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TESTIMONY U.S. HOUSE OF REPRESENTATIVES HEALTH SUBCOMMITTEE ON HEALTH AND THE ENVIRONMENT OF THE COMMITTEE ON COMMERCE by W. Shepherd Smith President Americans for a Sound AIDS/HIV Policy May 11, 1995 Thank you, Mr. Chairman, and members of this Committee for having a hearing which we believe will result in saving the lives of many young Americans. I would like to preface my remarks by saying that I hope the attention given this subject will be serious and adequate, but will not take away from the reauthorization of the Ryan White Care Act that has already been before this Committee. If this means a separate bill for prenatal or infant testing, then we hope that is considered rather than any delay in Ryan White reauthorization. Secondly, Congressman Ackerman should be congratulated for bringing attention to this issue, as well as the Committee Chairman for agreeing to hearings on this critical issue so early in the 104th Congress. When we formed in 1987, we quickly saw that HIV would affect the traditional family as well as the communities that it had heavily impacted by that point in time. In 1988 we began a Children's Assistance Fund to help families affected by HIV/AIDS, which has grown exponentially. This past year we helped over 8,400 children and families in one way or another, and expect this number to grow significantly higher in 1995. Our experience with infected infants and young people is regrettably very extensive. Since its inception we have spoken out against the policy of blinded infant testing, arguing that many of the infections caused by this policy were totally unnecessary and completely avoidable. Women who were unaware of their HIV status who carried newborn uninfected infants home could subsequently breastfeed their child and transmit HIV. Had mothers known of their status, not only could many of these infections been avoided in the past, but these same women could have received medical care for themselves and reduced the risk of transmission of the virus to their future sexual partner or partners. Regrettably we have an epidemic of ignorance that has been perpetuated by such policies which center nearly exclusively on the right of privacy of the infected individual at the exclusion and expense of the rights of those who are uninfected. It is