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The impact of HIV infection and AIDS on insurance in the United Kingdom

Published online by Cambridge University Press:  20 April 2012

C. D. Daykin ,
P. N. S. Clark ,
M. J. Eves ,
S. Haberman ,
D. J. Le Grys ,
J. Lockyer ,
R. W. Michaelson  and
A. D. Wilkie
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Extract

1.1 In March 1987 the Futures Committee of the Institute considered a preliminary report (Daykin, 1987) on the possible impact of AIDS in the United Kingdom and the consequences for life insurance. The Committee recommended the setting up of a Working Party to study the problem. The Working Party on AIDS was accordingly established, under the auspices of the Research Committee. The authors of this paper formed the membership of the Working Party, under the chairmanship of C. D. Daykin.

Type
Research Article
Information
Journal of the Institute of Actuaries , Volume 115 , Issue 4 , December 1988 , pp. 727 - 837
Copyright
Copyright © Institute and Faculty of Actuaries 1988

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References

Anderson, R. M. (1988). The epidemiology of HIV infection: variable incubation plus infectious periods and heterogeneity in sexual activity. J.R.S.S. Series A, 151, 66.CrossRefGoogle Scholar
Anderson, R. M. &May, R. M. (1987). Plotting the spread of AIDS. New Scientist, 26 March 1987.Google Scholar
Anderson, R. M. & May, R. M. (1988). Epidemiological parameters of HIV transmission. Nature, 333, 514.CrossRefGoogle ScholarPubMed
Anderson, R. M., May, R. M. & McLean, A. R. (1988). Possible consequences of AIDS in developing countries. Nature, 332, 228.CrossRefGoogle ScholarPubMed
Anderson, R. M., May, R. M.. Medley, G. F. & Johnson, A. G. (1986). A preliminary study of the transmission dynamics of the human immunodeficiency virus (HIV); the causative agent of AIDS. IMA J. Math. Appl. Med. Biol. 3, 229.CrossRefGoogle ScholarPubMed
Anderson, R. M., Medley, G. F., Blythe, S. P. & Johnson, A. E. (1987). Is it possible to predict the minimum size of the AIDS epidemic in the UK? Lancet, 1, 1073.CrossRefGoogle Scholar
Barre-Sinoussi, F., Cheerman, J. C., Rey, F. et al. (1983). Isolation of a T-lymphotropic retrovirus from a patient at risk for AIDS. Science, 220, 868.CrossRefGoogle ScholarPubMed
Barrett, J. C. (1988) Monte Carlo simulation of the heterosexual selective spread of human immunodeficiency virus (HIV). J. Med. Vir. 12.Google Scholar
Bloom, D. E. & Carliner, G. (1988). The economic impact of AIDS in the United States. Science, 239, 604.CrossRefGoogle ScholarPubMed
Brodt, H. R., Helm, E. B., Werner, A. et al. (1986). Spontanverlauf der LAV/HTLV-III Infection. Deutsche Medizinische Wochenschrift, 111, 1175.CrossRefGoogle ScholarPubMed
Burke, D. S., Brundage, J. F., Herbold, J. R. et al. (1987). Human immunodeficiency virus infections among civilian applicants for US military service, October 1985 to March 1986: Demographic factors associated with seropositivity. New Eng. J. of Med. 317, 3, 131.CrossRefGoogle Scholar
Cassidy, A. A. (1988). AIDS and the non-life insurance market. Paper presented to the 15th General Assembly of the Geneva Association, The Hague, June 1988.CrossRefGoogle Scholar
CDC (1987). Human immunodeficiency virus infection in the United States—a review of current knowledge MMWR Vol. 36, No. S-6, Supplement.Google Scholar
Chamberland, M. E. & Dondero, T. J. (1987). Heterosexually acquired infection with HIV. Ann. Int. Med. 107, 763.CrossRefGoogle Scholar
CONTINUOUS MORTALITY INVESTIGATION BUREAU (1984). Sickness experience 1975-78 for individual PHI policies. C.M.I.R. Number 7.Google Scholar
CONTINUOUS MORTALITY INVESTIGATION BUREAU (1988). The graduation of the 1979-82 mortality experience. C.M.I.R. Number 9.Google Scholar
Cowell, M. & Hoskins, W. (1987). AIDS, HIV mortality and life insurance. Special Report of the Society of Actuaries.Google Scholar
