Thursday, 22 August 2013

CDC HIV/Hepatitis/STD/TB Prevention News Update 08/22/2013

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HIV/Hepatitis/STD/TB News - CDC Prevention News Update
CDCNPIN Prevention Newsletter 8/22/2013
National News

Minnesota Supreme Court: HIV-Positive Man Wrongly Convicted of Passing Disease

International News

Zambia Introduces Rationing System for Drugs to Treat HIV

Medical News

Study Finds Prenatal Anti-HIV Meds Not Linked to Children's Language Delays

Local and Community News

City Report: STD Cases Increase in 2013

News Briefs

Free Testing Offered for 39 Newborns After Nurse Tests Positive to Tuberculosis

Tuberculosis Tests Cut Back in Ford and Iroquois Counties

National News
National News Minnesota Supreme Court: HIV-Positive Man Wrongly Convicted of Passing Disease

MINNESOTA :: HIV/AIDS
Star Tribune (Minneapolis) (08.21.2013) :: By Abby Simons

The Minnesota Supreme Court unanimously decided this week that an HIV-positive man found guilty for having sex with a man who later developed the infection was convicted wrongly and sided with an appeals court to overturn the original decision. The defendant was convicted more than two years ago under an obscure law that discussed transfer of sperm, blood, or tissue, but did not refer to sexual intercourse.

AIDS activists and the American Civil Liberties Union had followed the case closely. The man maintained he informed his sexual partner that he was HIV-positive. The original jury believed that assertion and found him not guilty by reason of sexual penetration; the jury did find him guilty of attempted assault under the second part of the law. “If this conviction had been upheld, it would have been saying that sex is a lethal weapon,” said Dr. Michael Horberg, chair of the HIV Medicine Association. “Obviously, the original intent of the law was specifically for organ and tissue donation, including sperm. That is a vastly different situation than what two consenting adults do in the privacy of their own home.”

The Supreme Court agreed the wording was ambiguous. The 16-page opinion also stated that the term “transfer” in the second section of the law did not include sexual conduct. “While sperm might be characterized as an asset of property in a medical context, such as with respect to fertility, that characterization is not applicable to sperm transmitted to another through sexual conduct,” Chief Justice Lorie Gildea wrote.

Hennepin County Attorney Mike Freeman said that in spite of his displeasure with the final ruling, he encouraged Minnesota lawmakers to clarify the law. “We need clear tools to prosecute folks who have serious communicable diseases not necessarily limited to HIV and AIDS, but others that can cause serious harm,” he said.
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International News
International News Zambia Introduces Rationing System for Drugs to Treat HIV

ZAMBIA :: HIV/AIDS
Thomson Reuters Foundation (08.21.2013) :: By Edwin Mbulo

A Zambian government antiretroviral (ARV) drug rationing system has alarmed HIV-infected residents who fear treatment interruptions. Although First Lady Dr. Christine Kaseba Sata acknowledged an ARV shortage in Zambia, Dr. Kamoto Mbewe, spokesperson for the Zambian Ministry of Health, asserted that Matero and Chingwere clinics in Lusaka did have a one-month supply of Atripla, the single-dose ARV, and would receive another shipment “soon.”

Mbewe urged HIV-infected people not to panic, as existing ARV supplies were sufficient to last until expected shipments arrived in August and September. Pending shipments would include 55,260 bottles of Abacavir and 491,000 bottles of Truvada. Since January, the Zambian government has spent more than $16 million on “essential drugs,” including ARVs. Zambian Ministry of Health plans called for all HIV-infected Zambians to transition eventually to the single-dose Atripla regimen.

Lloyd Nkumbula Bwalya, district coordinator for the Network of Zambian People Living with HIV/AIDS, feared that difficulties imposed by the rationing system—daily queuing for drugs and delays in service—would result in HIV patients missing scheduled ARV doses. Zambia’s Minister of Health affirmed in a mid-year media briefing that maintaining an uninterrupted ARV supply for every HIV-infected Zambian was a priority.
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Medical News
Medical News Study Finds Prenatal Anti-HIV Meds Not Linked to Children's Language Delays

KANSAS :: HIV/AIDS
HealthCanal.com (08.13.2013) :: By University of Kansas

A study by Professor Mabel L. Rise of the University of Kansas and researchers from other universities and the National Institutes of Health (NIH) indicated that children exposed to HIV in the womb and whose mothers received treatment for HIV during pregnancy did not exhibit language delays by age 2 years compared with other HIV-exposed children whose mothers did not receive treatment during pregnancy.

The researchers studied the language skills of approximately 800 children who were part of the Pediatric HIV/AIDS Cohort Study (PHACS), a national collaboration between different NIH institutes and universities. PHACS began in 2005 to examine pediatric HIV issues concerning long-term safety of fetal and infant exposure to antiretroviral therapy (ART) and the effects of HIV infection in the womb on adolescents.

