Causes of HIV and AIDS
HIV can be passed from one person to another through blood-to-blood and sexual contact.
HIV is a retrovirus that infects the vital organs and cells of the human immune system.
The virus progresses in the absence of antiretroviral therapy (ART) - a drug therapy that slows or prevents the growth of new HIV viruses.
The rate of virus progression varies widely between individuals and depends on many factors;
These factors include the age of the patient, the body's ability to defend against HIV, access to healthcare, existence of other infections, the infected person's genetic inheritance, resistance to certain strains of HIV, and more.
How is HIV transmitted?
Sexual transmission - it can happen when there is contact with infected sexual fluids (rectal, genital, or oral mucous membranes). This can happen while having unprotected sex, including vaginal, oral, and anal sex, or sharing sex toys with someone infected with HIV.
Perinatal transmission - a mother can pass the infection on to her child during childbirth, pregnancy, and also through breastfeeding.
Blood transmission - the risk of transmitting HIV through blood transfusion is nowadays extremely low in developed countries, thanks to meticulous screening and precautions. However, among injection or IV drug users, sharing and reusing syringes contaminated with HIV-infected blood is extremely hazardous.
HIV symptoms
For the most part, the symptoms of HIV are the result of infections caused by bacteria, viruses, fungi, and/or parasites.
These conditions do not normally develop in individuals with healthy immune systems, which protect the body against infection.
Symptoms of early HIV infection
Many people with HIV have no symptoms for several months to even years after becoming infected. Others may develop symptoms similar to flu, usually 2-6 weeks after catching the virus.
The symptoms of early HIV infection may include:
- fever
- chills
- joint pain
- muscle aches
- sore throat
- sweats (particularly at night)
- enlarged glands
- a red rash
- tiredness
- weakness
- unintentional weight loss
Asymptomatic HIV
In many cases, after the initial symptoms disappear, there will not be any further symptoms for many years.
During this time, the virus carries on developing and damaging the immune system and organs. Without being on medications to stop HIV's replication, this process can take up to 10 years on average. The infected person often experiences no symptoms, feels well, and appears healthy.
Late-stage HIV infection
If left untreated, HIV weakens the ability to fight infection. The person becomes vulnerable to serious illnesses. This stage of infection is known as AIDS.
Symptoms of late-stage HIV infection may include:
- blurred vision
- diarrhea, which is usually persistent or chronic
- dry cough
- fever of above 100 °F (37 °C) lasting for weeks
- night sweats
- permanent tiredness
- shortness of breath (dyspnea)
- swollen glands lasting for weeks
- unintentional weight loss
- white spots on the tongue or mouth
During late-stage HIV infection, the risk of developing a life-threatening illness is much greater. Life-threatening illnesses may be controlled, avoided,and/or treated with proper medications, often including HIV treatment.
HIV and AIDS myths and facts
There are many misconceptions about HIV and AIDS. The virus CANNOT be transmitted from:
- shaking hands
- hugging
- casual kissing
- sneezing
- touching unbroken skin
- using the same toilet
- sharing towels
- sharing cutlery
- mouth-to-mouth resuscitation
- or other forms of "casual contact"
The standard treatment for HIV is a combination of medicines called antiretroviral therapy, or ART. Antiretroviral medicines slow the rate at which the virus multiplies.
Taking these medicines can reduce the amount of virus in your body and help you stay healthy.
Medical experts recommend that people begin treatment for HIV as soon as they know that they are infected.
1, 2
To monitor the HIV infection and its effect on your immune system, a doctor will regularly do two tests:
- Viral load, which shows the amount of virus in your blood.
- CD4+ cell count, which shows how well your immune system is working.
After you start treatment, it's important to take your medicines exactly as directed by your doctor. When treatment doesn't work, it is often because HIV has become
resistant to the medicine. This can happen if you don't take your medicines correctly.
HIV is often spread by people who don't know they have it. So it's always important to protect yourself and others by taking these steps:
- Practice safer sex. Use a condomevery time you have sex (including oral sex) until you are sure that you and your partner aren't infected with HIV or other sexually transmitted infection (STI).
- Don't have more than one sex partner at a time. The safest sex is with one partner who has sex only with you.
- Talk to your partner before you have sex the first time. Find out if he or she is at risk for HIV. Get tested together. Getting tested again at 6, 12, and 24 weeks after the first test can be done to be sure neither of you is infected. Use condoms in the meantime.
- Don't drink a lot of alcohol or use illegal drugs before sex. You might let down your guard and not practice safer sex.
- Don't share personal items, such as toothbrushes or razors.
- Never share needles or syringes with anyone.