To adopt this child there must be no more than 40 years age difference between the younger parent and the child. Families with 0-2 children preferred, though additional children in the home may be eligible on a case-by-case basis for a child with significant special needs. * See country criteria for complete requirements.

She is in Southeast Asia and can be adopted through Holt International.

Audrey was born in August 2009. She is shy with new people. She doesn’t like to go to sleep at night. She was taken into a foster-family for 3 or 4 months, but the husband was living in constant fear that the older biological boy would become infected and he would not even let her drink out of the same glass. Needless to say, that did not work out so now she is in need of a permanent adoptive family. She is from a decent baby house. She is serious and active. She likes to play pretend and put stuffed animals to bed (although she threatens them if they don’t go right to sleep!) She talks in 2 and 3 word phrases. When she was 1.6 years, her speech was evaluated at 1.3, so she is not far behind. Other areas of development are good. She has a strong character. She is a chubby girl with brown wavy hair and dark eyes – thought to be half Buryat. She likes playing in the bathtub. She is a mischievous girl. She had some tantrums while adjusting to her foster-family. Although that is common, the foster-family believed it was due to Audrey’s first year which was mostly spent in the hospital most-likely in a separate ward for HIV, so she might only been attended to for procedures. Audrey receives ARV treatment twice daily. She also takes daily medication for epilepsy and both conditions seem to be well controlled.

• Girl in Eastern Europe born 10/2007
• Boy in Eastern Europe born 7/2009
• Boy in Eastern Europe born 7/2008
• Boy in Asia born 3/2004
• Boy in Latin America born 11/2008
• Girl in Latin America born 11/2004
• Boy in Latin America born 6/2009
• Boy in Latin America born 10/2003
• Boy in Latin America born 5/2003
• Boy in Africa born 3/2007

“Hope”  was born in November 2005. She has dark eyes and she is an amazing little girl. She gets along well with other children. She is very smart. When an adult explains something to her, she listens carefully and makes her findings. When she is interested in something, she asks questions. She is inquisitive, curious and communicative. She is also described as being charming and affectionate. This child really needs a loving family. It is believed that whatever developmental delays she may have from institutional life can be overcome. She is a cheerful girl and she likes helping take care of the younger children. She is a truly beautiful girl.  She was transferred to the older child orphanage toward the end of 2008. She is so gentle and waits patiently for someone to show her attention or affection. She has a confirmed HIV-positive diagnosis. The chances of a child this age with HIV being adopted by a local family in this particular region are almost zero. The most recent photos were taken in summer 2009.

Thirty years into the epidemic, a new crop of kids faces adulthood—with HIV. From babies born with the virus to teens who acquired it behaviorally, members of this new generation struggle to navigate survival while making their way through the world. The stories of these four brave young people are examples for how to succeed in spite of HIV. They also serve as cautionary tales, reminding us of the price we pay for not teaching our children well. Let lessons be learned.

Lafayette Sanders, 24, West Philadelphia, 
Perinatally Infected
Having found power in disclosure and self-advocacy, musician Lafayette has found a new life. Now that he has broken down his own stereotypes about HIV, Lafayette is trying to help other people do the same.

I was in the doctor’s office. I was 13; it was a few months after my mother passed away. My grandmother took me for a checkup, and I was then told about me being HIV positive. My grandmother knew what I didn’t: My mom died of HIV, HIV that she passed along to me. They told me, and I took the meds but didn’t learn anything about HIV. At that age, I had no idea about the stigma or life spans. Having to take medications was like taking vitamins: You don’t know what it’s for, you just do it ’cause it’s good for you.

And then high school hit. I started to hang around kids my age, and everybody was talking about sex, and HIV came up in the picture. I wanted to tell them I was positive, but I didn’t know that much about it to tell and to be able to defend myself. I didn’t want to be looked at as different. So I didn’t disclose. There were so many feelings, and I was so angry for so long. It took me a long time to get over the anger at my mom—that she didn’t tell me herself, when we were so close and shared everything, and then to find out this big thing and to deal with it on my own. I was angry at her, God, myself, everybody. And then there was my grandmother. My grandmother was the primary guardian to my sister and me after my mother passed. My sister, who is not HIV positive, was too young to remember my mother’s death. My grandmother, who is a sweet and caring woman but also very traditional, put me in a box of fear. She made me believe that disclosing my status would change how people treated me, how they looked at me. It wasn’t true, to me—I knew someday people would understand and accept me for me.

When I was maybe 17 or 18, I woke up every day thinking about HIV and [I wanted to make it go away, to pretend it wasn’t there] so I stopped taking medication. I would hide it, pretend. I was young and irresponsible. And I was having sex.

