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US pediatricians group reverses decades-old policy, allowing breastfeeding for those with HIV

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US pediatricians group reverses decades-old policy, allowing breastfeeding for those with HIV
  • People with HIV can breastfeed if they take medications suppressing the AIDS virus, per the American Academy of Pediatrics.
  • This marks a significant shift from recommendations since the 1980s.
  • Antiretroviral drugs can reduce HIV transmission risk via breast milk to less than 1%.

People with HIV can breastfeed their babies, as long as they are taking medications that effectively suppress the virus that causes AIDS, a top U.S. pediatricians’ group said Monday in a sharp policy change.

The new report from the American Academy of Pediatrics reverses recommendations it had in place since the start of the HIV epidemic in the 1980s.

It recognizes that routinely prescribed drugs can reduce the risk of transmitting HIV via breast milk to less than 1%, said Dr. Lisa Abuogi, a pediatric HIV expert at the University of Colorado and lead author of the report.

BENEFITS OF BREASTFEEDING FOR BOTH MOM AND BABY

“The medications are so good now and the benefits for mom and baby are so important that we are at a point where it is important to engage in shared decision-making,” Abuogi said.

Processed breast milk awaiting distribution is seen at the Breastfeeding Center for Greater Washington on May 19, 2022, in Washington, D.C. People with HIV can breastfeed their babies, as long as they are taking medications that effectively suppress the virus that causes AIDS, a top U.S. pediatricians’ group said on Monday in a sharp policy change. (BRENDAN SMIALOWSKI/AFP via Getty Images)

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The drugs, known as antiretroviral therapy, don’t eliminate all risk of transmitting HIV through breast milk. Avoiding breastfeeding is the only certain way to prevent spreading the virus, Abuogi said.

In addition, parents must breastfeed exclusively for the babies’ first six months because research shows that switching between breast milk and formula can disrupt an infant’s gut in ways that increase the risk of HIV infection.

About 5,000 people who have HIV give birth in the U.S. each year. Nearly all take drugs to suppress the virus to very low levels, Abuogi said, though viral levels can rebound if they don’t stay on them.

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Before the medications became widely available starting a decade ago, about 30% of HIV infections transmitted from moms to babies occurred during breastfeeding, said Dr. Lynne Mofenson, an adviser to the Elizabeth Glaser Pediatric AIDS Foundation. In the early 1990s, about 2,000 infections occurred in U.S. infants each year. Today, it’s fewer than 30.

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The AAP policy comes more than a year after the National Institutes of Health and the Centers for Disease Control and Prevention reversed longstanding recommendations against breastfeeding by people with HIV. That guidance said people who have consistent viral suppression should be counseled on their options. It also emphasizes that health care providers shouldn’t alert child protective services agencies if a parent with HIV seeks to breastfeed.

The goal is listening to patients “and not blaming or shaming them,” said Dr. Lynn Yee, a Northwestern University professor of obstetrics and gynecology who helped draft the NIH guidance.

Breastfeeding provides ideal nutrition for babies and protects them against illnesses and conditions such as obesity and Type 2 diabetes, research shows. Nursing also reduces the mother’s risk of breast and ovarian cancer, diabetes and high blood pressure.

The World Health Organization has recommended since 2010 that women with HIV in developing countries breastfeed their infants and have access to antiretroviral therapy. The guidance weighed the risk of infants acquiring HIV through breastfeeding and the risk of babies dying from malnutrition, diarrhea and pneumonia in places where safe replacements for breast milk aren’t available.

In developed nations, however, experts had recommended against breastfeeding because the wide availability of safe water, formula and human donor milk could eliminate the risk of HIV transmission, Yee said.

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That frustrated people with HIV who were flatly refused the option of nursing.

Ci Ci Covin, 36, of Philadelphia, said she was diagnosed with HIV at age 20 and not permitted to breastfeed her first child, Zion, now 13.

“I couldn’t understand how come my sister that lives in a place like Kenya, who looks just like me with the same color brown skin, was given the option to breastfeed and how my option was starkly no,” she said.

Not being able to nurse her son sent Covin into a spiral of postpartum depression, she said. When she became pregnant with her now 2-year-old daughter, Zuri, her health care team helped her successfully breastfeed for seven months. Covin took her prescriptions as directed and also gave the baby drugs to prevent infection.

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“Breast milk has everything in it that my baby would need,” Covin said. “That’s a beautiful thing.”

Abuogi said the AAP report provides crucial guidance for pediatricians, nurses and lactation specialists who work directly with children and families.

