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To: Scott H. Davis who wrote (7880)1/23/1998 2:07:00 PM
From: AgAuUSA  Read Replies (1) | Respond to of 14328
 
British doctors call for more HIV
testing

Copyright c 1998 Nando.net
Copyright c 1998 Reuters

Nando's special report: 1997 Year in Review

LONDON (January 22, 1998 10:49 p.m. EST nando.net)
- British doctors and AIDS charities urged the government on
Friday to make HIV testing more readily available after a study
showed a huge jump in the number of mothers in London
infected with the virus.

Researchers called for urgent action to make routine
ante-natal HIV testing available to prevent vertical
transmission from mother to child.

The plea came after a major study showing a six-fold
increase between 1988 and 1996 in the number of London
mothers infected with the virus that causes AIDS.

"If diagnosis rates remain low, the numbers of vertically
acquired infections in the United Kingdom will increase
substantially," Dr. Angus Nicoll of the AIDS and Sexually
Transmitted Disease Center warned in a report published in
the British Medical Journal.

"Women who know they are HIV-infected wish to avoid having
an infected child, but to achieve this, diagnostic ante-natal HIV
testing must be more available and accessible, especially in
London."

Nicoll is one of a dozen scientists who conducted the
eight-year study into HIV among pregnant women in Britain.

Infections were most prevalent among black African women
and those with a history of injecting drugs. But the study also
found that women not considered at high risk were infected.

Unlike France and the Netherlands, which instituted
legislation to assure that all pregnant women are offered HIV
tests, or the United States, which produced guidelines, Britain
has no formal policy for testing.

Whether a pregnant woman will be offered an HIV test often
depends on the hospital she attends and the doctor who
treats her.

The British Medical Journal described the position on testing
as "shameful and negligent."

"The indifference of some obstetricians and an unwillingness
by many midwives to broach the issue of testing has meant
that Britain has fallen behind other countries in providing
pregnant women with access to HIV testing," the journal said
in a commentary.

The National AIDS Trust and the BMA Foundation for AIDS
supported the call for a standard testing policy.

"There's now compelling evidence in favor of testing," said
Hilary Curtis, executive director of the foundation.

In a separate study in the British Medical Journal, Dr Wendy
Simpson of the University of Edinburgh found that offering the
HIV test to all women, instead of only those who asked for it,
resulted in a higher uptake.

Doctors know that HIV infection from mother to child can be
reduced by at least two thirds with treatments at birth and by
abstaining from breast-feeding. Figures for 1994-95 revealed
that only 16 percent of pregnant women with HIV in
southeastern England and London were identified before the
birth of their children.

By PATRICIA REANEY, Reuters