So interesting!   Did they confirm that nipple damage was a common factor in all cases where transmission occurred?  Was there any effort to prevent nipple damage with effective breastfeeding support?

> On Jul 10, 2019, at 9:56 AM, Dr. Alla Gordina <[log in to unmask]> wrote:
> 
> This question is near and dear to my heart on so many levels.
> I started practicing in (then) Soviet Union and saw the Elista tragedy
> developing from a position of pediatric dermatologist/venerologist. As
> adoption physician I was involved in the aftermath of HIV crises in
> Romania and Kazakhstan. And the major reason I became lactation
> consultant was interested in adoptive breastfeeding (Hi, Karleen! ;D)
> 
> The possibility of RVT - reverse vertical transmission (baby to
> mother) of infectious diseases is extremely poorly researched. There
> are myriads of reasons for that. On one hand in developed countries
> the possibility of baby being newly infected and then infecting the
> breastfeeding mother is extremely low. On the other hand in the same
> developed countries (at least in the US) the adoptive breastfeeding of
> foster children is fiercely prohibited and the only situation when
> this question can openly arise is with newborn adoption. So
> information is sparse and mostly presents as case reports. But still
> some data is available. I can not find my old notes (I do remember
> reading about RVT of hep B and CMV), but anyhow I am way overdue for
> this project so I did request a literature search on the subject from
> our hospital library. Will let you know what I had found. 
> 
> The best reported and researched was HIV outbreak in Elista in early
> 1980's and we know that there was a significant amount of mothers
> infected there: https://europepmc.org/abstract/med/2143611 [1]
> "...
> 65 cases of HIV infection were detected and all of them were traced to
> the focus of hospital infection (56 children and 9 adults: 1 man and 8
> women; of these, _7 WOMEN CONTACTED THE INFECTION FROM THEIR INFECTED
> CHILDREN IN THE PROCESS OF BREAST FEEDING_).
> "
> 
> Hope that helps.
> 
> Pat, do you have any info in your database?
> 
> Alla
> Alla Gordina, MD, IBCLC, FAAP
> 
> 
> 
> Links:
> ------
> [1] https://europepmc.org/abstract/med/2143611
> 
> 
>             ***********************************************
> 
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome