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From: PlusNews <[email protected]>
Date: Mon, Jul 23, 2012 at 1:54 PM
Subject: SOUTH AFRICA: Mother-to-child HIV transmission still falling
To: Elisabeth Janaina <[email protected]>


SOUTH AFRICA: Mother-to-child HIV transmission still falling

WASHINGTON DC, 23 July 2012 (PLUSNEWS) - South Africa has charted a
significant decline in mother-to-child HIV transmission for the second
consecutive year, with new data showing that just 2.7 percent of
babies born to HIV-positive mums contracted the virus by six weeks of
age, compared to 8 percent in 2008.

The new figures - recently released by South Africa's Medical Research
Council (MRC), the UN Children's Fund (UNICEF), the US Centres for
Disease Control and others - represent a significant decrease from
those presented in June 2011, when 3.5 percent of all babies born to
women living with HIV had contracted the virus before, during or
shortly after birth. [
http://www.plusnews.org/Report/92942/SOUTH-AFRICA-Mother-to-child-HIV-transmission-plummets
]

The research, conducted between April 2011 and March 2012, shows there
are also fewer disparities between the rates in South Africa's nine
provinces than those released in 2011, when they ranged from nearly 6
percent to about 2.5 percent.

Significant improvements were recorded in provinces where the
provision of prevention of mother-to-child transmission (PMTCT)
services had been poor, such as rural areas in Mpumalanga and Free
State provinces, as well as Western Cape, but less than 2 percent of
babies born to women living with HIV in these regions now contract the
virus. [ Research: http://www.scribd.com/doc/100619881 ]

Without treatment, up to 40 percent [
http://blogs.state.gov/index.php/site/entry/pmtct_pepfar ] of babies
born to HIV-positive women could become infected with the virus during
pregnancy and delivery, but the risk drops below 5 percent when the
women have access to PMTCT services.

Researchers estimate that about 120,000 infant HIV infections were
averted as a result of expanded provision of PMTCT services.

South Africa's Health Minister, Dr Aaron Motsoaledi, welcomed the
results and said that if this success could be sustained, it would
help curb high infant mortality rates fuelled by HIV - 42 out of every
1,000 babies born die before the age of one in South Africa.

Current PMTCT figures only tracked babies until they were six weeks
old, but Motsoaledi said the government and its research partners are
planning surveys to examine what percentage of mother-to-child
transmission occurs after this point.

To further reduce the mother-to-child transmission risk, the country
started promoting exclusive breastfeeding in April 2012. [
http://www.plusnews.org/Report/93600/SOUTH-AFRICA-Policy-turnaround-on-breastfeeding
]

"As we implement our exclusive breastfeeding policy, I would like us
to ensure that all eligible HIV-positive mothers are on antiretroviral
therapy for the duration of breastfeeding, so that there is no HIV
transmission after six weeks of age," said Motsoaledi. "It is
imperative that infants born HIV negative remain HIV negative."

After mixed feeding, in which mothers combine breast milk and solids,
was found to increase the risk of infants contracting HIV through
their mother's milk, the UN World Health Organization (WHO)
recommended [ 
http://www.who.int/maternal_child_adolescent/documents/9789241599535/en/
] exclusive breastfeeding for HIV-positive mothers on ARVs in the
infant's first six months of life to reduce the risk of transmission.

llg/kr/he[END]

This report online: http://www.plusnews.org/report.aspx?reportID=95929



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