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HIV and Breastfeeding in Malawi

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  • Bell, Elizabeth
    HIV Transmission Through Breast Feeding Journal of the American Medical Association (08/25/99) Vol. 282, No. 8, P. 744; Miotti, Paolo G.; Taha, Taha E.T.;
    Message 1 of 1 , Aug 26, 1999
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      "HIV Transmission Through Breast Feeding"
      Journal of the American Medical Association (08/25/99) Vol. 282,
      No. 8, P. 744; Miotti, Paolo G.; Taha, Taha E.T.; Kumwenda,
      Newton I.; et al.
      A multicenter team studied the risk of HIV transmission through
      breastfeeding in 672 infants born to HIV-infected women in Malawi
      who had not received antiretroviral therapy during or after
      pregnancy. The prospective cohort study was conducted between
      1994 and 1997, with follow-up for 24 months. Reporting in the
      August 25 Journal of the American Medical Association, the
      researchers found that risk of HIV transmission is highest during
      the early months of breastfeeding. A total of 47 babies
      contracted HIV while breastfeeding; none were infected after
      breastfeeding was stopped. According to the researchers, "The
      cumulative risk of infection for infants continuing to breastfeed
      after month 1 was 3.5 percent at the end of 5 months, 7.0 percent
      at the end of 11 months, 8.9 percent at the end of 17 months, and
      10.3 percent at the end of 23 months."

      Elizabeth Bell MPH
      Behavioral Interventions and Research Branch
      Division of STD Prevention
      National Center for HIV, STD and TB Prevention
      Centers for Disease Control and Prevention

      "This last phase of the program is like the last mile of the marathon. ...
      If any one country fails, the world fails."
      -- Dr. Uton Muchtar Rafei of the World Health Organization, on what is
      planned to be the final push to eradicate polio in India by the end of 2000.
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