Chapter 8 -Part 2

Question 1

What is HIV?

Answer 1

Human immunodefficiency virus
• Targets immune syystem

Virus only grow and multiply in host cells

If exposed to HIV doesn’t mean they have aids

Question 2

What is AIDS?

Answer 2

Acquired immune deficiency syndrome

Need to have a. low CD4 count and have aids

Question 3

What is the difference between AIDS and HIV?

Answer 3

HIV is a virus

AIDS is a syndrome which is a Collections of issues and illnesses , when HIV is undiagnosed/ uncared for (later stage of untreated or undiagnosed)

Question 4

What are the 3 kinds of viral loads you can have?

Answer 4

High: more than 100,000/ml
-most infectious, when people dont know

Low: 2-10,000/ml
-treatment can help reduce viral load

Undetectable: less than 100/ml
-body has to adhere to the meds

Question 5

What are the symptoms of HIV/AIDS?

Answer 5

Flu like fever
Yeast infection
Shingles
UTIs
Loss of appetite
Sore throat
Swollen Lymph nodes

Question 6

Why are some people more at risk than others?

Answer 6

Social determinants of health

Question 7

What are some social determinants of health?

Answer 7

Housing 
Security
Homophobia & biophobia
Transphobia
Gender inequality
Colonialism
Racism
Childhood abuse
Cultural Norms
Education and skill
Access to healthcare 
Immigration Status
Gender-based violence

Question 8

Who is more likely to have a new HIV diagnosis in Ontario?

Answer 8

African
Caribbean
Black

Question 9

How many people with a new HIV diagnosis were indigenous in Ontario?

Answer 9

44%

Question 10

how many people have HIV in Canada?

Answer 10

75,000

Question 11

What % of people living with HIV dont know it?

Answer 11

14%

Question 12

What are the barriers to not knowing your HIV status?

Answer 12

Limited access to testing (could be living in the north/rural)

Question 13

What bodily fluids house HIV?

Answer 13

Transmitted by:
Semen
Anal
Vaginal Mucus
Blood
Human milk

Question 14

How do you get HIV?

Answer 14

Condomless sex
Vertical transmission
Infant feeding with human milk
Injection equipment
Piercing tattoos

Question 15

What is vertical transmission?

Answer 15

Parent to child transmission

-this is decreasing because of meds and c-section

Question 16

What is PrEP?

Answer 16

Pre exposure prophylaxis

HIV prevention meds taken before exposure to HIV

Up to 99% effective

Question 17

What are access issues to getting PrEP?

Answer 17

Homlessnes, poverty, unstable housing, cant freuqntly take the pill

Question 18

When should you take PrEP?

Answer 18

Before exposure

Post exposure also, if you think you’ve been expsied to HIV its goal is to kill it so you don’t aquire it
• Sexually assulted and needles

Question 19

If you are HIV+ do you have to disclose that to others?

Answer 19

• Have to fdisclose status to partner before sexual activity. Basically have to out yourself to people. NO realistic possibility of transmission with condom use and less than 1500 copies in blood
• Don’t have to report if on drugs and less than 200 copies for 6 months

Question 20

What does U=U mean?

Answer 20

Undetectable= untrabnsmittable

Question 21

What kind of risks are associated with engaging in sexual intercourse with HIV+ person?

Answer 21

No risk: always using newe injection equipment

Negligible risk: using shared sex toys with condom

Low risk: Bodily fluids presnet and transmission posible but there is condom and dental damn (oral sex)

High risk: Sharing injection equipement, having unprotected sex

Question 22

What is the stigma wheel?

Answer 22

Silence: Not speaking out
Ignorance: fear surrounding their ignorance
Fear: Operates by people feel unworthy of themselves, encouraging all things around the wheel
Stigma
Discrimination: actions on the bias

Question 23

What perpetuates stigma?

Answer 23

Current sex work legislation
-Can perpetuate a lot of stigma, more people would work in dangerout places to sell their stuff since its illegal to buy it

Immigration
-Over 15 and entering canada as permeantn res or refugee are tested for HIV because they are going to be a burden on the health care system. Saying that we don’t want those people in canada

Social perceptions fo drug use and addiction

Pan against gay men and trans folk from donating blood, organs and sperm
• All blood is tested for HIV anyways

Sex ed curriculum
• Not up to date curriculum

Question 24

What should we assume about people who do drugs?

Answer 24

On a system that doesnt care for you is why people do drugs

Normally seen as a personal feeling but it is a systemic crisis

Question 25

How do you test for HIV?

Answer 25

Rapid/Point of Care HIV Testing
• A couple of drops of blood from a finger prick
• This blood is tested immediately for HIV at the location it was taken
99.97% accurate results in 20 minutes (including pre and post test counselling)

Blood Draw/ Laboratory Testing
• If you get positive, then blood sent to lab just in case

Question 26

To get a HIV test do you need to provide your name?

Answer 26

• The name or identity of the person being tested is not requested, recorded or reported. The test is ordered using a code known only to the person being tested.
• No name and no health card.

• All that is linked to you is your year of birth and a six digit
testing number.

Nominal recording if positive test

Question 27

How do you reduce risk go getting HIV?

Answer 27

USING CONDOMS, DAMS + LUBE

GETTING TESTED REGULARLY

TALKING TO YOUR DOCTOR ABOUT PEP & PrEP

GOING TO A TATTOO/ PIERCING PROFESSIONAL

NOT SHARING/ REUSING DRUG EQUIPMENT

POZ PREVENTION (TasP, U=U)

TALKING ABOUT ALL STATUSES