foxx0500
Please Help Me........ 

So my Doctor is a Surgeon and he always have dried chapped and scabbed up hands and fingers from Operating ...... He is always picking is fingers and hands and i see them bleed .... It is a bad habit ...... 

Well, He was sitting on my couch and picking his fingers and hands  ...... 

After he left the house I was arranging the pillow on my couch and I felt dry skin on my couch ..... As I was brushing off the skin that was on the couch and I felt my fingernail get caught on the material of the couch .... Without hesitation i put my finger in my mouth to bite my little rough edge of my fingernail ..... 

I noticed something in my mouth which happened to be dry skin ..... This was my doctors dry skin that was on the couch that now ended up into my mouth ...... 

Let's say that the skin was dry and had some body fluid on which contained HIV+ ( Any or All type of Body Fluid that Contains the HIV+ Virus) ( Blood or Anything ... Maybe ALL HIV+ fluid )  ...... Now its in my mouth .... I have a sore on the top of my mouth inside that is raw and tender .... 

Now my anxiety is going through the roof ..... After having this HIV+  skin and blood in my mouth .... that got their from off the cushion and now in my mouth and entering my blood stream through the tender open sore on the top of the inside of my mouth ...... 

Please Help my Understand this .... I can't sleep and my Anxiety is through the Roof ..... 

Thank You....... What is the Risk in this Situation ...... 

Please Help 
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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 possibility of HIV transmission from blood/bodily fluids on a piece of skin entering the mouth.

From the information given, this scenario is determined to be of No Risk (transmission is not possible in the given scenario). This scenario is determined to be of No Risk because it does not fulfill the requirements of our HIV Transmission Equation (see image below). 

In order for HIV transmission to occur, HIV positive fluid (blood, semen, vaginal fluid, anal fluid, breastmilk) must have direct access to the bloodstream through a high, low, or sometimes negligible risk activity. 

Although you mention the possible presence of bodily fluid and an open sore in the mouth, there is no direct access to the bloodstream. Additionally, any potential fluid on the piece of skin would have been exposed to oxygen, rendering HIV transmission nearly impossible. Dried or drying HIV positive fluid that is exposed to the environment such as being on top of skin or a couch is quickly rendered inactive, effectively making transmission difficult to achieve (1) (2).

Recommendation: No need for HIV testing with the scenario provided, refer to a healthcare professional for other health related questions.

Regards,

AIDS Vancouver Helpline/Online, Nancy.
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Sources:
1.  https://www.cdc.gov/MMWR/preview/MMWRhtml/00023587.htm
2.  https://www.cdc.gov/hiv/basics/transmission.html

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