How is H.I.V. Transmitted? By: Mr. LaDeur Pre-quiz over HIV and AIDS True/False • 1. HIV can be passed to humans from animal or insect bites? • 2. HIV attacks a person’s immune system, which is responsible for fighting disease? • 3. HIV can be passed from an infected person to an uninfected person through saliva (spit)? • 4. A pregnant woman with HIV will most likely pass it on to her baby? • 5. People with HIV can live longer now than people with HIV did in the past? Pre-quiz over HIV and AIDS True/False • 6. The population most infected with HIV are gay men? • 7. HIV can be cured if a vaccine can be developed for it? • 8. AIDS is another word for someone who has HIV? • 9. If you touched something a person with HIV bled on, you could get HIV? • 10. HIV is the most common STD in the United States? Vocabulary • • What does H.I.V. stand for? Human Immuno-deficiency Virus • What does A.I.D.S. stand for? • Acquired Immune Deficiency Syndrome • What is the difference between the two? • HIV is the virus that causes AIDS What does HIV do? • Once HIV is inside the body, it attacks our immune system. • Our immune system has very important cells that keep us healthy and fight infections, these cells are called white blood cells. • There are 2 main kind of white blood cells: B-Cells (fighters) and T-Cells (thinkers). • Your T-Cells and B-Cells work together as a team to destroy viruses, bacteria, and other infections. What does HIV do? • Normal infections attack our B-Cells in an all out battle to the death, and mostly our B-Cells win the fight. • When a virus enters the body, the T-Cells recognize it first and then identify it to the BCells. • This is important to know because B-Cells can not recognize an invader in our body, they need the help of the T-Cell. • Likewise, T-Cells can not fight an infection, they can only warn the B-Cells about one. What does HIV do? • HIV is the only virus on the planet that attacks the T-Cells, not the B-Cells. Without the helper T-Cells around to tell the fighter B-Cells what to fight, the body is constantly filled with diseases. • As if that’s not bad enough, we are only born with a certain number of T-Cells, generally around 1200 and we can not make more! How is H.I.V. Transmitted? • Direct blood contact (menstrual blood) • Semen • Vaginal Secretions • Breast Milk Activities That Allow Transmission • Unprotected sexual contact • Direct blood contact (including injecting drug needles) • Accidents in health care settings or certain blood products • Mother to Baby High Risk Behaviors • Unprotected intercourse (either vaginal or anal). • Sharing needles with someone. Low Risk Behaviors Oral Sex • Through cuts in mouth • Reports of people becoming infected through oral sex. Blood Transfusions • Safer now than before because of screening, nearly impossible to get HIV from a transfusion. Mother to Child • During birth • Through breast milk • The statistical likelihood that a woman will give HIV to her baby is 25-30% Myths about transmission Many times we think that because H.I.V. travels through some of our body fluids that it travels through all of our body fluids and this is simply not true. Body fluids that are not carriers of H.I.V. • • • • • Saliva Tears Sweat Feces Urine Stages of H.I.V. • There are three stages of H.I.V. When a person gets the virus, 3 to 6 weeks later they experience symptoms very similar to the flu. This stage can last for a week to a month. • 1st stage: Asymptomatic: A period of time during which a person infected with HIV has no symptoms. Could last up to 10 years. • 2nd stage: Symptomatic: The immune system has been broken down to the point where other infections which would have been fought off now make the person ill. Examples are swollen glands, weight loss, and yeast infections. • 3rd stage: AIDS: The most serious stage of HIV, the person’s T-cell count is below 400 and they are regularly hospitalized for opportunistic infections. How do you know when you have AIDS? • To be diagnosed with AIDS, there are only three criteria needed: • 1. A person needs to be HIV positive • 2. Have a severely damaged immune system. The person’s T-cell count needs to be around or below 400. (A healthy person has around 1200). • 3. The person needs to be continually hospitalized from opportunistic infections, which are illnesses such as pneumonia, tuberculosis, meningitis, yeast infections, herpes, Kaposi's sarcoma. Kaposi’s Sarcoma Kaposi’s Sarcoma is caused by the human herpes virus 8 (HHP) and is one of the AIDS defining illnesses. How can you test for H.I.V.? • When someone becomes infected with H.I.V. their body starts making antibodies to fight the virus. • There are two different tests used to discover if your body is making H.I.V. antibodies: E.I.A. test & Western Blot test. • Sometimes these tests are not accurate because it takes time to make HIV anti-bodies. So, their doctor may tell them they don’t have HIV when they really might. Review Questions • 1. How does HIV attack the immune system? • 2. How is HIV transmitted? • 3. What are 3 common myths about HIV transmission? • 4. Describe the 3 stages of HIV. • 5. Describe how HIV is tested in the body. • 6. What are the 3 requirements for having AIDS? Scenario Knowing this information, how would you handle the following situation. Your 8 year old boy is good friends with an 8 year old boy next door. They spend a lot of time together. Your neighbor is in an accident and contracts HIV from a blood transfusion. What would you do? Would you continue to let them play together? Would you impose rules? How would you explain the change/situation to your son? Scenario We know that H.I.V. is a blood borne pathogen, meaning it can’t travel through the air. But if someone infected with H.I.V. sneezed without covering their mouth, would you feel uncomfortable? Would you think there still might be a chance you would catch the disease, I mean what if there is blood in the sneeze…? Explain. Strategies to remain HIV and STI free • • • • • • Abstinence until marriage Do not share needles with others Do not hang out with people who might pressure you to have sex Be careful around other people’s blood Use protection while engaging in sexual activity Get tested and have future partners tested before having sex True/False quiz answers Let’s review what we’ve learned • 1. 2. 3. 4. H.I.V. can be spread by four different fluids, who can tell me them? Blood Semen Vaginal secretions Breast milk Review cont. • There are three different activities that we talked that spread H.I.V. 1. Unprotected sexual contact 2. Direct blood contact 3. Mother to baby Review cont. • What is the only way to be 100% sure way to make sure you do NOT put your self at risk to contract H.I.V.? 1. Abstinence – from sex, alcohol, other drugs and risky behaviors in general!
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