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Questioon from a former "educator"

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clarke:
I didn't see anything about initial infection and transmission of the virus before detection in the "Lessons".

From what I was told by CDC educators who were teaching a few of us in TN., if one becomes infected today via sex/needle sharing, then the "newly infected" person can infect others within a very short period of time, and they are very infectious, even before detection.

Has this changed, or did I miss something?

bobik:
I think this is still true!

Coen

DCGuy511:
I have heard that newly infected individuals can be quite contagious because their viral load is so high.  I've heard that from a physician-friend of mine and at the local HIV/AIDS service organization, but I cannot cite to any publication or research article.

Steve

alisenjafi:
My question is if you have an undetectable load  i.e.. that of <50 how likely can you infect someone? From my understanding it is during the transitional period where the viral load is the highest that most people get infected?
Since you have so little of the virus how much can be passed on? Has there ever been a study, or a scientists just so busy jumping on the christian bandwagon they are concentrating too much on foreskin?
Just my thought
Johnny

Ann:
Clarke,

I will point this thread out to Tim Horn (he wrote the lesson) and perhaps he will add his own comments.

It is true that a newly infected person can transmit their virus and blood, cervicovaginal fluids and semen can be very infectious in the first few months.

However, as most people don't know their status during primary infection, this is why condoms must be used unless you can be certain, through testing together, of your partner's status.

I suspect this recently infected/highly infectious information was left out of the lessons purely as an oversight. It might also be because the transmission lesson was written with people from the Am I Infected forum in mind and something like this would probably spook them more than inform them. If you see what I mean. I was one of the people who was consulted during the writing of the transmission lesson and I can tell you that although I am absolutely aware of this issue, it never occurred to me to suggest its inclusion in the lesson.

Johnny,

Even though a person's serum viral load is undetectable, it is no guarantee that their semen viral load is also undetectable. There have been studies that show detectable levels in semen of men who are undetectable on the serum viral load tests.

However, it is generally agreed that a person with an undetectable viral load has body fluids that are less infectious - but this does NOT mean UN-infectious. We still have to be cautious no matter what our viral load might be.

Ann

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