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Dr. Vikram Gupta
                        Assistant Professor-cum
                -I/C Rural Health Centre, Pohir
Community Medicine, Dayanand Medical College &
             Hospital, Ludhiana (Punjab), India
                   dr_vikramgupta@yahoo.co.in
 More than Half of the slides were presented by me at
  Sensitization Workshop organized by Department of
  Microbiology for Staff Nurses & other Para-Medical
  Staff in Hindi Languagae.
 Please Share & use as per your need
HISTORY/ इििहास
 Discovery of AIDS in 1981 in USA./अमरीका
 First case diagnosed among the homosexual men
  presenting with a rare infection caused by
  Pneumocystis carinii.
 In India the HIV infection was first detected in 6
  female prostitutes in chennai in 1986./ चेननई
 Risk groups in India are different from American
  and the Europeans but similar to those in the
  African and the other third world countries
Epidimological features : Agent
factors / HIV वायरस की िवशे ष िा
 Agent is Lentivirus subfamily of
       retro virus./ रे ट रो वायरस
   Reservoir of infection : person harbouring HIV virus
   Source of infection is: infected semen ,blood, vaginal
    secretions, saliva and other body fluids
   Period of infectivity: life long / आजीवन संकमण
   The infectivity is highest in the initial stages of
    infection and also in the late stage when clinical
    manifestations appears.
HIGH-RISK GROUPS OF HIV/
जयादा िरसक वाला समू ह
    There are subpopulations who are more vulnerable or
    practice high-risk behavior. These are:-

 Sex workers and their clients, / सेकस वकर और गाहक
                                          क
 men who have sex with men (MSM)/ male homosexuals,
    समिलंगी पुरष
   Trans-genders, िहजडे
   injecting drug users (IDUs), सू ई वाला नशा करने पर
   Newborn of Infected Mothers, संकिमि माँ से नवजाि को
    truckers, टक चालक
   migrant workers, पवासी शिमक
   spouses and children of men who are prone to risky
    behaviour.
…….   via unprotected sexual intercourse
Transmission may occur from mother to child
Via breast feeding & during pregnancy or
delivery .
सू ई वाला नशा करने
पर
  .. via injectable drug abuse
सं क िित खू न

..via contaminated blood & blood products transfusion
.. via infected syringes
HIV-जीवन
चक
MYTHS AND MISCONCEPTIONS / पचिलि गलि
धारणा
                 HIV IS NOT TRANSMITTED BY
     SHAKING HANDS
     HUGGING
     DRY KISSING
     SNEEZING,COUGHING
     MOSQUITO BITE
     TOILET SHARING
     SHARING OF TELEPHONE
     SHARING OF OFFICES
     TRAVELLING TOGETHER IN BUSES AND TRAINS
     SHARING CUPS OR CUTLERY
     LIVING IN SAME ROOM
     DONATING BLOOD ASEPTICALLY
SNEEZING,COUGHING
/ छीं क ने या खाँ स ने से
SHAKING HANDS
/ हाथ िमलाने से
E A T IN G
TO G E TH E R /
 एक साथ खाने से
MOSQUITO BITE/
मचछर क काटने से
       े
Susceptibility to chemical &
physical agents
 It is an enveloped virus highly sensitive to ether.
 Dies outside the body with in few days.
 Can survive at 20-37°C for 15 days.
 Killed at 56°C in 30 min.
         at 60°C in 10 min.
         at 100°C in < 1min.
Susceptibility to chemical &
physical agents
 Killed by 70% Ethanol in 10 min.
        by 35% isopropyl alcohol.
        by 3% Lysol.
        by 0.5% sod. hypochlorite.
        by 2% glutaraldehyde in 2min.
        by 3% H2O2.
        by 1% household bleach.
A monogamous person cannot contract an STI like HIV. /
  अगर एक साथी वफादार

                           MYTH / गलत

     Individuals who are faithful to their partners may still be at
     risk for contracting STIs if their partners engage in sexual
     activity with other people. In addition, individuals who are
     currently monogamous with their partners may have
     contracted an STI/HIV from someone else in the past;
     therefore, they may have HIV without knowing it and/or
     without telling their current partners.
HIV is transmitted through contact with an HlV-
positive person's infected body fluids./

सं क िमि खू न , थू क , वीयक



FACT / सही
 HIV is transmitted through contact with an HlV-positive
 person's infected body fluids, such as semen, pre-ejaculate
 fluid, vaginal fluids, blood, or breast milk. HIV can also be
 transmitted through needles contaminated with HlV-infected
 blood, including needles used for injecting drugs, tattooing or
 body piercing.
HIV or AIDS can be cured./ इलाज
है
                 MYTH/ गलि

