Risk of HIV Infection from Contaminated Food: What You Need to Know - Internal Medicine

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Ingesting blood?


Hello doctor, I would like to ask a question.
Today when I went to get ice, the owner brought it over, but his hand touched the inside of the bowl and the ice.
I was wondering, if he had a wound on his hand that came into contact with the bowl or the ice, and then I ate it directly, what if I had a sore or cut in my mouth? Would eating from the bowl that might have blood on it or ice that might have blood on it pose a risk of HIV infection? If a spoon touched blood in his bowl and I ingested it, would there be a risk of infection? Is there a need for screening in such cases, or is this method not a risk for infection? If the sore in my mouth is not bleeding, is there no risk of infection? If there is bleeding, does the aforementioned scenario pose an infection risk? Are there any documented medical cases of similar infections from consuming food contaminated with blood?

Niming, 20~29 year old female. Ask Date: 2019/09/17

Dr. Lin Wufu reply Internal Medicine


Hello, there have been no documented cases of HIV transmission through food.
The HIV virus loses its viability within minutes after leaving the human body, making the chances of transmission through contaminated food extremely low.
Additionally, unless there is an active bleeding wound in the mouth, the risk of transmission through oral wounds is also negligible.
Unless the source of the blood is confirmed or highly suspected to be from an HIV-positive individual, the scenarios mentioned above carry a low risk, and screening is not recommended.

Reply Date: 2019/09/17

More Info


When it comes to the risk of HIV infection through contaminated food, it's important to understand the transmission routes of the virus. HIV (Human Immunodeficiency Virus) is primarily transmitted through specific bodily fluids such as blood, semen, vaginal fluids, rectal fluids, and breast milk. The main modes of transmission include sexual contact, sharing needles, and from mother to child during childbirth or breastfeeding.
In the scenario you described, where you are concerned about the possibility of HIV infection from consuming food or ice that may have been contaminated with blood, the risk remains extremely low. Here are several key points to consider:
1. HIV Survival Outside the Body: HIV does not survive well outside the human body. Once exposed to air, the virus quickly becomes inactive. This means that even if there were blood present on the ice or in the bowl, the likelihood of the virus being viable enough to cause an infection is minimal.

2. Ingestion and Gastrointestinal Tract: The gastrointestinal tract is not a route for HIV transmission. The virus is not transmitted through food or drink, as it cannot establish an infection in the digestive system. Even if you had a small cut or sore in your mouth, the risk of HIV infection from ingesting contaminated food is negligible.

3. Presence of Blood: If there were blood on the ice or in the bowl, the risk of transmission would depend on several factors, including the amount of blood, the viral load of the person from whom the blood came, and the condition of your mouth. However, as mentioned earlier, the virus does not survive long outside the body, and the likelihood of transmission through this route is extremely low.

4. Injury and Open Wounds: If you have an open wound in your mouth, it is crucial to maintain good hygiene and avoid contact with potentially contaminated surfaces. However, even with an open sore, the risk of contracting HIV from food or ice is still very low. The virus requires direct access to the bloodstream, which is not typically achieved through ingestion.

5. Testing and Precautions: If you are still concerned about potential exposure to HIV or other infections, it may be a good idea to consult with a healthcare professional. They can provide guidance on whether testing is necessary based on your specific situation and any other risk factors you may have.

6. Other Infections: While HIV is not a concern in this scenario, other pathogens can be transmitted through contaminated food or water, such as bacteria or viruses that cause gastrointestinal illnesses. Therefore, it is always advisable to ensure that food is prepared and served in a hygienic manner.

In conclusion, based on current medical knowledge, the risk of HIV infection from consuming food or ice that may have been contaminated with blood is extremely low. The virus does not survive well outside the body, and the gastrointestinal tract is not a viable route for transmission. If you have further concerns or experience any symptoms, it is always best to consult with a healthcare provider for personalized advice and peace of mind.

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