

In celebration of World AIDS Day, the Pan American Health Organization (PAHO) and the World Health Organization (WHO) have announced that 17 countries and territories have likely eliminated the vertical transmission of HIV from mother-to-child through screening and intervention efforts.

Cuba was the first nation to be certified as transmission free by the WHO. At least 17 other nations are close behind or have already achieved the same success. The elimination of mother-to-child HIV transmission is a part of the United Nation’s campaign to end the AIDS epidemic, which has claimed the lives of 39 million people since it began.

Marcos Espinal, Director of PAHO/WHO’s Department of Communicable Diseases and Health Analysis, said, “If we want to end HIV by 2030, we need to accelerate action for prevention and access to treatment, focusing on key populations and increasing investment and resources.”

There is now strong evidence that an increased investment in preventative measures could make vertical transmission a thing of the past on a global scale. Carissa Etienne, Director of PAHO/WHO, said in a news release “The countries of the Americas have made tremendous efforts to reduce mother-to-child transmission of HIV, cutting new infections by half since 2010.”

Despite steps in the right direction, the transmission of HIV from mother to child is still a critical issue for millions. Transmission can occur during pregnancy, birth, or during breastfeeding.

To combat mother-to-child HIV transmission, pregnant women are given HIV medication throughout their pregnancies. For those who have not received treatment throughout the course of their pregnancies, an IV-administered antiviral called zidovudine can be given during labor, the point at which infants are most exposed to infected blood and bodily fluids.

The IV treatment enters the infant’s bloodstream via the placenta, rendering the infant immune to HIV infection, regardless of the level of the mother’s infection.

Due to the many risk factors associated with mother-to-child HIV transmission, the eradication throughout an entire nation is an impressive feat.

This success in the Americas signals a new phase of hope in the preventive medicine game.

– Claire Colby

Sources: AIDS info, A Plus

Picture: Google Images