New Generations Free of HIV, Syphilis, Hepatitis B, and Chagas Disease in the Americas. EMTCT Plus 2018; 2019

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This document reports the progress made in the Americas towards the EMTCT of HIV and syphilis between 2010 and 2017. It is the first Regional report regarding elimination of mother-to-child and early childhood transmission of hepatitis B and congenital Chagas disease.

The main findings are as follows:

  • Access to prenatal and delivery care for pregnant women is high in the Americas.
  • Screening of pregnant women for HIV and syphilis remains high but little progress has been made in closing the gaps; meanwhile, screening of pregnant women for Chagas disease varies widely, ranging from 7% to 55% among the few reporting countries.
  • HIV and syphilis treatment of seropositive pregnant women continues to increase.
  • Vaccination for hepatitis B has stabilized at 87% of children under one year old who completed their third dose, and policies for universal timely hepatitis B vaccine birth dose are increasingly being adopted.
  • MTCT of HIV experienced longstanding reductions but has begun to stabilize.
  • Congenital syphilis cases are on the rise. Mother-to-child transmission is estimated to cause over 20% of new cases of Chagas disease.

IRIS URI: http://iris.paho.org/xmlui/handle/123456789/50993