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Human immunodeficiency virus (HIV for short) is the virus that causes AIDS (acquired immunodeficiency syndrome). AIDS is a serious, life-threatening illness that has a variety of symptoms. HIV infection can be treated with medications to make patients feel better and to prolong life. However, there is no cure for HIV infection or AIDS. Approximately 40 million people are infected with HIV worldwide. The August 16, 2006, issue of JAMA is dedicated to HIV/AIDS. This Patient Page is adapted from one previously published in the July 14, 2004, JAMA HIV/AIDS theme issue.
You cannot get HIV infection from drinking from a water fountain, contact with a toilet seat, or touching an infected person. You can get HIV infection from
Bodily fluids, including semen and vaginal secretions (through sexual contact with an infected person) and blood. There is no evidence that HIV infection is transmitted through saliva.
Infected blood from shared drug injection needles or an accidental needle stick with a needle contaminated with infected blood.
Infected blood and blood products though transfusion (this is rare in developed countries but still occurs in countries with inadequate blood donor testing programs).
Women with HIV infection can transmit the virus to their babies during pregnancy or delivery or through their breast milk.
Individuals with HIV infection may not feel sick at first. However, HIV infection is often accompanied by a variety of symptoms, which can vary, depending on how long a person has been infected. Since HIV affects the way the immune system functions, people who are infected develop illnesses that could previously be fought off by the immune system. Symptoms tend to increase in severity and number the longer the virus is in the body if the individual remains untreated.
Symptoms may include
Swollen lymph nodes
Fever, chills, and night sweats
Coughing and shortness of breath
Blurred vision and headaches
Development of other infections, such as certain kinds of pneumonia
Do not have sexual contact with any persons (opposite- or same-sex partners) unless you are sure they are free of HIV infection. This includes oral, anal, or vaginal contact of any type.
If your partner has had prior sexual experience, even if you believe you are in a mutually monogamous relationship, to protect yourself, use a new latex condom each and every time you have any sexual contact, unless you are certain that your partner has had a negative HIV test result. However, keep in mind that condoms can break. If you are allergic to latex, polyurethane condoms are available.
If you inject drugs, seek treatment for it and do not ever share needles with others. Use only a new, clean needle each time you inject.
Centers for Disease Control and Prevention National AIDS Hotline 800/342-2437 800/344-7432 (Spanish) 800/243-7889 (TTY)http://www.cdc.gov/hiv/dhap.htm
Division of Acquired Immunodeficiency SyndromeNational Institute of Allergy and Infectious Diseases http://www.niaid.nih.gov/daids/
World Health Organizationhttp://www.who.int/hiv/en
To find this and previous JAMA Patient Pages, go to the Patient Page link on JAMA's Web site at http://www.jama.com. Many are available in English and Spanish.
Sources: Centers for Disease Control and Prevention, World Health Organization
The JAMA Patient Page is a public service of JAMA. The information and recommendations appearing on this page are appropriate in most instances, but they are not a substitute for medical diagnosis. For specific information concerning your personal medical condition, JAMA suggests that you consult your physician. This page may be photocopied noncommercially by physicians and other health care professionals to share with patients. To purchase bulk reprints, call 203/259-8724.
Stevens LM, Lynm C, Glass RM. HIV Infection: The Basics. JAMA. 2006;296(7):892. doi:10.1001/jama.296.7.892