The turning point came with my last two girlfriends. I disclosed to [the first one] right off the bat. Still we were reckless and irresponsible, and she got pregnant. She had a miscarriage, and to this day she’s negative. Second relationship, almost the same thing. She had an abortion. I was sitting in an abortion clinic, and I thought, “How the hell did I end up here? I’m reckless, and the people I’m with are reckless.” That was my wake-up call, the moment of “You have to get your shit together.”

I hooked up with iChoose2live [a youth organization designed to encourage self-esteem and awareness about HIV and other issues]. I thank God for everyone He has placed in and out of my life. He uses who He chooses when He chooses. If it weren’t for me meeting [hip-hop artist] Lee Mekhai at a show in Philly, I wouldn’t have found out about iChoose2live and the founder Shenille Melton. That opened a lot of doors for me as far as reaching the youth.

Since I had already taken a course for certification in HIV Peer Education through Philadelphia FIGHT’s program, Project TEACH, I thought about disclosing my status. For 10 years, my grandmother was the voice discouraging me from disclosing. I was secluded. She drilled into me that disclosing was not safe, that “the neighbors are gonna look at you this way, no one is gonna look at you the same way or accept you.” But as I began to educate myself about the virus, how it works and what it does, I began to lose the fear of disclosing. Then after I linked up with iChoose2live, I came out in a big way through interviews and the work [I did with that group].

My grandmother kicked me out when I told her I would be doing an open interview about me being positive with The Philadelphia Inquirer, which [was published] on September 13, 2010. [At that time,] I had no job, no money, I was struggling. But a lot of positive things came from my disclosure. People emailed me to thank me for being honest about my HIV status. I was intrigued and blessed that my story could help others. I started speaking to groups at the children’s hospital. Kids looked up to me.

I’ve learned that kids in public schools aren’t being taught what they really need to know. HIV is that disease that’s swept under the rug; no one talks about it. And youth are spreading [the virus] because they’re uneducated, misinformed and not being reached out to enough. I honestly think there should be mandatory classes in all middle schools through college for educating about HIV/AIDS [and other sexually transmitted infections].

Positive people my age need to be out there. You can’t have a 48-year-old man talking to kids about this. No one listens. You need someone like me, someone who is living with [HIV]—then it becomes more real. It’s a great feeling to be able to do that. And that’s just me! One person. Imagine if everyone was doing it, if everyone got together. We may not be able to stop this pandemic, but we can inform, educate and empower, and we can slow down the rates of HIV transmission.

I would like to write a book about my life living with HIV and just my life in general. I know my story and experiences within these past 24 years can help educate, empower and change other people’s lives—people of all ages. My story will heal lives all over and most importantly let everyone know the power of God. He’s the only reason why I’m still alive and healthy.

I’m looking forward to the future, staying healthy and changing people’s lives.

Paige Rawl, 17, Indianapolis, Perinatally Infected
She is a high school student, an athlete, a teen. Having encountered and overcome enormous stigma, Paige has flourished—making a place for herself in a world that hasn’t figured out how to make a place for youth living life with HIV.

My name is Paige, and I’ve been positive for 17 years. My mom unknowingly passed it on to me, and she found out her status right before I turned 3. She contracted the disease from my father—we’re not sure how or when he contracted HIV. That’s just the way it goes.

My mom told me I was positive when I was in fifth grade. But I didn’t get it. I took the pills because that’s what you do when you’re young and your mom gives you pills. And then middle school happened.

In sixth grade I confided in my best friend; I told her I’d been HIV positive since birth. Within two weeks, she had told her sister and other people, and they told others, and eventually the whole school knew. Everyone. People threatened to beat me up; they left a note on my locker saying “No AIDS at [school name].” They gave me a nickname: “PAIDS.” They told each other not to drink after me, as if HIV was contagious [that way]. I went from [being] popular to having no friends.

In eighth grade, I made the soccer team. I was going to be part of a team. Then someone told my coach I had AIDS. At our first away game, my coach approached me on the bench, in front of other players, and asked, “By the way, I heard that you have AIDS. Is that true?” I said no, because I don’t have AIDS, I am HIV positive and there is a difference.

I was so upset. This was a coach. Someone who should know. I told mom, who confronted my coach at school. She admitted to asking me and went on to say, “The soccer team could use my HIV status to an advantage, and the other team will be afraid, and I can score goals.” I withdrew from the school and finished out my year with homeschooling.

