Prevalence, incidence, and mother-to-child transmission of HIV-1 in rural South Africa.

NC Rollins; M Dedicoat; S Danaviah; T Page; K Bishop; I Kleinschmidt; HM Coovadia; SA Cassol; Child Health Group; (2002) Prevalence, incidence, and mother-to-child transmission of HIV-1 in rural South Africa. Lancet, 360 (9330). 389-. ISSN 0140-6736 DOI: 10.1016/s0140-6736(02)09599-5
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Simple, robust approaches are needed to monitor prevalence, incidence, and mother-to-child transmission of HIV-1 in rural Africa. We have designed a method that uses antibody and viral RNA testing of dried blood spots obtained from mother-infant pairs attending routine immunisation clinics. In our study, prevalence and incidence of HIV-1 was highest in young women in their late teens and early twenties. In children born to infected mothers, prevalence increased from 14% in infants younger than 6 weeks of age to 24% at 3-6 months. The blood-spot approach is an effective method for surveillance of HIV-1 in women and children, and for early identification of incidence of this infection in women of child-bearing age.

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