HEALTH ALERT
.'
Here are five simple steps for
easy-does-it weight control:
• Set goals that are manageable
AID
in Michigan
Michigan, county by county" as of March 1, 1993
AIcona 2 Char1avolx 1 Gratiot 3 l e 2 Mi u.. 1 Presq Isle _ 2
Alger 0 Cheboygan -= 1 Hlilsda 5 l r 5 Monroe --'6 Roscommon 3
AUegan __ 13 Chlppewa __ 2 Houghton _ 2 Ll.nlanHau 1", Montcalm - 7 StSa.gCtna� - 43'5
Alpena .. Clar. 0 Huron 2 Montmorency _ 1
Antrim 3 CUnton 6 Ingham __ 109 Livingston _ 12 uskegon __ 30 'St. Joseph 18
Ar.nac 1 Crawford __ 1 IonIa 7 l\a 1 aygo__ San 1
Baraga .. Della 2 tcsco 0 Macklnac 1 0 and 407 Schoolcraft _ 2
Barry 5 Oic:kinson __ 3 Iron 2 M comb --'75 Oceana -- 2 Sh 7
�y 16 Eaton 10 I abeU 1 Manlst.. 3 Oge __ 2 Tuac:oIa 2
Benzie 1 Emmet 3 J won _ 29 Marquett. _ 8 Onton on 0 Van Bu n Q
BerMn . 41 Ge 105 Kalamazoo 61 Ma on 0 Osceola --'0 W ht naw-1"32
Branch --- 6 GI dwln __ 0 Ka ask -=- 1 Mecosta .. Oscoda -- 0 . Wayne -= 393
Calhoun 36 Gog bic __ 2 Kent 209 Menomlne-- 3 Otsego == 3 Detro 1,824
C s -- 6 Gr. Tr ($8_ 10 Keweenaw 0 Midland 3 on I __ 35 W xford-=- 1
• Non-prison case . The 195pn oncaseS8xcludedfromth st e� d "'gno ad hAIOSwn tncareer ted In the .count s:Jackson
(164), Ionia (5), Mus ego, (5), Wasntenaw (5), Branch ( ), Chippewa (3), Gog bk: (3). rq tt. (2), oakland (2), and Wayne (2).
The m
p in in th ch t. But there
pot-and
hortn of th and fati
if recognized, can ave live .
Each y r 1.5 million Americans uffer h rt att k; 500,000 die
60 percent of t m before r ching medi I help. any of t liv
might be ved if ometim -vague ymptoms are recognized nd
treated quickly.
The cl ic indications 0 a heart a : un ornfortable p ure
qu zing or pain in the center of the c t I ting more than two
minut ,; p in spreading from th ch t down t left arm or into the
left id of the neck; heavy weating, bortn 0 breath and fatigue,
sometim companied by fainting, light-headed or nause .
But experts say you hould also be alert if the following ymptoms
occur individually or together-with or wltbout chest pain:
Indi tion -Unlike a routine stomachache, abdominal discom
fort caused by a heart attack ldom resul in harp pain, nor j the area
sensitive to the touch. It's more likely a bloated and "fult" feeling,
sorn tim accompanied by a dull ach a burning sensation, or a
feeling of nausea. Antacid, belching or a bowel movement may
provide only partial relief.,
Pain In The Low r J w - Thi preads aero both ide of the
jaw and ometimes down one or both side of the neck. Th pain may
occur primarily in the neck.
• Pain In the ann or houlder - Although th left side i usually
affected, pain or heavin may extend acros the houlders to the right
arm, or in rare instances down the right arm alone. Th dull pain
spread down to the wrist and fingers, generally following the inside
. of the arm. You can't pinpoint a place where the pain is localized,
you can with an injury.
• Shortn of Breath- Puffing, dragging or gulping for breath
after only routine exertion doesn't stop with rest. The person may it
for a few minut , and normal breathi ng may n to return. But soon
as he or she resurn walking, the puffing tarts again. .
• Tired Feeling - Shortness of breath often goes hand in hand
with fatigue that sweep over the whole body.
"I just don't feel right." - As many as 20 percent of patients
who had a "silent" heart attack, one which they did not recognize, had The City of Detroit property
prior symptoms that they and their doctors failed to spot, according to owners a last chance to pay delin-
Dr. Gary Gerstenblith of John Hopkins University. Many urvivors quent property taxes, the City of
report "feeling that something was wrong" weeks, day or hours before Detroit has extended the property
the.cardiac event. . tax amnesty period through May,
Three signals hould make you take an unusual symptom eriously 1993. Revtsed bills must be ob-
says Dr. Andrew Ep tein, a professor of medicine specializing in tained in Room 136 City County
cardiology at the University of Alabama at Birmingham: Building. During the amnesty
First, n 0 it program tax paid by M y 31 will
��I�III�=I��==:�=:�:=�:=5l� .', dm�
i not IT str�ti a accru
in the night and pc i ts more than a few minutes." through May, 1993. Taxes must
Pain originating from the heart aJso doe n't usually improve-or be paid in person and may be paid
worsen-with rest or changes of po ition. Nor does it respond to in cash or by check. Hours for the
pain-reliever, hot pads or rubdowns. Cashier's Office are 8:30 a.m. to
4:30 p.m. For more information
call 224-3560.
