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AIDS deaths are on the decline in the United States, and the trend is expected to continue, federal health officials said Monday. The overall drop was attributed to greater access to medical care and to development of new drug therapies for the AIDS virus and for the myriad infections that can occur as fatal complications of AIDS, itself a potentially fatal disease. Worldwide, AIDS cases and AIDS deaths are on the increase. Experts have said that the combination drug therapies that have helped reduce deaths in the United States are unlikely to have a similar effect in the regions of Africa and Asia where the disease is growing. The cost and difficulty of administering the therapies are barriers to their effective use in poor countries

A woman apparently acquired the AIDS virus from deep kisses with an infected man, Federal health officials said yesterday. They said the case was the first reported transmission of H.I.V., the AIDS virus, through kissing. Both the man and woman had gum disease, factors that apparently facilitated transmission of H.I.V. Transmission most likely was through the man's blood, not saliva, the Centers for Disease Control and Prevention in Atlanta said in its weekly report. In emphasizing the rarity of such transmission, the Federal centers said the case was the only known one involving kissing among the 500,000 AIDS cases that have been reported to it since the epidemic was detected in 1981