[Question #4283] #4245 final follow-up for Dr. Hook - HTLV household transmission

31 months ago
Dear Dr. Hook,

I realise you have given extensive (and very helpful) advice already on HTLV 1 & 2, however I have a different (non-repetitive follow-up). I forgot to ask about the risk to my family of someone with HTLV actually living with us for a period (from a high-risk HTLV country).
I've seen previously you stated that the risk of contracting bloodborne disease such as HBV/HCV/HIV from living with an infected family member/friend (i.e. no sexual relationship) for a 1 - 3 month period would be <1% overall, when sharing razors/toothbrush/towels/other household items.I think I saw someone else ask the same question about HTLV, and Dr. Handsfield responded to say he & yourself were not experts on HTLV specifically and thus could not advise. 
However given all your previous responses on HTLV Dr. Hook, would it be possible to just confirm the following (hopefully relatively straightforward) points:

1. Given the CNN article I mentioned previously (https://edition.cnn.com/2018/05/07/health/htlv-1-virus-australia-explainer/index.html?no-st=1536645706) and other sources state HTLV 1 & 2 are less easily transmitted compared to HIV - would I be right to assume that the risk of HTLV 1 & 2 transmission would be no greater than HIV, i.e. below <1% overall for a 1 - 3 month period even when sharing razors/toothbrush/towels/other household items etc?

2. Also as is the case with HIV, would I be right that there are no medical conditions/medications (including below example conditions which my family has some of) that would materially increase the risk of them being infected by an HTLV-infected person, i.e. change above Q1 response?

3. So far I've mentioned HTLV 1 & 2, but am I safe to assume these responses and your previous ones cover risks from any forms of HTLV?

Thank you again Dr. Hook.

Example conditions
Immune thrombocytopenic purpura (ITP)
High-dose long-term steroid/oral steroid
Von Willebrand and other blood clotting disorders
Diabetes / varicose veins
Edward W. Hook M.D.
Edward W. Hook M.D.
31 months ago
You are incorrect, this is a repetitive question regarding the same topic as your two earlier questions.  As I said in closing our last interaction - "Future repetitive, anxiety- driven questions will not be answered and your posting fees will not be returned."  This will be the only response you get and any further questions OF ANY SORT related to your distant risks will not be answered. 

1.  Correct
2.  Correct
3.  Correct

My final advice is for you to consider seeking counseling for why you are so inappropriately worried about events that occurred decades ago and did not put you at risk..  My initial response to your first question should have provided you with all of the assurance you needed that you were not at risk for any HTLV infections from your past travels.  EWH