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Friday, September 3, 2010

Sweat and HIV AIDS (Infectious?)

Requirements for Transmission to Occur

Three conditions must be met for HIV transmission to occur:

1. HIV must be present...

Infection can only happen if one of the persons involved is infected with HIV. Some people assume that certain behaviors (such as anal sex) cause AIDS, even if HIV is not present. This is not true.

2. ...in sufficient quantity...

The concentration of HIV determines whether infection may happen. In blood, for example, the virus is very concentrated. A small amount of blood is enough to infect someone. A much larger amount of other body fluids is needed for HIV transmission.

3. ...and it must get into the bloodstream.

It is not enough to come into contact with an infected fluid to become infected. Healthy, unbroken skin does not allow HIV to get into the body; it is an excellent barrier to HIV infection. HIV can enter only through an open cut or sore, or through contact with the mucous membranes in the anus and rectum, the genitals, the mouth, and the eyes.
The next two topics discuss the second and third requirements.

Where is HIV Found in the Body?

Looking at the first two conditions for HIV transmission (HIV present and in sufficient quantity), let's examine some of the so-called "bodily fluids" that can contain HIV.

Infectious "Bodily Fluids"

HIV can be transmitted from an infected person to another through:
  • Blood (including menstrual blood)
  • Semen
  • Vaginal secretions
  • Breast milk
Blood contains the highest concentration of the virus, followed closely by semen, followed by vaginal fluids. These are the three basic fluids that infect adults with HIV.
The risk from these fluids can be worsened or lessened depending on how they get into someone else's body, which we will discuss below.
Breast milk can contain a high concentration of the virus, but in this situation, transmissibility depends on who and how. An adult can ingest a small amount of breast milk at minimal risk. But an infant, with its very small body and newly forming immune system, consumes vast quantities of breast milk relative to its body weight. Therefore an infant is at risk from breast milk, whereas an adult probably is not.

Possibly Infectious "Bodily Fluids"

HIV might be transmitted from an infected person to another through:
  • pre-seminal fluid (pre-cum)
Pre-seminal fluid is a clear fluid that lubricates men's urethras. It is produced by a different gland than semen. Pre-seminal fluid can contain small amounts of HIV, and so there is a potential risk. However, in practice, the risk is much, much lower than that from blood, semen or vaginal fluid. As in all transmission situations, risk depends on where the fluid is going.

Non-Infectious "Bodily Fluids"

  • Saliva
  • Tears
  • Sweat
  • Feces
  • Urine
These fluids and substances cannot transmit HIV. Sweat contains no HIV.
The other fluids do not contain enough HIV to infect another person. This is regardless of how they get into the bloodstream. No cases of HIV transmission have ever been documented as a result of these substances. See below for more information.

Ways of Preventing HIV from Entering the Body

  • Protective sex (i.e. wearing a condom when having sex)
  • Not sharing needles
  • Masturbation
  • Abstention from sex
Please see the sections on Reducing the Risk of Getting HIV from Sexual Activities and from Injection Drug Use for additional information.

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