Children With HIV and AIDS

The number of kids who get infected with HIV each year is going down. At the end of 2015, 2.6 million children throughout the world ages 15 and younger were living with the virus, but only about one-third of them were getting treatment.

Most cases of childhood HIV and AIDS are in sub-Saharan Africa, the southern part. It's the leading cause of death among preteens and teens there. HIV, the virus that causes AIDS, damages your immune system, so you can't fight infections and some cancers well.

But with the right combination of drugs and loving support, kids with HIV can grow up to live long, fulfilling lives.

Causes

Most children who have HIV got it from their mother when she was pregnant, during the birth process, or from breastfeeding. Women who are tested, and then stick with treatment if they're positive, greatly lower the chance of passing the virus to their babies. This is the best way to prevent HIV in children.

Kids in communities affected by AIDS who have lost parents and family members are also more vulnerable to HIV infection. They may lack caregivers, access to school, or the ability to stand up for their rights.

Children can be infected through sexual abuse or rape. In some countries, child marriages are culturally accepted, and a young girl could get HIV from her older husband, and then pass it to her babies, too. The younger a child is when they first have sex, the higher their chances of getting HIV are.

In central and Eastern Europe, injected drug use spreads HIV among young people living on the streets. In one study in Ukraine, high-risk behaviors, including sharing needles, were common among kids as young as 10.

Transfusions of HIV-positive blood or injections with unsterilized needles could infect children in poorer countries. The U.S. and Western European countries have medical safeguards to prevent this problem.

Symptoms

Not all children with HIV will have symptoms, and those that do won't have exactly the same ones. Symptoms can vary by age.

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Some of the more common are:

As with adults, when an HIV infection advances, kids start to develop infections that rarely affect healthy people but can be deadly for someone whose immune system isn't working well. These "opportunistic infections" include:

Treatments

Children get pretty much the same treatment as adults: a combination of medications called ART (antiretroviral therapy). But it isn't that simple, because some HIV drugs don't come in a liquid form that babies and small children can swallow. And some drugs cause serious side effects for kids.

Without ART, one-third of HIV-positive infants worldwide won't make it to their first birthday, and half will die before they're 2. Older kids who don't have symptoms can take ART to help keep them healthy.

With ART, complications from HIV or opportunistic infections -- like loss of appetite, diarrhea, and coughs and colds -- can be treated like typical childhood illnesses.

Growing Up With HIV

Adults should talk to children about the disease in a way that fits their age to help make it less scary. Kids need to know that it's not their fault they're sick and have to take medicine every day, and that they won't be left alone. Social, financial, and emotional support for the whole family is important, especially in communities without a lot of resources.

Kids with HIV and AIDS can safely go to school. But they may face bullying and discrimination unless the other students and teachers understand how HIV spreads. Awareness and education programs help break down the stigma around HIV so that children can have friends and feel normal growing up.

WebMD Medical Reference Reviewed by Roy Benaroch, MD on December 02, 2016

Sources

SOURCES: 

AVERT: "Children and HIV/AIDS."

World Health Organization.

CDC: "HIV Among Pregnant Women, Infants, and Children."

University of Cincinnati: "HIV in Infants and Children."

Boston Children's Hospital: "AIDS/HIV."

Mother and Child Nutrition: "Coping with complications of HIV/AIDS at a glance."

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