[Question #951] nail clippers

86 months ago
Sir, I recently read article about hiv transmission from nail clippersof an Brazilian woman . I am stresses out pls help me. I am posting it here. Pls explain me

http://www.sheknows.com/health-and-wellness/articles/1057193/can-you-get-hiv-from-a-I don't intend to post a post with the same issue but following is what I have just found on the Internet about possibility of Spreading HIV through manicures:
Scientists were baffled when the 22-year-old female with no history of transmission risk factors was diagnosed with advanced HIV disease. Before you drop your cuticle sticks and nail clippers, let's take a closer look at the facts about the woman who may have contracted HIV from a manicure.
1. She denied having vaginal, anal or oral sexual intercourse, a blood transfusion, surgery, piercing and tattooing. She had a boyfriend of two years, who tested negative, and said she did not have sex with him. A gynecological examination was "compatible with the patient's statements," the report says.

2. They eliminated other risk factors and tested her mother, who was negative, and confirmed that her mother was biologically hers.

3. Upon further investigation, the patient reported sharing manicure utensils with an older cousin about 10 years ago. Her cousin was found later to be infected with HIV and was not virally suppressed at the time of the manicure.

4. Researchers conducted a phylogenetic analysis of the HIV sequences of both patients. That evaluation showed that sequences were similar and had an ancestor date of about 11 years ago, which was around the time the women engaged in the manicure.

5. The researchers believe the manicure could have been a possible transmission method. "Although it is very difficult to determine the course of events occurring a decade ago and to guarantee that the use of the cosmetic paraphernalia was actually the mode of transmission, the HIV envelope and polymerase regions from both women are strongly related by phylogenetic parameters, and no alternative mode of transmission was identified," the report states.

6. Researchers say this case raises the possibility that manicure instruments could be a transmission method — as can needle use for drugs and acupuncture as well as tattoos (those are already listed as common methods of transmission).

7. The article An HIV-1 Transmission Case Possibly Associated with Manicure Care states, "This transmission of HIV by shared manicure equipment is a very rare event that should serve not to make people fear HIV or contact with HIV-infected people," said the journal's editor, Brian Foley, Ph.D.

"It should make people aware that sharing any utensils with possible blood-blood contact, such as needles used for drugs, tattoos, or acupuncture can result in transmission of viruses such as hepatitis C (HCV) and HIV," Foley said. "In addition, there are other common viruses and bacteria that can also be spread by sharing equipment without proper disinfection between users."

It never hurts to make sure your manicure tools are properly disinfected. That can help prevent the spread of all kinds of germs and viruses.

The article was published by Elaine Monteiro Matsuda and coauthors from Santo André AIDS Program, Adolfo Lutz Institute and University of São Paulo, Brazil, in the journal AIDS Research and Human Retroviruses.

Can anyone please confirm the authenticity of this article? I am stressed -out.

Thank you
Edward W. Hook M.D.
86 months ago

The article that you describe is poorly documented.  While the origin of the patient's HIV remains unclear, some of the facts stated make no sense. For instance, the idea that one could link a strain of HIV to another strain 11 years early is simply scientifically incorrect.  Further the statements about avoiding blood contact and using properly disinfected manicure tools are common sense but have nothing to do with manicures which when performed properly by professionals do not lead to bleeding and which use different equipment for different papers.  This article is a great example why reading such things on the internet is a bad idea.  EWH

86 months ago
Thank you sir,
1)  I.work.as a pipe fitter in.gulf, during the work I get small cuts often, we continue to work .I am worried about, many times the tools and other objects came in contact with my eyes and mouth,if tools and objects contain any blood .it would have gone to my mouth. Is der any risk ??

2) risk hiv from wAter

Edward W. Hook M.D.
86 months ago
We get many questions of this sort.  Acquisition of HIV by routes other than unprotected sex or deep injection of infected material into tissue with a needle is virtually unheard of.  The virus is fragile and becomes non-infectious almost immediately upon leaving the body and exposure to air.  Thus even with cuts and abrasions on your hand, there is no meaningful risk for infection from incidental contact with blood, saliva, or sweat coming into contact with a cut or scrape or from rubbing your eyes.  Also no risk from getting any of this in your mouth or from water contaminated by infected material.  No meaningful risk at all.  EWH---
86 months ago
Thank u sir

.1) .I read post from body.com (mrs.shannon southall) that to get hiv   from contaminated surface requries exposure to massive amount of blood for prolonged period of time.  I am.copying that post here .pls explain me

HIV transmission from inanimate object at work
Feb 23, 2014
My co worker who is HIV positive had a few minor nicks/cuts from doing demolition work in the bathroom. He had cuts on his palm from picking up broken ceramic tiles. I went in to help him and as soon as I did, I had a nick on my left palm. He then showed me that he had cuts too. He was not bleeding much. I can only see blood on his cuts (red lines of blood) ..but it was not droplets. My question is this: If his blood had contact with some tiles (he smeared his blood on), and 30 seconds later I went along and cut myself with the same contaminated tile...am I at risk for HIV? My cut is not very deep but it was still bloody. Its like a paper cut multiply by 2 deep, I'm paranoid and having anxiety issues. Please answer and thanks in advance.

Response from Ms. Southall

Hi No, you can not get HIV from touching an inanimate object. Transmission of HIV from a contaminated surface would require massive exposure to blood or other infected liquid for a prolonged period of time (for example: a blood soaked shirt of a health care worker that remained while she performed CPR). See HIV101 for how HIV is and is not transmitted.

HIV transmission can only occur when there is a direct and prolonged exposure to body fluids, semen, vaginal fluid, blood or mother to child through breast feeding. This most commonly occurs through unprotected vaginal or anal sex and sharing of needles. Casual contact, sharing utensils, drinking after someone, etc are not way for HIV transmission to occur.

HIV begins to die once it leaves the body and becomes unable to infect. From your activity that you described you are HIV free from this.

Be well and stay safe, Shannon

Edward W. Hook M.D.
86 months ago
This is the same message I gave you earlier using different words.  The situations you describe do NOT put you at any meaningful risk for HIV.  You do not need to be concerned.  EWH