February 18, 2010

HRET and CDC Sponsor More Free Workshops on Perinatal HIV Testing

Overview
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 Joan Miller at jmiller@aha.org.

Upcoming Events

Free Workshop in Denver, Colorado, 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, March 2, 2010, at the Denver Marriot Downtown in Denver, Colorado 

This free workshop, which includes free continuing education credit, includes presentations on:

  • New Colorado laws related to mandatory HIV testing in hospitals. 
  • 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 CDC officials, HRET, AIDS Education and Training Centers (AETC) staff, 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 bmooney@aha.org or (312) 422-2694.

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 are hosting: "Getting to Zero: Eliminating HIV in Women and Infants in DC" on 

  • Wednesday, April 7th, 2010, at the Hyatt Regency Washington on Capitol Hill 

This free Washington, DC,- specific workshop will provide attendees with the opportunity to:

  • Better understand the impact of HIV on women in DC 

  • Learn from experienced professionals who care for women with and at risk for HIV

  • Problem-solve with colleagues to address missed opportunities for preventing HIV in women and their babies in DC 

  • Participate in interactive sessions with experts from the sponsoring organizations.

Multi-disciplinary teams are encouraged to come but individuals are welcome as well. Free continuing education credits will be offered. To register for the workshop, contact Barbara Mooney at bmooney@aha.org or (312) 422-2694.

Recent Events

Audioconference for Risk Managers on Eliminating Perinatal HIV Transmission

HRET and the American Society for Healthcare Risk Management (ASHRM) hosted an audioconference, "Getting to Zero: Using Rapid Tests to Eliminate Mother-to-Child HIV Transmission," on Monday, November 16, 2009. It was designed specifically for risk managers at hospitals and health care organizations and it focused on: 

  • Current state of HIV/AIDS

  • CDC and U.S. Preventive Services Task Force testing recommendations

  • State and local laws and reporting requirements

  • Cost 

Speakers included Margaret Lampe, CDC, Division of HIV/AIDS Prevention, and Georgene Saliba, ASHRM president. Download a free recording of the audioconference at http://www.hret.org/hret/programs/hivtransm.html. Scroll down to the "Past Workshops" table and click on the link that reads "download" in the Monday, November 16, 2009, row.

Getting to Zero Workshops in South Carolina and Ohio

Getting to Zero workshops were held in Columbia, SC in December and Columbus, OH in November. Here are a few pictures from the successful workshops.

Conference attendees 

 

Conference attendees in Columbus listen intently to a presentation.

 

 

 

 

 

 

 

Dr. Wayne Duffus

Dr. Wayne Duffus, Acting Administrative Director for the South Carolina Department of Health and Environmental Control, offered an insightful and engaging presentation on the face of HIV/AIDS in South Carolina.

Dr. Anthony Gregg

Dr. Anthony Gregg of the University of South Carolina explained his positions on HIV testing in labor and delivery units. 

News Updates

Texas Passes New Law Aimed at Protecting Newborns from Being Born with HIV

On January 1 a new Texas law went into effect that requires health care providers to test pregnant women for HIV during their first prenatal visit. A second test is required for all third trimester mothers. If there are no records of third-trimester testing available when the woman is admitted to labor and delivery, the new Texas law mandates that the woman be tested and that results are made available within six hours. For all of these tests, women have the right to opt out. For those who opt against testing, information about HIV transmission and anonymous testing is made available. If a mother's results are unavailable for any reason, the law provides for rapid testing of infants at delivery.

A handbook is in the works that will help providers treat HIV-positive women and their babies. For more information, see http://www.dshs.state.tx.us/hivstd/info/edmat/TestingandPregnancy.pdf. 

Indiana Launches Campaign to Reduce MTCT

A new campaign by the Indiana State Health Department encourages pregnant women to get tested for HIV. The campaign uses resources from "One Test, Two Lives," an initiative sponsored by the Centers for Disease Control and Prevention targeted at physicians.  The campaign informs pregnant women that knowing their HIV status is vital to the health of their future children. Visit the campaign's web site at http://www.in.gov/isdh/24720.htm.

