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To the Editor: The impact of the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) epidemic on morbidity and mortality in Florida and the United States has been profound. In the United States, AIDS deaths peaked in 1995 and then began to decline with the rate of decrease slowing in 1998.¹ The decline in mortality has been attributed to the use of highly active antiretroviral therapy (HAART)^2-4 and prophylaxis against opportunistic infections.⁵ Through 1998, the trend of deaths due to HIV/AIDS in Florida paralleled the national trend of AIDS deaths (Table 1). In 1999, however, when a new coding scheme was introduced, Florida reported 1651 resident HIV/AIDS deaths, an increase of 6.7% compared with 1998.

Table appears in full text version. Table. Resident HIV/AIDS Deaths in Florida, 1987-1999*

In view of the declines observed from 1996-1998, this increase was cause for concern. However, the introduction of a new system in 1999 to classify causes of death . . . [Full Text of this Article]

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RELATED LETTER

Changes in HIV-Related Deaths as a Function of Coding
Robert N. Anderson and Harry M. Rosenberg
JAMA. 2002;287(5):588.
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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Changes in HIV-Related Deaths as a Function of Coding
Anderson and Rosenberg
JAMA 2002;287:588-588.
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