[Question #3108] #3032 Follow-up - bronchiectasis

38 months ago
Dr. Handsfield,

I just wanted to say thanks so much again for your answers before. I realise you answered my question very comprehensively, however I've since discovered one of my parents has a specific condition "bronchiectasis", in addition to severe asthma and bronchitis. So this is new information I just wanted to clarify rather than a repetition of the last question.

I realise bronchiectasis is not that common a condition, so I just wanted to check if your previous advice about the transmission of bloodborne (HIV/HBV/HCV, syphillis etc) and STDs would also apply for people receiving treatments for bronchiectasis/COPD? I.e. treatments for these conditions would not materially increase the risk of transmission?

Thank you again Dr, and merry Christmas in advance.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
38 months ago
Thanks for the kind words and well wishes. However, your question is repetative; the answer should be clear from the several previous discussions on this topic with both me and Dr. Hook. That previous advice applies to any and all medical conditions, including bronchiectasis. There are no known illnesses or conditions known to increase the risk of HIV transmission. And nobody ever gets HIV from any sort of environmental exposure or nonsexual, non-needle sharing contact with other people. Period.

Please note the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions on this topic will be deleted without reply and without refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand.

Best wishes for the holiday.

HHH, MD



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38 months ago
Thank you kind Dr, this is so very helpful.  Sorry to check, but in your response you just mention HIV, but presumably your answer also applies to bloodborne (e.g. HBV/HCV/syphillis) and any other STDs?

Thank you again kind Dr.

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
38 months ago
Yes, all STDs and blood borne infections. In general, very few infections are caught from the environment, including common ones like colds and influenza.

Are you a germophobe? Hyper-fearful of contamination from shaking hands and other non-intimate personal contact? Compulsive about cleaning because of fear of infection? Wash your hands after handling a door knob? If so, consider professional counseling. Germophobia can be an early sign of severe mental health disability -- for an excellent example of where it can lead, see "The Aviator", the excellent film biography of the billionaire Howard Hugues (and a great movie, with Leonardo DiCaprio and [I think] Cate Blanchett).
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38 months ago
Thank you again Dr, so much.

One last question, when you say there are no known conditions which increase the risk of bloodborne (HIV/HBV/HCV/syphillis etc) non-sexual transmission or STD non-sexual transmission - would this also include Von Willebrand disease and other bleeding disorders? Is it the case that bleeding disorders would still not materially increase the risk of transmission via shared objects? (razors/towels/toothbrush etc).   Also would this apply to Diabetes?

I just ask because as mentioned in the last question, one of my parents bruises easily and has thin skin, and I read these conditions can also cause these symptoms. So just wanted to check if a person having a condition like Von Willebrand or Diabetes would change your answer at all.

Thank you once more Dr, and Happy New Year.
38 months ago
In addition to Von Willebrand and other bleeding disorders, and Diabetes, I also meant to ask about varicose veins. Is it the case that none of these conditions materially increase the risk of bloodborne (HIV/HBV/HCV/syphillis etc) non-sexual transmission or STD non-sexual transmission?
So is it the case that Von Willlebrand and other bleeding disorders would still not materially increase the risk of transmission via shared objects? (razors/towels/toothbrush etc).

Just wanted to check if a person having  Von Willebrand or another bleeding disorder (or diabetes or varicose veins) would change your previous responses Dr. 

Sorry for the follow-up Dr - Happy New Year once again.




H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
38 months ago
As I said in my initial reply above, "There are no known illnesses or conditions known to increase the risk of HIV transmission", and later said this is also true for all sexually transmitted and blood borne infections. So obviously varicose veins or blood clotting disorders don't do it.

That concludes the two follow-up questions and replies included with each new question and so ends this thread. Please note the statement above about repeated questions on the same topic.

Happy new year.


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