Please help blood possible with spit in eye

[Anxious9]

Hello please can you help,

Is this
A risk or a concern  or not?
I sat next to man he was saying he
Has moved from
Nigeria and with it being  high
Risk country  While he was sat
Beside he turned and we was facing 
me while taking to me  I seen his  Spit mixed with possible blood, went on eye eyes eye and face. I am worried about risk being
Blood in the spit.

if there was blood does that mean I'm at risk? with possible blood? In eyes

Someone who
Knowledgeable on the risks  can help to
Understand if it’s a
Risk or not  I have read many forums and things in internet which is confusing because it all says different things  i
Have seen people post simlar posts how is this situation happend within a lab or health care settings can explain how
This
Is different from health care setting? Was that a risk compared to my question?

Thank you

[Jim Allen]

So someone spoke to you on the bus and some spit may have contacted your eye and you are wondering if in healthcare settings it would be a risk?

It's not an HIV risk in healthcare settings or on the bus.

[Anxious9]

Hi no it wasn’t on a bus i was sat in a building either way still
Sat next to each other my concerns were the man was from high risk country and we sat right next to each other
 The man spit went on my eyes and face  possibly could of had blood with spit that’s all I wanted to know if it was risk
should I be worried from this am I at risk from blood gone onto my eyes and face?

Sorry for the confusion I’m not in hospital setting I meant in comparison
I just meant  asking what the risk is for my question compared to those in health care settling ie someone in lab or health care environment


Is this risk?  and he spoke and his spit blood when into my eye with possible blood? When talking to me  Does that put me at risk that I should be worried and need testing? Or not

[Jim Allen]

You had no HIV risk from this, zero.

Saliva is hostile towards HIV, breaking down the receptors needed to infect. Next to that, this concern has a lack of quantity, exposure to the environment and a poor route. Trace blood is commonly found in saliva but spitting has never resulted in HIV transmission and you will not be the world's first.

As for healthcare settings, it's also not an HIV risk, you don't get HIV from spitting, end of story.

In healthcare, there is a more theoretical risk when dealing with things like arterial spray directly into the eye. However, this is also extremely rare, these rare suspected cases are a tiny handful over the entire 40+ years of HIV with most of them from the 90s with an absence of any phylogenetics to confirm and nothing in the past 20+ years.  I only know of a single confirmed and unique case.

Anyhow, the guy was not bleeding to death directly into your eye so stop comparing healthcare risks to your household situation! Move on with your life. I wish you well but please do not post about this again.


Here's what you need to know to reduce your HIV risks:
Use condoms for anal or vaginal intercourse correctly and consistently, with no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of protection against HIV

Keep in mind that some sexual practices described as safe in terms of acquiring HIV still pose a risk for other easier-acquired STIs. So please do get tested at least yearly for STIs, including but not limited to HIV, and more frequently if condomless intercourse occurs.

Also, note that it is possible to have an STI and show no signs or symptoms; testing is the only way to know.

Kind regards

Jim

Please Note.
As a member of the "Do I have HIV" Forum, you are required to only post in this one thread no matter how long between visits or the subject matter. You can find this thread by going to your profile and selecting show own post, which will take you here. It helps us to help you when you keep all your thoughts or questions in one thread, and it helps other readers to follow the discussion. Any additional threads will be removed

Seroconversion rate among health care workers exposed to HIV-contaminated body fluids: https://pubmed.ncbi.nlm.nih.gov/28449921/

A systematic review of risk of HIV transmission through spitting: implications for policy https://pubmed.ncbi.nlm.nih.gov/29687590/

https://blog.petrieflom.law.harvard.edu/2019/02/25/spitting-at-science-the-unjustified-criminalization-of-spitting-while-hiv-positive/

Saliva neutralizes HIV-1 infection by displacing envelope gp120 from the virion.
Int Conf AIDS 1998 Jun 28-Jul 3; 12:267 (abstract no. 21143)

Malamud D, Nagashunmugan T, Friedman HM, Davis CA, Abrams WR
Dept. Biochemistry Univ. Penn Dental Med., Phila 19104-6003, USA.

