From: Billi Goldberg <bigoldberg@igc.apc.org>
Subject: CDC Summary 7/30/92
Note: non-commercial reproduction.
Archive-Number: 5808
Organization: UCLA, Computer Science Department
Date: Thu, 30 Jul 92 07:37:31 PDT

                         AIDS Daily Summary
                           July 30, 1992 
 The Centers for Disease Control (CDC) National AIDS Clearinghouse makes 
available the following information as a public service only.  Providing 
this information does not constitute endorsement by the CDC, the 
Clearinghouse, or any other organization.  Reproduction of this text is 
encouraged; however, copies may not be sold.  Copyright 1992, 
Information, Inc., Washington, DC 
************************************************************************
 "Around the Region: AIDS Patient Denies Sex Charge" Washington Post 
(07/30/92), P. B7
     A man with AIDS has pleaded not guilty to allegations that he had 
sex with a 14-year-old.  On Tuesday in Arlington, Va.,'s Juvenile and 
Domestic Relations District Court, Kimberly C. Copeland  testified at a 
hearing that he did not have consensual sex with  the teenager in a 
county-operated hospice for AIDS patients.   Though Copeland is free on 
a $5,000 bond, Judge Frank J. Ceresi  ruled a prosecution motion in 
Juvenile Court yesterday to mandate that Copeland remain under 24-hour 
surveillance until his  preliminary hearing in September. 
"AIDS and the Republican Family" USA Today (07/30/92), P. 3A  (Edmonds, 
Patricia)
     An HIV-positive woman from a prominent Republican family will  
speak at the Republican National Convention in Houston on August  19.  
Mary Fisher, a former aide in the Ford Administration, and a daughter of 
the Bush-Quayle campaign's honorary finance chairman, has been granted 
her request to speak at the GOP convention.   Fisher discovered she was 
infected from her IV-drug using  ex-husband in July 1991.  She has two 
sons, neither of whom are  infected with HIV.  By portraying the disease 
in terms of her own life Fisher hopes to obtain support from more 
Republicans for her aggressive battle against AIDS.  In her speech, 
Fisher plans to  tell the party of the need for more research, 
education, and  compassion, and she hopes the audience will see her--
still  healthy and vital--as "the future of HIV and AIDS."   Fisher said 
the Republican Party "is where I have loyalties, this is where I  have 
access, and this is where I have the ability to change  minds.  So this 
is where I'm working."  She has had meetings at  the White House since 
February, urging GOP platform developers to include more than "a sliver" 
on AIDS issues.  Fisher has also  founded the Family AIDS Network, a 
national group for  HIV/AIDS-infected people and their loved ones. 

"Ryan White's Mom Heading Down the Aisle" United Press International 
(07/29/92)
     Cicero, Ind.--The mother of Ryan White, the young AIDS patient  who 
fought against discrimination of people with the disease,  will be 
married Saturday.  Jeanne White and her new husband, Roy  Ginder, plan 
on resuming the numerous public appearances that she began eight years 
ago when her son successfully won a court case  allowing him to attend a 
middle school in Russiaville, Ind.  Ryan White became a public figure in 
his five-year fight against AIDS; he died at the age of 18 in April 
1990.  White's wedding  reception will be open to the public, with 
tickets costing $65.   All proceeds will go to the Ryan White 
Foundation, formed to  help with family and community AIDS issues.  Ms. 
White, who was  divorced from Ryan's father several years ago, has 
appeared on  several talk shows, testified before Congress twice, and 
spoken  to a variety of groups on the topic of AIDS.  According to 
White, a leading priority is full funding for the Ryan White Care Act, a 
bill providing AIDS services.  Congress has funded only about  one-third 
of the proposed $875 million for the measure.  White  will go on tour in 
September to promote her son's book "Ryan  White: My Own Story," 
published after his death. 

