Anonymous
last year I got govt job,for that all the selected candidates have to undergo medical test.for me they allotted govt hospital in my locality.when I went there they registered my name and gave me a test tube.and the nurse again registered my name and took the blood from me,but she doesnot wear any gloves and I am quite nervous about it becoz when I am waiting to collect my result I noticed that she was checking the samples of of patients between the test.so if she accidentally touched the samples and with the same hand if she gave the cotton ball to me means can it transfer hiv to me becoz she gave the cotton ball to me and I have to place it on the needle puncture wound so the place which she touched will be placed in the wound. it happened 11 months ago.11 to 12 days after this I experienced facial bone pain,left hand pain,thigh bone pain and headache for 2 to 3 days.so I took normal blood test all the things came normal except esr rate which is quite high.and when I searched the net it was shown when we have infection it esr rate tends to be higher.so I worried a lot but after that I had never experienced any thing.so please tell me is there any chance of acquiring hiv from the above situation.
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Anonymous
Hello,

Thank you for contacting the AIDS Vancouver Helpline as your source for HIV/AIDS related information. I am sorry to hear that you have been worried about this for the past 11 months and I will try to help you the best that I can.

Your situation is considered a no risk for HIV and I will explain why using our HIV Transmission Equation. To get HIV, you need to have all 3 of the following factors present.

HIV TRANSMISSION EQUATION


BODY FLUID
+
ACTIVITY
+
DIRECT ACCESS TO BLOODSTREAM
---------- -------- ----------------------------
• blood (including menstrual) • unprotected anal or vaginal intercourse • vagina
• semen • sharing needles • anus
• pre-cum • mother to child (in specific cases) • urethra in the penis
• rectal secretions • open cuts and sores (in theory)
• vaginal fluids • other mucosal membranes
• breast milk • points of needle injection
If you look at the chart, you will see that you do not have any of the 3 of the factors present and that is why you are considered a no risk. For more information on [how you can get HIV](http://www.avert.org/hiv-transmission-prevention/how-you-get-hiv), please refer to the link provided.

To address your concerns regarding the blood on the other person's hands via the other test tubes and then onto the cotton ball, I would like that say that you have nothing to worry about! Exposure to body fluids and direct access for the virus to enter the blood stream is necessary for HIV transmission to occur. These factors were not present in your situation because HIV is broken down the moment it is exposed to the air. When this happens, it is no longer transmissible. In your case, the blood that you would have been exposed to was already out of the body and any signs of the virus would have already been broken down and therefore, not able to cause infection. Also, if you read back on your post, you will see that direct access to your blood stream did not occur as the blood went from the test tube, to the other person's hands, to the cotton ball and then to your wound. This is 3 different surfaces the blood had to touch before reaching you! This is not considered direct access. Please also know that for wounds to pose as an access point, they must be deep, large and actively bleeding. The puncture wound from the needle poke you received does not fit under this description and therefore, you are at no added risk.

With regards to your symptoms, HIV has no clinically definable symptoms. This means that HIV symptoms vary from person to person with a common symptoms of newly infected individuals being flu-like symptoms. However, having flu like symptoms does not mean you have HIV, the only way to know for sure if you have HIV is to get tested.

In your case, you do not need HIV testing based on this situation. Since you have been worried about this for the past 11 months, it would be helpful to get tested just to know your status and get the peace of mind you desire. Also, AIDS Vancouver recommends that all sexually active people be tested on a regular basis for all STI's and HIV. If you have further concerns regarding your symptoms, it may be best to speak with your medical professional.

I hope I have helped to answer your questions. Please feel free to contact us if you have anymore questions or refer to the links provided above for more information.

Best wishes,

Mary

AIDS Vancouver Online Helpline

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