AIDS REPORT

1989 AIDS CASES AND RATES BY COMMUNITY

There were 345 AIDS cases reported in the county during 1989. Here’s a detailed look at the distribution of those cases, rendered in order of the rate per thousand residents:

Total Rate per Percent City Cases Thousand of Total Silverado 2 2.32 0.6 Laguna Beach 37 1.92 10.7 Laguna Niguel 10 0.33 2.9 Newport Beach 16 0.24 4.6 Tustin 9 0.24 2.6 Dana Point 3 0.18 0.9 Laguna Hills 8 0.18 2.3 Los Alamitos 2 0.16 0.6 Anaheim 37 0.15 10.7 Buena Park 10 0.15 2.9 Costa Mesa 13 0.14 3.8 Garden Grove 20 0.14 5.8 Huntington Beach 26 0.14 7.5 San Clemente 5 0.14 1.5 Villa Park 1 0.14 0.3 Santa Ana 33 0.13 9.6 La Palma 2 0.12 0.6 Orange 12 0.11 3.5 Cypress 4 0.10 1.1 La Habra 5 0.10 1.5 Stanton 3 0.10 0.9 Fountain Valley 5 0.09 1.5 Yorba Linda 4 0.09 1.1 Fullerton 9 0.08 2.6 Placentia 3 0.08 0.9 Irvine 7 0.07 2.0 San Juan Capistrano 2 0.07 0.6 Seal Beach 2 0.07 0.6 Brea 2 0.06 0.6 Mission Viejo 4 0.06 1.1 El Toro 3 0.05 0.9 Westminster 4 0.05 1.1 Rest of County 2 0.01 0.6 Out of County 36 -- 10.4 Out of State 2 -- 0.6 Unknown 2 -- 0.6 COUNTY TOTAL 345 0.15 100.1*

* Adds to more than 100% due to rounding

1989 AIDS CASE DEMOGRAPHICS

CASES Percentage Category Men Women Total of Category TRANSMISSION CATEGORY Homosexual males 237 -- 237 69 Bisexual males 58 -- 58 17 I.V. drug users 19 8 27 8 Heterosexuals 2 7 9 2 Hemophiliacs 2 0 2 1 Transfusion recipients 3 6 9 2 Unknown 3 0 3 1 TOTAL 324 21 345 100 ETHNIC GRPOUP White 252 16 268 78 Black 10 2 12 3 Latino 48 3 51 15 Asian 4 0 4 1 Other/unknown 10 0 10 3 TOTAL 324 21 345 100 AGE GROUP Younger than 13 0 0 0 -- 13-19 years 1 0 1 * 20-29 years 80 6 86 25 30-39 141 9 150 43 40-49 66 3 69 20 50-59 22 2 24 7 60-69 8 1 9 3 70-79 4 0 4 1 Unknown 2 0 2 1 TOTAL 324 21 345 100

* Less than 1% Source: Orange County Health Care Agency

AIDS CASES DISTRIBUTION

Of all the AIDS cases ever reported in the county, nearly a third (32%) were in just three cities--Laguna Beach, Anaheim and Santa Ana. Here’s a geographic breakdown of all 1,268 cases: Laguna Beach: 158 Anaheim: 125 Santa Ana: 118 Huntington Beach: 92 Costa Mesa: 73 Garden Grove: 68 Newport Beach: 54 Orange: 37 Fullerton: 33 Laguna Nigel: 31 Tustin: 25 Irvine: 24 Westminster: 24 Buena Park: 23 Laguna Hills: 23 Mission Viejo: 21 San Clemente: 19 El Toro: 16 Fountain Valley: 16 La Habra: 16 Cypress: 15 Dana Point: 15 Placentia: 12 Stanton: 11 Yorba Linda: 11 San Juan Capistrano: 9 Seal Beach: 9 Brea: 8 La Palma: 6 Los Alamitos: 6 Capistrano Beach: 4 Silverado: 3 Villa Park: 3 Rest of county: 2 Out of county: 146 Out of state: 10 Unknown: 2 TOTAL: 1,268

REPORTED AIDS CASES TREND

The 345 AIDS cases reported in the county during 1989 were the most of any year since the disease made its appearance here in 1980. Since then the trend has been increasingly upward. Just over half the cases ever reported here, 52%, have occurred during the past two years (663 of 1,268); 27% in 1989 alone.

On the up side, the pace of the increase has slowed considerably. Between 1988 and 1989 the number of reported AIDS cases jumped just 8%, well below the 20% climb between 1987 and 1988 and the 67% from 1986 to 1987. Here’s how the increase has progressed: 1980: 1 1989: 345

AIDS DEATH TREND

Slightly more than half the deaths attributed to AIDS in Orange County occurred during the last two years, as the disease continued to claim more victims each year. The 243 deaths in 1989 marked a high point and, combined with the 174 in 1988, means 53% of AIDS deaths have taken place since 1987.

Like the trend in the number of cases reported, the AIDS death rate slowed between 1986 and 1988--with just a 12% rise between 1987 and 1988. The jump between 1988 and 1989, however, was 40%, a decided reversal.

Here’s how the trend in death looks: 1981: 2 1989: 243

AIDS CASES BY TRANSMISSION CATEGORY While AIDS may be contacted in several ways, the vast majority of county residents with the disease are homosexual or bisexual males. Of the total 1,268 cases of AIDS reported in the county, 1,087, or 86%, are such men, as this graphic shows: Homosexual males: 67% Bisexual males: 19% I.V. drug users: 5% Heterosexuals: 3% Transfusion recipients: 2% Pediatric patients: 1% Hemophiliacs: 1% Unknown: 2%

AIDS RATE PER THOUSAND

The rate of AIDS cases per thousand residents continued a steady, if slow, climb during the 1980s. The rate for 1989 (0.15) was twice that of 1986 (0.07). Prior to 1983 the rates were 0.005 (1980), 0.001 (1981) 0.003 (1982). Here’s the progression since then: 1983: 0.01 1989: 0.15

ADULT AIDS MORTALITY RATES

Nearly 62% of the county’s reported AIDS-infected adults have died. Mortality rates are different, though, depending on how the disease was contracted. Transfusion recipients and hemophiliacs, for example, have higher death rates. Here’s how the categories compare: Homosexual males: 60.5% Bisexual males: 65.7% I.V. drug users: 56.9% Heterosexuals: 51.4% Hemophiliacs: 76.9% Transfusion recipients: 77.4% ALL ADULTS: 61.7%