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HIV transmission: guidelines for assessing risk - Canadian AIDS ...

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<strong>HIV</strong> TRANSMISSION: Guidelines <strong>for</strong> Assessing RiskodelHepatitis C High Risk: Injecting drugsusing shared and cleaned needles ormixing equipment; tattooing, piercing,electrolysis and acupuncture with sharedequipment; occupational exposure.<strong>HIV</strong> High Risk: Penileanalor penile-vaginalintercourse withoutcondom; receivngshared sex toys;injecting with sharedneedles.Hepatitis C Low Risk: penile-vaginaland penile-anal intercourse; fisting; snortingand smoking drugs using shared equipment;manicures and pedicures with uncleanedequipment; sharing toothbrushes andrazors.<strong>HIV</strong> Negligible Risk: Receiving fellatio or cunnilingus;per<strong>for</strong>ming fellatio or cunnilingus with barrier; anilingus;fingering; fisting; using shared sex toys with a condom; usingdisinfected sex toys; sadomasochistic activities; contactwith feces or urine (on broken skin); vulva-to-vulva rubbing;docking; taking breast milk into the mouth; using drugswith shared pipe or straw; tattooing, piercing, electrolysisand acupuncture with shared equipment; fighting; sharingtoothbrushes and razors.<strong>HIV</strong> Low Risk: Kissing(with exchange of blood);per<strong>for</strong>ming fellatio orcunnilingus without barrier;intercourse (penile-anal orpenile-vaginal) with barrier;injecting with cleaned needles;tattooing with non-professionalequipment; taking blood in themouth; occupational exposure.35

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