Factors Associated With Lack of Viral Suppression at Delivery

Ingrid T. Katz; David E. Shapiro; Ruth Tuomala

doi:10.7326/L15-5059-2

Letters |16 June 2015

Factors Associated With Lack of Viral Suppression at Delivery

Ingrid T. Katz, MD, MHS; David E. Shapiro, PhD; Ruth Tuomala, MD

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IN RESPONSE:

We agree with Dr. Calzi and colleagues that early delivery of HAART to pregnant women in low- and middle-income countries is an essential component in the prevention of mother-to-child transmission of HIV, which concurrently benefits maternal health. Sub-Saharan Africa in particular needs to remain the focus of this effort, given that 92% of pregnant women living with HIV reside in this region (1). The expansion of HAART in sub-Saharan Africa, as supported by such programs as the President's Emergency Fund for AIDS Relief in conjunction with partner nations, has achieved impressive gains in expanding treatment availability and preventing mother-to-child transmission (2). Nevertheless, countries with a high prevalence of HIV, such as South Africa, had 40 000 new HIV pediatric infections in 2010 (3).

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Letters |16 June 2015

Factors Associated With Lack of Viral Suppression at Delivery

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Letters |16 June 2015

Factors Associated With Lack of Viral Suppression at Delivery

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