1. BCCO PCT #4 PowerPoint AND HIV/AIDS & Viral Hepatitis In the Criminal Justice Profession TCOLE Course # 3804 UNIT TWO Texas Commission On Law Enforcement and Texas Department of State Health Services

2. Unit Two 2.0Functional Area: This section will introduce the student to HIV/AIDS, HBV, and HCV. The participant will be able to demonstrate on a written examination an understanding of the relevant terms and definitions of HIV/AIDS, HBV and HCV.

3. Learning Objectives Learning Objective 2.0 Learning Objective 2.0 : The participant will be able to will become familiar with the methods of transmission of HIV, HBV, HCV and the relationship between HIV and HBV/HCV. Learning Objective 2.1 Learning Objective 2.1 :The participant will be able to list the four methods of transmission of HIV, HBV and HCV. Learning Objective 2.2 Learning Objective 2.2 :The participant will be able to describe common activities which will not result in exposure to the HIV or HBV.

4. Learning Objective 2.3 Learning Objective 2.3 :The participant will be able to describe the relationship between HIV and HBV/HCV. Learning Objectives

5. Learning Objective 2.1 2.1 Learning Objective: The participant will be able to list the four methods of transmission of HIV, HBV and HCV.

6. 2.1 4-Metrhods of Transmission of HIV, HBV and HCV A. transmission contact A. HIV, HBV, and HCV have similar transmission routes and are spread by direct contact with body fluids.

7. Body Fluids (confirmed risk Body Fluids (confirmed risk) Blood 1. Blood 2. Semen 3. Vaginal – Cervical secretions 4. Breast Milk (HIV & HBV only 4. Breast Milk (HIV & HBV only) Body Fluids (theoretical risk) 1.Saliva 2.Perspiration 3.Tears 4.Feces 5.Urine 2.1 4-Metrhods of Transmission of HIV, HBV and HCV

9. HIV, HBV, and HCV Transmission: Blood 1. needlessyringes 1. Sharing needles / syringes and/or equipment to inject drugs (IDU) 2. transfusions 2. Blood transfusions /blood products (because of blood-screening techniques developed and 2.1 4-Metrhods of Transmission of HIV, HBV and HCV – Cont’d

10. HIV, HBV, and HCV Transmission: Blood – Cont’d: implemented the chance of becoming infected through transfusion is extremely small. Occupational exposures Tattooing/piercing 2.1 4-Metrhods of Transmission of HIV, HBV and HCV – Cont’d

11. HIV, HBV, and HCV Transmission: Sex 1. Unprotected 1. Unprotected vaginal, anal, oral sex regardless of partners gender 2. blood blood 2. Sexual transmission of HCV is low or inefficient, although any sexual activity that involves blood - to- blood contact (including 2.1 4-Metrhods of Transmission of HIV, HBV and HCV – Cont’d

12. HIV, HBV, and HCV Transmission: Sex – 2. Cont’d: menstrual blood with an infected person can potentially transmit HCV. 3.High-risk partner 3. “High-risk” sexual activity (e.g. multiple partners, presence of other sexually transmitted disease, exchange of sex for drugs and/or 2.1 4-Metrhods of Transmission of HIV, HBV and HCV – Cont’d

14. HIV, HBV, and HCV Transmission: Sex – 3. Cont’d: money, etc.) appears to increase the risk of HCV transmission. 2.1 4-Metrhods of Transmission of HIV, HBV and HCV – Cont’d

15. HIV, HBV, and HCV Transmission: Birth 1. pregnancy 1. From an HIV, HBV or HCV infected mother to her baby during pregnancy, birth, or possible breast- feeding (HIV & HBV only). Breast- feeding is considered safe for HCV, but cracked and/or bleeding nipples could 2.1 4-Metrhods of Transmission of HIV, HBV and HCV – Cont’d

17. HIV, HBV, and HCV Transmission: Birth 1.-Cont’d: increase the risk of HCV transmission. 2. 20% 2. Transmission from HCV infected mother to baby occurs in less than 5% of births. Rates of infection can be as high as 20% if the mother is also HIV positive. 2.1 4-Metrhods of Transmission of HIV, HBV and HCV – Cont’d

18. Learning Objective 2.2 2.2 The participant will be able to describe common activities which will not result in exposure to the HIV or HBV

19. 2.2 Common Activities that Do Not result in exposure to HIV or HBV A. donating A. There is no risk of exposure from donating blood. B. bites B. There is no evidence of transmission from human bites, insect bites, scratches, or spit (saliva).

21. C. contact C. There is no evidence of transmission from casual contact ; i.e. closed-mouth or “social kissing. D. sharing D. There is no evidence of transmission from sharing food, drink, or handling food trays. 2.2 Common Activities that Do Not result in exposure to HIV or HBV – Cont’d

23. E. laundries laundry E. There is no evidence of transmission from sharing laundries or laundry facilities. F. transmission F. There is no evidence of transmission ; i.e. cold, flu, measles. 2.2 Common Activities that Do Not result in exposure to HIV or HBV – Cont’d

24. 2.3 2.3 Learning Objective: The student will be able to identify relationship between HIV and HBV/HCV. Learning Objective

25. 2.3 Relationship Between HIV and HBV/HCV A. greater A. The potential for transmission of HBV is greater than HIV. 100 1. HBV is easier to catch than HIV because it is more than 100 times more concentrated in an infected person's blood. outside 2. HBV can live outside the body longer than HIV.