My mother has been so supportive. And my family. I didn’t have to disclose to them; my mom told them before she even told me. But you need support of different kinds. Since the bullying, the coach, the discrimination, I’ve started seeing a counselor and started taking an antidepressant. It’s OK to look for help, and it’s OK to get help.

I realized that I can help other people too. I wanted to take a bad situation and turn it into something good by helping others know about HIV and the precautions they should take. So I became a peer sex educator and a certified HIV/AIDS educator through the American Red Cross.

I also started looking for support groups and even tried to start one. I searched the Internet, I asked questions, and I was referred to Camp Kindle [a free summer camp for kids living with or affected by the virus]. Meeting other kids [like me] has given me people to talk to, people who can relate to what I’m going through.

These days, I am open about my status to everyone. I take the time to speak to my peers, raise awareness and share my story. Funny, after disclosing to my former best friend in sixth grade and it spreading through the school, it just became easier to tell people who didn’t already know. For the most part, there’s a positive response. The fear that I should not have disclosed my status so soon just doesn’t exist anymore.

I know firsthand that there are still big misconceptions out there about how you can and cannot contract HIV. [We need] more education among youth in the U.S., and there should be more support groups. Youth need to see themselves reflected in what’s taught, in the information they are given.

The hardest part about living with HIV is the stigma that goes along with it. But I have hope. Two years ago, I was the freshman class president, on the JV cheerleading squad and on the soccer team. Last year, I was part of the student government and on the varsity squad. I volunteer, I share my story, I travel. I have hope.

]]> http://positivelyorphaned.org/2011/09/27/all-grown-up-with-hiv/feed/ 0 positivelyorphaned POZ - The Kids Are All Right Lafayette_Sanders Paige_Rawl http://positivelyorphaned.org/2011/09/19/adoption-photolistings/ http://positivelyorphaned.org/2011/09/19/adoption-photolistings/#comments Mon, 19 Sep 2011 20:37:30 +0000 Positively Orphaned http://positivelyorphaned.org/?p=3971 ]]> P

Wow! Look at those stunning blue eyes. Jack is a good boy. He was born in 2001. He would like to be adopted. He is HIV-positive and doing well physically and developmentally. Married couples may inquire.

Don't mind the pink shirt, Brance is a boy! He is 5 years old and was born testing positive for HIV and HepC. Married couples who can travel can inquire.

Autumn is a very pretty girl who is active, sweet and sociable. She is healthy and participates in life fully and is developing normally. She was born with HIV and receives the appropriate medications. Married couples ages 25-64 years with health insurance may apply to adopt her.

Camden is a very delightful kid with bright green eyes and blond hair. He is doing very well, has always been generally healthy and is very responsible. Camden was born HIV positive but is fully in charge of taking his medication and is doing fantastic. He does well in school and likes sports. Married couples 25-57 (one parent may be older) may inquire.

A family who recently met David said he was very well behaved and is very kind, caring and gentle. He became teary when another child was adopted from his group and he wished them luck. He would LOVE to be adopted. David is a kind handsome 9 year old boy with no delays in a facility that provides excellent care. He has brown hair and eyes. He was born HIV positive. Married couples who can travel should inquire.

Hadley is a reserved and sweet young lady. She is a healthy normal 9 year old girl with long silky blond hair and light hazel eyes. She is tall for her age. She is developing normally and is at a location with excellent care. She is noted as being VERY patient, reserved, considerate and kind, great kid. She might have a brother, this can be verified upon inquiry. She was born HIV positive. Married couples who can travel should inquire.

Cole is a cute little stinker! He is all boy Little Cole has dirty blond hair and huge brown eyes. He is ready to hit school, run around the house in Buzz Lightyear pajamas and race hot wheels. This healthy chunky little boy has no developmental delays. He is HIV positive. He is doing well and he is a healthy, active little boy. He can be adopted quickly by a married couple with one parent age 51 or younger.

Val is a 12 year old boy with HIV and normal development. Married couples with one parent within 45 years of the age of this child may apply.

Collin is a 12 year old boy with HIV. He is developing normally. Adoptive parents should be no more than 45 years older than Collin.

Paige has such soulful eyes and stunning blond hair. She was born in 1997 and longs for a family. She was born HIV positive but is doing very well physically. She would like to be adopted into a happy family! Married couples may inquire.

Isaac is a lively young man born in 1997. He has a pigeon chest, is HIV positive and there is a note in his medical records about his tonsils-possibly they need to be removed. He is active, friendly and does well in school. His physical issues do not cause him any problems. He would like to be adopted, married couples may inquire.