Some providers were already helping people treated for HIV to nurse their babies, despite the earlier recommendations. The new guidance should expand the practice, hopefully quickly, Abuogi said.

“This is a unique situation because it’s not just doctors and providers who are changing,” Abuogi said. “Our patients are pushing this as well.”

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Rare tick-borne virus turns deadly fast as US cases reach record high, experts warn

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Rare tick-borne virus turns deadly fast as US cases reach record high, experts warn

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A rare and potentially fatal tick-borne illness currently spreading across the United States can be traced back to a 1958 case involving a young boy on a farm.

The disease, known as Powassan virus, was named for the Ontario town near where it was first discovered.

At the time of his death, Lincoln Byers, a 4-year-old living in Canada, had a condition that medical professionals could not explain, the Boston Globe reported.

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Years later, researchers discovered a tick harboring the same virus on a dead squirrel, finally providing an answer to the tragedy, but foreshadowing a growing public health challenge.

While once considered an obscure medical anomaly, Powassan virus cases have reached historic highs in the U.S., data show.

Powassan is most prevalent from late spring through mid-fall, when tick populations peak and outdoor activity increases. (iStock)

According to the Centers for Disease Control and Prevention, 76 Americans were diagnosed with the virus in 2025, the highest annual total on record. Previously, the U.S. averaged just seven to eight diagnoses each year.

The virus is primarily transmitted to humans through the bite of an infected woodchuck tick or deer tick. Like other tick-borne illnesses, Powassan is most prevalent from late spring through mid-fall, when tick populations peak and outdoor activity increases.

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Public health experts warn that the virus’s transmission speed makes it uniquely dangerous.

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“One of the most dangerous aspects is its rapid transmission,” Dr. Jorge P. Parada, a medical advisor at the National Pest Management Association in Chicago, told Fox News Digital.

“Powassan can be transmitted in as little as 15 minutes after the infected tick bites, while Lyme disease usually requires a 36- to 48-hour attachment time for transmission.”

Powassan carries an incubation period of one to four weeks before symptoms manifest. (iStock)

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Parada noted that while Powassan remains rare compared to Lyme disease, it poses clinical concern.

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Dr. Marc Siegel, senior medical analyst for Fox News, confirmed that the virus transmits significantly faster than Lyme disease. He noted that Powassan carries an incubation period of one to four weeks before symptoms manifest.

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Initial symptoms include fever, headache, vomiting and weakness, though some infected individuals remain asymptomatic, according to the CDC.

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There are currently no specific medications or vaccines to treat or prevent Powassan virus. (iStock)

The virus can progress to severe neurological complications, including encephalitis (inflammation of the brain) and meningitis (inflammation of the spinal cord membranes).

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In severe cases, patients may experience confusion, loss of coordination, difficulty speaking and seizures, per the CDC.

“One of the most dangerous aspects of it is its rapid transmission.”

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Approximately 10% of Powassan cases involving severe neurological disease are fatal, and many survivors experience long-term neurological issues.

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There are currently no specific medications or vaccines to treat or prevent Powassan virus; clinical care is limited to supportive therapy, such as intravenous fluids and respiratory support.

While anyone can develop severe illness, those at the highest risk include children, older adults and immunocompromised individuals, experts caution.

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America’s lifespan has doubled since 1776 — experts reveal what changed

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America’s lifespan has doubled since 1776 — experts reveal what changed

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Americans today live roughly twice as long, on average, as they did when the Declaration of Independence was signed.

When the nation was founded in 1776, life expectancy was around 35 to 40 years old, historians estimate. However, someone who survived childhood in colonial America often lived into their 60s or even 70s.

Today, the average lifespan is about 79 years old, according to data from the Centers for Disease Control and Prevention.

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The improvement in lifespan over the centuries has been largely attributed to reduced deaths in infancy and from infectious diseases, multiple researchers have stated. Advances in sanitation, clean water, nutrition, vaccination and medical care have also contributed to lower mortality rates.

“Much of this vast discrepancy is related to the extremely high rates of infant, childhood and maternal mortality,” Dr. Omer Awan, physician and professor at the University of Maryland School of Medicine, told Fox News Digital.

Americans today live roughly twice as long, on average, as they did when the Declaration of Independence was signed. (Milan Markovic/iStock)

“Childbirth was dangerous, and without antibiotics and vaccines, many infectious diseases, such as measles, smallpox and pneumonia, were deadly,” he went on. “Now we have cleaner water and sanitation, vaccines and antibiotics that have significantly prolonged life.”

Advances in treatments of chronic diseases such as high blood pressure, cancer and diabetes have also significantly prolonged life, the Harvard-trained doctor noted.

