"HIV Testing Urged for All Pregnant Women"
Source: Globe and Mail
Published: 05 Jul 2022
Category: Diagnostic Test
Rating:
(1½ stars)
what they said (Hover the mouse cursor over underlined words for more info)
All pregnant women should be routinely screened for HIV-AIDS, according to an influential U.S. task force.
"Having a test for HIV during pregnancy is one more thing a woman can to do to try to assure having a healthy infant," said Diana Petitti, vice-chairwoman of the U.S. Preventive Services Task Force.
But in new guidelines, published today in the Annals of Internal Medicine, the blue-ribbon panel sidesteps the controversial question of whether such testing should be mandatory or voluntary.
The original article can be found at: http://www.theglobeandmail.com/servlet/ArticleNews/TPStory/LAC/20050705/HAIDS05/TPHealth/
The original article can found in the Media Doctor archives.
Criteria |
Rating |
Availability of Test |
Not Applicable |
Novelty of Test |
Satisfactory |
Diagnostic Options |
Not Applicable |
Disease Mongering |
Satisfactory |
Evidence |
Not Satisfactory |
Quantification of Diagnostic Accuracy/Benefits |
Not Satisfactory |
Costs of Testing |
Not Satisfactory |
Harms of Testing |
Not Satisfactory |
Sources of Information |
Not Satisfactory |
Relies on Press Release |
Not Applicable |
what we said (Hover the mouse cursor over underlined words for more info)
The merits of mandatory screening all pregnant women in Canada for HIV versus voluntary screening is addressed in this article.
The article reports that the percentage of pregnant women who are screened in two regions that routinely test for HIV (unless the test is explicitly refused) is approximately 15% higher than two provinces where screening is voluntary. Although the article quotes a physician who states that "a surprising number" of pregnant women undergoing routine HIV screening are found to be positive, the article does not report on what that number actually is, and whether the difference in the level of screening found in a mandatory versus a voluntary setting translates into a different health impact.
The key issues in determining whether or not screening for HIV should be mandatory for pregnant women and the basis of a public health policy, is evidence that the number of cases of maternal-neonatal transmission are reduced with mandatory screening, or that early detection and treatment of either maternal or neonatal HIV changes the clinical outcome for the child.
The article implies that the birth of a "dozen children" with HIV every year could be prevented if mandatory testing was implemented. However, the article does not provide the total number of pregnancies so an incidence rate cannot be determined. The article also does not address the costs for routine testing, potential harms of the testing, or the ethical issues surrounding mandatory testing.
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