UPR/MSC CURRENT PROJECTS
AND ACTIVITIES
Selected Campus Projects Relevant to Women's Health
Women and Infants Transmission Study (WITS)
The Women and Infants Transmission Study (WITS) is a multi-center longitudinal,
natural history study of pregnant women with human immunodeficiency virus
(HIV) infection and their offspring. This study has had two major phases.
WITS 1 enrolled three cohorts including HIV-infected pregnant women and
the offspring of HIV-infected women from 1990 through 1993. WITS 2 recruits
only HIV-infected pregnant women and their offspring and will follow all
postpartum women and their children from both WITS 1 and WITS 2 until
the end of the study in 1998. This prospective cohort study is designed
to answer questions such as likelihood of HIV transmission, the effect
of perinatally acquired HIV infection on the infant, and the most effective
means for early diagnosis of HIV infection in the infant. Current research
also seeks to determine risk factors for ante-partum vs. intra-partum
transmission and the most useful predictors for HIV disease progression
in postpartum.
There are six clinic sites participating in WITS 2, namely State University
of New York (SUNY); the Boston Consortium of Hospitals including University
of Massachusetts Medical Center, Worcester, Central Massachusetts Medical
Center, Worcester, Boston City Hospital, Children's Hospital and Bringham
and Women's Hospital; the University of Illinois, Chicago; Baylor University,
Houston, Texas; Columbia Presbyterian, New York City; and the University
of Puerto Rico, School of Medicine, San Juan. The New England Research
Institute of Watertown, Massachusetts serves as the Statistical and Coordinating
Center (SACCC). Four central laboratories are responsible for processing
and analyzing specific WITS 2 laboratory specimens. It is expected that
the number of cases of pediatric AIDS will be eventually reduced by lowering
the risks of transmission of the virus from mother to infant. Dr. Carmen
Zorrilla, Co-Principal Investigator of the WITS Project, will be Assistant
Director of the Research Component in the proposed project.
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