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Abstract
Program of control and prevention of the vertical transmission of HIV/AIDS in Cuba
I Gonzalez Nunez, M Diaz Jidy, J Perez Avila
Instituto Pedro Kouri, Ciudad Habana, Cuba
Background: A controlled program has been implemented at the primary health care level in Cuba since 1986 aimed at reducing the perinatal transmission of the HIV virus.
Methods: The program includes the administration of antiretroviral drugs to every woman who decides to continue her pregnancy. AZT is the drug of choice used in a dose of 500 mg daily from week 14 until the end of pregnancy. Cesarean section is the most usual way of childbirth in these cases. During the first 6 weeks of life the child receives AZT in syrup (2mg/Kg/dose) every 6 hours. The evolution of these children is followed up at the Pediatric Outpatient clinic of Pedro Kouri Institute and are subsequently studied to determine whether they are infected or not by HIV.
Results: A total of 834 seropositive women have been reported since January 1, 1986 to November 26, 2001 (22,0%) of all the seropositive, (834/3775). Eighty-five (10,1%) of them have delivered a total of 88 children (3 women have delivered twice). Nine out of 88 are HIV+ (10,2%), and all already classified as AIDS (100%) 6 have treatment, 3 with bitherapy and 3 with tritherapy and 3 (33,3 %) have died. There are 57 children with non-demonstrable infection using PCR and Western Blot assays (64,7%). Twenty-two (25,0%) others children are still under study. There are other 3 children who acquired the infection by other ways. In summary for the moment there are only 12 children infected witch HIV in the whole country.
Conclusion: According to the facts presented here it may be considered that the Cuban HIV Control and Prevention Program is effective since the number of infected children remains low when compared to the figures of infected children from other countries.
The XIV International AIDS Conference
Abstract no.
F11942
Suggested Citation
" I Gonzalez Nunez, et al.
Program of control and prevention of the vertical transmission of HIV/AIDS in Cuba
.
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The XIV International AIDS Conference:
Abstract no.
F11942"
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