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A worried physically disabled guy

Question: 

Hello,

The main reason I ask this question is that I am with physical disabilty and in the country I reside there is no PEP or PrEP, and also to go for a HIV test I have to travel 200 km ,which is not possible for me. Also in Europe the treatment policy is to wait the virs to progress and then go on therapy it is not like North America

The situation is - I had a guest a month ago and she had reddish chapped lips and some sort of redish gims at the same time I had a small cut ON my lip. I have not seen her for a long time and I am not sure of her health status . We did not do anything just talked very close to one another.

Is it possible for blood of her lips and gums while talking to get into my cut. Is there any danged for me to contract something . I know saliva is HIV supressor but in what degree.

So my question is....do you advise me to start organising my jorney for hiv testing or the risk is rather low and it is not needed

Thanks in advance for the answer

Regards

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the possibility of HIV transmission in the case that your conversation partner resulted in blood spatter into your cut from a distance.

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. In order for transmission to occur bodily fluid that is HIV positive must come into contact with an individual who is HIV negative with direct access to the bloodstream through a high risk activity.

In this scenario there could be blood present, but if there was spit as the partner was talking the saliva would be the bodily fluid coming into contact with yourself. HIV is not carried through saliva. The five bodily fluids that carry the HIV virus include: *blood, semen (including pre-ejaculate), vaginal fluids, breast milk, and rectal secretions *(1). If there was blood that was carried through the air to the cut the HIV would be rendered inactive through exposure to the environment. HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host (2). It is not spread by saliva, tears, or sweat that is not mixed with the blood of an HIV-positive person (2).

Transmission in this case was not possible as the Transmission Equation has not been met.

Keep in mind that high risk activities include: unprotected sex, sharing needles, unsafe tattoos or piercings, vertical transmission–from mother to child (in utero, during delivery, breastfeeding) (1).

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