Michigan AIDS case counts
MICHIGAN HIV REPORT. MARCH-APRIL 1993
own.
STATISTICS
Michigan'. current
rank .•. among states. the .
District of Columbia and terri
tories was 17th in total num
ber of cases reported as of 11
1: the top thr were:
� New York (50.985 cases)
� california (�,818)
� Florid8 (2 ..... 92).
1c"lgan'. m. per 100,000
population Jan. 1, 1992-Dec.
31. 1992. was -7.6, 33rd:
highest were:
� Dlit. of Coh.anbla (119.8)
� New York ("6.0).
� Puerto Rico (45.2)
Note on reporting
AlOS diagno and con
fim\ed positive HIV ntibody
results should be repof1ed to
the' AIDS coordinator t the
local health department of the
area in which the pati nt r
ides. Requ for help in
partner notifICation should
Iso be mad to the local
health department.
Anyone with questions bout
reporting c n contact an
MDPH epidem1olog' :
Heidi Bobb (313) 876§54
City of Detro' plI Oak·
land. Macomb and Mon
roe counties.
Salty Bldol (313) 876-0n4
City of Detroit plus
Washtenaw and Wayne
counties.
J,mes Kent (51D 335=§165
Remainder of MChigan.
. PAnENT
DESCAIPnON
OR BEHAVIOR
u.S. case count
CUMULAnvE
through 1/1113'
CASES PCT. FlIt"
223,971 88% 32.7
29, .. n 12% 5.1
CUMULAnvE THE PAST YEAR
through 311113 311112·311113
CASES PCT. CASES PCT. rat ..
Male 3,607 88�. 1,169 88% 25. Q
F.male "93 12% 172 12% 3.6
TRANSMISSION
Mall·to-male leX 2.187 53%
injeCting drug use Q68 24%
Mall·mall leX and IOU 209 • 5%
Het.roMXUaI' 177 .. %
Blood product.. 171 .. %
p.rtnataJI 43 1 %
Undet.mined 345 8".
AGE AT DtAGNOS&S
0- .. years
5-12 years
13·19 y ars
20-24 years
25-29 years
30-34 years
35-39 years
40-44 'I ars
.. 5-49 years
SO·54 years
55-59 years
60-64 years
65 and over
RACElETHNlCO'Y
Whlte,ncn·HispanIc 1.907 47".
B1ad<,non-Hispanlc 2,069 5Q'Y.
Hispanic 97 2"-
Asian Amel1can 5 0%
tv. AmeI1can 9 0%
Unknown 13 0%
GENDER
616 46%
363 27%
59 .. %
64 5%
NA
NA
NA
NA
NA
NA
NA
142,626 56% NA
57,412 23% NA
15.899 6% NA
16,254 8% NA
7,500 3% NA
3,665 1% NA
10,092 4% NA
l
51 4%
11 1%
1n 13%
36
21
21
152
660
870
'908
696
339
189
97
59
52
1%
1%
1%
9
5
6
42
201
264
295
274
1%
0%
0%
3%
15%
2O"Y.
22"-
20%
1.3
0.5
0.6
6.0
26.3
32.6
39.4
"1.7
9% 24.1
5% 14.4
2% 6."
1% 4.7
1% 1.3
3,432 1 % 3.3
817 0% 0.5
946 0% 0.8
9,582 .. % 7.3 '
38,713 15% 31.2
59,865 2 .. % 47."
56,053 22% 51.8
37,216 15% 41.3
20,771 8% 30.0
11,450 5% 19.8
6,891 3% 11.5
3,997 2% 7.1
3,715 1% 2.3
4".
16.".
21%
22".
17".
126
61
25
19
14
7."
56.9
'''.9
1.0
9.0
NA
132.625 52% 11.7
75,g97 30% 52.2
Q,199 17% 29.g
1,610 1% 3.8
«8 0% 6.0
569 0% NA
253,448
171.880 (68%)
1. U . tigInI .. 1uued by" CDC every !hr .. months.
� IMU8I r per 100,000 �lIon c::ak::ula '-SIng 1GQO Cen.ua da ; U.S. � , 100.000
baNd on lGQ1 C«-.'-- lima NA. - population data not..,
1 "''''OMxuaI pattnera •• known 10 be injeCting drug users (1 02 In �. B • .t8 1 In US), xu" men
(131n •• 23 In !he U S), ,�ts 01 inlected blood ptodoc:ll (Bin MdlIgan ..... 2 In !he U.S.). om a
QOUn� where MWfOMluailran.mtss.lon ptedol'lliN , (14 In MichIgan, 3.167 n!he U.S ). 01 HlV -pcaltIYe !h
unknown behaviof h tory (� n �. 3,341 In !he US)
� IndudeI In*-d om ooague.bOn.disofdef (1111n loan. 2.214 n!he US) 0117 sfullon blood
pt� (60 In . 5.286 In !he US)
S. PM tWl5 � II from HIV·lnf mo r to Inlant belOl. 01 at bu1h
557
735
30
1
5
13
1,341
583 .
KID EY DISEASE
GET THE FACTS
TOTAL
DEATHS
ONE OUT OF .
EVERY FIVE
AMERICANS WITH
DIABETES WILL
DEVELOP KIDNEY
FAILURE
/
ial i u
.2 1.