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Understanding and Challenging Stigma toward ... - Pact Cambodia

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Annex A:9<br />

HIV Transmission<br />

During anal sex, fluid can get into the body through small cuts on the anus or<br />

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

When injecting drugs with an infected needle, HIV can go directly into the<br />

bloodstream.<br />

Common sense <strong>and</strong> everyday hygiene means that many concerns that people worry<br />

about would do not materialize in everyday life. For example you wouldn’t share a<br />

toothbrush if it was covered in blood; you would wash if you cut yourself; you would<br />

wear gloves or cover your h<strong>and</strong>s if you are cleaning up someone’s diarrhea.<br />

Using “QQR” you can see why there is no risk of HIV transmission by:<br />

Kissing. Hugging. Shaking h<strong>and</strong>s. Sitting beside or sharing rooms with people living<br />

with HIV. Mosquito bites. Sharing cups, glasses, plates, bowls <strong>and</strong> chopsticks.<br />

Sharing sheets, towels or clothes. Giving blood. Sharing toilets. Using the same<br />

washing water. Sneezing or coughing. Touching the skin or sweat of a person living<br />

with HIV. Changing the clothes of or serving food to a person living with HIV. Taking<br />

the blood pressure of a person living with HIV. Shaking h<strong>and</strong>s with someone living<br />

with HIV. Hugging someone with HIV. Kissing someone with HIV when your mouth is<br />

clean <strong>and</strong> clear of cuts or sores.<br />

Other Factors that Increase the Risk of Sexual Transmission of HIV:<br />

Viral load of infected person. Higher viral load increases risk of HIV<br />

transmission. The highest viral loads occur at the initial stage of HIV infection<br />

(before an individual even tests positive for HIV) <strong>and</strong> the final stages of AIDS.<br />

Having multiple partners. If you have sex with multiple people regularly <strong>and</strong> do<br />

not use condoms with all partners, HIV can pass quickly through your sexual<br />

network. Remember, a viral load (quantity) is highest right after infection. If you<br />

got infected last week <strong>and</strong> have unprotected sex with someone else today, you<br />

are more likely pass on the virus.<br />

Presence of cuts or wounds. Wounds or cuts on either partner increase the<br />

chance of HIV entering the bloodstream.<br />

300

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