Anonymous
I have learned that hiv is spread primarily through sexual contact, sharing of injecting drugs, needles, and from mother to child. Is this true or not?
I dont sex, don't used injecting drugs, needles
However I wonder if there are cuts and bleeding on my skin, I touch other people's blood or if there is blood falling on my wound, will I be exposed to hiv exposure.
And if I share items like bowls, bowls, chopsticks, spoons immediately after someone else uses it and is bloody, there's a risk of yes or no.
Thanks.
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Anonymous
Hi there,

Thank you for your inquiry. From what we gather from the question, you were asking about the avenues in which HIV is transmitted (sexual contact, sharing needles, mother to child). You were also asking about whether you have a chance of HIV acquisition in the event that another individuals blood fell onto cuts or open wounds on your skin, and if blood on bowls, utensils, and cups is also a risk.

From the information given, this scenario is determined to be of Negligible Risk (There is no evidence or no documented cases of transmission, however, there is a theoretical possibility when certain conditions are met). HIV positive blood is considered one of the main avenues for HIV transmission. However, in order for our [HIV Transmission Equation](https://www.aidswindsor.org/healthy-me/hiv-transmission/) to be met, all three requirements for transmission must be present.

These requirements include: HIV positive fluid (blood, semen, pre-cum, vaginal fluid, anal secretions, and breast milk), that must have direct access to the bloodstream, through a High, Low, or Negligible Risk activity. In the first scenario you have provided above, there would need to be a significant amount of blood, with a large open and actively bleeding wound present in the event of transmission. Further, in order for HIV transmission to occur, there must be a *direct access to the bloodstream* (blood falling from one individual into your wound/drying blood coming into contact with your wound) does not present a significant risk for HIV acquisition in this circumstance.

You are correct in your assumption that HIV is transmitted through *certain* modes of sexual contact, sharing needles, vertically (mother to child in the womb), and through breast milk. For more information on HIV transmission please refer to our [HIV Transmission Equation](https://www.aidswindsor.org/healthy-me/hiv-transmission/), which may help educate you further on the ins and outs of transmission.

HIV is not transmitted through sharing bowls, chopsticks, spoons, forks, or cups, or other eating utensils. HIV is also not transmitted through other forms of social contact such as hugging, kissing, shaking hands, and sharing toiettes (1).

Recommendation: There are no evidence or no documented cases of transmission, please refer to health care provider for other health related questions.

All the best,

AIDS Vancouver Online/Helpline, Cody




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