4. Background
Human immunodeficiency virus (HIV) is a
blood-borne, sexually transmissible virus The
virus is typically transmitted via sexual
intercourse, shared intravenous drug , and
mother-to-child transmission
5.
6. Background
HIV is a retrovirus which infects and replicates
in human lymphocytes (co4+T-cells) and
macrophages. This leads to progressive
immune system dysfunction, opportunistic
infection, and malignancy Acquired
Immunodeficiency Syndrome
7. Transmission
Myths persist about how HIV is transmitted. This section provides the
facts about HIV risk from different types of sex, injection drug use, and
other activities.
8. You can get or transmit HIV only through
specific activities. Most commonly, people get
or transmit HIV through sexual behaviors and
needle or syringe use.
9. HIV is spread mainly by
(1) Having anal or vaginal sex with someone who
has HIV without using a condom or taking
medicines to prevent or treat HIV.
(2) Sharing needles or syringes, rinse water, or
other equipment (works) used to prepare drugs for
injection with someone who has HIV
10. Less commonly, HIV may be
spread
(1)From mother to child during pregnancy,
birth, or breastfeeding.
(2) being stuck with an HIV-contaminated
needle or other sharp object
11. In extremely rare cases, HIV has
been transmitted by
(1) Oral sex
(2) Receiving blood transfusions
(3) Eating food that has been pre-chewed by
an HIV-infected person.
(4) Being bitten by a person with HIV.
(5) Deep, open-mouth kissing
12. HIV is not spread by
Mosquitoes, ticks, or other insects.
Saliva, tears, or sweat that is not mixed with the
blood of an HIV-positive person.
Hugging, shaking hands, sharing toilets, sharing
dishes, or closed-mouth or “social” kissing with
someone who is HIV-positive.
13. anal sex is the riskiest type of
sex for getting or transmitting
HIV especially receptive .
14. Either partner can get HIV
through vaginal sex, though it
is less risky for getting HIV
than receptive anal sex.
15. HIV and oral sex
The chance that an HIV-negative person will
get HIV from oral sex with an HIV-positive
partner is extremely low.
16.
17.
18. Prevention
Correct use of male and female condoms
Post-exposure prophylaxis (PEP)
Pre-exposure prophylaxis (PrEP)
Antiretroviral therapy (ART)
19. prevention
Sexual transmission:
(1) oral sex
anal sex and vaginal sex :
(2) condoms and Lubrication
(3) PrEP
(4) PEP
(5) ART
(6)Injection Drug Use
Editor's Notes
Only certain body fluids—blood, semen (cum), pre-seminal fluid (pre-cum), rectal fluids, vaginal fluids, and breast milk—from a person who has HIV can transmit HIV. These fluids must come in contact with a mucous membrane or damaged tissue or be directly injected into the bloodstream (from a needle or syringe) for transmission to occur. Mucous membranes are found inside the rectum, vagina, penis, and mouth.
(1)
For the HIV-negative partner, receptive anal sex (bottoming) is the highest-risk sexual behavior, but you can also get HIV from insertive anal sex (topping).
Either partner can get HIV through vaginal sex, though it is less risky for getting HIV than receptive anal sex.
(2)
HIV can live in a used needle up to 42 days depending on temperature and other factors.
Although the risk can be high if a mother is living with HIV and not taking medicine
This is a risk mainly for health care workers.
In general, there’s little to no risk of getting HIV from oral sex. But transmission of HIV, though extremely rare, is theoretically possible if an HIV-positive man ejaculates in his partner’s mouth during oral sex
blood products, or organ/tissue transplants that are contaminated with HIV. This was more common in the early years of HIV, but now the risk is extremely small because of testing of the blood supply and donated organs and tissues.
The contamination occurs when infected blood from a caregiver’s mouth mixes with food while chewing
There is no risk of transmission if the skin is not broken.
if both partners have sores or bleeding gums and blood from the HIV-positive partner gets into the bloodstream of the HIV-negative partner.
Contact between broken skin, wounds, or mucous membranes and HIV-infected blood or blood-contaminated body fluids.
HIV can be found in certain body fluids—blood, semen (cum), pre-seminal fluid (pre-cum), or rectal fluids—of a person who has HIV. Although receptive anal sex (bottoming) is much riskier for getting HIV than insertive anal sex (topping), it’s possible for either partner—the top or the bottom—to get HIV. The bottom’s risk is very high because the lining of the rectum is thin and may allow HIV to enter the body during anal sex. The top is also at risk because HIV can enter the body through the opening at the tip of the penis (or urethra); the foreskin if the penis isn’t circumcised; or small cuts, scratches, or open sores anywhere on the penis.
When a woman has vaginal sex with a partner who’s HIV-positive, HIV can enter her body through the mucous membranes that line the vagina and cervix.
Men can also get HIV from having vaginal sex with a woman who’s HIV-positive. This is because vaginal fluid and blood can carry HIV. Men get HIV through the opening at the tip of the penis
Oral sex involves putting the mouth on the penis (fellatio), vagina (cunnilingus), or anus (anilingus). In general, there’s little to no risk of getting or transmitting HIV through oral sex.
Factors that may increase the risk of transmitting HIV through oral sex are ejaculation in the mouth with oral ulcers, bleeding gums, genital sores
Individuals can further reduce the already low risk of HIV transmission from oral sex by keeping their male partners from ejaculating in their mouth.
or Using a barrier like a condom or dental dam during oral sex
The risk of HIV transmission through oral sex is even lower if the HIV-negative partner is taking medicine to prevent HIV (pre-exposure prophylaxis or PrEP) or the HIV-positive partner is taking medicine to treat HIV (antiretroviral therapy or ART)
(2) Latex male condoms are highly effective in preventing HIV , . It is also important that sufficient water- or silicone-based lubricant be used during anal sex to prevent condom breakage and tearing of tissue.
(3) People who are HIV-negative and at very high risk for HIV can take daily medicine to prevent HIV
(4) means taking antiretroviral medicines—medicines used to treat HIV—after being potentially exposed to HIV during sex to prevent becoming infected. PEP should be used only in emergency situations and must be started within 72 hours after a possible exposure to HIV, but the sooner the better.
(5) For those living with HIV, antiretroviral therapy (ART) can reduce the amount of virus in the blood and body fluids to very low levels .
(6) The best way to reduce the risk of getting or transmitting HIV through injection drug use is to stop injecting drugs, If you continue injecting drugs, never share needles or works.