RESUMO
OBJECTIVE: There have been significant successes in the fight against HIV/AIDS due to the access to rapid HIV testing, interventions to reduce the mother-to-child transmission (MTCT) risk, potent and effective antiviral medications, and other biomedical prevention strategies. The purpose of this work is to demonstrate that Puerto Rico eliminated Mother-to-Child Transmission of HIV (MTCT) following the 2017 World Health Organization (WHO) criteria for validating the elimination of MTCT and Syphilis. METHODS: Existing epidemiological data from Puerto Rico was used to document the elimination of MTCT and Syphilis. Data to calculate the indicators was obtained from the various divisions of the Puerto Rico Department of Health, including vital statistics, surveillance data, and programmatic outcomes. RESULTS: Puerto Rico eliminated MTCT and syphilis, according to the WHO indicators, earlier than other countries. We can trace the outcomes to 1994 using the incidence rate of perinatally-acquired HIV of <50/100,000; to 2007 using HIV perinatal transmission rates for non-breastfeeding countries (<2%), to 2008 using 90% of women receiving ART at delivery, and to 2005 using the incidence rate of congenital syphilis of <50/100,000. CONCLUSION: Not only have we eliminated the MTCT of HIV and syphilis, but the efforts have been sustained since 2000. The elimination of transmission of infectious diseases requires the intersection of scientific feasibility, coordinated interventions, and political will, successfully attained in Puerto Rico.
Assuntos
Erradicação de Doenças , Infecções por HIV/prevenção & controle , Transmissão Vertical de Doenças Infecciosas/prevenção & controle , Complicações Infecciosas na Gravidez/prevenção & controle , Sífilis/prevenção & controle , Adulto , Feminino , Infecções por HIV/transmissão , Política de Saúde , Humanos , Gravidez , Porto Rico/epidemiologia , Sífilis/transmissãoRESUMO
En La Paz-Bolivia, durante los años 2007-2011, se observó la evolución del nacimiento de dos mellizos de madre seropositiva para el Virus Inmunodeficiencia Humana (VIH) nacidos en el hospital Materno infantil (HMI) de la Caja Nacional de Salud (CNS), observándose asimismo el desarrollo y crecimiento psicomotor, además de los cambios laboratoriales en los niños. Motivados por esta situación se decidió realizar un estudio observacional de seis años, en los dos hijos de madre seropositiva al VIH nacidos en el período de tiempo antes señalado; con el objetivo de determinar la relación entre la evolución clínica y la transmisión vertical de la enfermedad. En los dos mellizos estudiados se cumplieron las medidas preventivas y la aplicación del Protocolo ACTG 076. En el período de 6 años se realizó el testeo de la carga viral, Elisa, además del estudio del hemograma, y se valoró el cumplimiento del protocolo de prevención utilizado en la transmisión vertical del VIH/SIDA habiéndose comportando conforme a lo descrito internacionalmente.
In The La Paz-Bolivia, during the years 2007-2011, the evolution of the birth of two twins of seropositive mother was observed in the infantile Maternal hospital (HMI) of the Caja National of Health (CNS) with regard to the Virus of the Human Inmunodeficiencia (VIH), being observed the development and psychomotor growth also, besides the changes laboratoriales in the children. Motivated by this situation he/she decided to carry out a six year-old observational study, in the seropositive two mother children to the VIH born before in the period of time signal; with the objective of determining the relationship between the clinical evolution and the vertical transmission of the illness. In the two studied twins the preventive measures and the application of the Protocol ACTG 076 were completed. In the 6 year-old period he/she was carried out the testeo of the viral load, Elisa besides the study of the hemograma, and the execution of the protocol of prevention was valued used in the vertical transmission of the VIH/SIDA there being you behaving according to that described internationally.