There are 286 kids, from age 2 months to age 15 years.
73 are infected, which is 26% overall.
Of kids born in the last 3 years 30 of 216 are infected. That is 14%. (More reflective of PMTCT, the Prevention of Mother To Child Transmission, since the older kids are in our care because they are SICK not because their moms were screened).
PMTCT is supposed to cut transmission rates in half. Again, the math is not perfect, but the general trend there looks good.
Of the 30 kids infected in the last three years, it struck me tonight that 10 were born in the time of ebola. It looks like a 3X risk for infection between Nov 07 and Mar 08. The health care system, particularly PMTCT, essentially stopped functioning in that time. Our numbers are not high, but that's a pretty dramatic rise in risk in a very defined time period.
I keep the list so that when these kids show up on the ward or in the clinic, where the medical records are almost always NOT available, I can quickly find out their status. It is a list for reference, but when you look at it for trends, I think it encourages me that the medical effort is accomplishing something. Though there are also reminders of our failures. At least 7 have died. As I type in data I can see some toothy skinny smiles and some plumping-out cheeks in my mind, more than just names and test results, these are nearly 300 human beings who did not choose to have their existence defined by a struggle with AIDS.
Never too old for homework.