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What is HIV&AIDS?
HIV is the abbreviation of “Human Immunodeficiency Virus”. HIV enters the immune system and into the cells known as CD4 or T cells, which help the immune system to fight against infections, and continuously copies itself to produce new viruses. These new viruses become active to transform the other CD4 cells. If the individual is not under medication (ART), the number of CD4 cells decrease over time and HIV amount in blood increases significantly.
HIV does not directly make people sick, it leaves the body unprotected against other opportunistic infections by weakening the immune system. Today, with the help of treatments developed, if the individuals living with HIV regularly use medication, they do not become sick due to opportunistic infections that occur because of HIV. Thus, living with HIV is not a continuous state of sickness, those living with HIV are not sick!
AIDS is the abbreviation of “Acquired Immune Deficiency Syndrome”.
If the individual is not under ART, HIV weakens the immune system, HIV amount in blood increases significantly, and thus, the body becomes open to diseases. When the immune system can no longer defend the body, infections, which are very severe and usually lead to individual’s death, and cancers may develop. These diseases are called opportunistic infections as they transform the weakening of the body’s defense force to an advantage for themselves. Another issue which causes misinformation is the expression “to die of AIDS”. This is not an expression that reflects the truth, because what leads to the individual’s death is actually one or more opportunistic infections. AIDS is the name given to the condition under which these opportunistic infections and cancers develop, and it is better described with the expression “syndrome”. Thus, AIDS describes the stage, not the disease. Today, individuals with HIV who regularly take ART medication never get to AIDS stage. Early diagnosis might provide significant advantages in HIV treatment.
HIV can enter into our body via mucosa, open deep wounds or direct injection. In our bodies, mucosa is found in eyes, inside the mouth and vagina, inside the anal canal and the head of the penis. HIV is only found in blood, semen, pre-seminal fluid known as pre-ejaculatory fluid, vaginal fluids which are found ubiquitously at all times and not directly related with ejaculation, rectal fluids and breastmilk. HIV is not found in saliva, urine, sweat or other areas in the body other than the abovementioned areas with mucosa. When HIV is airborne, it is inactive, that is, dead. HIV’s contact with air means its death. Similarly, stomach acid can kill HIV. However, HIV can remain in the blood without dying. It cannot become alive as it is not in the cell, but it will continue to exist.
HIV Transmission Routes
• Unprotected (without condom) anal, vaginal, and/or oral sex/suspicious contact with person or persons who live with HIV but do not take ART medication regularly,
• Shared use of needle, syringe and other injection equipment with a person who lives with HIV but does not take ART medication regularly,
• From the mother who lives with HIV but does not take ART medication regularly to her infant before delivery, during delivery or during breastfeeding,
• Direct injury of healthcare professionals with needles or sharp objects containing blood infected with HIV.
• Blood donation. (This occurs very rarely because all donated blood is screened for HIV antibody and antigen).
“UNDETECTABLE=UNTRANSMITTABLE”
If an individual living with HIV is taking medication regularly and if the viral load in blood has remained undetectable for 6 months, HIV is not transmitted via unprotected sexual intercourse.
However, it must be kept in mind that although HIV transmission does not occur thanks to ART, unprotected sexual intercourse bears the risks of other sexually transmitted infections as well as pregnancy risk. Using condom protects you and your sexual partner(s) from unwanted pregnancy and numerous sexually transmitted infections.
HIV Treatment (ART)
AART is the abbreviation of antiretroviral therapy. It is also called combination therapy or HIV therapy. ART mostly involves the use of at least 3 active drugs. Single-dose pills used today can include multiple drugs and some can include a whole combination (3 or 4 drugs). ART has caused significant decrease in HIV-related diseases and deaths in all countries. Moreover, regular ART use, that is, regular use of medication, abolishes HIV transmission. If your viral load, that is, HIV amount in blood, cannot be detected with ART for at least 6 months, it means that HIV transmission is not a concern any more. Thus, your sexual partner(s) is also safe from HIV.
With ART, the risk of side effects is very low. In the beginning, mild side effects are common. It is usually easy to manage the side effects and they will fade within the first few weeks. Although a low probability, if its side effects are severe or persistent, you can start using another ART with a new prescription from your physician. There is a sufficient selection of ART medication. Your physician will make the most suitable choice of medication for you.
The best protection method against infections is vaccines!
Vaccines are biological products that provide protection against diseases by activating the immune system. With vaccination, the goal is to acquaint the individual with the agent so that the body will develop immunity, while maintaining the individual’s health. The effect of vaccine emerges when the immune system responds to the weakened or killed form of the microorganism or some of its components. Thus, when the individual encounters the disease agent, immune system will remember the agent and rapidly respond, and either the disease will be avoided or will manifest mildly. Vaccinations are usually completed during childhood but if you have missing vaccines, individuals with HIV are recommended to have the following vaccinations: Hepatitis A, Hepatitis B, Tuberculosis (BCG), Polio (poliomyelitis) Conjugated Pneumococcus, Measles-Mumps-Rubella (MMR), Diphtheria, Acellular Pertussis, Tetanus, Inactive Polio and Haemophilus Influenza Type B, Tetanus Toxoid, Chickenpox, HPV, seasonal influenza vaccines.
Please consult your specialist physician for vaccination!
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