Curran, J. W., Morgan, W. M., Hardy, A. M. et al. (1985). The epidemiology of AIDS: Current status and future prospects. Science, 229, 1352.CrossRefGoogle ScholarPubMed
Curran, J. W., Jaffe, J. W., Hardy, A. M. et al. (1988). Epidemiology of HIV infection and AIDS in the United States. Science, 239, 610.CrossRefGoogle ScholarPubMed
Daykin, C. D. (1987). Acquired immune deficiency syndrome (AIDS). O.A.R.D. 39, Institute of Actuaries.Google Scholar
DEPARTMENT OF HEALTH AND SOCIAL SECURITY (D.H.S.S.) (1987). Future trends in AIDS. H.M.S.O. EYSTER, M. E. et al. (1987). Natural History of human immunodeficiency virus infection in haemophiliacs: effects of T-cell subsets, platelet counts and age. Ann. Int. Med. 107, 1.CrossRefGoogle ScholarPubMed
Fischl, M. A., Richman, D. D., Grieco, M. H. et al. (1987). The efficacy of azidothymidine (AZT) in the treatment of patients with AIDS and AIDS-related complex: a double-blind placebo-controlled trial. New Eng. J. of Med. 317, 185.CrossRefGoogle ScholarPubMed
Fischl, M. A., Dickinson, G. M., Scott, G. B. et al. (1987). Evaluation of heterosexual partners, children and household contacts of adults with AIDS. J.A.M.A. 257, 640.CrossRefGoogle ScholarPubMed
France, A. J., Skidmore, C. A., Robertson, J. R. et al. (1988). Heterosexual spread of human immunodeficiency virus in Edinburgh. B.M.J. 296, 526.CrossRefGoogle ScholarPubMed
Gallo, R. C. (1987). The AIDS virus. Scientific American, 256, 39.CrossRefGoogle ScholarPubMed
Gallo, R. C., Salahuddin, S. Z., Popovic, M. et al. (1984). Frequent detection and isolation of cytopathic retroviruses (HTLV-III) from patients with AIDS and at risk for AIDS. Science, 224, 500.CrossRefGoogle ScholarPubMed
GOVERNMENT ACTUARY'S DEPARTMENT (1985). Population projections 1983-2023 (O.P.C.S. Series PP2 No. 13) H.M.S.O.Google Scholar
Haberman, S. (1983). Decrement tables and the measurement of morbidity: I. J.I.A. 110, 361.Google Scholar
Haberman, S. (1984). Decrement tables and the measurement of morbidity: II. J.I.A. 111, 73.Google Scholar
Healy, M. J. R. & Tillett, H. E. (1988) Short-term extrapolation of the AIDS epidemic. J.R.S.S. Series A, 151, 50.Google Scholar
Helm, E. B., Brodt, R., Wegner, R. et al. (1987). Spontanverlauf der HIV-infection: Eine Bilanz 5 Jahre nach den ersten AIDS-Erkrankungen in Frankfurt/Main. AIDS-Forschung (AIFO) 10, October 1987.Google Scholar
Holzwarth, A. & Weyer, J. (1987). Über die Berechnung AIDS-bereinigter Sterbetafeln und ihre versicherungsmathematischen Konsequenzen. Blätter der D.G.V.M. 18, 133.CrossRefGoogle Scholar
Hyman, J. M. & Stanley, E. A. (1988). Using mathematical models to understand the AIDS epidemic (to appear in Mathematical Biosciences).CrossRefGoogle Scholar
INSTITUTE OF ACTUARIES WORKING PARTY ON AIDS (1987). Bulletin No. 1.Google Scholar
INSTITUTE OF ACTUARIES WORKING PARTY ON AIDS (1987a). Bulletin No. 2.Google Scholar
INSTITUTE OF ACTUARIES WORKING PARTY ON AIDS (1988). Supplement to Bulletin No. 2.Google Scholar
INSTITUTE OF ACTUARIES WORKING PARTY ON AIDS (1988a). Bulletin No. 3.Google Scholar
INSTITUTE OF ACTUARIES OF AUSTRALIA AIDS WORKING PARTY (1988). Bulletin No. 1.Google Scholar
INSTITUTE OF ACTUARIES OF AUSTRALIA AIDS WORKING PARTY (1988a). AIDS Report No. 2.Google Scholar
INSTITUTE OF ACTUARIES OF AUSTRALIA AIDS WORKING PARTY (1988b). AIDS Report No. 3.Google Scholar
Johnson, A. M. (1988). Heterosexual transmission of human immunodeficiency virus. B.M.J. 293, 1017.CrossRefGoogle Scholar
Johnson, A. M., Adler, M. W. &Crown, J. M. (1986). The acquired immune deficiency syndrome and epidemic of infection with human immunodeficiency virus: cost of care and prevention in an inner London district. B.M.J. 293, 489.CrossRefGoogle Scholar
Knox, E. G. (1986). A transmission model for AIDS. Eur. J. Epidem. 2, 165.CrossRefGoogle ScholarPubMed
Kolbye, J. (1987). AIDS mortality and life insurance. Baltica-Nordisk Re.Google Scholar
