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Risky Business: Using Necessarily Imprecise Casualty Counts to Estimate Occupational Risks for HIV-1 Infection

  • Susan E. Beekmann (a1), Barbara J. Fahey (a1), Julie L. Gerberding (a2) and David K. Henderson (a1) (a3)


The emergence and widespread distribution of the acquired immunodeficiency syndrome (AIDS) have clearly signaled the most important epidemic of the 20th century. In responding to this epidemic in a compassionate and rational voice, the infection control practitioners-physicians, nurses and technologists-have played a crucial role in healthcare delivery. A great deal of information has resulted from numerous scientific studies. Because of the volume and complexity of data currently being generated, the Editorial Board of Infection Control and Hospital Epidemiology has invited Dr. David K. Henderson to initiate a new column on AIDS. He is an internationally recognized expert who has agreed to edit this column for the journal. We welcome your responses, and encourage your submissions to Dr. Henderson in this area.


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Building 10 Room 2C146, National Institutes of Health, 9000 Rockville Pike, Bethesda, MD 20892


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1.Centers for Disease Control. HIV/AIDS Surveillance Report, April 1990 Atlanta, Ga: Centers for Disease Control; 1990:118
2.Centers for Disease Control. Update: acquired immunodeficiency syndrome-U.S, 1989. MMWR. 1990;39:8186.
3.Lemp, GF, Payne, SF, Neal, D, Temelso, T, Rutherford, GW. Survival trends for patients with AIDS. JAMA. 1990;263:402406.
4.Centers for Disease Control. Estimates of HIV prevalence and projected AIDS cases: summary of a workshop, October 31-November 1, 1989. MMWR. 1990;39:110119.
5.Needlestick transmission of HTLV-III from a patient infected in Africa. Lancet. 1984;2:13761377.
6.Kernodle, DS. When a house officer gets AIDS. N Engl J Med. 1990;322:1155.
7.Henderson, DK. HIV-1 in the healthcare setting. In: Mandeli, GF, Douglas, RF Jr., Bennett, JE, eds. Principles and Practice of Infectious Diseases. 3rd ed. New York, NY: John Wiley; 1990:22212236.
8.Serra, MA. Nogueira, JM. Garcia-Lomas, J. Rodrigo, JM. A case of HIV-1 transmission by accidental puncture in a healthcare worker. Medicina Clinica. 1989;92:475.
9.Ciesielski, CA, Bell, DM, Chamberland, ME, Marcus, R, Barkleman, RL, Curran, JW. When a house officer gets AIDS. N Engl J Med. 1990;322:11561157.
10.Cowan, D, The Walter Reed Retrovirus Research Group. Prevalence of HIV infection among persons employed in medicine and health occupations. Abstract W.A.0.3. Presented at the Fifth International Conference on AIDS. Montreal, Quebec, Canada; 1989: 63.
11.Kelley, PW, Miller, RN, Pomerantz, R, Wann, F, Brundage, JF, Burke Human immunodeficiency virus seropositivity among members of the active duty US Army 1985-89. Am J Pub Health. 1990;80:405410.
12.Centers for Disease Control. AIDS and human immunodeficiency virus infection in the U.S.: 1988 update. MMWR. 1989;38:138.
13.Klein, RS, Phelan, JA, Freeman, K, Schabie, C, et al.Low occupational risk of human immunodeficiency virus infection among dental profesionals. N Engl J Med. 1988;318:8690.
14.Chamberland, M, Conley, L, Lifson, A, et al.AIDS in healthcare workers—a surveillance report. Abstract 9020. Presented at the Fourth International Conference on AIDS, Stockholm, Sweden; 1988.
15.Centers for Disease Control. Update: acquired immunodeficiency syndrome and human immunodeficiency virus infection among healthcare workers. MMWR. 1988;37:229-234,239.
16.Bureau of Labor Statistics. Employment and Earnings. Washington, DC: U.S. Department of Labor, Bureau of Labor Statistics: 1988;35:12,9394.
17.Gerberding, JL, Bryant-LeBlanc, CE, Nelson, K, et al.Risk of transmitting the human immunodeficiency virus, cytomegalovirus, and hepatitis B virus to healthcare workers exposed to patients with AIDS and AIDS-related conditions. J Infect Dis. 1987;156;18.
18.Marcus, R, The Cooperative Needlestick Surveillance Group. Surveillance of healthcare workers exposed to blood from patients infected with the human immunodeficiency virus. N Engl J Med. 1988;319:11181123.
19.Henderson, DK, Fahey, BJ, Saah, J, Schmitt, JM, Lane, HC. Longitudinal assessment of the risk for occupational/nosocomia1 transmission of human immunodeficiency virus-type 1 in healthcare workers (abstract). Presented at the 28th Interscience Conference on Antimicrobial Agents and Chemotherapy, Los Angeles, October, 1988.
20.Department of Labor. Joint Advisory Notice: Department of Labor/Department of Health and Human Services. Federal Register. 1987;52:4181841824.
21.Jagger, J, Hunt, EH, Brand-Elnaggar, J, Pearson, RD. Rates of needle-stick injury caused by various devices in a university hospital. N Engl J Med. 1988;319:284288.

Risky Business: Using Necessarily Imprecise Casualty Counts to Estimate Occupational Risks for HIV-1 Infection

  • Susan E. Beekmann (a1), Barbara J. Fahey (a1), Julie L. Gerberding (a2) and David K. Henderson (a1) (a3)


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