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Hormones 2016

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HIV<br />

• by injecting into the bloodstream (with a contaminated needle or<br />

injecting equipment),<br />

• through the thin lining on or inside the anus and genitals,<br />

• through the thin lining of the mouth and eyes,<br />

• via cuts and sores in the skin (NHS, 2014f).<br />

HIV is not passed on through -<br />

• kissing,<br />

• spitting,<br />

• being bitten,<br />

• contact with unbroken, healthy skin,<br />

• being sneezed on,<br />

• sharing baths, towels or cutlery,<br />

• using the same toilets or swimming pools,<br />

• mouth-to-mouth resuscitation,<br />

• contact with animals or insects such as mosquitoes (NHS, 2014f).<br />

How HIV infects the body<br />

HIV infects cells of the immune system, the body’s defence system, causing<br />

progressive damage and eventually making it unable to fight off infections.<br />

The virus enters cells in the immune system called CD4 cells + ve<br />

lymphocyte cells, which protect the body against various bacteria, viruses<br />

and other germs.<br />

It uses the CD4 cells to make thousands of copies of itself. These copies then<br />

leave the CD4 cells, killing them in the process.<br />

This process continues until eventually the number of CD4 cells, also called<br />

your CD4 count 87 , drops so low that your immune system stops working.<br />

This can take about 10 years, during which time you will feel and appear<br />

well (NHS, 2014f).<br />

Who is most at risk?<br />

People who are at higher risk of becoming infected with HIV include -<br />

• men who have had unprotected sex with men,<br />

• women who have had sex without a condom with men who have sex<br />

with men,<br />

• people who have had sex without a condom with a person who has<br />

lived or travelled in Africa,<br />

• people who inject drugs,<br />

• people who have had sex without a condom with somebody who has<br />

injected drugs,<br />

87 CD4 count is a measure of immune function. By measuring someone’s CD4 levels you<br />

can see how HIV has affected their immune system, showing the progression of the virus<br />

364<br />

Version <strong>2016</strong>.3576– – Document LATEXed – 1st May <strong>2016</strong><br />

[git] • Branch: 1.5 @ 26b5e6d • Release: 1.5 (<strong>2016</strong>-05-01)

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