Lur, K. J., Lawrence, D. N. & Morgan, W. M. (1986). A model-based approach for mean incubation period of transfusion-associated acquired immunodeficiency syndrome. Proc. Nut. Acad. Sci. 83, 3051.Google Scholar
McCormick, A. (1988). Trends in mortality statistics in England and Wales with particular reference to AIDS from 1984 to April 1987. B.M.J. 296, 1289.CrossRefGoogle ScholarPubMed
McEvoy, M. & Tillett, H. E. (1985). Some problems in the prediction of future numbers of cases of the acquired immunodeficiency syndrome in the UK. Lancet, 2, 541.CrossRefGoogle ScholarPubMed
Mann, J. (1988). Worldwide epidemiology of AIDS. Paper presented to the Global Impact of AIDS Conference, London, March 1988.Google Scholar
Mann, J. (1988a). Global AIDS: a status report. Paper presented to the 15th General Assembly of the Geneva Association, The Hague, 1988.Google Scholar
Mann, L. R., Muir, P. R. & Collings, R. A. (1987). AIDS and life insurance. Paper presented to the Perth Convention of the Institute of Actuaries of Australia in October 1987.Google Scholar
May, R. M. & Anderson, R. M. (1987). The transmission dynamics of HIV infection. Nature, 326, 137.CrossRefGoogle ScholarPubMed
Melbye, M. (1986). The natural history of human T lymphotropic virus-III infection: the cause of AIDS. B.M.J. 292, 5.CrossRefGoogle ScholarPubMed
Mortimer, P.P. (1985). Estimating AIDS, UK. Lancer, 2, 1065.CrossRefGoogle ScholarPubMed
Orros, G. C. & Webber, J. M. (1988). Medical expenses insurance—an actuarial review. J.I.A. 115, 169.Google Scholar
Padian, N., Marquis, L. et al. (1987). Male-to-female transmission of human immunodeficiency virus. J.A.M.A. 258, 788.CrossRefGoogle ScholarPubMed
Panjer, H. H. (1987). AIDS: Survival analysis of persons testing HIV positive. (Working Paper Series in Actuarial Science ACTSC 87-14). University of Waterloo, Canada.Google Scholar
Peterman, T. A., Stoneburner, R. L., Allen, J. R. et al. (1988). Risk of human immunodeficiency virus transmission from heterosexual adults with transfusion-associated infections. J.A.M.A. 259, 55.CrossRefGoogle ScholarPubMed
Ranki, A., Krohn, M. et al. (1987). Long latency precedes overt seroconversion in sexually transmitted human immunodeficiency virus infection. Lancer, 2, 589.CrossRefGoogle ScholarPubMed
Redfield, R. R. (1987). The epidemiology of AIDS. Presentation to a meeting of the Society of Actuaries. Montreal. October 1987.Google Scholar
Richman, D. D., Fischl, M. A., Grieco, M. H. et al. (1987). The toxicity of azidothymidine (AZT) in the treatment of patients with AIDS and AIDS-related complex. New Engl. J. of Med. 317, 192.CrossRefGoogle ScholarPubMed
Sansom, R. J. &Waters, H. R. (1988). Permanent Health Insurance in the UK: The mathematical model and the statistical analysis of the data. Transactions of the 23rd International Congress of Actuaries, Vol. 3, 323.Google Scholar
SOCIAL SERVICES COMMITTEE (1987). Third Report Session 1986/87. Problems associated with AIDS. HC182, H.M.S.O.Google Scholar
SOCIETY OF ACTUARIES (1988). Report of the Task Force on AIDS.Google Scholar
Tillett, H. E. & McEvoy, M. (1986). Reassessment of predicted numbers of AIDS cases in the UK. Lancer, 2, 1104.CrossRefGoogle ScholarPubMed
Waters, H. R. (1984). An approach to the study of multiple state models. J.I.A. 111, 363.Google Scholar
Waters, H. R. & Wilkie, A. D. (1987). A short note on the construction of life tables and multiple decrement tables. J.I.A. 114; 569.Google Scholar
Weyer, J. & Holzwarth, A. (1988). Neue ergebnisse über AIDS-bedingte Sterblichkeiten und ihre Konsequenzen für die Lebensversicherung. Blätter der D.G.V.M. 18, 213.CrossRefGoogle Scholar
Weyer, J., Körner, B. & Schmidt, B. CH. (1988). Modellrechungen zur epidemischen Dynamike von AIDS. Forschung in Köln, 2, in press.Google Scholar
Weyer, J., Schmidt, B. CH. & Körner, B. (1988). Ein Mehrgruppenmodell zur epidemische Dynamik von AIDS (AIFO 3/3,4,5)Google Scholar
Wilkie, A. D. (1988). An Actuarial Model for AIDS. O.A.R.D. 40, Institute of Actuaries.Google Scholar