Man this shyt is so
Its hard to quantify without having an idea of what the true prevalence is.
With that said theres definitely surveillance problems when it comes to hospitals and clinics.
Scandals like this happen all the time:
FDA Faults Hospitals For Failing To Report Safety Problems With Medical Devices
And these were big name hospitals. A lot of places just dont have the resources or manpower to accurately record data.
Another big issue is the lack of standardisation. There's so many different platforms that record data in different ways.
Problem is i cant see a wide range of white people being unaccounted for. There would have to be some trace of hiv prescription drug purchases that make the cdc statistically off. Like significantly more purchases than the prevalance.
Breh it is all about how far the rabbit holes folks want to go into. We all know the folks at the top do not want their group identified as the most prevalent with diseases. In america and the world black folks have always had to carry that flag.
Also we have all seen reports over the last 10 to 15 years of china and russia hiding their true HIV/Aids rates. As well as rates in africa being inflated.
There is also the money aspect. As a free clinic you get funding for collecting data and treating folks. Well wouldn't it be more inclined to pressure patients to take an HIV/Aids test? Back when I did my study every woman who came into the clinic (that I dealt with) for birth control or a annual checkup was asked to take a HIV/Aids test.
Then you have HIV/Aids specialist who would tell folks who have insurance hey if you think you may have been in contact with the virus. Go to a clinic and get tested that way if you are positive you don't risk losing your insurance.
Look I am an engineer and deal with data collection. You can make data look however you want and we know folks fluff or exclude data to make shyt look a certain way.
Data is manipulated in every walk of life......why wouldn't this data be the same.
Do you remember when 9/11 happened the CDC asked people to come into clinics or work with the red cross to donate blood.
And the media mentioned that 100s and 1000s of blood that was collected was HIV/Aids positive and they had to throw the blood away. Many of the folks who had positive blood they couldn't even contact because they gave false addresses or didn't give good contact info.
Well around this time my college had a big blood drive and collected a bunch of blood from frat row (frat row at the time was all white). Speaking to one of the clinic workers who I knew (who also helped me with my grad research paper) said that a large percentage of the blood was positive for HIV/Aids and they had to throw it away.
The shyt is crazy man. When I did my paper the CDC dude literally said well at this time we don't collect HIV/Aids data from Montana and South Dakota because the rates are low. I mean how you gonna just exclude data like that. I asked wouldn't you do some research to see why those numbers are low and he was like nope we just exclude them in our study.