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According to the CDC, improved prevention and treatment of high blood pressure has helped reduce deaths from heart disease and stroke, two of the nation’s leading causes of death.

Mia Kazanjian, MD, a Stanford-trained body and breast radiologist with an interest in longevity who is based in Greenwich, Connecticut, attributes the shorter life expectancy in the 1700s to suboptimal sanitation, poor hygiene and limited medical treatments.

Today, the average lifespan is about 79 years old, according to data from the Centers for Disease Control and Prevention. (iStock)

“Many babies and children died from infections like dysentery, diphtheria, scarlet fever and pneumonia,” she told Fox News Digital. Children who survived into adulthood often succumbed to infections like tuberculosis, cholera and typhoid fever.

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Maternal mortality has also fallen dramatically over the past century due to advances in antibiotics, blood transfusions and safer obstetric care, according to the CDC.

Milestones in public health

Kazanjian pointed to several key advancements over the centuries that contributed to longevity improvements, including the development of early municipal water systems that provided cleaner drinking sources.

“Sewer system networks were built, the first in Brooklyn in 1857,” she said. “These allowed people to drink clean water and dispose of waste. Indoor plumbing with toilets and bathrooms became more widespread.”

“Without antibiotics and vaccines, many infectious diseases, such as measles, smallpox and pneumonia, were deadly.”

At this time, people’s understanding of disease started to improve, and public health measures were developed to minimize risk.

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During the late 1800s, germ theory became widely accepted in medicine and public health, helping shape the Sanitary Era, the expert said.

COULD ‘HUMANMAXXING’ ACTUALLY HELP YOU LIVE LONGER? HERE’S WHAT EXPERTS SAY

“The Federal Quarantine Act of 1878 allowed the government to prevent spread of infection from out of the country, from epidemics like yellow fever,” she said. “Food safety regulations went into effect in 1906, when the Pure Food and Drug Act and Federal Meat Inspection Act were passed.”

By 1900, the average life expectancy was about 49 years old, according to the National Vitals Statistics Report.

Another major landmark in increasing lifespan came with the development of vaccines and antibiotics to prevent and treat disease, Kazanjian noted.

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One major landmark in increasing lifespan came with the development of vaccines and antibiotics to prevent and treat disease, experts say. (iStock)

“Jenner developed the smallpox vaccine in 1796, Pasteur created vaccines for rabies and anthrax in the 1880s, and several scientists created vaccines for polio, measles, influenza, mumps and rubella in the mid 1900s,” she said.

“Antibiotics proliferated in the 1940s, specifically penicillin and tetracycline. By 1950, the US life expectancy was about 68 years old.”

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From the mid-20th century to 2014, life expectancy continued to rise, Kazanjian said, largely due to “major gains” in medical knowledge of ways to prevent heart disease and stroke.

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Public health campaigns promoting smoking cessation also played a role, as declining smoking rates helped reduce deaths from lung cancer, heart disease and stroke, according to the CDC.

“Motor vehicles became safer and carseats became staples,” Kazanjian noted.

Modern longevity is more focused on preventing chronic disease and less about surviving childhood infections. (iStock)

According to the National Institutes of Health, advances in emergency medical services and trauma care have substantially reduced deaths after serious injuries.

Development of pharmaceuticals for cardiovascular disease and cancer also contributed to longer lives, according to Kazanjian.

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Today’s longevity challenges

Modern longevity is more focused on preventing chronic disease and less about surviving childhood infections, noted Nneoma Oparaji, MD, a triple board-certified media physician specializing in obesity, lifestyle and internal medicine.

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“The next frontier will be less about living longer, but more about living healthier longer,” Houston-based Oparaji told Fox News Digital.

Kazanjian pointed out that between 2014 and 2026, there has been a fall and a rise in lifespan.

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“The fall was due to young adult deaths from drug overdoses, particularly the opioid epidemic, suicides and alcohol-related deaths,” she told Fox News Digital.

The COVID-19 pandemic reduced U.S. life expectancy by more than two years between 2019 and 2021 before it began recovering, CDC data shows.

Advances in sanitation, clean water, nutrition, vaccination and medical care have contributed to lower mortality rates. (iStock)

Although U.S. life expectancy has rebounded since the pandemic, it remains below that of other high-income countries, largely because of higher death rates from chronic diseases, substance use and other preventable causes, according to KFF.

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Obesity rates also continue to climb, contributing to higher numbers of cardiovascular disease, diabetes and cancer, Kazanjian said.

“Most concerning is the rise in obesity in children,” she added.

“The next frontier will be less about living longer, but more about living healthier longer.”

