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Hiv on bottle of vitamins, under the seal

Question: 

Hello. You have a great site! I am sorry it may sound like a strange question. I bought vitamins in store the other day. The bottle had a protective seal on it, the one which is glued to the top of the bottle (over the hole). I lifted it up, took a couple of vitamins, and then saw some red mark , which looked like a drop of blood (smudged) . I am not sure, of course, if it was blood. But if it was, considering tablets might touched it when I took it out, and the smudge was "sealed in" between the bottle and the seal itself, (so not much oxygen) would there be a risk of me getting HIV if it was blood and it was from a positive person? I am very worried. I opened the bottle around 4 months after it was manufactured. Would HIV survive even if because it was sealed not much oxygen was touching it. Do I need to test? Thank you

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV from a sealed vitamin bottle with possible bodily fluid contamination. From the information given, this scenario is determined to be No Risk (transmission of HIV is not possible in the given scenario).

The scenario mentioned above does not meet the three components of the transmission equation. The transmission equation requires HIV positive bodily fluid to have direct access to the bloodstream of an HIV negative individual through a high risk activity (1). In this scenario the equation is not satisfied. There is no high risk activity or direct access to the bloodstream. A high risk activity includes: unprotected anal or vaginal intercourse, sharing needles, and mother to child (1). The HIV positive bodily fluid would need direct access to the bloodstream via : vagina, anus, urethra in the penis, open cuts and sores (in theory), other mucosal membranes, and points of needle injection (1).

HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host (2). HIV becomes inactive in the environment when exposed to air. Although the bottle was sealed there was air exposed when the transfer of this bodily fluid occurred on the bottle rendering the HIV bodily fluid inactive at the point of contact.

Recommendation: No need for HIV test with the scenario provided, refer to a physician for other health related questions.

Regards,

AIDS Vancouver Helpline/Online, Danielle