D.C. Hospital's failure to prevent HIV transmission to baby infects the baby and causes brain damage.

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When a D.C. hospital failed to follow its own protocols (or rules) to test high risk mothers to determine whether they were HIV positive, HIV was passed on to the baby.

Because the hospital did not act to deliver the baby after repeated signs of fetal distress, the baby suffered brain damage and was diagnosed with cerebral palsy.

Simply following established procedures would have prevented this child's HIV and cerebral palsy.