AIDS Forum 2012—In Washington DC

The Obama administration has announced that US will host the International AIDS Society's conference in 2012. The hosting of the conference is made possible by the president's lifting of the 1987 ban on the entry of HIV-positive visitors and immigrants.

Battle to Reduce Mother-to-Child Transmission of HIV in Africa 

The UNAIDS executive director, Michel Sidibe, announced a drastic decrease in mother-to-child transmission of HIV in Africa due in part to the Millennium Villages Project (MVP). The MVP project attempts to integrate health, education, and other aspects of rural development. MTCT is a main focus of the MVP project because 390,000 infants in sub-Saharan Africa contracted HIV from their mothers in 2008 alone. The decrease of MTCT is due in part to increased HIV testing of pregnant women and antiretroviral drugs after delivery. In MVP, testing has increased from 10 percent of women to 60 percent in three years. For more about the MVP project see http://www.unmillenniumproject.org/mv/index.htm. 

Kenya initiated its Campaign to End Pediatric HIV/AIDS which focuses on reducing MTCT of HIV. Kenya is joined by Uganda, Tanzania, Mozambique, Zambia and Nigeria, in the work on this initiative.

The United States' five-year plan to reduce HIV/AIDS in Africa will also focus on reducing MTCT, according to Dr. Eric Goosby, the global AIDS coordinator who oversees the President's Emergency Plan for AIDS Relief (PEPFAR). Access the plan at http://www.pepfar.gov/documents/organization/133035.pdf.

Cambodia Pledges to Eradicate Mother-to-Child Transmission of HIV by 2020

The Ministry of Health in Cambodia has pledged to eradicate MTCT by 2020. In recent years, Cambodia has been seen as a model of success in fighting AIDS. They promote 100% condom use and HIV prevalence has dropped dramatically from 2% to 0.9%. It is believed that the drop in prevalence will continue.

Recent Research and Articles

Racial/Ethnic Disparities Found Among Children with Diagnoses of Perinatal HIV Infection

Early in the epidemic of human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in the United States, racial/ethnic disparities were observed in the diagnoses of AIDS among adults and children. Since the early 1990s, the annual number of diagnoses of perinatally acquired AIDS and HIV infection has declined by approximately 90% in the United States as a result of routine HIV screening of pregnant women and the availability of effective interventions to prevent transmission. To characterize the most recent trends in diagnoses of perinatal HIV infection by race/ethnicity, CDC analyzed national HIV surveillance data for the period 2004--2007 from 34 states. This report summarizes the results of those analyses, which indicated that, during 2004--2007, 85% of diagnoses of perinatal HIV infection were in blacks or African Americans (69%) or Hispanics or Latinos (16%).

http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5904a2.htm?s_cid=mm5904a2_e 

Most HIV-Positive Children are Now Reaching Adulthood

The National Institute of Health has announced that death rates have greatly reduced for children living with HIV since the 1990s when antiretroviral drug cocktail were first prescribed. The average age of death for HIV-infected youth in the study more than doubled from 8.9 years in 1994 to 18.2 years in 2006. See the announcement at http://www.nih.gov/news/health/dec2009/nichd-18.htm.

Adolescents with Perinatally Acquired HIV Transition from Pediatrics to Internal Medicine

Recent research has highlighted the challenges to caring for adolescents with perinatally acquired HIV. The researchers also looked at potential barriers to transitioning these patients from pediatrics to internal medicine. A qualitative study found that challenges to care included: poor adherence to medication regimens, adolescent sexuality, and disorganized social environments. The barriers to transitioning care were: families' negative perceptions of and experiences with stigma of HIV disease, pediatric provider fear that internal medicine would demand a level of independence the adolescent patients did not have, and difficulty in letting go of relationships as a familial bond has often been fostered between patients and their guardians and the providers. See the article: "We Never Thought This Would Happen: Transitioning Care of Adolescents with Perinatally Acquired HIV Infection from Pediatrics to Internal Medicine" in AIDS Care Vol. 21; No. 10: P. 1222-1229    (10..09):: Tara Vijayan; Andrea L. Benin; Krystn Wagner; Sostena Romano; Warren A. Andimanis there a link to the article?

HRET - One North Franklin - Chicago, IL 60606 - (312) 422-2600 - (312) 422-4568

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