Breastfeeding and HIV Infection in China

  • Christine Korhonen
  • Liming Wang
  • Linhong Wang
  • Serena Fuller
  • Fang Wang
  • Marc Bulterys
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 743)


Breast milk is the ideal food source for human infants, and breastfeeding is known to have many beneficial effects for both infants and mothers including providing proper nutrition, supporting the infant immune system, enhancing mother–infant bonding, and providing a decreased risk for maternal breast and ovarian cancer [1–5]. Longer term benefits of breastfeeding have also been observed including decreased risk of asthma and diabetes later in life [4]. However, breastfeeding carries a significant risk of transmission of HIV-1 (further referred to as HIV), especially in late stages of maternal disease [6–8]. In order to avoid transmitting HIV postnatally, women with HIV infection have been advised to avoid breastfeeding under certain conditions [9]. China has adopted a national policy of recommending replacement feeding for HIV-infected mothers where replacement feeding is acceptable, feasible, affordable, sustainable, and safe (AFASS) [10] through the national prevention of mother-to-child transmission of (PMTCT) HIV program. In 2008, 89% of the population were reported to have access to improved water sources [11], and AFASS conditions are met in most localities in China except certain remote, mountainous, and/or ethnic minority areas.


Methadone Maintenance Treatment Inject Drug User PMTCT Program PMTCT Service Methadone Maintenance Treatment Clinic 
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Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Christine Korhonen
    • 1
    • 2
    • 3
  • Liming Wang
    • 1
    • 2
    • 3
  • Linhong Wang
    • 4
  • Serena Fuller
    • 1
    • 2
    • 3
  • Fang Wang
    • 4
  • Marc Bulterys
    • 1
    • 2
    • 3
  1. 1.Division of Global HIV/AIDS (DGHA)Center for Global Health, Centers for Disease Control and Prevention (CDC)AtlantaUSA
  2. 2.CDC Global AIDS ProgramBeijingChina
  3. 3.UCLA School of Public HealthLos AngelesUSA
  4. 4.National Center for Women and Children’s HealthChina Center for Disease Control and PreventionBeijingChina

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