Anonymous

Dear Vancouver Helpline Volunteers,
First of all, really appreciate your work on helping so many worrisome persons.
I searched all toilet related question but not one just match to my case. Could you please take a quick look? If it happened to be similar with some question, I am sorry that I did not catch it.

I just used the public toilet at library in the afternoon. I was in urge so I did not flush the toilet before I use. There are some toilet paper in the toilet water. I did not see any obvious blood by eyes. Later I started to worry. What if there are some body secretion fluid or tiny blood on the paper i did not see because it is diluted by the water and I got some backsplash on my annal area while I pee. I have annal fissure and it was a little bit bleeding in the morning. Is there any possibility to get HIV infection? Am I at risk?

Really appreciate you could help
Thanks

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helpline-volunteer

Hi there,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of HIV transmission from a possible backsplash of bodily fluids in a public toilet into an anal fissure.

From the information given, this scenario is determined to be No Risk (transmission of HIV is not possible in the given scenario) because it does not satisfy the HIV Transmission Equation. The equation is not met because there is no direct access to the bloodstream through a High, Low, or Negligible Risk event.

Coming into contact with HIV positive fluid that has been exposed to the environment does not pose a threat for HIV transmission because HIV outside of the body on inanimate objects or environmental surfaces (e.g. the toilet paper that was in the toilet), undergoes a rapid reduction in HIV concentration of 90-99% when exposed to oxygen, making it extremely difficult to transmit the virus (1).

For these reasons, there is No Risk of HIV transmission from the use of a public toilet in this scenario.

Recommendation: No need for further HIV testing, please ask a health care provider for additional health-related questions.

Regards,

AIDS Vancouver Helpline/Online, Shirley

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