Changing cancer trends are also affecting lifespan among younger adults, data shows.

“My generation, the millennials, has seen an unprecedented rise in young adult cancers, particularly colon and breast,” Kazanjian said, citing factors that include sedentary lifestyles, poor diet, alcohol, obesity and smoking, among others.

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The doctor said she aims to raise public health awareness of ways to improve lifespan.

“We need to get off our screens, move around more, eat a whole food, plant-based diet, sleep seven hours a night, do our screening exams, and avoid toxins like alcohol and cigarettes.”

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Could ‘humanmaxxing’ actually help you live longer? Here’s what experts say

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Could ‘humanmaxxing’ actually help you live longer? Here’s what experts say

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We are officially living in the “maxxing” era.

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From “looksmaxxing” to improve appearance to “sleepmaxxing” for better rest, these viral terms all point to the same goal: squeezing every ounce of potential out of a specific trait or habit.

With a growing focus on optimizing wellness and maximizing longevity, the trend has evolved into what’s known as “humanmaxxing,” sparking a bigger question: How far can people go to optimize the human body?

ANTI-AGING BENEFITS LINKED TO ONE SURPRISING HEALTH HABIT

While there is no single definition of humanmaxxing, the trend generally refers to efforts to optimize health, performance and longevity through a combination of lifestyle habits, health tracking, supplements and, in some cases, more experimental interventions.

While there is no single definition of humanmaxxing, the trend generally refers to efforts to optimize health, performance and longevity through a combination of lifestyle habits, health tracking, supplements and, in some cases, more experimental interventions. (iStock)

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For some, the movement begins with biohacking. According to Dave Asprey, a Texas-based wellness expert who refers to himself as the “father of biohacking,” optimizing your body starts with changing your environment.

Asprey has defined biohacking as “the art and science of changing the environment around you or inside you so that you have full control of your own biology.”

COULD HUMANS LIVE TO BE 150 YEARS OLD? GENETICIST SHARES WHY IT MAY BE POSSIBLE

His public advice focuses on boosting cellular energy through everyday choices like intermittent fasting, high-fat diets, red-light therapy and supplement routines.

“My goal right now is 180 years, because I’m doing something about it now instead of waiting,” he once said.

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Clinical experts warn that extreme self-experimentation skips the rigorous safety checks that typical medical science requires. (iStock)

Others have embraced a more data-driven approach. Tech entrepreneur Bryan Johnson, creator of the multimillion-dollar longevity project Blueprint in Los Angeles, argues that optimizing the body means removing human error from health decisions and instead relying on medical data.

“Methodically, we sought to build an algorithm with science and data that could better care for me than I can myself,” Johnson wrote on his website. “My mind did not have the authority to override the algorithm.”

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Johnson’s routine involves tracking hundreds of health metrics, eating a precisely measured diet, taking dozens of supplements, and undergoing advanced medical treatments in an effort to reduce his biological age.

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At the far end of the spectrum are those investing in technologies aimed at pushing the limits of human performance.

London-based tech investor Christian Angermayer recently described humanmaxxing as a strategy toward human maximization.

Tech entrepreneur Bryan Johnson, creator of the multimillion-dollar longevity project Blueprint, argues that optimizing the body means removing human error from health decisions and instead relying on medical data. (iStock)

“I don’t think we should become something different, because I think humans are awesome, but I think we can maximize the potential [that] is already in us,” he said in an interview with The New York Times.

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Angermayer’s investment firm, Apeiron Investment Group, focuses on technologies intended to help people “live longer, healthier and more fulfilling lives.” He also founded atai Life Sciences, a biotechnology company that develops psychedelic treatments for mental health conditions that are currently being evaluated in clinical trials.

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As interest in humanmaxxing grows, mainstream health experts urge consumers to separate evidence-based wellness practices from experimental interventions.

Public guidance from the National Institute on Aging notes that while some anti-aging therapies have shown promise in laboratory research, there is not yet sufficient evidence that they can safely extend human life.

As interest in humanmaxxing grows, mainstream health experts urge consumers to separate evidence-based wellness practices from experimental interventions. (iStock)

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Clinical experts also caution that extreme self-experimentation can bypass the rigorous safety standards applied to conventional medical treatments.

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According to the Endocrine Society, taking substances such as testosterone or growth hormone without a medical need can lead to serious health risks, including cardiovascular complications and long-term disruption of the body’s chemical balance.

While many humanmaxxing habits overlap with standard healthy lifestyle practices, experts say consumers should be cautious of expensive or experimental interventions that promise dramatic anti-aging or longevity benefits without strong scientific evidence.

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