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Question
I just came down to live with family in a big city. The other day, while riding a bus, a woman who looked like a drug addict—she had unusual mannerisms, wore unkempt clothing, was extremely thin and one could make out her bones structure ideally—was saying hello to people as they boarded. Well, she spat a little when she spoke and I feel some of her spit may have gone in my mouth (yes, the amount would have to be small). Hours before I stepped on the bus, I cut an inner part of my lip with my tooth—the reason I am concerned. What are the chances of getting HIV, assuming she has it?

Answer
Hello Daniel,

HIV does not transmit through spits.
However, there is a remote risk from deep, open-mouth kissing if there are sores or bleeding gums and blood is exchanged (which is not your case). Also, in your scenario, the viral load will to too low to infect someone (as you mentioned, "yes, the amount would have to be small"). So, there is no chance of HIV transmission.

No worries ... smile.

Thanks and regards,
Gorkey

AIDS

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Gorkey Gourab

Expertise

Social and behavioral issues related to HIV transmission, sexually transmitted infections, Human Rights issues, rights of marginalized populations, gender and sexuality, research design and analysis related social & behavioral issues, , computer assisted qualitative data analysis and data management (using ATLAS.ti, ANTHROPAC, NVivo 8)

Experience

Specialized in Medical Anthropology. Working on Social and behavioral studies related to HIV transmission as well as Human Rights issues. Specialization in gender, sexuality, masculinity, behavioral studies related to HIV transmission. Qualitative research, programmatic and M&E experience with MSM, hijra (TG), indigenous groups, female sex workers for more than 7 years.

Organizations
International Center for Diarrhoeal Disease Research, Bangladesh (icddr,b) as Manager - M&E (Qualitative) with Center for HIV and AIDS

Publications
International peer-reviewed journals & technical papers: (1) Khan, S. I., Hussain, M. I., Parveen, S., Bhuiyan, M. I., Gourab, G., & Bhuiya, A. (2009). Living on the extreme margin: Social exclusion of the hijra in Bangladesh. Journal of health, population and nutrition. (2) Khan, S. I., Hussain, M. I., Gourab, G., Parveen, S., Bhuiyan, M. I., & Sikder, J. (2008). Not to stigmatize but to humanize sexual lives of the transgender (hijra): condom chat in the AIDS era. Journal of LGBT Health Research (Special issue: issues on male sexual behaviors and HIV risk in South Asia). Working papers: (1) Khan, S. I., Gourab, G., Ahmed, T., Sarker, G. F., Chowdhury, F. K., Ghosh, S., et al. (2009). Understanding the operational dynamics and possible HIV interventions for residence-based female sex workers in two divisional cities in Bangladesh. Dhaka, Bangladesh: NASP, Save the Children USA and icddr,b. Presentations in scientific meetings and conferences: (1) Khan, S. I., Hussain, M. I., Gourab, G. & Azim, T. (2011, 16 March 2011). Use of a new approach to count and access diverse groups of hijra for scaling up HIV-preventions services in Bangladesh. Poster presented at the 13th Annual Scientific Conference (ASCON XIII), Dhaka. (2) Khan, S. I., Pasa, K., Gourab, G., & Islam, A. (2007). Indigenous populations of Bangladesh: Living with risks and vulnerabilities to STIs/HIV. 8th International Congress on AIDS in Asia and the Pacific (ICAAP). Colombo, Sri Lanka.

Education/Credentials
MSS (Anthropology), University of Rajshahi, Bangladesh

Awards and Honors
The Vanderbilt-UAB Fogarty International Center AIDS International Training and Research Program (AITRP)Scholarship for the training on HIV-AIDS related qualitative data analysis and manuscript writing (Center for Global Health, Vanderbilt University, Nashville, TN, USA)

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