26. A. Vaccines A. 3. Vaccines are available for prevention of HBV. 2.3 Relationship Between HIV and HBV/HCV

27. B. B. Relationship between HBV and HIV routes 1. HBV and HIV share the same transmission routes ; persons at risk for HIV infection are also at risk for HBV infection. 2.3 Relationship Between HIV and HBV/HCV

28. B. B. Relationship between HBV and HIV impair 2. HIV infection can impair the response to hepatitis B vaccination. chronic 3. Acute HBV infection in HIV-infected persons is more likely to lead to chronic HBV infection. 2.3 Relationship Between HIV and HBV/HCV

29. Misconceptions There is no risk of exposure from donating blood There is no evidence of transmission from human bites, insect bites, scratches, or spit (saliva) There is no evidence of transmission from casual contact; i.e. closed-mouth or “social kissing” There is no evidence of transmission from sharing food, drink, or handling food trays There is no evidence of transmission from sharing laundry facilities There is no evidence of transmission from toilet seats and/or insects

30. Questions?

31. 31 DEFINE & PROCESS Process: Define 2.1: Define 2.1: Explain and list the four methods of transmission of HIV, HBV and HCV.

32. 32 DEFINE & PROCESS Process: Define 2.2: Define 2.2: Explain describe common activities which will not result in exposure to the HIV or HBV

33. 33 DEFINE & PROCESS Process: Define 2.3: Define 2.3: Explain describe the relationship between HIV and HBV/HCV.

34. SOURCES All Course Sources and/or Resources are listed in your Participant Handout HIV-AIDS & Viral Hepatitis in CJ Profession TCOLE Course # 3271 Bexar County Constable Office PCT#4

35. “Knowledge is “POWER” Stay informed, stay SAFE, stay Vigilant & stay Alive”

36. UPCOMING TRAINING Current TRAINING Schedule of Courses offered by Bexar County Constable’s Office PCT#4 Racial Profiling Course – TCOLE Course #3256 (4-hrs) 4hrs on Saturday October 4 th, 2014 from 10:30 am to 7:30 pm. Racial Profiling Course – TCOLE Course #3256 (4-hrs) on Friday October 10, 2014 from 8:00 am to 5:00 pm Eye Witness Evidence Course – TCOLE Course # 3286 (4-hrs) Saturday October 11, 2014 from 10:30 am to 2:30 pm Eye Witness Evidence Course – TCOLE Course # 3286 (4-hrs) Sunday October 12 th, 2014 from 11:00 am to 3:00 pm. Eye Witness Evidence Course – TCOLE Course # 3286 (4-hrs) Friday October 17 th, 2014 from 1:00 pm to 5:00 pm. 36 Bexar County Constable’s Office PCT#4 TRAINING SCHEDULE 2014

37. 37 Advanced TCOLE Instructor Course – TCOLE #1017 (40hrs), Day One Saturday November 1 st,2014 from 11:00 am to 6:00 pm (Deputy Chief George D. Little and Deputy Constable Roland Berg) Day Two Advanced TCOLE Instructor Course – TCOLE #1017, Day Two Sunday November 2 nd,2014 from 11:00 am to 6:00 pm (Deputy Chief George D. Little and Deputy Constable Roland Berg) Day Three Advanced TCOLE Instructor Course – TCOLE #1017, Day Three Friday November 7 th,2014 from 9:00 am to 6:00 pm (Deputy Chief George D. Little and Deputy Constable Roland Berg ) Lesson Presentation preparation time. Instructors available Day Four Advanced TCOLE Instructor Course – TCOLE #1017, Day Four Saturday November 8 th,2014 from 11:00 am to 6:00 pm (Deputy Chief George D. Little and Deputy Constable Roland Berg)

38. 38 Day Five Advanced TCOLE Instructor Course – TCOLE #1017, Day Five & Grad Sunday November 9 th, 2014 from 11:00 am to 6:00 pm – Presentations, Final Test & Graduation (Deputy Chief G. D. Little and Dep. Constable R. Berg ) HIV-AIDS & Viral Hepatitis in Criminal Justice Profession Course – TCOLE # 3804 (8-hrs) 8-hrs on Saturday November 15 th, 2014 from 10:00 am to 6:00 pm. HIV-AIDS & Viral Hepatitis in Criminal Justice Profession Course – TCOLE # 3804 (8-hrs) 4-hrs on Thursday December 4th, 2014 from 1:00 am to 5:00 pm HIV-AIDS & Viral Hepatitis in Criminal Justice Profession Course – TCOLE # 3804 (8-hrs) 4-hrs on Friday December5th, 2014 from 1:00 am to 5:00 pm KNOWLEDGE IS POWER

39. TAKE A 10-MINUTE BREAK