Reproductive Decisions among People Living with Human T-cell Lymphotropic Virus Type 1 (HTLV-1)

Alvarenga, KF Zihlmann AT

doi:10.4172/2332-0877.1000108

Cited by 2 publications

(3 citation statements)

References 25 publications

(25 reference statements)

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“…coinfection; and (v) patients with HAM have a higher risk of transmitting HTLV-1 to their children [ 55 ]. Vertical transmission of HTLV-1 is not only implicated with higher risk of adverse clinical outcome associated with HTLV-1 infection but also with maternal feelings of guilt [ 58 , 59 ]. Among highly vulnerable indigenous communities in the Amazon region of Brazil, mother-to-child transmission of HTLV-2 is common and reaches as high as 30% [ 54 , 60 ].…”

Section: Methodsmentioning

confidence: 99%

Blocking HTLV-1/2 silent transmission in Brazil: Current public health policies and proposal for additional strategies

et al. 2021

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Human T-cell lymphotropic viruses 1 and 2 (HTLV-1/2) are relatively common in Brazil but remain silent and neglected infections. HTLV-1 is associated with a range of diseases with high morbidity and mortality. There is no curative treatment for this lifelong infection, so measures to prevent transmission are essential. This narrative review discusses HTLV-1/2 transmission routes and measures to prevent its continuous dissemination. The public health policies that are currently implemented in Brazil to avoid HTLV-1/2 transmission are addressed, and further strategies are proposed.

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Section: Methodsmentioning

confidence: 99%

Blocking HTLV-1/2 silent transmission in Brazil: Current public health policies and proposal for additional strategies

et al. 2021

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“…Indeed, the prevalence of major depression in HTLV-1 patients seen at CHTLV and in the general population of Salvador was estimated at around 30 and 12%, respectively ( 44 ). In addition, it is important to note that the vertical transmission of HTLV-1 is known to provoke biopsychosocial disorders in parents and children that require long-term multidisciplinary care ( 20 , 45 , 46 ). All of these conditions can negatively affect patients’ QoL and consequently lead to alterations in the performance of daily activities, sleep, and self-perception of health ( 41 , 45 , 47 ).…”

Section: Introductionmentioning

confidence: 99%

“…In addition, it is important to note that the vertical transmission of HTLV-1 is known to provoke biopsychosocial disorders in parents and children that require long-term multidisciplinary care ( 20 , 45 , 46 ). All of these conditions can negatively affect patients’ QoL and consequently lead to alterations in the performance of daily activities, sleep, and self-perception of health ( 41 , 45 , 47 ). In conclusion, the complex nature of HTLV infection requires an integrative and multidisciplinary approach to the biopsychosocial care of PLHTLV.…”

Section: Introductionmentioning

confidence: 99%

Integrative and Multidisciplinary Care for People Living With Human T-Cell Lymphotropic Virus in Bahia, Brazil: 20 Years of Experience

et al. 2022

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Brazil is home to the highest absolute number of human T-cell lymphotropic virus type-1 (HTLV-1)-infected individuals worldwide; the city of Salvador, Bahia, has the highest prevalence of HTLV-1 infection in Brazil. Due to the complex nature of several diseases associated with this retrovirus, a multidisciplinary health care approach is necessary to care for people living with HTLV-1. The Bahia School of Medicine and Public Health’s Integrative Multidisciplinary HTLV Center (CHTLV) has been providing support to people living with HTLV and their families since 2002, striving to ensure physical and mental well-being by addressing biopsychosocial aspects, providing clinical care and follow-up, including to pregnant/postpartum women, as well as comprehensive laboratory diagnostics, psychological therapy, and counseling to family members. To date, CHTLV has served a total of 2,169 HTLV-infected patients. The average patient age is 49.8 (SD 15.9) years, 70.3% are female, most are considered low-income and have low levels of education. The majority (98.9%) are HTLV-1 cases, and approximately 10% have been diagnosed with tropical spastic paraparesis/HTLV-1-associated myelopathy (TSP/HAM), while 2.2% have infective dermatitis and 1.1% have adult T-cell lymphoma. In all, 178 pregnant/postpartum women [mean age: 32.7 (±6.5) years] have received care at CHTLV. Regarding vertical transmission, 53% of breastfed infants screened for HTLV tested positive in their second year of life, nearly 18 times the rate found in non-breastfed infants. This article documents 20 years of experience in implementing an integrative and multidisciplinary care center for people living with HTLV in Bahia, Brazil. Still, significant challenges remain regarding infection control, and HTLV-infected individuals continue to struggle with the obtainment of equitable and efficient healthcare.

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Reproductive Decisions among People Living with Human T-cell Lymphotropic Virus Type 1 (HTLV-1)

Cited by 2 publications

References 25 publications

Blocking HTLV-1/2 silent transmission in Brazil: Current public health policies and proposal for additional strategies

Blocking HTLV-1/2 silent transmission in Brazil: Current public health policies and proposal for additional strategies

Integrative and Multidisciplinary Care for People Living With Human T-Cell Lymphotropic Virus in Bahia, Brazil: 20 Years of Experience

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