[Question #8054] Transmission question

Avatar photo
49 months ago

I am asking my question with the utmost respect for your time, and I am aware this may be more of an OCD question than a medical one, but I paid , and would appreciate doctor's reply. I would never abuse the account with repeated questions and I know the site has a mechanism to prevent that anyways. So: I gave my car to a valet person to park, and later different valet brought it back. Then I took a sip from my already opened water bottle which was in the car, and spat immediately, because what if one of them drank from it, spat in it, or ejaculate in it? Although the scenario is outrageous and outlandish, would I be at ANY risk of getting infected with HIV ( or Hepatitis)? Does such a scenario warrant HIV testing? I btw have not been sexually active for years and tested negative at least 8 times. Thank you much in advance.

Avatar photo
H. Hunter Handsfield, MD
49 months ago
Welcome to the forum and thanks for your confidence in our services. I'm sorry you have the impression that we are not receptive to questions about very low risk scenarios or those influenced by OCD, anxiety, or other emotional/psychological. The issue is never the original question -- but only when OCD or similar factors result in repeated questions whose answers are obvious from previous discussions.

That said, you are right that your concerns clearly have little or no basis in science. Oral exposure to HIV is almost never a risk:  performing oral sex on an infected man, with ejaculation in the mouth and swallowing infected semen, carries an infection risk of roughly 1 in 10,000. That's equivalent to giving BJs to infected men once daily for 27 years before transmission might be considered likely. Also, when babies are nursed by infected mothers, only around 15% become HIV infected after 6 months, swallowing a few ounces of HIV inected milk every day. And saliva never transmits HIV -- in fact, saliva kills the virus. Finally, blood itself is little or no risk of swallowed. For example, people who perform oral sex on HIV infected menstruating women are not known to have been infected themselves.

The scenarios you mention are outlandish, but I think you know that (intellectually):  the possibility that the valet would have taken a sip of your water is of course very unlikely, and the notion that he might have ejaculated into the bottle of course is ridiculous. But you know that. All I can add is that IF such things happened, you still would be at no risk of HIV. The same is true of other blood borne diseases, such as hepatitis B or C. There also would be little or no risk of any other STI.

So I recommend you do your best to stop worrying about HIV or other infections in this circumstance, and that you not be tested for HIV or any other infection. And given your self-professed OCD -- and in the spirit of my opening comments -- I will caution you that there is little point in asking about any "what if" or "could I be the exception" sorts of questions. You can be 100% certain that there are no scenarios you will think of that would change my basic advice to not worry and not be tested.

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

HHH, MD
---
Avatar photo
49 months ago
Dear Dr. Handsfield,
Thank you very much for your extensive reply, I truly appreciate it, and the site. Yes, I know I suffer from severe clinical OCD. In order to close this chapter for good, and since I have a right for a one more question, I would ask you this: can HIV virus even be transferred from a positive person - to inanimate object - to another person? Since I have this precious chance of having your ear, I would like to finally rest assured and give myself a break. I am NOT a sexually active woman at all, so what would be the chances ever for me to get infected in a normal environment (inanimate object, a  superficial scratch from my lady hair stylist and similar everyday activities). I had numerous tests over the years, many of them done due to my  abnormal fear that I can "somehow" catch it from normal daily activities. Thank you again , I am truly grateful.
Avatar photo
49 months ago
And this sentence that you wrote: "There also would be little or no risk of any other STI.", basically means No risk, right? We are talking of possibility of sharing a bottle of water. So, when I get your replies to these follow up questions ( which are NOT "What If " questions, I was careful not to do that), I will remove myself from the site being extremely grateful and hoping I will have no reason to come back. Once again, thank you!

Avatar photo
H. Hunter Handsfield, MD
49 months ago
In medical/epidemiology terminology, "inanimate objects" that might transmit infections are called fomites, and we also often are asked about environmental contamination, e.g. if the object in question is say a table, doorknob, or toilet seat. Is it possible HIV could be transferred from person to person from contaminated fomites or environment? Theoretically, yes. However, there has rarely if ever been a proved case of such transmission. For example, the family members of people with HIV never catch it, even after years of sharing the same toilets, kitchens, eating utensils, and often clothing.

Not being sexually active means you will never catch HIV -- assuming you also are not a needle-sharing drug user. You need have absolutely no worreis about HIV (or other STIs) from day to day contact with other people. It simply does not happen.

Medical scientists usually are loathe to say "never" or "always". When I say "little or no risk of any other STI", I mean the same as for HIV:  I can envisions hypothetical scenarios in which it could happen, but for practical purposes such transmission has not been known to occur. What the the circumstances in which a contaminated object MIGHT transmit HIV or other STI? Imagine things like sex toys, shared by persons within a minute or two (before fluids have time to dry), when one person is infected -- e.g. after the toy was in an infected person's vagina and then entered another's vagina or anus. But as for day to day non-intimate contact between people in the normal course of human interactions, you can consider yourself to be at zero risk.
---
---
Avatar photo
49 months ago
Dr. Handsfield, I thank you very , very much for your answers and your kindness. You are as clear and precise as possible, and you helped me more than you can ever think. Clinical OCD is , as only those who suffer can understand, a horrible illness of the mind, illness of eternal doubt, as some call it. What you did for me with your answers and compassion , no psychologist or therapist had ever done, and I have seen many. God bless you and the best success to the Forum.
Avatar photo
H. Hunter Handsfield, MD
49 months ago
Thanks for the thanks. I'm glad to have helped!---