"AIDS Activists Dispute City Council Meeting" United Press International 
(07/29/92)
     Houston--AIDS activists interrupted a City Council meeting  
Wednesday demanding that they receive an apology from Councilman  John 
Goodner, who said that too much money is allotted for AIDS  causes.  
Goodner said Monday, "Money is simply going down a  one-way tube, and it 
does not return in the economy."  Goodner's  main point was that the 
country is spending too much time and  money on nonproductive attempts 
that do not bring with them  additional jobs or products.  About a dozen 
AIDS activists came  to council chambers Tuesday.  Two of them tried to 
speak though  they did not have permission to address the council.  
Mayor Bob  Lanier said a council member was about to make a motion to  
postpone the planned agenda and give the activists a chance to  speak 
when they began shouting: "AIDS research, not AIDS  bigotry."  Three 
activists were forced out of the council  chambers by police officers.  
Scott Lewis, a spokesman for Queer  Nation, said that Goodner "must 
realize that he must not speak  without educating himself.  He is a 
position that requires  responsibility."  Lanier said that he disagreed 
with Goodner's  assertion that society receives nothing in return for 
AIDS  funding.  The obvious return on investment will come in the form  
of saved lives, he said. 

"The Hidden Cost of AIDS: Digging a Very Dangerous Hole" U.S. News + 
World Report (07/27/92) Vol. 113, No. 4, P. 58   (Black Robert F. et 
al.)
     Although AIDS is not running rampant through the country of  
Zambia, it cannot afford to pretend that the epidemic does not  exist.  
The nation's per capita GDP dropped almost 5 percent a  year during the 
last decade, due to economic mismanagement and a  crushing foreign debt.  
But now the epidemic threatens future  economic growth by taking the 
lives of the country's best and  brightest.  About one third of all 
students attending teaching  universities in the capital of Lusaka were 
recently found to be  infected with HIV.  At two Lusaka prenatal clinics 
frequented by  the educated middle and upper classes, 23 percent of 
women  patients were found to be HIV-positive.  The copper industry, a  
source of 12 percent of the world's copper and 95 percent of  Zambia's 
foreign earnings, has only started to see the disease  affect the lives 
of its workers.  One expert predicts that the  south-central African 
nation of 7 million has several hundred  thousand HIV-positive 
residents.  At this point, official figures recognize only some 6,000 
cases of AIDS and about 20,000 "AIDS  related" cases since 1986.   
Actual statistics are hidden by  underreporting and the relative 
immaturity of the epidemic in Zambia. 

"AIDS Panel: Puerto Rico Short-Changed" Nation's Health (07/92) Vol. 22, 
No. 7, P. 24
     Though Puerto Rico has the second highest rate of AIDS cases in  
the nation, it ranks 55th out of 57 states and territories in  total 
funding per reported cases, the National Commission on AIDS told 
President Bush on June 2.  The commission urged an extensive study of 
the overall health status and services of people  residing in Puerto 
Rico, citing a need for an improved  partnership between the federal 
government and the Commonwealth.  As most HIV-positive individuals on 
the island are poor and  dependent on government health services like 
Medicaid, the  commission suggested increasing the cap on Medicaid now 
set at  $79 million.  In addition, the group demanded an active role 
from the government in thwarting the "twin epidemics of substance  abuse 
and HIV," including the expansion of treatment programs and 
establishment of bleach and clean needle exchange programs.   
Approximately 74 percent of AIDS cases in Puerto Rico are  associated 
with IV-drug use.  The commission said that clinical  research and 
access to clinical trials for treatments should be  expanded.  It also 
called for cooperation from all levels of  government to fight the high 
level of discrimination experienced  by HIV-positive people seeking 
housing, health-care, and  employment. 

"CDC Finds Risk of TB Spread in Hospitals" Nation's Health (07/92) Vol. 
22, No. 7, P. 24
     Hospital patients infected with tuberculosis can pose a threat to 
other patients and to health-care workers, according to  researchers 
from the Centers for Disease Control.  Dr. Samuel Dooley and colleagues 
examined nocosomial transmission of Mycobacterium [M] tuberculosis among 
HIV-positive patients, and among health-care workers at the same 
hospital in Puerto Rico.  None of the 17 health-care workers were 
positive for TB when they were hired, but subsequently all of them 
tested positive for the disease.  Researchers discovered a substantially 
higher incidence of infection among nurses in the internal medicine 
wards and nurses on the HIV unit than nurses on other floors.  Patients 
who were exposed to TB had a 11.1 times higher risk of becoming a TB 
case than those who were not exposed to other patients with the disease, 
researchers found.  According to Fred Gordin of the Veteran Affairs 
Medical Center, TB facilities would have no affect on preventing the 
spread of TB within hospitals.  Gordon  believes the best defense 
health-care workers have against TB is  to implement strict adherence to 
the CDC's TB transmission  guidelines published in 1990. 

