g_upham <g_upham@...> wrote:

Date: Wed, 20 Sep 2006 19:48:26 +0200
From: g_upham <g_upham@...>
To: pulsecolo@...
Subject: HIV in children from dirty care!

Dear friends,
You know my engagement against dirty injections in health care,
Dr Modibo Dicko had told the 2004 World Health Assembly, in presenting
the WAPS program that injection safety was priority for WHOAFRO
considering the presence of HIV. I was shocked to get these news
yesterday See below (the news item below was all over the international
media, this one if from POZ, the US based publication of people with HIV).
- for those interested, a scientific publication I co-authored -that
appeared early September, in one of the scientific publication on
hospital infection control, makes at attempt at re-evaluating the risk
of HIV transmission, in /Infection Control and Hospital Epidemiology/,
volume 27 (2006), pages 944–952.
Up to now the efficiency of HIV transmission through dirty medical
procedures was calculated from accidents of Health Care Workers, and
never from the risk posed to patients by dirty injections- 9 billion a
year, etc. Of course, this publication is in my own name with my company
and P4PS is not mentioned.
web:
http://www.journals.uchicago.edu/cgi-bin/resolve?id=msid:ICHE2004299&erFrom=-3759256792263992486Guest
I have full article in pdf for those interested.
see also below an August publication on women in Zambia contracting HIV
through dirty care.


49 Children Infected With HIV in Kazakhstan Hospital

Created: 08.09.2006 14:54 MSK (GMT +3), Updated: 15:15 MSK* *

MosNews

Kazakh authorities say at least 49 children have been infected with HIV
in hospitals in the south of the country, Radio Free Europe reported on
Friday. Authorities in Shymkent instigated wide-scale testing after the
discovery in July that 14 children had been inflected. They believe the
children were infected with the virus by non-sterilized syringes, or
transfusions of contaminated blood in three separate children’s
hospitals in the area.

The Kazakh Health Ministry confirmed the new figure in a statement,
saying more than 6,000 children remained to be tested for HIV in the region.
Kazakh parliamentarian Yerasyl Abylkasymov on September 6 said he had
asked the prosecutor-general’s office to prosecute Southern Kazakhstan
Region’s health and administration officials.

references documenting HIV and dirty injections in Africa:

Factors associated with HIV prevalence in a pre-partum
cohort of Zambian women
Authors: St Lawrence, J.S.1; Klaskala, W.2; Kankasa,
C.3; West, J.T.2; Mitchell, C.D.4; Wood, C.2

Source: International Journal of STD & AIDS, Volume
17, Number 9, September 2006, pp. 607-613(7)

Publisher: Royal Society of Medicine Press

Abstract:

An ongoing study of mother-to-child human herpes
virus-8 (HHV-8) transmission in Zambian women (n =
3160) allowed us to examine the association of medical
injections with HIV serostatus while simultaneously
accounting for other factors known to be correlated
with HIV prevalence. Multi-method data collection
included structured interviews, medical record
abstraction, clinical examinations, and biological
measures. Medically administered intramuscular or
intravenous injections in the past five years (but not
blood transfusions) were overwhelmingly correlated
with HIV prevalence, exceeding the contribution of
sexual behaviours in a multivariable logistic
regression. Statistically significant associations
with HIV also were found for some demographic
variables, sexual behaviours, alcohol use, and
sexually transmitted diseases (STD). The results
confirmed that iatrogenic needle exposure, sexual
behaviour, demographic factors, substance use, and STD
history are all implicated in Zambian women's HIV +
status. However, the disproportionate association of
medical injection history with HIV highlights the need
to investigate further and prospectively the role of
health-care injection in sub-Saharan Africa's HIV
epidemic.
>
>
>
>

---

Yahoo! Messenger with Voice. Make PC-to-Phone Calls to the US (and 30+ countries) for 2¢/min or less.