BACKGROUND: Incubation of HIV-1 with human saliva decreases infectivity. This inhibition is specific for HIV-1, with no effect on adenovirus, HIV-2 or SIV and appears to work at the level of the virus rather than the host cell. We have now identified an active protein fraction and provide evidence that the mechanism of action involves stripping of gp120 from the virus.

CONCLUSION: The specific inhibition of HIV-1 infectivity by human submandibular saliva is associated with removal of gp120 from the virus. The active fraction contains several proteins, including two high molecular weight glycoproteins.

http://www.aegis.com/conferences/4croi/412.html
Mechanisms of anti-HIV-1 activity of human submandibular saliva.
Conf Retroviruses Opportunistic Infect 1997 Jan 22-26; 4th:140 (abstract no. 412)
Nagashunmugam T, Malamud D, Davis C, Friedman HM; University of Pennsylvania, Philadelphia, PA.

http://www.aegis.com/conferences/12wac/60770.html
Neutralizing effect of secretory IgA to HIV in parotid saliva of HIV-infected patients.
Int Conf AIDS 1998 Jun 28-Jul 3; 12:1142 (abstract no. 60770)

Moja P, Desgranges C, Pozzetto B, Lucht F, Genin C
Gimap University of St.-Etienene, France.

BACKGROUND: The aim of this study was to test S-IgA purified from secretions of HIV seropositive patients in a neutralization assay to determine whether specific S-I&A can protect from HIV infection.

CONCLUSION: These data demonstrate that secretory IgA, which is the predominant isotype in secretions, can inhibit HIVMN infection of MT4 cells. HIV neutralization has been carried out with CD4+ T cell line adapted virus strain as a standardized model system, but the use of mucosal autologous primary isolates in neutralization test would be useful to estimate the actual protective effect of these antibodies in each patient.

[Anxious9]

Ok so no risk zero ? Move on?


Can I ask
Even if the person from high risk country? And
 I didn’t know the person was in puplic
 you saying no risk zero? Move on

Also you put 
Here's what you need to know to reduce your HIV risks:
Use condoms for anal or vaginal intercourse correctly and consistently, with no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of protection against HIV


Was this to say any future? In terms of sexual contact I should follow that you wasn’t saying I should do that ie talk to health provider because of my question but it was rather this is risks for anyone is that what you meant there and that you didn’t mean this information for my question that I have asked

yeah the guy wasn’t bleeding death in my eye. So I understand what you are saying in terms of healthcare setting


So with all I have asked in this comment its zero
Risk and I should
Move on?

[Jim Allen]

Ok so no risk zero ? Move on?

Asked and answered already.

Even if the person from high risk country? And
 I didn’t know the person was in puplic
 you saying no risk zero? Move on

Asked and answered already.

I'll add that how HIV is or isn't transmitted doesn't change because of a person's nationality, skin colour, etc.

Also you put
Here's what you need to know to reduce your HIV risks:
Use condoms for anal or vaginal intercourse correctly and consistently, with no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of protection against HIV


Was this to say any future? In terms of sexual contact I should follow that you wasn’t saying I should do that ie talk to health provider because of my question but it was rather this is risks for anyone is that what you meant there and that you didn’t mean this information for my question that I have asked

Yeah, it's general safer sex advice that's included on all threads. So you don't need condoms or PrEP for your eyeballs.

I am telling you to use condoms & consider PrEP for any sexual contact you might have, and if you are sexually active to get an STI screening at least yearly.

Here's what you need to know to reduce your HIV risks:
Use condoms for anal or vaginal intercourse correctly and consistently, with no exceptions. Consider talking to your healthcare provider about PrEP as an additional layer of protection against HIV

[Jim Allen]

Anyone who continues to post excessively, questioning a conclusive negative result or no-risk situation, will be subject to a four week Time Out (a temporary ban from the Forums). If you continue to post excessively after one Time Out, you may be given a second Time Out which will last eight weeks. There is no third Time Out - it is a permanent ban. The purpose of a Time Out is to encourage you to seek the face-to-face help we cannot provide on this forum.