The WHO’s official certification of Turks and Caicos Islands highlights the rarity of achieving dual elimination of mother-to-child transmission for both HIV and hepatitis B. With only 14 countries and territories worldwide holding this certification, the achievement underscores how challenging it is to maintain the rigorous standards required by the WHO. To earn certification, nations must demonstrate sustained elimination over at least two years, with HIV transmission rates below 2% in non-breastfeeding populations and hepatitis B surface antigen prevalence below 2% in children under five. The Caribbean region disproportionately represents these global successes, with three of its territories now certified. This data illustrates both the exceptional nature of Turks and Caicos’s accomplishment and the region’s exceptional commitment to maternal and child health outcomes.
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