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Thus in Lothian about 250 children-the vast majority not infected with HIV-are likely to suffer the death of one or both parents due to disease related to HIV in the near future; this figure is probably an underestimate as it represents only the tested population. Although many of these children will be beyond their early years when their parents develop advanced disease, they will require much support and counselling. Research should focus on what happens to children when a parent infected with HIV dies and on the role of fostering and adoption services. In our experience it is often grandparents or other family members who bring up children when their HIV infected parents have died or are unable to cope: account needs to be taken of the pressure exerted within extended families in such cases. The care of healthy, dependent children due to suffer bereavement as a result of the HIV epidemic in Lothian should be addressed while the problem is still in its infancy.
Thus in Lothian about 250 children-the vast majority not infected with HIV-are likely to suffer the death of one or both parents due to disease related to HIV in the near future; this figure is probably an underestimate as it represents only the tested population. Although many of these children will be beyond their early years when their parents develop advanced disease, they will require much support and counselling. Research should focus on what happens to children when a parent infected with HIV dies and on the role of fostering and adoption services. In our experience it is often grandparents or other family members who bring up children when their HIV infected parents have died or are unable to cope: account needs to be taken of the pressure exerted within extended families in such cases. The care of healthy, dependent children due to suffer bereavement as a result of the HIV epidemic in Lothian should be addressed while the problem is still in its infancy.
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