TransmissionHIV can only survive in body fluids and is transmitted via:
- blood
- semen
- vaginal fluid
- milk
The disease can be contracted in the following ways: - Intimate sexual contact (the disease was first associated with homosexual communities, notably in American cities such as San Francisco)
- Infected blood entering the blood stream
- receiving blood or blood products already infected with HIV
- contaminated needles used for intravenous drug delivery
- infected pregnant woman can pass on the virus to her baby through the placenta, at birth or through breast milk. (chances of about 25-50%)The chances of the infection being transmitted from the mother to her baby are estimated to be 25-50%. This can largely be prevented by treating infected pregnant women with the drug
zidovudine (AZT).
Ways of prevention:
- Intensive blood screening of blood from blood donors.
- Treating infected women with drug zidovudine (AZT)
Progression of the diseaseMost, but not necessarilly all, individuals infected with HIV progress over time to AIDS and following stages of the disease can be seen:
1. Initial infection with HIV may produce a short flu-like illness, but NO symptoms YET.
2. Onset of clinical signs (HIV-positive phase). Generally lasts between 2 -15 years. NO symptoms still but it is NOT static, (positive persistent replication of the virus)
3. Onset of opportunistic infections BUT not major. Common bacterial, viral and fungal infections occur. Oral and genital herpes or athlete's foot are common examples. Loss of weight may also be seen. There is a significant drop in the number of CD4 T cells.
4. Onset of AIDS-Opportunistic infections (protozoal, viral, bacterial or fungal), disease of body organs and development of secondary cancers are COMMON and LIFE THREATENING. Some individuals may lose a great deal of weight.