a cohort from age 5 to age 49: at the end, 13% of the population has been infected, not much different from the Chicago study's 17%. The assumptions about converting combined M and F risks to MSM risks only are a bit sloppy, so one should not take the numbers too seriously; in particular, it's only off by a factor of two from the five city 25% estimate

Public health policy should be determined by one's best honest assessment of the facts -- which will always be imperfect. In reality, of course, it is also influenced by other factors -- but for this blood bank donor policy question, one ought to have a robust understanding supported by multiple models and multiple data sets

I had no idea who "Paul Cameron" was, until reading your post, but on investigating I find he's irrelevant to this discussion: his professional society expelled him over 25 years ago, and nobody except lunatics will take him seriously
Printer Friendly | Permalink |  | Top
 

Home » Discuss » Archives » General Discussion (1/22-2007 thru 12/14/2010) Donate to DU

Powered by DCForum+ Version 1.1 Copyright 1997-2002 DCScripts.com
Software has been extensively modified by the DU administrators


Important Notices: By participating on this discussion board, visitors agree to abide by the rules outlined on our Rules page. Messages posted on the Democratic Underground Discussion Forums are the opinions of the individuals who post them, and do not necessarily represent the opinions of Democratic Underground, LLC.

Home  |  Discussion Forums  |  Journals |  Store  |  Donate

About DU  |  Contact Us  |  Privacy Policy

Got a message for Democratic Underground? Click here to send us a message.

© 2001 - 2011 Democratic Underground, LLC