I am not sure which study the article was referring to. Pharmacy Times did
not state so.
The article was in the "Women's Health Watch" section of the journal.
I would contact the Editor of Pharmacy Times to get the reference.
Editor-in-Chief
Fred M. Eckel, RPh, MS
Pharmacy Times
732-656-1140
Hope this helps.
Frank J. Nice, DPA, CPHP
>From: Pamela Morrison <[log in to unmask]>
>To: [log in to unmask]
>CC: [log in to unmask],[log in to unmask]
>Subject: Exclusive Breastfeeding Prevents HIV Spread
>Date: Mon, 08 Aug 2005 20:08:36 +0100
>
>Frank - thank you for kindly sending in the report from the Pharmacy Times,
>July 2005 on the ZVITAMBO study in Zimbabwe. Was the report by any chance
>referring to the journal article, Iliff et al, Early exclusive
>breastfeeding reduces the risk of postnatal HIV-1 transmission and
>increases HIV-free survival, AIDS 2005, 19:699708 ?? Or was it reporting
>on another, newer sub-study by the ZVITAMBO group in Harare (of which there
>are likely to be many - this group tested everything!) and which I'm
>*really* eager to see in print???
>
>That exclusive breastfeeding has been shown to have such a protective
>effect against both transmission of HIV and against mortality for
>HIV-exposed babies is particularly good news in view of the current
>situation in Zimbabwe. In fact, the words attributed to Professor Jean
>Humphrey - that "many African mothers are not able to find a safe,
>reliable milk substitute for their babies" - if she indeed did say them,
>are an astonishing understatement of what is actually happening right now.
>As long ago as November 2002 milk of all kinds - pasteurized, powdered,
>skim, tinned and infant formula - was virtually unobtainable - a very grave
>situation when HIV-infected mothers might be counselled not to breastfeed
>their babies. The researchers cannot have ever dreamed how important their
>study might be when it was started in 1997, at a time when one US$ was
>worth about Z$15. As we speak, one US$ is now worth Z$45 000 and rising,
>with inflation of 163% compared to even this time last year. There is 70%
>unemployment, nearly half the population face critical food shortages, and
>2.4 million people have been internally displaced by government action in
>the last 3 months. I've written to UNICEF in Harare to ask if they are
>able to document what has happened to the babies in the PMTCT of HIV sites,
>many of which would have been affected, as would many of the babies/young
>children who formed part of the 14 000 mother-baby pairs recruited into the
>ZVITAMBO study. But so far UNICEF don't appear to have the mechanisms in
>place to especially record what has happened to these mothers and babies.
>In situations like this babies who are not breastfed will not survive.
>
>The ZVITAMBO study results serve to provide the "evidence" that
>healthworkers will need in order to endorse exclusive breastfeeding for ALL
>babies, including those exposed to HIV, especially in Africa. Publication
>of these life-saving results are welcome. Thanks for letting us know,
>Frank.
>
>Pamela Morrison IBCLC
>From Harare, Zimbabwe, now living in Rustington, England
>[log in to unmask]
>
>
>At 01:01 08/08/2005, Frank Nice wrote:
>
>
>A study tracking 2000 infants in Zimbabwe showed that mothers who are
>HIV-positive are less likely to transmit AIDS to their babies if they
>breastfeed exclusively rather than combining breastfeeding with a diet of
>animal milk and solids. researchers gathered data on the babies' diets and
>the rate of AIDS infection from birth until age 2. They found that those
>babies who were fed only breast milk were 3 times less likely to die. They
>also found that not introducing solids until around 3 months would
>contribute to a lower incidence of AIDS infection. Johns Hopkins
>University Associate Professor Jean Humphrey said that these findings were
>significant because many African mothers are not able to find a safe,
>reliable milk substitute for their babies.
>Pharmacy Times, July 2005, p. 68
>
>Frank J. Nice, DPA, CPHP
>
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