Dear Friends:
    I have gone through this paper, which is about  recommendation for 
healthcare workers at risk of HIV infection via occupational  transmission.
There is no mention of human milk as a vector. 
    I hope that day cares and other institutions are  aware of this document.
    _http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htm_ 
(http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htm) 
 
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An exposure that might place HCP at risk for HIV infection is defined as a  
percutaneous injury (e.g., a needlestick or cut with a sharp object) or contact 
 of mucous membrane or nonintact skin (e.g., exposed skin that is chapped,  
abraded, or afflicted with dermatitis) with blood, tissue, or other body fluids 
 that are potentially infectious. In addition to blood and visibly bloody 
body  fluids, semen and vaginal secretions also are considered potentially 
infectious.  Although semen and vaginal secretions have been implicated in the 
sexual  transmission of HIV, they have not been implicated in occupational 
transmission  from patients to HCP. The following fluids also are considered 
potentially  infectious: cerebrospinal fluid, synovial fluid, pleural fluid, peritoneal 
 fluid, pericardial fluid, and amniotic fluid. The risk for transmission of 
HIV  infection from these fluids is unknown; the potential risk to HCP from  
occupational exposures has not been assessed by epidemiologic studies in  
health-care settings. Feces, nasal secretions, saliva, sputum, sweat, tears,  urine, 
and vomitus are not considered potentially infectious unless they are  
visibly bloody; the risk for transmission of HIV infection from these fluids and  
materials is low (7). 
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warmly,    
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
www.breastfeedingalwaysbest.com

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