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Issue No. 12 | March 18, 2011

News and Features

MMWR Reports on Premastication of Food by Caregivers of HIV-Exposed Children

“Premastication (i.e., chewing foods or medicines before feeding to a child) was reported recently as a route of human immunodeficiency [virus] (HIV) transmission through blood in saliva … and has been associated with transmission of other pathogens … . Approximately 14% of caregivers in the United States report premastication … ; however, the frequency of this behavior among HIV-infected caregivers is unknown. To assess the prevalence of premastication among caregivers of children being treated in pediatric HIV clinics, which include perinatally HIV-exposed children (i.e., HIV-uninfected and HIV-infected children born to an HIV-infected mother), CDC conducted a cross-sectional survey at nine such clinics in the United States during December 2009--February 2010. This report describes the results of that survey, which indicated that among primary caregivers of children aged ≥6 months, 48 (31%) of 154 reported the children received premasticated food from themselves or someone else. Approximately 37% of black caregivers reported premastication, compared with 20% of non-black caregivers (prevalence ratio [PR] = 1.8). Premastication decreased with caregiver age and was used to feed children aged 1--36 months. …

“Although research on the risk for HIV transmission via premastication is limited, CDC recommends that HIV-infected caregivers not premasticate food for HIV-uninfected children because of the possibility of transmitting HIV to the child. Public health officials and health-care providers should continue to educate the public about the risk for disease transmission, including HIV, via premastication.”

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AIDSinfo Releases Adult and Adolescent Antiretroviral Guidelines in Web-Friendly Format

AIDSinfo is pleased to provide a new way to view the Guidelines for the Use of Antiretroviral Agents in HIV-1-Infected Adults and Adolescents! In addition to the customary printer-friendly format, the Adult Guidelines are now also available in a Web-based format. The Web-friendly format makes it easy to navigate through the Adult Guidelines and to quickly search for information.

AIDSinfo invites you to discover the benefits of the new format:

  • Easy to navigate! Use the clickable table of contents displayed on the left side of the page to find information quickly.
  • Improved search results! Search for information in the Adult Guidelines using single keywords, multiple terms, or exact phrases. (A spell-check will suggest alternate spellings for commonly misspelled words.) Whether you search for drug-related information by generic name, brand name, or acronym, your search results will display all relevant information in the Adult Guidelines. Control whether your search results display information from the text, tables, references, or any combination of the three. Choose to display your search results alphabetically or in the order the information appears in the Adult Guidelines. Coming soon—the ability to sort by relevancy!
  • Guidelines-related content at your fingertips! Use the clickable menu displayed on the right-hand side of the page to quickly access archived versions of the guidelines, patient education materials, and slide sets.

AIDSinfo also invites you to explore the new guidelines portal, redesigned to make it easier to find guidelines and guidelines-related information.

Join AIDSinfo in Observing National Native HIV/AIDS Awareness Day

March 20, 2011, marks the fifth annual National Native HIV/AIDS Awareness Day, a day that serves to increase awareness of HIV/AIDS in the American Indian, Alaska Native, and Native Hawaiian communities. According to the 2009 HIV Surveillance Report  from the Centers for Disease Control and Prevention (CDC), in the 40 states with confidential name-based HIV reporting, Native Hawaiians and other Pacific Islanders had the third highest rate of new HIV diagnoses while American Indians and Alaska Natives had the fourth highest rate of new HIV diagnoses compared to other racial and ethnic groups in 2009.

AIDSinfo has developed a specialty page for this awareness day with information and resources about HIV/AIDS and the American Indian, Alaska Native, and Native Hawaiian communities.
More information is available: