2. Adapted from: Mouna Hammoud, Tamelia Malcolm, Terrie Robinson, Navrine Tahal

3. What are HIV & AIDS? HIV & AIDS attack the blood stream. To learn more about what happens, lets first look at what our blood consists of.

4. Red Blood Cells Use Hemoglobin to carry oxygen. 5.2x10 6 per cubic millimeter of blood Carry 300% more oxygen than plasma Carries CO 2 and waste away from tissue.

5. White Blood Cells Types of WBCs Neutrophils Eosinophils Basophiles Monocytes Helper T cells ** Cytotoxic T cells Memory T cells Suppressor T cells

6. Is HIV and AIDS the same thing?

7. HIV “Human Immunodeficiency Syndrome” A specific type of virus (a retrovirus) HIV invades the helper T cells to replicate itself. No Cure

8. AIDS Acquired Immunodeficiency Syndrome HIV is the virus that causes AIDS Disease limits the body’s ability to fight infection A person with AIDS has a very weak immune system No Cure

9. New HIV Infections in 2002 by Age Group

10. Four Stages of HIV

11. Stage 1 - Primary Short, flu-like illness - occurs one to six weeks after infection no symptoms at all Infected person can infect other people

12. Stage 2 - Asymptomatic Lasts for an average of ten years This stage is free from symptoms There may be swollen glands The level of HIV in the blood drops to very low levels HIV antibodies are detectable in the blood

13. Stage 3 - Symptomatic The symptoms are mild The immune system deteriorates emergence of opportunistic infections and cancers

14. Stage 4 - HIV  AIDS The immune system weakens The illnesses become more severe leading to an AIDS diagnosis

15. Opportunistic Infections associated with AIDS Bacterial Tuberculosis (TB) Strep pneumonia Viral Kaposi Sarcoma Herpes Influenza (flu)

16. Opportunistic Infections associated with AIDS Parasitic Pneumocystis carinii Fungal Candida Cryptococcus

17. Modes of HIV/AIDS Transmission

18. Through Bodily Fluids Blood products Semen Vaginal fluids Breast Milk

19. Through IV Drug Use Sharing Needles Without sterilization Increases the chances of contracting HIV

20. Through Sex Intercourse (penile penetration into the vagina) Oral Anal Digital Sex

21. Mother-to-Baby Before Birth During Birth Postpartum After the birth

22. Testing Options for HIV

23. Anonymous Testing No name is used Unique identifying number Results issued only to test recipient 23659874515 Anonymous

24. Confidential Testing Person’s name is recorded along with HIV results Name and positive results are reported to the State Department and the Centers for Disease Control and Prevention Results issued only to test recipient

25. Administration Blood Urine Oral

26. Blood Detection Tests Enzyme-Linked Immunosorbent Assay/Enzyme Immunoassay (ELISA/EIA) Radio Immunoprecipitation Assay/Indirect Fluorescent Antibody Assay (RIP/IFA) Polymerase Chain Reaction (PCR) Western Blot Confirmatory test

27. Urine Testing Urine Western Blot As sensitive as testing blood Safe way to screen for HIV Can cause false positives in certain people at high risk for HIV

28. Oral Testing Orasure The only FDA approved HIV antibody. As accurate as blood testing Draws blood-derived fluids from the gum tissue. NOT A SALIVA TEST!

29. Counseling

30. Pre-test Counseling Transmission Prevention Risk Factors Voluntary & Confidential Reportability of Positive Test Results

31. Post-test Counseling Clarifies test results Need for additional testing Promotion of safe behavior Release of results

32. Treatment Options

33. Antiretroviral Drugs Nucleoside Reverse Transcriptase inhibitors AZT (Zidovudine) Non-Nucleoside Transcriptase inhibitors Viramune (Nevirapine) Protease inhibitors Norvir (Ritonavir)

34. Opportunistic Infection Treatment Issued in an event where antiretroviral drugs are not available

35. Four ways to protect yourself? Abstinence Monogamous Relationship Protected Sex Sterile needles

37. Abstinence It is the only 100 % effective method of not acquiring HIV/AIDS. Refraining from intravenous drug use

38. Monogamous relationship A mutually monogamous (only one sex partner) relationship with a person who is not infected with HIV HIV testing before intercourse is necessary to prove your partner is not infected

39. Protected Sex Use condoms (female or male) every time you have sex (vaginal or anal) Always use latex or polyurethane condom (not a natural skin condom) Always use a latex barrier during oral sex

40. When Using A Condom Remember To: Make sure the package is not expired Make sure to check the package for damages Do not open the package with your teeth for risk of tearing Never use the condom more than once Use water-based rather than oil-based condoms

41. Sterile Needles If a needle/syringe or cooker is shared, it must be disinfected: Fill the syringe with undiluted bleach and wait at least 30 seconds. thoroughly rinse with water Do this between each person’s use

42. Needle Exchange Program Non-profit Organization, which provides sterile needles in exchange for contaminated ones

43. Information Check Blood-borne diseases like HIV/Aids are spread from one person to another through the exchange of blood. At this time, there is no cure for blood- borne pathogens.  

44. Only women can get infected by blood- borne pathogens. You can’t get infected with a blood- borne pathogen if you are healthy and strong. You can tell a person is infected with a blood borne pathogen by looking at them.   

45. A person might get a blood-borne disease by: Donating blood. Using a public toilet. Kissing. Being bitten by a mosquito. Being born to a mother who infected with a blood-borne pathogen.     

46. A person might get a blood-borne disease by: Sharing needles with another person. Using the same water fountain as a person who is infected with a blood-borne pathogen. Swimming in a public pool. Shaking hands Having sexual intercourse with a person infected with a blood-borne pathogen.     

47. A person might get a blood-borne disease by: Helping someone who is bleeding. Getting a tattoo or a body piercing. Touching someone who is infected with a blood- borne Getting a vaccination at a doctor’s office or clinic.    

49. Thank You!