August 19, 2010

Preventing Perinatal HIV Transmission Newsletter: Field Update Banner Logo

Welcome to this issue of Preventing Perinatal HIV Transmission: Field Update. You are receiving this newsletter because you have attended one of HRET's workshops on implementing rapid HIV testing, 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 & 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.

For more information on HRET's Perinatal HIV Prevention project, please visit our Web site.

If you have comments or suggestions for future issues of this newsletter, please contact Chris Hund at

New Opportunities:

Hospital Perinatal HIV Learning Collaborative

The Health Research & Educational Trust (HRET) is accepting applications for a new Hospital Perinatal HIV Learning Collaborative, which has a special emphasis on engaging physicians in HIV testing and linking infected patients to care. It is open to individuals from Sole Community Hospitals and Rural Referral Center Hospitals.  Proposals are due Friday, September 17, 2010. Six sites will be selected through this proposal process. The collaborative is funded by the Centers for Disease Control and Prevention (CDC); National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention; Division of HIV/AIDS Prevention; Epidemiology Branch.  For more information on this exciting opportunity and to see the Request for Proposal please contact Joan Miller at
HIV Testing and Screening Cost and Reimbursement Toolkit

HRET has developed a new tool package for cost and reimbursement issues surrounding HIV testing and screening, which is available online at The tool package includes a downloadable calculator to help assist hospitals in understanding the costs surrounding HIV testing programs. For more information, contact Joan Miller at

Upcoming Events:

Stakeholders Meeting to Eliminate Perinatal HIV Transmission in the U.S.

The CDC, with support from the Francois-Xavier Bagnoud Center and HRET, is holding the second in a series of stakeholders meetings regarding a strategy to eliminate perinatal HIV in the United States on Friday, August 27, 2010, at the Hotel Monaco in Washington, DC. The invitees of this meeting will continue to craft and begin to implement action plans begun at a stakeholders meeting in December of 2009. Information about the outcomes of this meeting will be available in the next newsletter.
Free Workshop in Kansas City Area on Eliminating Perinatal HIV Transmission 
HRET and the CDC are hosting "Getting to Zero: How Hospitals Can Use Rapid Tests to Virtually Eliminate Mother-to-Child HIV Transmission" on:
  • Tuesday, September 21, 2010, at the Sheraton Overland Park in Overland Park, Kansas 
This free workshop, which includes free continuing education credit, includes presentations on:
  • Latest information for Kansas and Missouri hospitals on testing consent laws and reporting in both states.
  • Current state of perinatal HIV/AIDS
  • Point-of-care vs. laboratory testing
  • Culturally competent patient communication
  • Prophylaxis and treatment
  • Confirmatory testing
  • Quality control
  • Intrapartum care
  • Referral and counseling
  • Reporting requirements
  • Reimbursement 
Presenters include HRET, AIDS Education and Training Centers (AETC) staff, HRET, and local practitioners.
Open to hospital staff from labor and delivery, nursery, emergency, laboratory, infectious disease, and pharmacy, these workshops offer free continuing education credits. To register for the workshop, contact Barbara Mooney at or (312) 422-2694.

Recent Events

Free Workshop in Washington, DC, on Eliminating HIV in Women and Infants
HRET, CDC, Washington, DC Department of Health, the Francois-Xavier Bagnoud Center, and the American College of Obstetricians and Gynecologists hosted: “Getting to Zero: Eliminating HIV in Women and Infants in DC” on Friday, June 4th, 2010.

New Resources

U.S. Department of Health and Human Services Report of Treatment of HIV in Pregnant Women

HHS recently released a document that details the recommended treatment of HIV in pregnant women. The report includes information to help pregnant women with HIV-1 infections to make decisions regarding antiretroviral drugs and the use of cesarean delivery. The report highlights circumstances that occur in clinical practice and focuses on individualized clinical management of mother-child pairs before, during, and after pregnancy. Click here to download the report

University of Washington HIV Testing Tutorial

The University of Washington has created a tutorial regarding HIV screenings in health care settings. The interactive tutorial is interspersed with self-assessments and includes linkable references and resources. The program provides 1.5 free CME and CNE credits.  The resource can be found at

CDC Launches iKnow Campaign
The iKnow campaign is designed to encourage young African American men and women aged 18–24 to talk openly and often about HIV/AIDS with their peers, partners, and families, online and off. i know will disseminate HIV prevention information through several social media platforms such as Facebook, Twitter, and text messages aimed at fostering conversations about HIV/AIDS among young African Americans. Visit the campaign at

News Updates

African-Americans continue to be Disproportionally Infected with HIV

Dr. Kevin Fenton, director of CDC's National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, reported that African Americans continue to be the racial group most disproportionally affected by HIV. He said that although African Americans comprise only 12% of the US population nearly 50% of the new infections each year, as well as 50% of all people living with HIV in the US are African American. He then asked for a recommitment from all parties to ensure that all African Americans, especially young people, are provided with the information and support they need regarding HIV. 

To view Fenton's full statement, visit

Good News 

…from Michigan and Wisconsin

On March 24th, the Michigan house passed House passed HB 4583 without any opposition (109-0). This bill would require that certain information be provided before testing, and allow informed consent to be given orally or in writing.  HB 4583 eliminates the state requirement that patients sign a separate consent form solely for HIV testing. Instead, the test would be covered under the consent for general medical care. Read more

Whereas the Michigan bill is still awaiting Michigan senate approval and a gubernatorial signature, Governor Jim Doyle of Wisconsin recently signed into law a similar measure to help increase HIV screening by changing consent provisions in his state. The law no longer requires consent for testing in writing. Patients can be tested as long as they have been properly informed by their physician and do not opt-out. Read more about the Wisconsin law.

…from Minnesota

The mother-to-child transmission rate of HIV has been cut dramatically in Minnesota over the last decade even though the number of cases of HIV-positive women giving birth has tripled. The dramatic success can be attributed to the hard work of  hospital teams, obstetricians, and a team of perinatal HIV experts at Children's Hospitals and Clinics of Minnesota (CHCM). Rapid testing and ARV treatment of the women before delivery and of the child after delivery are both key components of the success. MTC infection rate is below 1% since 2000. Read more

…from South Dakota

According to South Dakota state epidemiologist Lon Kightlinger, there were no cases of mother-to-child transition of HIV in the state in 2009. This is down from two cases in 2008. For more information see the SD department of health at: The information was originally reported in the Argus Leader as reported by Jon Walker. 

…from around the globe

In its annual report, the Global Fund to Fight AIDS, TB, and Malaria reported mother-to-child HIV transmission could be virtually eliminated within five years provided the world continues to boost funds for the initiative. Visit the Global Fund’s website at Read the annual report there as well as stories from the organization’s work around the world.

New Research and Reports

New White House Office of National AIDS Policy Report and President’s HIV/AIDS Strategy

Community Ideas for Improving the Response to the Domestic HIV Epidemic is a new report from the White House Office of National AIDS Policy (ONAP). The ONAP report was based on 14 community meetings as well as online comments. The broad and comprehensive report includes issues related to perinatal HIV and is an interesting read as it provides insight into what is going on in the HIV prevention and care community at large. Read the report here. Visit the ONAP web site. The ONAP report fed into the strategy of the President’s National HIV/AIDS Strategy for the United States. This can be accessed at

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