Fran,
There is one study, I do not have the citation here at home, that shows a
reduction in viruses (I am not sure if these incl HIV) in expressed
breast milk that was allowed to sit at room temperature.  It is a fairly
old study, I believe, and a research direction that definitely needs more
work.

Inresponse to Dr. Wight's suggestion re: heat treatment of the mom's own
expressed milk, this is an option that is offered to HIV+ mothers in at
least one African nation.  However, the research that supports heat
treatment was all done using the Holder pasteurization process.  Holder
pasteurization requires expensive and fairly sophisicated equipment like
that used by milk banks, and there is NO milk bank that will take on the
liablility of handling milk from an HIV+ mom (I asked Lois Arnold).  And
there is nothing in the current literature, except a brief sentence or 2
in Felicity Savage King's book (Helping Mothers to Breastfeed, a
publication intended for use by African health workers), that deals with
home heat treatment.  It too, is a good idea, and one that needs to be
followed up with research.
Martha Johnson RN IBCLC
Eugene, Oregon
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