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.
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SolomonS, KumarasamyN, GaneshAK, AmalrajRE.Prevalence and risk factors of HIV-1 and HIV-2 infection in urban and rural areas in Tamil Nadu, India.Int J STD AIDS1998; 9: 98–103.
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GangakhedkarR, BentleyME, DivekarAD.Spread of HIV infection in married monogamous women in India.J Amer Med Assoc1997; 278: 2090–2.
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SolomonS, ChakrabortyA, D'Souza YepthomiR.A review of the HIV epidemic in India.AIDS Educ Prev2004; 16 (Suppl. A): 155–69.
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NewmannS, SarinP, KumarasamyN.Marriage, monogamy and HIV: a profile of HIV-infected women in south India.Int J STD AIDS2000; 11: 250–3.
RogersA, MeundiA, AmmaA.HIV-related knowledge, attitudes, perceived benefits, and risks of HIV testing among pregnant women in rural southern India.AIDS Patient Care STDs2006; 20: 803–11.
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BrownH, VallabhaneniS, SolomonS.Attitudes towards prenatal HIV testing and treatment among pregnant women in southern India.Int J STD AIDS2001; 12: 390–3.
