Agenda - Council - 06/25/1991 - Laserfiche WebLink

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Vol. ~/No. 10 MMWR 1~3 /'/Ti. V-H~/£~ V ~ Con;/~u~/ n ~ x ~ m,tjor rote'; (5) male or female prostitutes a d the'r se partners; (6) sex partners of infected p~sons or persons at increased risk; (7) all persons with hemophilia who have received clotting-factor products; and (8) newborn infants of high-risk or infected mothers. RECOMMENDATIONS 1. Community health education programs shoutd be aimed at members of high-risk groups to: (a) increase knowledge of AIDS; (b) facilitate behavioral changes to reduce risks of HTLV-III/LAV infection; and (c) encourage voluntary testing end counseling. 2. Counseling and voluntary serologic testing for HTLV-III/LAV should be routinely offered to all persons at increased risk when they present to health-care settings. Such facilities in- clude, but are not limited to, sexually transmit'ted disease clinics, clinics for treating paren- teral drug abusers, and clinics for examining prostitutes. a. Persons with a repeatedly reactive test result (see section on Test InterPretation) should receive a thorough medical evaluation, which may include history, physical examination, and appropriate laboratory studies. b. High-risk persons with a negative test result should be counseled to reduce their risk of becoming infected by: Reducing the number of sex partners. A stable, mutua~ty monogamous relationship with an uninfected person eliminates any new risk of sexually transmitted HTLV-III/ LAV infection. (2) Protectim:j themselves during sexual activity with any possibly infected person by taking appropriate precautions to prevent contact with the person's blood, semen, urine, feces, saliva, cervical secretions, or vaginal secretions. Although the efficacy of condoms in preventing infections with HTLV-III/LAV is still under study, consis- tent use of condoms should reduce transmission of HTLV-III/LAV by preventing exposure to Semen and infected lymphocytes {3) For IV drug abusers, enrolling or continuing in programs to eliminate abuse of IV substances. Needles. other apparatus, and drugs must never be shared. c. Infected persons should be counseled to prevent the further transmission of HTLV-IlI/ LAV by: (1) Informing prospective sex partners of his/her infection with HTLV-IIt/LAV, so they can take appropriate precautions. Clearly, abstention from sexual activity with another person is one option that woutd eliminate any risk of sexually transmit'ted HTLV-III/LAV infection. 12) Protecting a partner during any sexual activity by taking appropriate precautions to prevent that individual from coming into contact with the infected person's blood, semen, urine, feces, saliva, cervical sec.,rations, or vaginal secretions. Although the efficacy of using condoms to prevent infections with HTLV-II1/LAV is still under Sl~dy, co,,~iste~t use of condoms should reduce transmission of HTLV-III/LAV Dy preventing exposure to semen and infected lymphocytes {9, 7~O). (3} Informing previous sex partners and any persons with whom needles were shared of their potential exposure to HTLV-III/LAV and encouraging them to seek counseling/ testing. (4) For IV drug abusers, enrolling or continuing in programs to eliminate abuse of IV substances. Needles, other apparatus, and drt~gs must never be shared. {5) Not sharing toothbrushes, razors, or other items that could become contaminated with blood. {6) Refraining from donating blood, plasma, body organs, other tissue, or semen. -) 'e.g., Haiti. Centtet African countries //? I I I ! I I I I I I I ! I I I I I