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** HIV/AIDS in Tennessee ** Dustin Williams, Kim Berry, Jay Stuart, Jason Maston, and Brandi Briggs ====A population is a group of people who have at least one or more designated characteristics (Ex. HIV/AIDS) in common and who may or may not interact with one another. Our population group is HIV/AIDS in Tennessee with a focus on East Tennessee. We chose to do our presentation on HIV/AIDS because we believe that HIV/AIDS is a disease that is not talked about enough and has many misunderstandings. We believe that a large stigma is associated with those patients that are diagnosed with HIV/AIDS, not only in the country but also in this region. As a group, we hope to educate the public on this disease to decrease that stigma. ==== **__What is HIV/AIDS? __**

HIV is the human immunodeficiency virus. It is the virus that can lead to acquired immune deficiency syndrome, or AIDS.
====There are two types of HIV, HIV-1 and HIV-2. In the United States, unless otherwise noted, the term “HIV” primarily refers to HIV-1. ==== ====Both types of HIV damage a person’s body by destroying specific blood cells, called CD4+ T cells, which are crucial to helping the body fight diseases. ====



====Within a few weeks of being infected with HIV, some people develop flu-like symptoms that last for a week or two, but others have no symptoms at all. People living with HIV may appear and feel healthy for several years. However, even if they feel healthy, HIV is still affecting their bodies. All people with HIV should be seen on a regular basis by a health care provider experienced with treating HIV infection. Many people with HIV, including those who feel healthy, can benefit greatly from current medications used to treat HIV infection. These medications can limit or slow down the destruction of the immune system, improve the health of people living with HIV, and may reduce their ability to transmit HIV. Untreated early HIV infection is also associated with many diseases including cardiovascular disease, kidney disease, liver disease, and cancer. Support services are also available to many people with HIV. These services can help people cope with their diagnosis, reduce risk behavior, and find needed services. ====

====AIDS is the late stage of HIV infection, when a person’s immune system is severely damaged and has difficulty fighting diseases and certain cancers. Before the development of certain medications, people with HIV could progress to AIDS in just a few years. Currently, people can live much longer - even decades - with HIV before they develop AIDS. ====

**Where did HIV come from?** ====A Chimpanzee in West Africa is the source of HIV infection in humans. They believe that the chimpanzee version of the immunodeficiency virus (called simian immunodeficiency virus or SIV) most likely was transmitted to humans and mutated into HIV when humans hunted these chimpanzees for meat and came into contact with their infected blood. Over decades, the virus slowly spread across Africa and later into other parts of the world. ====

**HIV-2** ====A second type of HIV, called HIV-2, was isolated from AIDS patients in West Africa. HIV-2 has the same modes of transmission as HIV-1 and is associated with similar opportunistic infections and AIDS. In persons infected with HIV-2, immunodeficiency seems to develop more slowly and to be milder, and those with HIV-2 are comparatively less infectious early in the course of infection. As the disease advances, HIV-2 infectiousness seems to increase; however, compared with HIV-1, the duration of this increased infectiousness is shorter. ==== ====HIV-2 infections are predominantly found in Africa. West African nations with a prevalence of HIV-2 of more than 1% in the general population are Cape Verde, Côte d'Ivoire (Ivory Coast), Gambia, Guinea-Bissau, Mali, Mauritania, Nigeria, and Sierra Leone. Other West African countries reporting HIV-2 are Benin, Burkina Faso, Ghana, Guinea, Liberia, Niger, São Tomé, Senegal, and Togo. Angola and Mozambique are other African nations where the prevalence of HIV-2 is more than 1%. ====

**How is HIV spread?**

**__ Six Factors: __**

 * ====Agent or pathogen ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Source or reservoir of infection ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Means of escape from reservoir (Portal of exit) ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Mode of transmission ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Portal of entry into new host ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Susceptible host ====

<span style="font-family: Arial,Helvetica,sans-serif;">**__ HIV is spread primarily by: __**
====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Not using a condom when having sex with a person who has HIV. All unprotected sex with someone who has HIV contains some risk. However: ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Unprotected anal sex is riskier than unprotected vaginal sex. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Among men who have sex with other men, unprotected receptive anal sex is riskier than unprotected insertive anal sex. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Sharing needles, syringes, rinse water, or other equipment used to prepare illicit drugs for injection. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Having multiple sex partners or the presence of other sexually transmitted diseases (STDs) can increase the risk of infection during sex. Unprotected oral sex can also be a risk for HIV transmission, but it is a much lower risk than anal or vaginal sex. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Being born to an infected mother—HIV can be passed from mother to child during pregnancy, birth, or breast-feeding. ====

