Human immunodeficiency virus infection / acquired immunodeficiency syndrome (HIV/AIDS) is a disease of the human immune system caused by the

human immunodeficiency virus (HIV).[1] During the initial infection a person may experience a brief period of influenzalike illness. This is typically followed by a prolonged period without symptoms. As the illness progresses it interferes more and more with the immune system, making people much more likely to get infections, including opportunistic infections, and tumors that do not usually affect people with working immune systems. HIV is transmitted primarily via unprotected sexual intercourse (including anal and even oral sex), contaminated blood transfusions and hypodermic needles, and from mother to child during pregnancy, delivery, or breastfeeding.[2] Some bodily fluids, such as saliva and tears, do not transmit HIV.[3] Prevention of HIV infection, primarily through safe sex and needle-exchange programs, is a key strategy to control the spread of the disease. There is no cure or vaccine; however, antiretroviral treatment can slow the course of the disease and may lead to a nearnormal life expectancy. While antiretroviral treatment reduces the risk of death and complications from the disease, these medications are expensive and may be associated with side effects.
Acquire

The three main transmission routes of HIV are sexual contact, exposure to infected body fluids or tissues and from mother to fetus or child during perinatal period. It is possible to find HIV in the saliva, tears, and urine of infected individuals, but there are no recorded cases of infection by these secretions, and the risk of infection is negligible.

Sexual contact
The majority of HIV infections are acquired through unprotected sexual relations between partners, one of whom has HIV. The primary mode of HIV infection worldwide is through sexual contact between members of the opposite sex. During a sexual act, only male or female condoms can reduce the chances of infection with HIV and other STDs and the chances of becoming pregnant. The best evidence to date indicates that typical condom use reduces the risk of heterosexual HIV transmission by approximately 80% over the long-term, though the benefit is likely to be higher if condoms are used correctly on every occasion. The male latex condom, if used correctly without oil-based lubricants, is the single most effective available technology to reduce the sexual transmission of HIV and other sexually transmitted infections. Manufacturers recommend that oil-based lubricants such as petroleum jelly, butter, and lard not be used with latex condoms, because they dissolve the latex, making the condoms porous. If necessary, manufacturers recommend using water-based lubricants. Oil-based lubricants can however be used with polyurethane condoms.

The female condom is an alternative to the male condom and is made from polyurethane, which allows it to be used in the presence of oil-based lubricants. They are larger than male condoms and have a stiffened ring-shaped opening, and are designed to be inserted into the vagina. The female condom contains an inner ring, which keeps the condom in place inside the vagina inserting the female condom requires squeezing this ring. However, at present availability of female condoms is very low and the price remains prohibitive for many women. Preliminary studies suggest that, where female condoms are available, overall protected sexual acts increase relative to unprotected sexual acts, making them an important HIV prevention strategy. Studies on couples where one partner is infected show that with consistent condom use, HIV infection rates for the uninfected partner are below 1% per year. Prevention strategies are wellknown in developed countries, but epidemiological and behavioral studies in Europe and North America suggest that a substantial minority of young people continue to engage in high-risk practices despite HIV/AIDS knowledge, underestimating their own risk of becoming infected with HIV. Randomized controlled trials have shown that male circumcision lowers the risk of HIV infection among heterosexual men by up to 60%. It is expected that this procedure will be actively promoted in many of the countries affected by HIV, although doing so will involve confronting a number of practical, cultural and attitudinal issues. However, programs to encourage condom use, including providing them free to those in poverty, are estimated to be 95 times more cost effective than circumcision at reducing the rate of HIV in sub-Saharan Africa. Some experts fear that a lower perception of vulnerability among circumcised men may result in more sexual risk-taking behavior, thus negating its preventive effects. However, one randomized controlled trial indicated that adult male circumcision was not associated with increased HIV risk behavior.

Exposure to infected body fluids

Health care workers can reduce exposure to HIV by employing precautions to reduce the risk of exposure to contaminated blood. These precautions include barriers such as gloves, masks, protective eyeware or shields, and gowns or aprons which prevent exposure of the skin or mucous membranes to blood borne pathogens. Frequent and thorough washing of the skin immediately after being contaminated with blood or other bodily fluids can reduce the chance of infection. Finally, sharp objects like needles, scalpels and glass, are carefully disposed of to prevent needlestick injuries with contaminated items. Since intravenous drug use is an important factor in HIV transmission in developed countries, harm reduction strategies such as needleexchange programmes are used in attempts to reduce the infections caused by drug abuse.

Mother-to-child transmission (MTCT)

Current recommendations state that when replacement feeding is acceptable, feasible, affordable, sustainable and safe, HIV-infected mothers should avoid breast-feeding their infant. However, if this is not the case, exclusive breast-feeding is recommended during the first months of life and discontinued as soon as possible. It should be noted that women may breastfeed other children who are not their own; see wetnurse.
Another info

AIDS stands for acquired immunodeficiency syndrome, a disease that makes it difficult for the body to fight off infectious diseases. The human immunodeficiency virus (HIV) causes AIDS by infecting and damaging part of the body's defenses against infection, namely the white blood cells known as CD4 helper lymphocytes (pronounced: lim-fuh-sites). How does someone become infected? HIV can be spread through any type of unprotected sex (oral, vaginal, or anal) if one of the partners has the virus. This can happen when body fluids such as semen (cum), vaginal fluids, or blood from an infected person get into the body of someone who is not infected. Someone can become infected even if only tiny amounts of these fluids are spread. Everyone who has unprotected sex with an infected person is at risk of contracting HIV, but people who already have another sexually transmitted disease (STD) are even more at risk. HIV can be spread sexually from a guy to a girl, a girl to a guy, a guy to a guy, and a girl to a girl. Sharing needles to inject drugs or steroids is another way that HIV can be passed to other people. Sharing of needles for tattoos, piercings, and body art can also lead to infection. Someone with HIV who shares a needle also shares the virus, which lives in the tiny amounts of blood attached to the needle. Sharing needles also can pass hepatitis and other serious infections to another person.

Also, newborn babies are at risk of getting the HIV virus from their mothers if they're infected. This can happen before the baby is born, during birth, or through breastfeeding. Pregnant teens and women should be tested for HIV because infected women who receive treatment for HIV are much less likely to spread the virus to their babies. Babies born to mothers infected with HIV are also given special medicines to try to prevent HIV infection.

Protecting Yourself

The best way to protect yourself from HIV is to abstain from oral, vaginal, and anal sex and to not share needles. If you do have sex, using latex condoms properly every time can help protect you. Condoms work by providing a barrier to the body fluids that can be shared during sexual activity (including oral sex). Always follow the directions exactly and never use the same condom twice. If you have had unprotected sex (sex without a condom) or have shared needles with someone else, you should be tested for HIV. If you've had sex with a condom, you also should be tested since condoms are effective when used correctly, but are not perfect. And ask your partner to be tested as well. Asking people if they have HIV is not a reliable way of finding out whether they are infected. People may not answer truthfully. They may be embarrassed to tell you or may not want you to know. Or they may not even know they have the virus because it can take many years for symptoms to develop. An infected person will look healthy for many years and can still spread the virus. Many places, such as doctors' offices, health departments, hospitals, and sites that specialize in HIV testing, can provide more information about HIV and AIDS, personal counseling, and, testing. Talk with your doctor about any questions or concerns you might have.