Unlinked anonymous testing indicates antenatal HIV testing in England and Scotland is being successfully implemented.
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From 1 July to 31 December 1988 risk factors for HIV infection were systematically recorded for all individuals tested anonymously at our institution and compared with similar data observed when anonymous testing was introduced (1985-1986). The absolute number of homosexuals and intravenous drug abusers remained stable but their ratio decreased because most tests are now performed in persons with multiple heterosexual partners. More than half of heterosexuals said they used condoms. Tests were positive only in homosexuals and intravenous drug abusers. These data suggest that the ongoing Swiss nationwide educational programmes have been successful in reaching people potentially exposed to HIV. Such campaigns may still prevent the dissemination of HIV infection to the heterosexual population.
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OBJECTIVE: The aim of the study was to analyze the trends in HIV prevalence among childbearing women through unlinked anonymous testing of newborns. METHODS: Dried-blood specimens, residual to routine metabolic screening of newborns, were collected in Italy during the last quarter of each year, from 1994 to 2002. These samples were tested anonymously for HIV antibodies. RESULTS: Of 844,311 specimens tested, 703 (0.83/1000; 95% confidence interval, 0.76-0.88) resulted as HIV antibody-reactive. Prevalence was 1.05 per 1000 in 1994 and decreased significantly over the following 3 years, reaching 0.60 per 1000 in 1997. Thereafter, a seroprevalence increase was recorded with a figure of 1.01 per 1000 in 1999. A decrease was again observed in 2001 and in 2002, when the seroprevalence rate was significantly lower than that recorded in 1994. During the entire study period, higher prevalence rates were observed in northern Italian regions, where the highest AIDS incidence rates are recorded, and in metropolitan compared with nonmetropolitan areas. The estimated number of children born each year to an HIV-positive mother ranged from 313 to 546. CONCLUSION: The number of children born to an HIV-positive mother calls for continued efforts to prevent vertical transmission of the infection.