"Infected Surgeon Sues Hospital for Failing to Protect Him" AIDS Alert 
(07/92) Vol. 7, No. 7, P. 102
     A surgeon who allegedly contracted HIV while on the job is suing  
the Sacramento hospital that employed him for being negligent in  
enforcing standard infection control procedures.  The case, which 
involves the California surgeon known only as John Doe, is  thought to 
be the first of its kind.  The lawsuit says that due  to Kaiser 
Permanente Medical Center's failure to provide training and protective 
equipment, the surgeon contracted HIV while  performing surgical 
procedures there.  The surgeon's lawyer, Eric Shaw, did not indicate 
whether his client is aware of a specific  incident that exposed him to 
the virus, or whether he reported  the occupational exposure to hospital 
authorities.  Shaw said  that the surgeon has no other risk factors for 
HIV infection.   However, Kaiser Permanente spokeswoman Susan Piper said 
there is  no record of the surgeon reporting a sharp injury while 
employed  by the center.  She also said that the charges made against 
the  facility are untrue.  According to Piper, Kaiser has adhered to  
all of the infection control procedures recommended by the  Centers for 
Disease Control and educates and monitors its staff,  she said.  
Benjamin Schatz, executive director of the Medical  Expertise Retention 
Program in San Francisco, said if the surgeon did not report the injury, 
it will be difficult for him to win  the case. 

"Topics to Avoid With Applicants" Nation's Business (07/92) Vol. 80, No. 
7, P. 57  (Pouliot, Janine S.)
     To prevent discrimination suits by job seekers, employers must  
avoid a number of questions or topics that might be raised during an 
interview.  The Americans with Disabilities Act prohibits  employers 
from obtaining information regarding a candidate's  physical or mental 
disability-- including HIV status-- before  offering that person a job.  
Under the law, employers may only  discuss an applicant's disabilities 
after making a job offer and  after there has been satisfactory 
completion of required  physical, medical, or job-skills tests.  Though 
an employer may  ask the candidate about the disability if the tests 
reveal a  physical or mental condition that may affect job competence,  
employment cannot be denied if "reasonable accommodation" of the  
disability would allow the applicant to perform the job's  "essential 
functions."  Employers should also never ask a job  applicant if he or 
she has AIDS or is HIV-positive; these  questions would violate the 
Americans with Disabilities Act as  well as state and federal civil-
rights laws. 

"Recall of AIDS Public Service Announcements and Their Impact on  the 
Ranking of AIDS as a National Problem" American Journal of Public Health 
(07/92) Vol. 82, No. 7, P. 1029 (Siska, Michael et al.)
     The Centers for Disease Control's "America Responds to AIDS"  
(ARTA) campaign that aired in late May and early June of 1990  resulted 
in increased mentions of AIDS as an important national  health issue, 
write Michael Siska et al. of the CDC's National  AIDS Information and 
Education Program in Atlanta, Ga.  Two  public service announcements in 
the Phase V ARTA campaign were  tested for their efficacy.  The spots 
included "Wonderful World," which depicts children playing in a field 
and a young girl  explaining she wants to grow up in a better world, and 
"Sofa,"  which portrays a young couple on a sofa kissing while an  
announcer on the television talks about AIDS.  "Wonderful World"  was 
randomly assigned to the Springfield, Ill., area of dominant  influence 
and "Sofa" was assigned to Memphis, Tenn.  A total of  907 people who 
agreed to participate in the study filled out  questionnaires.  AIDS was 
not mentioned during recruitment.  Instead,  respondents were told that 
the study was to analyze significant  health and national issues facing 
the nation.  The percentage of  participants recalling "an AIDS" message 
was substantially higher in the Tennessee site than in the Illinois 
site.  The study  indicated that viewers do recall ARTA public service  
announcements, and these announcements can affect viewers'  beliefs 
regarding AIDS as a national problem. 

Newsgroups: sci.med.aids