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Subject:
From:
Pamela Morrison <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 2 Mar 2012 23:07:13 +0000
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Karleen

 From 
http://www.guardian.co.uk/news/datablog/2010/may/25/birth-rate-statistics-england-wales 
(25 May 2010)
New figures released today by the Office for 
National Statistics show that the birth rate for 
England and Wales has fallen minimally, by 0.2%, 
to 63.6 (that is, 63.6 live births per 1,000 
women of childbearing age). There were 706,248 
live births in 2009 compared to 708,711 the 
previous year.  Despite this drop year on year, 
the birth rate has been rising steadily over the 
past decade. In 1999, there were 621,872 live 
births, which equates to a birth rate of 57.8 and 
a fertility rate of 1.7 children per woman. The 
fertility rate now stands at 1.95.

 From  http://www.nat.org.uk/HIV-Facts/Statistics/ 
 From 
http://www.nat.org.uk/HIV-Facts/Statistics/Latest-UK-statistics/Undiagnosed-HIV.aspx 
Health Protection Agency’s estimates of the 
number of adults aged 15-59 living with HIV in 
the UK in 2010 as found in its HIV in the United 
Kingdom: 2011 Report. There are estimated to be 
over 22,000 people living with HIV in the UK who 
are unaware of their infection (diagnosed 74%, 
undiagnosed 26%).  Of people living with HIV, 
women born in Africa are most likely to be aware 
of their infection. This is likely to be due to 
the success of antenatal screening.  Heterosexual 
men born both in and outside of Africa are the 
least likely to be aware of their HIV infection. 
Heterosexual women born in Africa, diagnosed 78%, 
undiagnosed 22%. Heterosexual men born in Africa, 
diagnosed 71%, undiagnosed 29%

 From 
http://www.gmanetwork.com/news/story/250075/pinoyabroad/uk-may-soon-extend-to-foreigners-free-hiv-treatment 
(today!)  UK may soon extend to foreigners free 
HIV treatment, GMA News March 2, 2012, Foreigners 
in the United Kingdom may soon be entitled to 
free human immunodeficiency virus (HIV) 
treatment, a report of the news site BBC said. 
The report said a proposed measure was drawn up 
because roughly 25,000 people with undiagnosed 
HIV in UK were foreigners or born abroad. 
“Conservative former cabinet minister Lord 
Fowler… has called for an amendment to the Health 
and Social Care Bill currently before the Lords. 
This would extend free [HIV] treatment to those 
who have been in Britain for six months,” a BBC 
report said. Currently, UK's free HIV treatment 
program covers only Britons and excludes 
foreigners (asylum seekers, foreign students, and tourists).

Health Protection Agency (2010) 'United Kingdom 
new HIV diagnoses to end of December 
2010, 
http://www.hpa.org.uk/web/HPAweb&HPAwebStandard/Page/1201094588891 
In 2010, 22000 individuals were newly infected in 
the UK.  Around 50 percent of people diagnosed in 
the UK were infected through heterosexual sex, 
making this the single biggest exposure category. 
Of these people around a third were probably 
infected in the UK. (Health Protection 
Agency  'HIV in the United Kingdom: 2011 report') 
The high rate of HIV amongst Africans in the UK 
reflects the severity of the AIDS epidemic in 
sub-Saharan Africa. In the period 1995-2010 there 
have been a total of 46,863 HIV diagnoses among 
people of black African ethnicity in the UK, 70 
percent of which were as a result of heterosexual 
sex. ... The increasing number of people infected 
with HIV through heterosexual sex means that the 
number of women with HIV is increasing. The male 
to female ratio of HIV diagnoses made before 1994 
was more than 7 to 1, whereas in 2010 the ratio 
for new diagnoses was around 2 male to 1 
female.... In 2010 there were 5,627 new HIV 
diagnoses in England, 280 in Scotland, 148 in 
Wales and 81 in Northern Ireland. London is the 
epicentre of the UK AIDS epidemic, accounting for 
around half of HIV diagnoses in the UK.... Of all 
HIV diagnoses to the end of December 2010, 44 
percent resulted from sex between men, 45 percent 
from heterosexual sex, 5 percent from injecting 
drug use, 2 percent from mother-to-child 
transmission, 2 percent from blood/tissue 
transfer or blood factor, and 3 percent from 
other or undetermined routes. ... A high uptake 
of antenatal HIV testing and the availability of 
drugs to prevent mother-to-child transmission of 
HIV has contributed to a low number of HIV 
infections passed from mother to child in the UK. 
HIV diagnoses attributed to mother-to-child 
transmission totalled 51 in 2010, the majority of 
which were acquired outside of the UK. There has 
been a total of 1,964 UK diagnoses of HIV in 
people who acquired the virus from their mothers.

[Me]  I hope these stats help.  I'm sure there 
are few HIV-positve pregnant women who will not 
be identified by antenatal screening in early 
pregnancy.  However, it's the men who are the 
risk here, and the number of women who might be 
newly infected by their partners during late 
pregnancy or during the breastfeeding period.   A 
recent study from South Africa suggests that as 
many as a quarter of all MTCT of HIV might be due 
to new seroconversions in this time period - and 
when there has been a primary infection of the 
mother, the risk of transmission to the baby 
during pregnancy, birth or breastfeeding could be 
as high as 30% due to very high viral levels.

If others are sending in stats, I hope you'll 
they'll send to the list, or cc to me, because I 
would like to learn the numbers too, particularly in Australia and New Zealand.

Pamela Morrison IBCLC
---------------------------------

I'm wondering if some Lactnetters might be able 
to assist me in tracking down some stats. I want 
to know what the number of births per woman per 
year is in each of these countries....it is 
breastfeeding related, I want to calculate the 
number of HIV positive women there might be in 
any given year who could potentially give birth, 
be milk donors and transmit HIV.
Karleen Gribble
Australia 

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