Eden is a precious young girl waiting to be adopted. Despite being born with both HIV and Hep C, she is doing rather well. She is doing well physically at this time but would love a family to do all those girl things! Married couples may inquire.

Charlotte has blond hair and brown eyes and she was born in 1997. She longs to be adopted. This sweet little teen girl was born HIV positive and has a mild astigmatism, but is generally physically healthy. Married couples may inquire.

Please inquire directly with the photolisting website http://waitingchildren.wordpress.com/ to inquire about any of these children. 

The United States Department of Health and Human Services (HHS) has released an updated version of its “Guidelines for the Use of Antiretroviral Agents in Pediatric HIV Infection.”

The guidelines contain updated recommendations in several areas, including when to start antiretroviral therapy and factors to consider in selecting an antiretroviral regimen. The guidelines also contain new sections on rates and management of various side effects related to the use of antiretrovirals.

The guidelines are intended for use by doctors and other health care professionals when treating HIV-positive children and teens. They were last updated in August 2010.

Key updates to various sections of the guidelines are summarized below.

Start Of Antiretroviral Therapy

Suggestions for when to initiate antiretroviral therapy vary according to age group.

Antiretroviral therapy is now recommended for children five years or older who have CD4 (white blood cell) counts of less than 500 cells per microliter, even if their symptoms are mild or nonexistent. Previous guidelines recommended treatment at a CD4 count threshold of 350 cells per microliter.

The guidelines continue to recommend treatment for children aged one year or older who have normal CD4 counts but HIV viral loads (amount of HIV in the blood) of 100,000 copies per milliliter of blood or higher, regardless of whether or not they have symptoms.

For children under the age of 12 months, the guidelines also continue to recommend starting antiretroviral therapy regardless of CD4 count, viral load, or the presence or absence of symptoms. Several studies have shown that starting therapy early in children of this age significantly reduces the chances a child will progress to AIDS or die.

In children with normal CD4 counts whose HIV viral loads are less than 100,000 copies per milliliter and who have mild or no symptoms initiation of treatment can be either considered or deferred.

Selection Of Antiretroviral Regimens

As with adults, all HIV-positive children should be treated using combination therapy that includes at least three different antiretroviral drugs from two different classes.

For children aged 14 days to three years, the preferred initial treatment regimen is now Kaletra(lopinavir/ritonavir) plus two nucleoside reverse transcriptase inhibitors (NRTIs). Viramune (nevirapine)-based regimens are now considered an alternative regimen in this age group.

However, due to recent information on toxicity of Kaletra in newborn infants, particularly premature infants, Kaletra should not be given to newborns until at least 42 weeks from the date of the mother’s last menstrual period and 14 days after birth (see related AIDS Beacon news).

For children older than six years, Reyataz (atazanavir) boosted with low-dose Norvir (ritonavir) has been added as a second preferred protease inhibitor for initial treatment regimens; Kaletra is already considered a preferred protease inhibitor for this age group.

The preferred dual-NRTI regimen backbones for initial therapy in children are zidovudine (Retrovir) plusEpivir (lamivudine) or Emtriva (emtricitabine) (any age), Ziagen (abacavir) plus Epivir or Emtriva (children three months or older), and Viread (tenofovir) plus Epivir or Emtriva (children 12 years or older who have finished puberty).

Two new alternate dual-NRTI backbones have been added to the guidelines: didanosine (Videx) plus Epivir or Emtriva (any age), and Viread plus Epivir or Emtriva (children 12 years or older in intermediate stages of puberty). Viread plus Epivir or Emtriva is now listed as a possibility under special circumstances for children 12 years or older in the initial stages of puberty.

The guidelines do not recommend use of the new antiretroviral Edurant (rilpivirine) in children for initial antiretroviral regimens due to lack of information on dosages for children and the absence of a child-friendly formulation of the drug.

The guide continues to recommend that patients who have never received antiretroviral therapy complete antiretroviral drug resistance testing before choosing which drugs to use for treatment.

Monitoring Of HIV-Positive Children

The updated guidelines now note that transient viral load increases of up to 1,000 copies per milliliter (“blips”) are normal and should not be considered a sign of treatment failure.

The guide also recommends that urinalysis be conducted in children at their first visit and repeated every six to 12 months. Urinalysis usually measures aspects of a person’s urine such as pH, presence or absence of blood or protein, and signs of a possible bacterial infection.

To read the article in it’s entirety, click here. 

This little boy is 4 years old (August 2006). He is living with HIV. He also has CP but he walks and runs. He is happy, outgoing and always has a smile on his face. He was transferred to the older child internat in August 2011. A recent adoptive family that met him says he is a “total sweetheart”. He is loved by the caregivers and he is always, always smiling.  Additional photos available.

