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 New Mexico AIDS InfoNet

Fact Sheet Number 150

STOPPING THE SPREAD

OF HIV


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HOW DO YOU GET

INFECTED WITH HIV?

The Human Immunodeficiency Virus (HIV) is not spread easily. You

can only get HIV if you get infected blood or sexual fluids into

your system. You can’t get it from mosquito bites, coughing or

sneezing, sharing household items, or swimming in the same pool

as someone with HIV.

Some people talk about “shared body fluids” being

risky for HIV, but no documented cases of HIV have been caused

by sweat, saliva or tears. However, even small amounts of blood

in your mouth might transmit HIV during kissing or oral sex. Blood

can come from flossing your teeth, or from sores caused by gum

disease, or by eating very hot or sharp, pointed food.

To infect someone, the virus has to get past the body’s defenses.

These include skin and saliva. If your skin is not cut, it protects

you against infection from blood or sexual fluids. Saliva contains

chemicals that can help kill HIV in your mouth.

If HIV-infected blood or sexual fluid gets inside your body,

you can get infected. This can happen through an open sore or

wound, during sexual activity, or if you share equipment to inject

drugs.

HIV can also be spread from a mother to her infant during pregnancy

or delivery. This is called “vertical transmission.”

A baby can also be infected by drinking an infected woman’s breast

milk. Fact Sheet 611 has more

information on pregnancy.


HOW CAN YOU PROTECT

YOURSELF AND OTHERS?

Unless you are absolutely certain that you and the people you

are with do not have HIV infection, you should take steps to prevent

getting infected. This fact sheet provides an overview of HIV

prevention, and refers you to other fact sheets for more details

on specific topics.

Sexual Activity: You can avoid any risk of HIV

if you practice abstinence (not having sex). You also won’t get

infected if your penis, mouth, vagina or rectum don’t touch anyone

else’s penis, mouth, vagina, or rectum. Safe activities include

kissing, erotic massage, masturbation or hand jobs (mutual masturbation).

Having sex in a monogamous (faithful) relationship is safe

if:

  • Both of you are uninfected (HIV-negative)
  • You both have sex only with your partner
  • Neither one of you gets exposed to HIV through drug use or

    other activities

If there are no open sores or blood in the mouth, oral sex

has a lower reisk of infection than anal or vaginal sex.

You can reduce the risk of infection with HIV and other sexually

transmitted diseases by using barriers like condoms. Traditional

condoms go on the penis, and a new type of condom goes in the

vagina or in the rectum. For more information on condoms, see

Fact Sheet 152.

Some chemicals called spermicides can prevent pregnancy but

they don’t prevent HIV. They might even increase your risk of

getting infected if they cause irritation or swelling.

For more information on safer sex, see Fact

Sheet 151.

Drug Use: If you’re high on drugs, you might

forget to use protection during sex. If you use someone else’s

equipment (needles, syringes, cookers, cotton or rinse water)

you can get infected by tiny amounts of blood. The best way to

avoid infection is to not use drugs.

If you use drugs, you can prevent infection by not injecting

them. If you do inject, don’t share equipment. If you must share,

clean equipment with bleach and water before every use.

Some communities have started exchange programs that give free,

clean syringes to people so they won’t need to share. Call the

New Mexico AIDS Hotline at (800) 545-2437 for the location of

legal needle exchange programs in New Mexico. Fact

Sheet 153 has more details on drug use and HIV prevention.

Vertical Transmission: With no treatment, about

25% of the babies of HIV-infected women would be born infected.

The risk drops to about 2% if a woman takes AZT during pregnancy

and delivery, and then her newborn is given AZT, and if the baby

is delivered by Caesarian section (C-section.)

Babies can get infected if they drink breast milk from an HIV-infected

woman. Women with HIV should use baby formulas or breast milk

from a woman who is not infected to feed their babies.

Fact Sheet 611 has more information

on HIV and pregnancy.

Contact with Blood: HIV is one of many diseases

that can be transmitted by blood. Be careful if you are helping

someone who is bleeding. If your work exposes you to blood, be

sure to protect any cuts or open sores on your skin, as well as

your eyes and mouth. Your employer should provide gloves, facemasks

and other protective equipment, plus training about how to avoid

diseases that are spread by blood.


WHAT IF I’VE BEEN

EXPOSED?

If you think you have been exposed to HIV, talk to your health

care provider or the public health department, and get tested.

For more information on HIV testing, see Fact

Sheet 102.

If you are sure that you have been exposed, call your doctor

to discuss whether you should immediately start taking anti-HIV

drugs. This is called “post exposure prophylaxis” or

PEP. You would take two or three medications for several weeks.

These drugs can decrease the risk of infection, but they have

some serious side effects. Fact Sheet 154

has more information on PEP.


THE BOTTOM LINE

HIV does not spread easily from person to person. To get infected

with HIV, infected blood, sexual fluid, or mother’s milk has to

get into your body. HIV-infected pregnant women can pass the infection

to their new babies.

To decrease the risk of spreading HIV:

  • Use condoms during sexual activity
  • Do not share drug injection equipment
  • If you are HIV-infected and pregnant, talk with your doctor

    about taking anti-HIV drugs

  • If you are an HIV-infected woman, don’t breast feed any baby
  • Protect cuts, open sores, and your eyes and mouth from contact

    with blood.

If you think you’ve been exposed to HIV, get tested and ask

your doctor about taking anti-HIV medications.


Revised February 28, 2002

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