HIV Risk
What is AIDS?
AIDS
stands for acquired immunodeficiency syndrome, a disease in which the body's
immune system breaks down. Normally, the immune system fights off infections and
certain other diseases. When the system fails, a person with AIDS can develop a
variety of life-threatening illnesses.
AIDS is caused by HIV
AIDS is caused by a virus called the human immunodeficiency virus, or HIV. A virus is one of the smallest "germs" that can
cause disease.
If you have unprotected sex (sexual intercourse without
consistent and correct condom use) or share needles or syringes with an
infected person, you may become infected with HIV. Specific blood tests can show
evidence of HIV infection. You can be infected with HIV and have no symptoms at
all. You might feel perfectly healthy, but if you're infected, you can pass the
virus to anyone with whom you have unprotected sex or share needles or
syringes.
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Will
you get AIDS if you are infected with HIV?
About half of the people with HIV
develop AIDS within 10 years, but the time between infection with HIV and the
onset of AIDS can vary greatly. The severity of the HIV-related illness or
illnesses will differ from person to person, according to many factors,
including the overall health of the individual.
Today there are promising new medical
treatments that can postpone many of the illnesses associated with AIDS. This is
a step in the right direction, and scientists are becoming optimistic that
HIV infection will someday be controllable. In the meantime, people who get
medical care to monitor and treat their HIV infection can carry on with their
lives, including their jobs, for longer than ever before.
You can become
infected with HIV in two main ways:
Having unprotected sexual intercourse - anal, vaginal, or
oral - with an infected person.
Sharing drug needles or syringes with an infected person.
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Also, women infected
with HIV can pass the virus to their babies during pregnancy or during birth. They can also pass it on when breast-feeding. Some people
have become infected by receiving blood transfusions. Since 1985, however, when careful
screening and laboratory testing of blood donations began, this possibility has been greatly reduced. You cannot be infected by giving blood at
a blood bank.
You can get HIV
from sexual intercourse
HIV can be spread through sexual intercourse, from
male to male, male to female, female to male, and, in theory, from female to female. HIV is sexually transmitted, and HIV is not the only
infection that is passed through intimate sexual contact. Other sexually transmitted diseases (STDs),
such as gonorrhea, syphilis, herpes, and
chlamydia, can also be contracted through anal, vaginal,
and oral intercourse. If you have one of these infections and engage in sexual behaviors that can
transmit HIV, you are at greater risk of getting HIV.
HIV may be in an infected person's blood, semen, or
vaginal secretions. HIV can enter the body through cuts or sores in the skin. HIV can also enter
the body through the moist lining of the vagina, penis, rectum, or even the mouth. Some of these cuts or
sores are so small you don't even know they're there. Anal intercourse with an infected person
is one of the ways HIV has been most frequently transmitted. Other forms of sexual
intercourse, including oral sex, can spread it as well.
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During oral sex, a person who takes semen, blood, or
vaginal secretions into their mouth is at risk of becoming infected.
Many infected people have no symptoms and have not
been tested. If you have sex with one of them, you put yourself in danger. Also, the more sexual
partners you have, the greater your chances of encountering one or more who are infected and of
becoming infected yourself. The only sure way to avoid infection through sex is to abstain from sexual
intercourse or engage in sexual intercourse only with someone who is not infected and only has sex
with you. Latex condoms have been shown to help prevent HIV infection and other sexually
transmitted diseases. But you have to use condoms correctly every time you have sex - vaginal, anal, or
oral. Condoms made of plastics such as polyurethane should also be highly effective. Condoms
made of lambskin, however, do not offer good protection.
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You can get HIV from
sharing needles
Sharing needles or syringes, even once, is very
risky. Many people have become infected with HIV and other germs this way. HIV from an infected person
can remain in a needle or syringe and then be injected directly into the bloodstream of the next
person who uses it. Sharing needles to inject IV drugs is the most dangerous form of needle sharing.
Sharing needles for other purposes may also transmit
HIV and other germs. These types of needles include those used to inject steroids and those used for
tattooing or ear-piercing. If you plan to have your ears pierced or get a tattoo, make sure you go to a
qualified person who uses brand-new or sterile equipment. Don't be shy about asking questions.
Responsible technicians will explain the safety measures they follow.
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HIV and babies
A woman infected with HIV can pass the virus on to
her baby during pregnancy, while giving birth, or when breast-feeding. If a woman is infected before or
during pregnancy, her child has about one chance in four of being born with HIV infection. Medical
treatment with AZT during pregnancy and labor may reduce the risk of infecting the baby to about
1 in 12. There must be no breast-feeding by the infected mother and the baby must be given AZT for
the first several weeks of life. Even then, the risk of infecting the child cannot be totally
eliminated.
Any woman who is considering having a baby and who
thinks she might have done something that could have caused her to become infected with HIV - even
if this occurred years ago - should seek counseling and testing for HIV infection to help her
make an informed choice about becoming pregnant. To find out where to go in your area for
counseling and testing, call your local health department or the CDC National AIDS Hotline (1-800-342-AIDS).
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Blood transfusions and
HIV
In the past some people became infected with HIV from
receiving blood transfusions. This risk has been practically eliminated. Since a 1983 Public Health
Service recommendation, potential blood donors at risk of HIV infection have been asked not to
donate blood. Since 1985 all donated blood has been tested for evidence for HIV. All blood found to
contain evidence of HIV infection is discarded. Currently in the United States, there is only
a very small chance of infection with HIV through a blood transfusion.
You cannot get HIV from giving blood at a blood bank
or other blood collection center. The needles used for blood donations are sterile. They are used
once, then destroyed.
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How you cannot get
HIV
HIV infection doesn't "just happen." You can't
"catch" it like a cold or flu. Unlike cold or flu viruses, HIV is not spread by coughs or sneezes. Again, you get
HIV by coming in contact with infected blood, semen, or vaginal fluids from another person.
You won't get HIV through everyday contact with
infected people at school, work, home, or
anywhere else.
You won't get HIV from clothes, phones, or toilet
seats. It can't be passed on by things like
forks, cups, or other objects that someone who is infected with the virus has
used.
You won't get HIV from eating food prepared by an
infected person.
You won't get HIV from a mosquito bite. HIV does
not live in a mosquito, and it is not
transmitted through a mosquito's bite like other germs, such as the ones that
cause malaria.
You won't get it from bedbugs, lice, flies, or
other insects, either.
You won't get HIV from sweat, saliva, or tears.
You won't get HIV from a simple kiss. Most
scientists agree that although transmission of
HIV through deep or prolonged kissing may be possible because of potential
blood contact, it
would be unlikely.
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Who is really at risk
for HIV infection?
There is evidence that HIV, the virus that causes
AIDS, has been in the U.S. at least since 1978. The following are known risk factors for HIV. You may be
at increased risk of infection if any of the following have applied to you since 1978.
Have you shared needles or syringes to inject drugs or steroids?
If you are a male, have you had sex with
other males?
Have you had sex with someone who you
believe may have been infected with HIV?
Have you had a sexually transmitted disease
(STD)?
Have you received blood transfusions or
blood products between 1978 and 1985?
Have you had unprotected sex with someone
who would answer yes to any of the above questions?
If you answered yes to any of the above questions, you
should discuss your need for testing with a trained counselor. If you are a woman in any of the
above categories and you plan to become pregnant, counseling and testing are even more
important.
If you had unprotected sex with someone and you
didn't know their risk behavior, or you have had many sexual partners in the last 10 years, then you have
increased the chances that you might be HIV-infected.
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