Pregnant women with HIV received treatment to reduce the opportunity of passing HIV infection to the fetus. Previous studies indicated that ART used to treat the pregnant mother might cause language delays in infants and toddlers even if the child was not infected with HIV. Findings of this study indicated that a specific drug, atazanavir, sometimes used in combination ART treatment should be monitored. Children whose mothers received combination therapy, including the drug atazanavir, were more likely to have language delay at 1 year than other children whose mothers did not receive that drug, but they were on par with their peers by age 2.

The full report, “Evaluation of Risk for Late Language Emergence After In Utero Antiretroviral Drug Exposure in HIV-Exposed Uninfected Infants,” was published online in the Pediatric Infectious Disease Journal (2013; doi: 10.1097/INF.0b013e31829b80ee).
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Local and Community News
Local and Community News City Report: STD Cases Increase in 2013

TEXAS :: HIV/AIDS,STDs
Amarillo Globe-News (08.21.2013) :: By Mollie Bryant

The Amarillo, Texas, Department of Public Health Clinic reported increased incidence of chlamydia, gonorrhea, and syphilis during 2013 in comparison with the same time period in 2012. During the first six months of 2013, the clinic diagnosed 182 chlamydia infections (approximately 60 more than the first six months of 2012), 92 gonorrhea infections (double the number diagnosed during the first six months of 2012), and 15 syphilis cases (compared with one during the first six months of 2012). The clinic also diagnosed one HIV infection in 2013 (the clinic made no diagnoses during the first six months of 2012). Randall and Potter counties previously recorded a decline in chlamydia and gonorrhea incidence and steady syphilis incidence during 2010 and 2011.

Amarillo Director of Public Health Matt Richardson praised the clinic’s testing and counseling services, but urged the adoption of “better solutions” to prevent sexually transmitted infections (STIs). Current public health clinic services included counseling patients on high-risk activities such as unprotected sex and multiple partners. Department of Health partners included the Panhandle AIDS Support Organization (PASO) and Haven Health Clinic. PASO provided free HIV and STI testing and distributed free male and female condoms, and Haven Health Clinic provided tests for chlamydia, syphilis, gonorrhea, HIV, and herpes.

PASO and Haven Health Clinic spokespersons advised that STI-infected people often were unaware they were infected and that every population group was at risk for HIV and other STIs, not only gay or bisexual men, drug users, and sex workers. STIs such as chlamydia or gonorrhea eventually could result in chronic pelvic pain, ectopic pregnancy, and infertility, according to CDC.
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News Briefs
News Briefs Free Testing Offered for 39 Newborns After Nurse Tests Positive to Tuberculosis

AUSTRALIA :: TB
Couriermail.com.au (Australia) (08.22.2013) :: By Janelle Miles

After a nurse working in the neonatal intensive care unit at the Royal Brisbane and Women’s Hospital in Queensland, Australia, tested positive for TB, the hospital offered parents of 39 newborns who might have come into contact with the nurse between June 17 and July 29 TB screening for their infants. Doctors said that the risk to the newborns was negligible, but the screening would help to reassure the parents. The families must wait until the infants reached the point three months past their due dates before testing would be reliable enough to be performed.

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  Tuberculosis Tests Cut Back in Ford and Iroquois Counties

ILLINOIS :: TB
The News-Gazette (Champaign, Il.) (08.20.2013)

Public health officials for Ford and Iroquois counties in Illinois announced they would limit TB screenings to individuals they considered to be a priority, due to a temporary shortage of Tubersol, one of the ingredients in the tuberculin skin test. The Ford-Iroquois Public Health Department would test only individuals who had come in contact with a TB-infected individual, had a weak immune system, or exhibited TB symptoms.
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The CDC National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention provides the above information as a public service only. Providing synopses of key scientific articles and lay media reports on HIV/AIDS, viral hepatitis, other sexually transmitted diseases, and tuberculosis does not constitute CDC endorsement. The above summaries were prepared without conducting any additional research or investigation into the facts and statements made in the articles being summarized, and therefore readers are expressly cautioned against relying on the validity or invalidity of any statements made in these summaries. This daily update also includes information from CDC and other government agencies, such as background on Morbidity and Mortality Weekly Report (MMWR) articles, fact sheets, and announcements. Reproduction of this text is encouraged; however, copies may not be sold, and the CDC HIV/Hepatitis/STD/TB Prevention News Update should be cited as the source of the information. Contact the sources of the articles abstracted above for full texts of the articles.

The Prevention News Update electronic mailing list is maintained by the National Prevention Information Network (NPIN), part of the Centers for Disease Control and Prevention's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention. Regular postings include the Prevention News Update, select articles from the Morbidity and Mortality Weekly Report series, and announcements about new NPIN products and services.

 

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