Anonymous
Hi

Was eating birthday cake, and on the icing, there was a decoration shaped like a hockey puck. I took a bite from it and a part of a toothpick was in the puck, I guess to hold the puck together. The toothpick jabbed my mouth. What if the person that put the cake, or specifically the puck on the cake, cut their finger with the toothpick and now an hour later, the toothpick with the bakers blood on it, jabs my inside of my mouth causing a small cut................Is their any HIV risk? And reason? If the blood was HIV blood, would the HIV be already be dead by the time it went into my mouth?

Thank You kindly
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Anonymous
Hi there,

Thank you for choosing the AIDS Vancouver Helpline as your source of information.

HIV transmission requires all of the following:

1. Body fluids containing high levels of HIV, e.g. blood, semen, and vaginal/rectal secretions,

2. A high-risk activity, e.g. unprotected anal or vaginal intercourse or the sharing of needles, and

3. Direct access of HIV-containing fluids into the bloodstream, e.g. through the vagina, anus, mucus membranes, or points of needle injection.

4. A controlled environment, which means no exposure to the air. Activities like unprotected sex or the sharing of needles are high risk activities since they don't involve any exposure to the air, while activities like mutual masturbation or frottage are negligible to no-risk activities since they involve full exposure to the air.

The situation you have described does not put you at risk; even if the toothpick had blood with HIV in it (regardless of how unlikely that would be), because the potential interaction you are having with the toothpick is not in a closed environment. If the toothpick were to have been exposed to HIV, within seconds of it being in an open air environment, HIV would have perished (the virus would be dead by the time it went into your mouth).

Furthermore, you jabbing yourself in the mouth does not necessarily mean that HIV would have direct access to your bloodstream.

Hopefully, my answers have helped with your anxiety and distress, as far as this situation goes.

In health,

Moe- AIDS Vancouver Helpline Volunteer
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