HIV Transmission Risks: Common Myths and Facts - Internal Medicine

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Infectious Concerns


1.
I would like to ask the doctor again, if I do not come into contact with visible blood, is it still possible to transmit HIV if I have a small cut on my hand and touch public objects? Can HIV be present on surfaces in amounts that are not visible to the naked eye, and can I get infected by touching them with a wound on my hand?
2.
Alternatively, if my hand or hair comes into contact with blood containing HIV, and then I go home and that blood touches my underwear or clothing, could I become infected by wearing them and having contact with my genital mucosa?
3.
If my hair has come into contact with blood containing HIV, can shampoo kill the virus? Is it possible that it won't be cleaned properly, and how should I wash it to ensure it is clean? If my hands come into contact with blood, should I wash them with soap? If there is no blood on my hands, is it safe to assume that there is no HIV present?
4.
Does HIV lose its viability quickly on surfaces or on hair and hands, making indirect transmission unlikely? Is there a possibility of encountering a highly resistant strain of HIV?

Jk, 20~29 year old female. Ask Date: 2021/03/08

Dr. Hong Yuanbin reply Internal Medicine


Hello, HIV is primarily transmitted through sexual intercourse or sharing needles.
The situations you mentioned are not routes of HIV transmission, so there is no need to worry.
In medicine, it is important to rely on scientific evidence, and hypothetical questions may not have definitive answers.
Thank you for your inquiry.

Reply Date: 2021/03/08

More Info


Understanding HIV Transmission Risks: Common Myths and Facts
HIV (Human Immunodeficiency Virus) is primarily transmitted through specific routes, and understanding these can help alleviate fears and misconceptions about its transmission. Let's address your questions one by one.

1. Touching Public Objects with Minor Cuts: If you have a small cut on your hand and touch a public object, the risk of HIV transmission is extremely low. HIV does not survive long outside the human body, and it cannot be transmitted through casual contact with surfaces. The virus is primarily transmitted through direct contact with infected bodily fluids such as blood, semen, vaginal fluids, and breast milk. Even if there were traces of HIV-infected blood on a surface, the virus would likely be inactive and unable to infect you.

2. Contamination via Clothing: If your hands or hair come into contact with HIV-infected blood and then touch your clothing, the risk of transmission remains negligible. HIV does not survive well on fabrics or surfaces, and the likelihood of the virus remaining infectious after being transferred to clothing is very low. Additionally, for transmission to occur, the virus must enter the bloodstream through a mucous membrane, which is not likely to happen through clothing.

3. Cleaning Hair and Skin: If your hair comes into contact with HIV-infected blood, washing it with shampoo will effectively remove the virus. Regular soap and water are sufficient to eliminate HIV from your skin and hair. If you wash your hands with soap and water after potential exposure to blood, you significantly reduce any risk of infection. If there is visible blood on your hands, it is crucial to wash them thoroughly. If there is no visible blood, the risk of having HIV on your hands is virtually nonexistent.

4. HIV Survival Outside the Body: HIV is not a resilient virus when it comes to survival outside the human body. It becomes inactive very quickly when exposed to air and environmental conditions. Studies have shown that HIV can only survive for a few hours outside the body, and its ability to infect diminishes rapidly. Therefore, the concept of "super strong" HIV existing outside the body is a myth. The virus does not have the capability to remain infectious on surfaces for extended periods.

In summary, the risk of HIV transmission through indirect contact, such as touching public objects or clothing, is extremely low. The virus requires specific conditions to be transmitted, primarily involving direct contact with infected bodily fluids and entry into the bloodstream through mucous membranes. Maintaining good hygiene practices, such as washing hands and using soap, can further reduce any potential risk. If you have concerns about possible exposure to HIV, it is advisable to consult a healthcare professional for testing and guidance.

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