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THREE THINGS THAT I
LEARNED NOTHING ABOUT
IN MEDICAL SCHOOL
Hannah Gay, MDPediatric/Perinatal HIV ProgramUMMC
THINGS THAT I LEARNED NOTHING ABOUT IN MEDICAL SCHOOL
• Public Speaking• Economics• HIV
MISSISSIPPI’S PERINATAL HIV HISTORY
… a success story
9 9
8
10
8
6
3
5
6
1
3
0 0 0
1
0
2
1
0 0
1
0 00
2
4
6
8
10
12
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Perinatal HIV transmission in Mississippi
0102030405060708090
1990 1992 1994 1996 1998 2000 2002 2004 2006 2008 2010 2012
exposedinfected
0
2
4
6
8
10
12
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
PACTG protocol 076 results – the beginning of transmission prevention
0
2
4
6
8
10
12
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Dedicated perinatal RN case manager hiredDedicated perinatal HIV physician hired
0
2
4
6
8
10
12
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
Combination antiretroviral therapy beginning to be used during pregnancy
0
2
4
6
8
10
12
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
NP and RN case managers addedCollaborations growing
COLLABORATORS WITH PERINATAL HIV PROGRAM
• Mississippi State Department of Health
• Delta Regional AETC
• Mississippi Medicaid
• DHS Family and Children’s Services and Mississippi Youth Courts
• Private hospitals and outpatient providers around the state
CREDIT WHERE CREDIT IS DUE
9 9
8
10
8
6
3
5
6
1
3
0 0 0
1
0
2
1
0 0
1
0 00
2
4
6
8
10
12
1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012
HIV functional cure in Mississippi