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CDC HIV/AIDS/Viral Hepatitis/STD/TB Prevention News Update

Can Perinatal HIV Infection Be Eliminated in the United


Journal of the American Medical Association (08/11/99) Vol.

In an editorial, Dr. Lynne M. Mofenson discusses the potential for eliminating perinatal HIV in the United States. Dr. Mofenson, of the National Institute of Child Health and Human Development at the National Institutes of Health, points out that although antiretroviral regimens and elective cesarean births present good strategies for eliminating perinatal HIV, some problems must still be addressed. Effective programs must be developed to prevent HIV infection and unintended pregnancies in child-bearing age women, particularly among adolescent minorities. In addition, increased efforts must be made to provide as many women as possible with adequate prenatal care, and clinicians should include HIV testing as a part of the standard prenatal tests conducted. The author notes that "innovative strategies are needed to assess the feasibility of rapid HIV testing during labor or in the immediate postpartum period to identify HIV infection in women who present in labor and have unknown HIV status or have not received prenatal care." Also, Mofenson asserts that new surveillance strategies are needed to derive more accurate data regarding any possible short- or long-term effects of in utero or neonatal antiretroviral drug exposure.


Copyright © 1999 -CDC Prevention News Update, Publisher. All rights reserved to Information, Inc., Bethesda, MD. The CDC National Center for HIV, STD and TB Prevention provides the following information as a public service only. Providing synopses of key scientific articles and lay media reports on HIV/AIDS, other sexually transmitted diseases and tuberculosis does not constitute CDC endorsement. This daily update also includes information from CDC and other government agencies, such as background on Morbidity and Mortality Weekly Report (MMWR) articles, fact sheets, press releases and announcements. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC HIV/STD/TB Prevention News Update should be cited as the source of the information. Contact the sources of the articles abstracted below for full texts of the articles.

Information in this article was accurate in August 11, 1999. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.