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International Journal of STD & AIDS

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Int J STD AIDS 2008;19:418-420
doi:10.1258/ijsa.2007.007293
© 2008 Royal Society of Medicine Press

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Case reports

HIV transmission transcends three generations: can we prevent secondary transmission in India?

Kartik K Venkatesh BA *, Lakshmi Prasad MS {dagger}, Kenneth H Mayer MD * and N Kumarasamy MBBS, PhD {dagger} 

* Brown University Medical School, Providence, RI, USA; {dagger} YRG Centre for AIDS Research and Education, Chennai, India

Correspondence to: Dr N Kumarasamy, Chief Medical Officer, YRG CARE, Voluntary Health Services, Taramani, Chennai 600113, Tamil Nadu, India Email: kumarasamy{at}yrgcare.org

This case history documents four instances of HIV secondary transmission within a single family, which could have been stopped at multiple points by timely prevention. These cases of HIV secondary transmission that have occurred since the scale-up of HIV testing, prevention and clinical services in India raises the question whether the current HIV prevention infrastructure is sufficient and comprehensive in resource-limited settings.

Key Words: India • HIV • AIDS • prevention


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