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The Status of Pediatric HIV in the United States and the Developing World
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The Status of Pediatric HIV in the United States and the Developing World
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Outline
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Beginning in the USA
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Cumulative Cases to 2003
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Mother-to-Child Transmission
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Perinatally Transmitted AIDS Cases by Year of Diagnosis, 2000-2004 (United States)
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Children (under age 13) Living with HIV in the USA
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Mother-to-Child Transmission
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Perinatally Transmitted AIDS Cases by Year of Diagnosis, 2000-2004 (United States)
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Case 1
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The Mother ...
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Timing of Perinatal HIV Transmission
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Maternal Plasma HIV RNA Levels at Delivery and Antiretroviral Use during Pregnancy (Women and Infants Transmission Study Group)
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Case 1
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Case 1
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Diagnostic Criteria
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Case 1
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Timing of Treatment Initiation
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Case 1: Viral Loads
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Case 1
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Persaud et al (AIDS Res Hum Ret, 2007)
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Persaud et al
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Persaud et al
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Case 1
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Case 1
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Case 2
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Case 2
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Case 2
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Case 2
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The Options ...
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NRTI: Minimum Age
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NRTI: Minimum Age
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PI: Minimum Age
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Other: Minimum Age
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Guidelines
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Case 2
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Infant Genotype
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Infant Phenotype
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Case 2
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Breath
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Outline
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Adolescents (age 13-19)
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Year of Initiation of Confidential HIV Case Surveillance* as of December 2006
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HIV/AIDS Cases among Adolescents Aged 13-19, 2005 (33 States, N = 1,268)
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Adolescents Aged 13-19 Living with HIV/AIDS, 2005 (33 States, N = 5,323)
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HIV/AIDS Cases among Female Adolescents and Young Adults by Transmission Category, 2001-2005 (33 States)
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HIV/AIDS Cases among Male Adolescents and Young Adults by Transmission Category, 2001-2005 (33 States)
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Proportion of HIV/AIDS Cases and Population among Young Adults Aged 13-19 by Race/Ethnicity, Diagnosed in 2005 (33 States)
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Adolescents
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Connect to Protect (C2P)(R) Partnerships for Youth Prevention Interventions
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Venue Surveys
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HIV Infection among Youth Aged 15-19 in U.S. Urban Venues, 2004-2005
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Adolescents
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Outline
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Children (under age 15) Estimated to be Living with HIV, 2005
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Estimated Total Annual Resources Available for AIDS, 1996-2005
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Access June 2006
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Pediatric Rollout
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Children's Access to Antiretroviral Therapy
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Reports from the Rollout...
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Baylor International Pediatric AIDS Initiative (BAPAI)
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Cote d'Ivoire
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GHESKIO
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Children with HIV and Malaria Project (CHAMP)
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Lessons
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Outline
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Perinatally Transmitted AIDS Cases by Year of Diagnosis, 2000-2004 (United States)
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Estimated Number of Children (under age 15) Newly Infected with HIV in 2005
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Access June 2006
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Access to PMTCT Services in Sub-Saharan Africa, 2005
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Prevention
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Importance of Breast-Feeding Postnatal Transmission: Timing of Mother-to-Child HIV Transmission with Breast-Feeding and No Antiretroviral Prophylaxis
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Child Mortality According to Maternal and Infant HIV Status in Zimbabwe
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ZVITAMBO
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Mortality from Birth to 24 Months
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Call for Prevention
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Thank You ...
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