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Understanding and Challenging Stigma toward ... - Pact Cambodia

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MSM <strong>and</strong> HIV<br />

6. Presentation:<br />

As a summary present the following basic messages on HIV transmission.<br />

HIV is a fragile organism <strong>and</strong> does not survive long outside the body. It can<br />

only survive for a few seconds once it is outside the body. Exposure to air or<br />

water kills HIV.<br />

HIV does not spread easily from person to person through everyday contact.<br />

HIV is not transmitted through the air through sneezing or coughing like TB.<br />

HIV is not transmitted through skin contact like a skin disease.<br />

HIV is not transmitted through food or plates, cups, sheets, etc., or through<br />

surfaces such as toilet seats.<br />

HIV is only transmitted through infected blood, sexual fluid, or mother’s milk<br />

getting into your body.<br />

You can only get HIV through:<br />

Having unprotected anal or vaginal sex (no condom) with an HIV infected<br />

person.<br />

Sharing needles or syringes with an injection drug user who is HIV positive.<br />

HIV positive mothers passing HIV to their babies before or during birth<br />

(through blood) or after birth through breast milk.<br />

HIV has to get inside your body for you to become infected. This is why sex<br />

<strong>and</strong> injecting drug use help to get HIV into the body. When we have anal sex<br />

without a condom, sexual fluid can get into the body through small cuts in<br />

the rectum or penis. When we inject drugs, the infected blood can go directly<br />

into the bloodstream.<br />

Receptive anal sex is much more risky than insertive anal sex. The rectum<br />

has a large surface area <strong>and</strong> the skin in the rectum is very susceptible to tears<br />

during anal sex, especially if the insertive partner is not using lubricant. Once<br />

the skin gets broken, HIV in the semen or in blood from cuts on the penis of<br />

the insertive partner can get easily into the body <strong>and</strong> the bloodstream of the<br />

receptive partner, if they are not using a condom.<br />

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