While AIDS continues to infect and kill people -- the U.S. Centers for Disease Control report that more than 18,000 people with AIDS die annually in the United States and an estimated 56,300 Americans become infected with HIV each year -- perceptions, treatment and the demographics of the disease have changed since the 1980s. The church's awareness of and response to AIDS have changed along with them, with some Episcopal ministries growing and evolving, others dwindling. Yet the need remains, advocates say.