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In order to reduce the infant mortality rate due to HIV transmission from mother to child,the Maharashtra State AIDS Control Society (MSACS) has kicked off a programme Early Infant Diagnosis (EID) in the state. As per the EID programme,children of HIV positive mothers will be screened six weeks after their birth.
Earlier,the children would be tested for the virus only after 18 months of their birth. Mother-to-child transmission continues to be a problem area in preventing spread of HIV and an early diagnosis will help us to provide treatment at the right time, said Dr Asha Hegde,consultant,MSACS.
Hegde added 33 per cent of HIV infant deaths happen within the first year of infection and 50 per cent in the second year. Currently,MSACS has registered 203 babies on antiretroviral treatment (ART) in the state.
According to the EID programme,a spot blood test of the child will be screened. If tested positive,a whole blood sample will be sent for further analysis. Children who test positive early will be treated early and as a result,we can reduce the mortality rate. The HIV positive woman will be monitored and after delivery,will be sent with her child to the EID diagnosis centre for the tests, Hegde said.
While state recorded figures have shown an overall dip in the number of fresh HIV cases this year,doctors feel mother-to-child transmission continues to be a source of worry and early diagnosis might help the situation.
Children are asymptomatic below the age of 18 months. However,by that time,if the child is HIV positive,there could be possible damage done to brain development. Early detection as well as prophylactic treatment is extremely important in the case of HIV positive mothers, said Dr Mamta Manglani,head of pediatrics at Sion Hospital.
A recent NACO report revealed that India has around 40,000 pregnant women who are HIV positive and 12,000 HIV infected children are born each year. Transmission of the virus from the mother to the child was said to be as high as 30 per cent.
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