[Question #5143] Clarification on CDC advice on handshakes

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77 months ago


The CDC list handshakes as no risk for HIV acquisition, however it seems they are talking about ’dry’ handshakes only?. I say this because their website goes onto say: ‘Only certain body fluids—blood, semen (cum), pre-seminal fluid (pre-cum), rectal fluids, vaginal fluids, and breast milk—from a person with HIV can transmit HIV’ and further say that safe activities are ‘activities that don’t involve the exchange of body fluids’

So my question: What if the person you shake hands with has one of these (relatively fresh) fluids on their hands when you shake hands with them, say vaginal fluids, and you subsequently rub your eyes or pick your nose touch your mouth or genitals. And suppose then there are additional extenuating circumstances such as chapped lips or mouth ulcer etc. Is there any chance of acquisition of HIV (or other STD infection) like this?

I understand that in a normal say office or social environment the above isn't a concern due to drying, but what about in a high risk environment such as at a lapdance bar / strip joint where girls frequently touch/finger themselves during their performances on stage and in vip rooms when interacting with customers.? I'm living in Philippines, and the girls who work in these clubs also all engage in prostitution which may make them high risk? Are handshakes still no risk in these environments and circumstances?

Hoping for some clarity.

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H. Hunter Handsfield, MD
77 months ago
Welcome to the forum. Thanks for your question.

You are way overreading the CDC statements. That those body fluids transmit HIV does not meant that any and all contact with those fluids is risky. Those fluids must a) contain large amounts of HIV and b) must have access to certain kinds of cells that typically are deep inside the body. Even with unrotected vaginal sex between an infected women and a man without HIV, the chance he will be infected from a single episode of unprotected vaginal sex is around 1 chance in 2,500. That's equivalent to having sex with infected women once daily for 7 days beore transmission might be likely. (That's why many spouses of HIV infected people don't catch it themselves, which you probably didn't know.) Another example concerns breast milk. When a baby is nursed by an HIV infected mom, swallowing a few ounces of HIV infected milk every day, only about 15% of those babies catch HIV after 6 months of nursing.

Can I imagine a scenario in which HIV could be transmitted from the sorts of things you mention? Sure. Shake hands with somoene with wet semen or blood on his hands (enough to be obviously wet and gooey) and then immediately vigorously rub your eye, and maybe you would be at risk. However, there simply are no such cases that have come to medical attention. Everybody with HIV has had sex or direct blood exposure (e.g. needle sharing) with infected persons. As another example, the household members of persons with HIV never carch it, even after years of sharing kitchens, bathrooms, toilets, towels, etc (if they aren't also sex or needle sharing partners).

In summary, you are at zero risk of cathcing HIV in your workplace or from any other kind of nonsexual or non-drug related contact with your co-workers or anyone else. Don't worry about it.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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77 months ago
Thanks for your reply, and reassurances about workplaces and other environments. my concern really was specifically regarding my frequent (almost weekly) visits to these girl clubs where i watch the girls dance. The girls are eager and often come and take my hand to try and bring me back to the vip rooms to earn some money , but i never go, i normally just like to watch from the main bar and have a drink and then leave. I have been frequenting these clubs like this for months without thinking anything of it until it was mentioned to me in passing by a friend  that i possibly could ‘pick something up’ as these girls hands ‘had all sorts of things on them’ which is when i started researching on CDC site etc. I thought possibly vaginal secretions etc could possibly harbour some infectious material but ive never noticed any overt wetness on their hands..maybe just clammy. Based on your response there seems however to be no risk at all in this? And assuming i dont take things any further with the girls i can continue to visit these clubs indefinately and never expect to catch anything, is this right?
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77 months ago
To reconconfirm there was no obviously ‘wet and goey’ sensations, simply handshakes and girls pulling me by the hand sometimes.  I also dont ever remember vigerously rubbing  my eyes etc , just perhaps the usual scratching and attending to normal itches which one normally does. 
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H. Hunter Handsfield, MD
77 months ago
Nobody ever caught HIV from visiting a dance or strip club, if they didn't have sex while there; and nobody ever caught HIV from socializing with strip club dancers, sex workers, etc. You describe nothing that implies any risk of HIV transmission at all. It also would nmatter if you rubbed your eyes or anything else. No sex means no risk. Period, full stop. No need to analyze it any more deeply.---
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77 months ago
Got it...No risk from handshakes regardless of possible trace fluids, and subsequent nose picking, eye rubbing etc. 

Thanks for your patience in reading through the details of my adventures and providing the reassuring feedback i needed. Best regards.
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H. Hunter Handsfield, MD
77 months ago
Thanks for the thanks. I'm glad to have helped. That concludes this discussion.---