<span style="font-family: Arial,Helvetica,sans-serif;"> **Less common modes of transmission include:**
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Being “stuck” with an HIV-contaminated needle or other sharp object. This risk pertains mainly to healthcare workers. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Receiving blood transfusions, blood products, or organ/tissue transplants that are contaminated with HIV. This risk is extremely remote due to the rigorous testing of the U.S. blood supply and donated organs/tissue. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">HIV may also be transmitted through unsafe or unsanitary injections or other medical or dental practices. However, the risk is also remote with current safety standards in the U.S. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Contact between broken skin, wounds, or mucous membranes and HIV-infected blood or blood-contaminated body fluids. These reports have also been extremely rare. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Tattooing or body piercing present a potential risk of HIV transmission, but no cases of HIV transmission from these activities have been documented. Only sterile equipment should be used for tattooing or body piercing. ====

<span style="font-family: Arial,Helvetica,sans-serif;">**HIV cannot reproduce outside the human body. It __is not__ spread by:**
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Air or water. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Insects, including mosquitoes. Studies conducted by CDC researchers and others have shown no evidence of HIV transmission from insects. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Saliva, tears, or sweat. There is no documented case of HIV being transmitted by spitting. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Casual contact like shaking hands or sharing dishes. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Closed-mouth or “social” kissing. ====

<span style="font-family: Arial,Helvetica,sans-serif;">**How do HIV tests work?** ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">The most commonly used HIV tests detect HIV antibodies – the substances the body creates in response to becoming infected with HIV. There are tests that look for HIV's genetic material or proteins directly; these may also be used to find out if someone has been infected with HIV. It can take some time for the immune system to produce enough antibodies for the antibody test to detect, and this “window period” between infection with HIV and the ability to detect it with antibody tests can vary from person to person. During this time, HIV viral load and the likelihood of transmitting the virus to sex or needle-sharing partners may be very high. Most people will develop detectable antibodies that can be detected by the most commonly used tests in the United States within 2 to 8 weeks (the average is 25 days) of their infection. Ninety-seven percent (97%) of persons will develop detectable antibodies in the first 3 months. Even so, there is a small chance that some individuals will take longer to develop detectable antibodies. Therefore, a person should consider a follow-up test more than three months after their last potential exposure to HIV. In extremely rare cases, it can take up to 6 months to develop antibodies to HIV. ====

====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Conventional HIV tests are sent to a laboratory for testing, and it can take a week or two before the test results are available. There are also rapid HIV tests available that can give results in as little as 20 minutes. A positive HIV test result means that a person may have been infected with HIV. All positive HIV test results, regardless of whether they are from rapid or conventional tests, must be verified by a second “confirmatory” HIV test. ====

<span style="font-family: Arial,Helvetica,sans-serif;">**How can HIV be prevented?** ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Because the most common ways HIV is transmitted is through anal or vaginal sex or sharing drug injection equipment with a person infected with HIV, it is important to take steps to reduce the risks associated with these. ==== ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">If you have HIV, you can get medical care, treatment, and supportive services to help you stay healthy and reduce your ability to transmit the virus to others. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Know your HIV status. Everyone between the ages of 13 and 64 should be tested for HIV at least once. If you are at increased risk for HIV, you should be tested for HIV at least once a year. ====

<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">If you are pregnant and find that you have HIV, treatments are available to reduce the chance that your baby will have HIV.

 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Abstain from sexual activity or be in a long-term mutually monogamous relationship with an uninfected partner. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Limit your number of sex partners. The fewer partners you have, the less likely you are to encounter someone who is infected with HIV or another STD. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Correct and consistent condom use. Latex condoms are highly effective at preventing transmission of HIV and some other sexually transmitted diseases. “Natural” or lambskin condoms do not provide sufficient protection against HIV infection. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Get tested and treated for STDs and insist that your partners do too. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Male circumcision has also been shown to reduce the risk of HIV transmission from women to men during vaginal sex. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Do not inject drugs. If you inject drugs, you should get counseling and treatment to stop or reduce your drug use. If you cannot stop injecting drugs, use clean needles and works when injecting. ====
 * ====<span style="color: #000000; font-family: Arial,Helvetica,sans-serif;">Obtain medical treatment immediately if you think you were exposed to HIV. Sometimes, HIV medications can prevent infection if they are started quickly. This is called post-exposure ====



AIDS Update 2011, Gerald J. Stine [] [] [] [] [] [] [] []=
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