to this issue of Preventing Perinatal HIV Transmission: Field
Update. You are receiving this newsletter because you expressed an
interest in perinatal HIV prevention in hospitals or have signed up to
receive it. This quarterly email newsletter connects its subscribers to
news updates, trends, statistics, prevention programs, policy initiatives,
tools, and useful practices relating to perinatal HIV prevention in
U.S. hospitals. The Health Research and
Educational Trust (HRET), with support from the Centers for Disease
Control and Prevention (CDC), produces this newsletter as a forum for
information dissemination and for communication among and between hospital
staff, HIV experts, and researchers.
more information on HRET’s Perinatal HIV Prevention project, please visit
you have comments or suggestions for future issues of this newsletter,
please contact Jennifer Reiter at firstname.lastname@example.org.
and AMCHP Webcast on HIV Testing for Pregnant Women Available to View
The American College of Obstetricians and
Gynecologists and The Association of Maternal and Child Health Programs
co-hosted a webcast on HIV Testing for Pregnant Women on Monday, July
10th. The guest
panel included speakers from CDC, NIH, AIDS Alliance for Children, other
national organizations, and physicians who treat HIV-positive pregnant
To view this archived webcast,
please click here.
CDC’s HIV Web Site Now Available
Please click here to access the site in Spanish.
In addition, CDC will be
completely renovating their perinatal HIV prevention web site in the
coming months. Please check
their web site frequently for updates.
Twelfth Annual Maternal and Child
Health Epidemiology (MCH EPI)
Conference Call for Abstracts due September 5
Maternal and Child Health Epidemiology (MCH
EPI) conference organizers invite you to join MCH professionals in sharing
experiences, enhancing knowledge, and generating new ideas for improved
MCH data use and informed policymaking. The MCH EPI Conference will be
held from December 6-8, 2006 at the Omni Hotel at CNN Center in Atlanta. Graduate students are encouraged
to submit abstracts and to learn more about MCH epidemiology practice at
the state and local levels by attending the conference. The deadline for submitting abstracts
is 11:00 pm EST, September 5, 2006. No late abstracts will be
visit the conference’s web site for further information.
CDC Finds a 95% Decline
in Perinatal AIDS Cases Since 1992
Cases of perinatally acquired AIDS in the
U.S. declined 95% from
1992-2004 to 48, one of the most resounding successes in the nation’s HIV
prevention efforts, according to a recent report from the Centers for Disease Control and
Prevention. Implementation of
recommendations for universal prenatal HIV testing, antiviral prophylaxis,
elective caesarean delivery, and avoidance of breastfeeding are credited
with reducing the risk for perinatal HIV transmission from an HIV-infected
mother to less than 2%.
Continued success will require sustained commitment to prevention
of HIV infection among women and to treatment for women affected by
Signs into Law a Bill Requiring HIV Tests for
Governor Rod Blagojevich signed legislation requiring HIV testing for
every newborn baby in Illinois when the status of the mother
is not known. The law takes effect immediately.
In 2004, the state
created a voluntary HIV testing program, Perinatal Rapid Testing
Implementation in Illinois (PRTII).
According to program administrators, 98 percent of new mothers know
their HIV status before they leave the hospital, up from 72 percent at the
start of the program. The
task force monitoring PRTII said just 1.9 percent of 13,205 babies born in
last December went untested.
Targeted Outreach for Pregnant Women
Act (TOPWA) Helps Cut Infant
HIV Rates in Florida
In 1998, Florida's Legislature
established the Targeted Outreach for Pregnant Women Act (TOPWA), an
effort to find women of child-bearing age at risk for HIV or addiction
and, if necessary, help them deliver healthy babies. Initially, the act allocated
$100,000 for agencies in the most populated counties: Miami-Dade,
Palm Beach, Broward, Hillsborough, and
Orange. With additional federal subsidies,
TOPWA covers 12 Florida counties today.
Families First runs TOPWA, the program has five outreach workers and a
budget of $165,000. Since
TOPWA was passed, rapid HIV testing, antiretroviral therapies, caesarian
birth, and other medical interventions have helped reduce state HIV cases
among those under age two from 113 in 1992 to four in
Report Examines How HIV/AIDS Affects
Women and HIV, a report from the National Women's Health Resource Center, discusses the
challenges women face in protecting themselves from contracting
HIV/AIDS. This document also
examines women's HIV/AIDS treatment-seeking behaviors and how the virus
affects pregnancy. Physical and psychological differences between how men
and women are affected by HIV/AIDS are also discussed.
Study Highlights the Benefits of Antiretroviral
Therapy Over Ten Years
This recently published study found that four
eras of increasingly effective ART in addition to prophylaxis resulted in
per-person survival increases of 7.81, 11.05, 11.57, and 13.33 years,
compared with the absence of treatment. Treatment for patients with AIDS
in care in the United
States since 1989 has yielded a
survival benefit of 2.8 million years.
The study concludes that at least 3.0 million
years of life have been saved in the United
States as a direct result of care of
patients with AIDS, highlighting the significant advances made in HIV
Click here to view
the article in the Journal of Infectious Diseases.
Study Finds that Highly
Active Antiretroviral Therapy (HAART) Significantly Reduces the Number of
Opportunistic Infections in HIV-Positive
According to a study published in the July 19 issue of
JAMA, Philimon Gona,
a research assistant and professor of mathematics and statistics at
colleagues examined a database of 2,767 HIV-positive children undergoing
HAART who were enrolled in a study conducted from September 2000 through
December 2004. The
researchers compared the data on the 2,767 children with the incidence of
opportunistic infections among 3,331 HIV-positive children enrolled in a
separate study from October 1988 through August 1998, which is before
HAART was widely used. The
JAMA study finds that the incidence of opportunistic infections in the
HAART group, compared with the study group not receiving HAART, decreased
between twofold and 14-fold.
Please click here to read
the findings in JAMA.
Field Operations Consultant
Positions Available at the Department of State Health Services in
Consultants are responsible for ensuring that organizations which
enter into a written agreement with the Department of State Health Services (DSHS) to provide HIV, STD and HCV programs deliver
services that are consistent with the needs of the population to be
served, and are in accordance with State and Federal mandates and program
ensure compliance with these requirements through formal site reviews,
technical assistance visits and desktop reviews. Consultants work under minimal
supervision, with considerable latitude for the exercise of independent
initiative, judgment, and action.
To find out more about these
positions, find the job title by looking under the Department of State
Health Services on the web site of Texas’s Health and Human Services Job