Anonymous
Hello.

I've more than one questions but they are related to each other.

1) I had a friend who is HIV+. He gave me a key chain as a present. The problem is: He has multiple wounds in his fingers and some places around his hand. So there may be blood in this key chain when he gave me. Anyway, I put this key chain into my pocket and then after 1 month I touched it to clean and rubbed all my fingers and hand on it because it was dirty. After 1-2 minutes, I masturbated without washing my hand. So the question is; if there were a blood drop in this key chain and I touched it after 1 month, does blood survive enough to transmit HIV? I know intact skin is a barrier but as I mentioned above I masturbated after I touch. Maximum 1 minutes later.


2) He has some sores in his hand. One day, we touched hand to hand for a while and after we left (approx 2-3 minutes) I touched my mouth in order to check something. I have mild gingvintis. My gum immediately started to bleed after I touch. So, the second question is: If he dropped his blood on my hand after we touched each other's hands, can I get HIV by touching and bleeding my gums?


Thank you for your answers.
Quote
Anonymous
Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of HIV transmission by possibly touching some blood on a key chain then masturbating, as well as touching your gums after a handshake. 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:

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

* For HIV transmission to occur, the 3 components of the transmission equation(1) must met. There must be a bodily fluid containing HIV(ex: blood, vaginal fluids, breast milk, anal secretions, semen), direct access to the blood stream(ex: inside the vagina or anus, mucosal membranes), combined with a risky activity(ex: unprotected vaginal/anal intercourse, mother-to-child, sharing needles).

* HIV is not transmitted through social contact such as hugging, kissing, shaking hands, sharing toilette or dishes(3).

In the first scenario you provided your friend, whom you state has a positive HIV status, gave you a key chain. You are concerned that cuts on your friend's hand may have bled, leaving some blood on the key chain that you touched. You are concerned that 1 month later you touched the key chain again and then masturbated 1-2 minutes later. This scenario has been determined to be No Risk. As we can see from above, HIV does not survive long outside the human body (such as on surfaces and objects, like a key chain), and it cannot reproduce outside a human host(2). This means that any blood on the key chain, is outside of the body, has been exposed to environmental conditions for a month and thus, cannot transmit to you. There also must be direct access for fluid containing HIV to enter your bloodstream. Masturbation does not provide the conditions necessary for fluid containing HIV to enter your bloodstream.

In the second scenario you state that you and your friend shook hands. Shortly after this, you touched your gums and they started to bleed. This scenario has been determined to be No Risk. The reasoning for the No Risk assessment is very much similar to the previous scenario. HIV is not transmitted through social contact such as hugging, kissing, shaking hands, sharing toilette or dishes(3). There was no direct access for bodily fluid containing HIV to enter your bloodstream (touching your bleeding gums with your hand does not meet the conditions necessary for direct access to your bloodstream). Let's remember as well that HIV does not survive long outside the human body (such as on surfaces like a hand), and it cannot reproduce outside a human host(2).

Thank you again for reaching out to us. Unfortunately, there is still stigma associated with individuals living with HIV. It it important to note that many individuals living with HIV can achieve an undetectable viral load by adhering to antiretroviral treatment. Undetectable = Untransmittable(4). We've added some resources for you below to learn more about HIV transmission and undetectable status.


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



Additional Resources:
Quote

ABOUT THE HELPLINE | SUPPORT OUR WORK | RISK ASSESSMENT CHART | ANONYMOUS TESTING | DISCLAIMER | CONTACT

Charitable Registration #
10668 9896 RR0001


© 2019 helpline.aidsvancouver.org
Privacy Policy
Disclaimer

OUR ADDRESS

1101 Seymour Street
Suite 235, 2nd Floor
Vancouver, BC V6B 0R1
Canada


GET IN TOUCH

Main Phone: 604-893-2201
Fax: 604-893-2205
Email: contact@aidsvancouver.org