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please reply regarding this article , according to it saliva spreads hiv

Question: 

https://www.thewellproject.org/hiv-information/hiv-transmission

it says Blood (including menstrual blood and any blood in saliva, urine, and feces)
if blood in saliva spreads hiv , then it means kissing also spreads hiv ,

please reply with a clear answer , every website has diffrent answer

if saliva spreads hiv then deep or french kiss , has the risk of spreading hiv ,

my case is

i met a women hiv status unknown , we did not had sex , but i kissed her ( french kiss deep ) and sucked her breasts and nipples
. i wanna know please help

1. is it possible to get hiv through kissing as i kissed her many times , but i dont have any cuts or sores in my mouth , i cant tell about her ( we exchanged saliva , is it possible if she had cuts or sores in her mouth and she is hiv positive the blood from her mouth came into mine and went to my stomach can i get hiv , or the blood might get me infected bec it came to my mouth ( i did not tasted any blood )

2. i sucked her breasts and nipples , it is possible that i may get infected by sucking breasts and nipples no liquid come out while sucking

i am worried , we didnt had sex at all , just deep kissing and breasts and nipple sucking

please reply i am begging for your reply from past 6 days ,
do i need hiv testing ,
i am worried

regards
begging for help and reply

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about an article that you read in which it was stated that HIV can be acquired through blood in saliva, urine and feces. Upon reading this article, you are concerned about your risk of acquiring HIV from deep kissing, as well as from sucking on a person's nipples. From the information given, this scenario is determined to be No Risk (transmission of HIV is not possible in the given scenario). The internet can be a confusing place, with much conflicting information. We commend you for doing the responsible thing and addressing your concerns and questions to our HIV Helpline. Thank you!

In assessing the risk level of acquiring of HIV, there are certain conditions that must be met for the transmission of HIV to occur. This means that it is not just about the bodily fluid being exchanged. For transmission to occur, all components of the HIV transmission equation must be met.(1)

  • There must be a body fluid(such as blood or semen), an activity(such as unprotected vaginal or anal intercourse, or sharing needles) and direct access for HIV to enter the bloodstream (such as through the vagina, the anus or other muscosal membranes) for the HIV transmission equation to be satisfied.

  • HIV is not transmitted through social contact such as hugging, kissing, shaking hands, sharing toilette or dishes (2) This is because HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host.(3)

Now, lets break this down further, addressing each activity described in your scenario and applying the above information.

  1. Kissing, even deep kissing, does not satisfy the HIV Transmission Equation. We understand from your description of the scenario, that you are concerned about your risk of acquiring HIV if indeed some the other person's blood entered your mouth and travelled down and into your stomach. It is important to note that saliva contains an enzyme that inhibits the transmission of HIV, one reason why kissing is considered a No Risk activity. Another reason is that in the scenario you described, there is no direct access for HIV to enter your bloodstream. The stomach is not an avenue by which HIV has direct access to your bloodstream.

  2. You expressed concern about the risk of acquiring HIV by sucking the nipples of a person. If the individual were lactating (milk coming out of the breasts) there could be a risk of transmission. From your description of the scenario, it does not seem as though the individual was lactating at the time the sucking of the nipples occurred. It is also important to note, again, that saliva contains an enzyme that inhibits the transmission of HIV. Please keep in mind that when we talk about the risk associated with sucking on a lactating breast, we are typically talking about transmission between an untreated HIV mother and infant while being breastfed(4). Breastfeeding is not the scenario you described, you simply licked/sucked a non-lactating breast.

  3. As for your concern about the article you read that indicated HIV transmission via urine and feces, we would refer you the the article entitled "How is HIV Spread?"(5) that we have linked for you below. There can be a negligible risk for transmission should infected blood within the urine/feces come into direct contact with broken skin or mucosa; however, HIV is otherwise not transmitted through urine/feces.

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

Regards, AIDS Vancouver Helpline/Online, Hilary