Canadian Medical Association Journal 1996; 154: 1027-1028
Dr. Ratnam is with the Newfoundland Public Health Laboratory, Department of Health, St. John's, Nfld.; Dr.Hogan is with the Dr Janeway Child Health Centre, St. John's, Nfld.; and Dr. Hankins is with the Group for Action-Research, McGill AIDS Centre, Montreal General Hospital, Montreal, Que.
Design: Anonymous unlinked seroprevalence study.
Setting: Newfoundland.
Patients: A total of 14 911 women receiving prenatal care or undergoing an abortion, representing nearly all pregnancies in Newfoundland from Nov. 1, 1991, to Oct. 31, 1993.
Outcome measures: HIV antibody status, as determined by enzyme immunoassay of leftover serum samples (initially obtained for routine screening) and confirmation of reactive samples by the Western blot technique; health region of residence; and age group.
Results: Of the 14 911 serum samples 13 were positive for HIV, for an overall crude prevalence rate of 1 per 1147 or 8.7 per 10 000 pregnant women (95% confidence interval [CI] 4.7 to 14.9). Seven of the positive samples were from women residing in the Eastern Health Region of the province, for a crude prevalence rate of 1 per 376 or 26.6 per 10 000 pregnant women (95% CI 10.7 to 54.8) for that region. All women found to be HIV positive were 15 to 29 years of age; the peak prevalence (20.8 per 10 000 pregnant women [95% CI 9.5 to 39.4]) was observed among those 20 to 24 years.
Conclusions: The overall prevalence rate of 8.7 per 10 000 pregnant women in Newfoundland is the highest provincial rate recorded among those from similar studies in Canada. Although it may be concluded that there are an estimated 125 HIV-positive women of childbearing age in Newfoundland (95% CI 67 to 213), the age-adjusted estimate is 84 (95% CI 36 to 131). This study provides an independent confirmation of an outbreak of HIV infection among women in the Eastern Health Region of the province.