What HIV prevention in infants can tell us about HIV prevention in adults

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Sonography of un fetus - Primer plano performed con el echographAmong 1991 - The peak of the HIV epidemic - and 2010, the enormously successful public health strategy that reduced the number of babies born in the United States with HIV over 1500 the year to just over 150. Now, less than 2 of new HIV infections that occur each year are due to perinatal transmission.

It sounds so beautiful story, there are so few babies born with HIV now reflects Shannon Weber, MSW, director of sexual and reproductive health organization HIVE, she will explain what is considered to be more than 90 the reduction of perinatal transmission of HIV by most accounts, one of the biggest US success stories in public health. Universal screening protocols, better participation of women in care, range of antiretroviral therapies, have arrived early in testing centers, a place where perinatal transmission is the exception, not the rule.

NewbornBut Webers is not interested in resting on their laurels to celebrate successes of perinatal HIV field, yet.

In an editorial published on the Huffington Post and an article published in the American Journal nurses in AIDS CARE, Weber and co-author Robert Grant, MD, of the Gladstone Institutes of the University of California at San Francisco and chief medical officer of San request Francisco AIDS Foundation for professionals, public health personnel, researchers and others involved in the fight against HIV care for and learn from the successes and experiences of perinatal HIV transmission prevention efforts.

Doctor's teamWith perinatal HIV transmission, we had to change our lens and think of all the opportunities in the mother interacted with the healthcare system. It was in an emergency room, the office of primary care, perhaps during a visit partner health care, or care of other children - so we can figure out how to serve it. To prevent the sexual transmission of HIV, we need to have a model of care that captures people and helps reduce your risk, no matter how they come into contact with the system. If you left the house to get a Pap test, or because they are receiving treatment for depression, it is always a good time to suggest testing for HIV because the woman is already there, at the health center. I think this is one of the times when we can do the test suggestion.

A push in the back that anticipates a critical test that can be crucial to avoid another baby with HIV and our hearing is critical "that the perinatal HIV prevention was a great success," because people care about babies. She worries that some may think that public health will not offer the same support to prevent other types of HIV transmission from happening.

But I think to myself, well, that's our problem. This is a solvable problem. We need to create a story about inclusion, about what is possible. It is as important as the work to get the science to be possible.

And speaking of science - Weber and Grant are invigorated by the opportunities presented by the powerful advances in biomedical HIV prevention. Five years ago, says Weber, could not take anything but the risk reduction approach in HIV prevention efforts. Expanding the paradigm to help people think about their sexual health and general well-being - using new biomedical strategies, as well as condoms - she believes that the prevention of sexual transmission of HIV is approaching the new frontier.

Now we can have a conversation with someone where we can put out a lot of options. And really help them figure out which option works best for them. With PrEP, treatment, prevention and HIV testing really sensitive, have so much to offer people - and we do it in a truly inclusive and welcoming way.

For more information on prevention strategies biomedical HIV, visit prepfacts.org, Look through the virtual library betas Prep and read about treatment, prevention and how to get to undetectable.

26 2015 June, by Emily Newman

Translated from Original in What Preventing HIV in Babies Can Tell Us about Preventing HIV in Adults by Cláudio Santos de Souza and reviewed by Mara Macedo


No need to be gay to fight homophobia, nor is it necessary to be black to combat racism ... and needless to be HIV positive to fight for the cause of HIV carriers. To engage in this fight!

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