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Editorial
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Volume 345:1568-1569 November 22, 2001 Number 21
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The Changing Face of Pediatric HIV-1 Infection

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 by Gortmaker, S. L.
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It has been nearly 20 years since the first cases of AIDS were reported in children in the United States, and the face of pediatric human immunodeficiency virus type 1 (HIV-1) infection has changed markedly. During the first 15 years of the epidemic, approximately 15,000 infants acquired HIV-1 infection in the United States, mainly through vertical, or mother-to-child, transmission of the virus.1 Over the same period, about 3000 children died of AIDS. More recently, the development of effective prophylactic and therapeutic strategies has markedly reduced the number of newly infected infants and has changed clinical outcomes in infected children.

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