The baby house provides very good medical care and the children have access to ARVs. It is an easy adoption-friendly region. The children are able to play outside. Nutrition is basic although the children get fresh fruit for a snack. The children appear to be healthy and the nannies are caring.

This little boy is waiting for a family. He was born August 2007 and is at risk of being transferred away from the baby house. He is living with HIV. Not only is he handsome, but he is calm, curious and friendly. He speaks in sentences. When playing, he can complete a series of successive operations, matches objects, knows the different colors, builds a compound with a house, gate and bench. His self-care skills are fully developed: he eats carefully using the correct utensils, brushes his own teeth, and he dresses himself although he needs help with buttons and shoelaces.  Photos available.

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http://www.bbc.co.uk/news/mobile/health-13381292?SThisEM

UNAIDS has released a plan to eliminate new HIV infections in children by 2015. This means I will have no more HIV+ babies to advocate for in 4 years! Of course I will keep advocating for the older children, but what a wonderful day that will be when people get in touch about adopting a baby with HIV and I can reply “Nope – babies aren’t born with HIV any more”  I can hardly wait. See the Global Plan to Eliminate New HIV Infections Among Children by 2015.

]]> http://positivelyorphaned.org/2011/06/27/unaids/feed/ 0 positivelyorphaned UNAIDS.Global.Plan http://positivelyorphaned.org/2011/06/09/girl-in-ethiopia-needs-a-sponsor/ http://positivelyorphaned.org/2011/06/09/girl-in-ethiopia-needs-a-sponsor/#comments Thu, 09 Jun 2011 04:54:20 +0000 Positively Orphaned http://positivelyorphaned.org/?p=3778 Continue reading →]]> This beautiful girl is living with HIV. Her parents have died of AIDS and she now lives with her grandparents. I have been sponsoring her for the past couple of years, but am looking for a new sponsor to take over this role. She can be sponsored through Children’s Heaven, a wonderful organization helping at-risk orphaned girls through community support. Sponsorship is only $25 per month. She is very good about sending pictures, letters and cards at the holidays. She is a very sweet girl and the sponsorship funds go to helping her get medication, clothing and school supplies.

The Center for Disease Control (CDC) is featuring a lecture series titled – “HIV/AIDS: 30 Years of Leadership and Lessons”.

The Smithsonian’s National Museum of American History will mark the 30th anniversary of the emergence of what became known as the HIV and AIDS epidemic with a three-part display and website beginning June 3.

“HIV and AIDS Thirty Years Ago” will look at the public health, scientific and political responses in the early phase (1981-87) of the global pandemic. This showcase will be located in the museum’s “Science in American Life” exhibition, which focuses on the connections among science, culture and society in American history. The display will feature photographs, magazine covers and other graphics plus equipment that Dr. Jay Levy used to isolate the virus in his lab at the University of California, San Francisco, a copy of the Surgeon General’s 1986 report presenting the government’s position, samples of the drugs AZT and Retrovir and public health information pamphlets from AIDS service organizations. The website will be available at americanhistory.si.edu/hivaids.

CNN –  30 Years of AIDS Moments to Remember

An article from December 1, 2006 states: “Now urgent problem with one of our patients Irina who is nearly 3 years old. She is HIV-positive but she does not need special treatment; the virus can sleep in her body for many years (this may mean she is a slow-progressor). It was disturbing her underlying disease – cerebral palsy and she needs a qualified neurological treatment which we cannot provide in our hospital. The children with this pathology go to the orphanage for children with central nervous system damage and mental disturbances (“the mental institute”). We are working in this direction but it’s hard to say how long the girl will be in our center. Frankly, we are scared to send the child to people suffering from phobias about HIV. It is excusable for an uneducated man, but should never be in health care workers. A year ago, she held her head badly, could not sit there and just not realized was smiling, but now she crawls, stands, leans on the barrier and is beginning to talk. The children at the hospital are loved, they are neatly dressed and well-trimmed” (see younger picture).

The hospital she was in at the time of the article seems to be a decent place, but it looks like she has been transferred to the mental institute. It is our hope to find a special family very soon who can help her with HIV and CP, and also with any emotional help she may need.

]]> http://positivelyorphaned.org/2011/05/21/waiting-children-ee-2/feed/ 0 positivelyorphaned Eugene2009 January2008 Girl.2009 Aleksey2006 Filip2009 Victoria Eugene2008 ArtemFeb2009sq Eugene2006 Tolik1999