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requesting for a reply from 3 days

Question: 

Hi please give detailed reply

i don't care how many times i had to try, I always hope i can get the answer from you.

I went to get tested in a testing center in Myanmar ,an under-developing country if you may call, and my HIV test turned out negative (thanks god!). Soon after a fake happiness, I have become overwhelmed with the anxiety of getting infected from contaminated gloves!

One mistake the Lady who did the blood drawing made is by changing the gloves. I did not think it posed any risks at all until I thought it through. Just before I entered the room, she had performed her job to another person who had the same test like me too. Five minutes later, after consulting, she used exactly the same tray to keep alcohol patches in which she kept mine

Here are my assumptions:

She touched the previous person¡s small amount of blood (possibly while drawing the sample.) and the blood is infected the blood or virus was still on tray
The blood was wiped off or remained so little to notice, but there were some viruses left over on the gloves (No visible blood or fluid on the gloves, though i did not observe thoroughly)
Five minutes later, she picked a new piece of alcohol-soaked cotton with those contaminated gloves to wipe the blood-drawing area before drawing my blood and left it there when the blood was drawn (she used another alcohol swipe to wipe and afterwards to block the blood from flowing out after withdrawing the needles)

Here are my questions:

1.What is the likelihood of getting infected this way?

2. Can you say that the possibility is nil?

3.No test is needed?

4.Can viruses in dried and invisible form (I assume)pass on from the gloves onto the brand-new alcohol-soaked Strip and then to the outlet where my blood was drawn? ( It was at least 1 minutes interval before the cotton was touched)

5.Is 1 minute long enough for viruses to die, given invisible state with room temperature?

6.Can alcohol, I don¡t know what types, on the cotton immediately kill HIV virus upon contact? If not, how long?

6.If the viruses were alive, would it be sufficient in terms of quantity to infect me through the wound?
Again, I simply just didn¡t see any visible stain of blood or fluid on the gloves at all.
Does pressing and holding alcohol strip cotton that carrying some HIV viruse on the wound for 10 minutes kill the virus or allow viruses to get into my bloodstream? (The way most doctors here usually do after every blood drawing to block the flowing).
Sorry I¡m not familiar with medical terms, but I did try my best to describe the situation, hope it¡s understandable.

this small thing ruins my life already. I talked to people, but no one can give me precise answer. I am desperately in need of the answer.

please answer the questions in points as i asked

Regards,

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about your risk of acquiring HIV after you had an HIV test in Myanmar. You are concerned that there were still trace amounts of blood from the last patient on the gloves and other objects used for your blood draw. You are also concerned about the survival of HIV outside of the body, on different objects, and if there was access to your bloodstream. 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(1). It does not satisfy the equation because:

  • For transmission to occur the three components of the HIV Transmission Equation must be met: there must be HIV present in a bodily fluid (ie: in blood, semen or rectal secretions), direct access to the bloodstream (ie: inside of the vagina, anus and other mucous membranes) paired with a high risk activity (ie: unprotected anal or vaginal intercourse, sharing needles, mother to child)(1).

  • There must be an exchange of bodily fluids(1).

  • HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host(2).

In the scenario that you provided, you say that you received an HIV test in Myanmar. You were concerned about the gloves, metal tray, and alcohol pads that were used in your blood draw could possibly have contained blood from the last patient. You also inquired about survival of HIV outside of the body, such as on an alcohol pad, and if this is a way you can acquire HIV. Again, this scenario has been determined to be of No Risk to you for acquiring HIV. First of all, it is important to note that healthcare and laboratory settings have policies and regulations in place to protect their patients while under their care(3). There are precautions taken in these settings to prevent the transmission of HIV. As we learned above, HIV does not survive long outside the human body (such as on surfaces like gloves, alcohol pads, or metal trays), and it cannot reproduce outside a human host(2). For your scenario, this means that any "dried and invisible" blood on the gloves, alcohol pads, or cotton used in your test, were already outside of the body, exposed to external environmental factors, therefore, HIV was unable to reproduce or transmit to you. There was not an exchange in bodily fluids in your scenario, nor was there direct access to your bloodstream. Simply touching your arm, or touching the point of entry of the needle with gloves, or an alcohol pad or cotton pad, does not provide the conditions necessary for there to be direct access for HIV to enter your bloodstream. This scenario has been determined to be a No Risk scenario.

Recommendation: No need for HIV test with the scenario provided, refer to the resources we have linked below to learn more about HIV and HIV transmission. Refer to your healthcare professional for other health related questions .

Regards, AIDS Vancouver Helpline/Online, Hilary