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Question
Hi Terry,

Thank you so much for the great job that you are doing.
I had a few incidents where I shake people hands when I have a small scratch or cut on my hands, for instance, today I cut my hand while I am working in the back yard, it was very small cut, it bled very little, 10-15 minutes later two of my friends came over and we shake hands, one of them has sweaty hands but both didn't have cuts or fresh cuts at least as far as I could see.
Is there any chance for HIV transmission in such a scenario?
Am I over reacting? is there any documented case where touching somebody with small cut in hand caused a transmission?

I really appreciate your help in calming my fear down.

Thank you Terry.


Answer
Dear Armando:

Peace, and thank you for your question.  HIV is transmitted primarily by contact with the blood, semen, vaginal secretions, or - in the case of 20 % of nursing infants - the breast milk of an infected person.  While injecting a small amount of blood into you (such as with shared syringe and injection equipment) puts you at great risk, there is no case I have heard of where casual contact led to infection.

HIV is not easily transmitted.  The virus is more likely to infect where sores and lesions are present, if there is a lot of infectious fluid, it is present often, and for a long time.  This is part of why a person who is receptive in intercourse is at greater risk.

More information about HIV will help you with this and other questions, and I encourage you to be well versed enough to be a resource to your loved ones and community.  www.thebody.com is a good site with links to more.

Best to you and yours, no risk apparent, and thanks again.

Terry  

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Terry B

Expertise

Help in assessing personal and professional risk of HIV transmission; tips in teaching about HIV/AIDS; cultural competency for teaching about HIV/AIDS in Catholic settings; considerations in US and overseas HIV/AIDS programs and education for health and other professionals. Specific questions about treatment should be referred to your health provider; opinions and information offered are not meant to replace medical advice

Experience

Seven years with academic medical center and national AIDS education and training center, seven subsequent years with focus on international HIV/AIDS in East and South Africa. Former clinician, bioethics preceptor at an academic medical center and presenter in wide range of fora including international AIDS conference.

Organizations
Disabled American Veterans American Public Health Association MENSA AA

Publications
Human Variety, EC Sociological Society Proceedings of the International AIDS Conference, Durban, South Africa "HIV and Primary Care"

Education/Credentials
BS Psychology MPH Master of Public Health PhD studies underway

Awards and Honors
Naval School of Health Sciences, Hospital Corps with Highest Honors, Neuropsychiatry with Honors and High Distinction

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