[Question #4250] #4245 Follow-up - HTLV 1 & 2

31 months ago
Hello Dr. Hook,

Thanks so much again for the previous answers, that was so reassuring. As just one more follow-up question - you mention HTLV is prevalent in Asia, however am I right this is specifically confined to certain countries in the region, such as South Korea and Japan?

I.e. countries like Thailand, Malaysia, Laos etc have very little HTLV prevalence, whereas it is much higher in Korea/Japan?
Just wanted to check this, as it would eliminate my final anxieties once and for all.

Thanks again so much Dr.
31 months ago
And sorry Dr. Hook, also on your last response in #4250 you said there was no risk of any HTLV (ie HTLV 1 & 2) through staying in an unclean/not cleaned hotel room - even if a person had any medical condition, including those mentioned previously (also listed again below for your reference).

I think I understand right, but can I just confirm this would include someone staying in/using a bed previously used by an HTLV 1 or 2-infected person, which had not been cleaned? Eg the previous occupant of a hotel room.

So my 2 questions in summary are:

Q1. Could you confirm my above assumption on your comment on HTLV prevalence in Asia?

Q2. Confirm your previous advice in #4250 included where someone had stayed in a bed/used sheets used by an HTLV-infected person? (and not cleaned)



Example conditions
  • Immune thrombocytopenic purpura (ITP)
  • Bronchiectasis/COPD/asthma/bronchitis/respiratory 
  • High-dose long term oral steroid use for Bronchiectasis/COPD/asthma/bronchitis
  • Von Willebrand / other blood clotting disorders
  • Varicose veins 
  • Diabetes


Edward W. Hook M.D.
Edward W. Hook M.D.
31 months ago
I really think you are worrying entirely too much about HTLV. Straight to your questions:

Q1. Could you confirm my above assumption on your comment on HTLV prevalence in Asia?
Because the infection is so rare, less is known about the epidemiology of HTLV than HIV.  You are correct however that the available data suggest that the infection is less common in the areas of southeast Asia that you mention than in endemic areas like Japan, the Caribbean and parts of South America.

Q2. Confirm your previous advice in #4250 included where someone had stayed in a bed/used sheets used by an HTLV-infected person? (and not cleaned)
Repetitive.  Staying in a room/location previously used by a person with HTLV that has not been cleaned is not a known risk for infection.

I need to warn you that we do not accept repetitive, anxiety driven questions which is the direction your questions are going.  I trust that you will not need to ask further questions on this topic.  If you do, the questions may not be answered and your posting fees will not be returned.  EWH
---
30 months ago
Thank you so much again Dr. Hook, this is so very much appreciated.

Sorry I think this may have already been covered - but I’m right in thinking your answer to Q2 would include situations such as where hotel toiletries (soap/shampoo etc) were used by an HTLV-infected person, then left in the room and used by someone else? I think so but again would just like to confirm.

Thank you again Dr.


Edward W. Hook M.D.
Edward W. Hook M.D.
30 months ago
Yes, my response to Q2 also includes things like use of hotel toiletries used by an HTLV-infected person or other materials.. EWH
---
30 months ago
Great thanks so much again Dr.

And I’m also right in thinking the Q2 answer accounts for the fact that toilet tissue rolls etc would not necessarily be changed in hotel rooms, between different guests? So in other words does your last response on hotel toiletries also apply to toilet tissue rolls in hotel rooms?

Sorry I realise again this might be repetitive, so if I’m correct a simple confirmation will more than suffice.

Thanks so much again Dr.




Edward W. Hook M.D.
Edward W. Hook M.D.
30 months ago
Sigh.  Unchanged, contaminated toilet paper is not a risk for HTLV.

Your fixation on unrealistic possible risks for HTLV infections is concerning.  Please understand that HTLV is transmitted ONLY by unprotected penetrative sex and injection of infected material deep into tissue.  The scenarios you describe are completely unrealistic.   That you keep asking them suggest mental health problems.  I suggest that you discuss this fixation on events which occurred long ago with a mental health professional.

This ends this thread.  Future repetitive, anxiety- driven questions will not be answered and your posting fees will not be returned.  EWH
---