     To date, there is no cure for HIV or
     AIDS and there are no vaccines to
     prevent HIV infection.
Since I only have oral sex, I'm not at risk for HIV/
AIDS. / मु ख मै थु न से नही होिा

                     MYTH / गलि


       You can get HIV by having oral sex with a
       man or a woman. That is why it is
       important to use a latex barrier during
       oral, vaginal, or anal sex.
I would know if a loved one or I had HIV. /
 अगर HIV होगा , मु झे पिा चल जाएगा

                  MYTH / गलि
 A person with HIV may not show any symptoms for
   up to 10 years. Since HIV affects each person
   differently, many people with HIV can look and
   feel healthy for years. The only sure way to know
   is to get tested.
Birth control methods do not prevent the transmission
of sexually transmitted diseases (STD) such as HIV. /
गभक िनरोधक क उपयोग से HIV का सं क मण नही
                 े
रकिा


      FACT / सही

     Birth control methods do not prevent the
  transmission of sexually transmitted diseases
  (STD) such as HIV. They only aim to prevent
  pregnancy. Only condoms if used correctly and
  consistently can be used for preventing HIV
  and STIs.
Antiretroviral drugs don't keep you from passing the
virus to others.                                   /
दवाई खाने क बावजू द वायरस फल सकिा है
               े                  ै
                     FACT / सही


   Antiretroviral drugs don't keep you from passing the
   virus to others. Therapy can keep the viral load down
   to undetectable levels, but HIV is still present in the
   body and can still be transmitted to others.
Youth are particularly vulnerable to HIV/
नवयु व को मे जयादा

                      FACT / सही

   HIV is disproportionately higher among young people
   than adults for both biological and behavioral reasons.
   The highest reported cases of STIs are among young
   people (ages 15 to 24).
Condoms reduce the risk for contracting
STIs, including HIV infection.
                     FACT/ सही
   After abstinence, latex condoms are the most effective
   way to prevent STIs, including HIV infection.
   However, latex condoms are not 100% effective. Some
   groups have reported inaccurate research that
   suggests that HIV can pass through latex condoms,
   but this is not true. In fact, laboratory tests show that
   no STI, including HIV, can penetrate latex condoms
   (Gardner, Blackburn, & Upadhyay, 1999).
A Photo of I.C.T.C Centre
Disposal of waste/
सं क िमि कचरे का
िनषपादन
 Solid wste are to be disinfected with sodium
  hypochlorite o.5% and then incinerated or buried.
 Liquid waste are disinfected and then flushed out
Disposal of dead bodies of individuals who
have died of HIV/AIDS
HIV/ AIDS पीिडि क मृ ि शरीर का
                   े
िनषपादन
 It is preferable to use gloves while giving ceremonial
  bath.
 All orifices (nose, ears, mouth vagina and anus to be
  packed with cotton wool
 The body is then best disposed by cremation.
 If it has to be buried the body is then wrapped in a
  plastic bag. Bleaching powder may be sprinkled below
  and above the body or in the coffin box.
Post Exposure Prophylaxis(PEP)
 This procedure consist of taking anti viral drugs by the
  health care worker as soon as possible after exposure to
  HIV
 Steps to be taken
    Needle sticks and cuts should be washed with soap and
     water,
    Splashes to the nose, mouth or skin should be flushed with
     water.
    Eyes should be irrigated with clean water or saline.
    Pricked finger should not be put in to the mouth, but
     squeezed to encourage bleeding and then applied an
     antiseptic such as spirit.
PEP recommendations
It should be instituted with in 72 hours
 Basic Regimen:
 4 weeks treatment with
 -AZT (Zidovudine) 600 mg/d in two or three divided
   doses (usually 300 mg b.d.)+
 -Lamivudine 150 mg b.d.
Universal Precautions for HIV
 Washing hands with soap and water before and
 after all patient care.
 Hands and other skin surfaces should be washed
 immediately and thoroughly if contaminated with blood
 or body fluids.
 Use appropriate barrier precautions.
 Gloves should be worn for patient examinations
  and for procedures.
 Gloves should be changed after contact with each
  patient.
 Masks, protective eye wear or face shields, and
  gowns or aprons should be worn when splashes
  are anticipated.
Universal Precautions………
 Prevent injuries caused by needles, scalpels etc.
 DO NOT recap needles after use.
 Needles should not be purposely bent, broken, or
  otherwise manipulated by hand.
 After use, the disposable sharps should be placed
  in puncture-proof containers for disposal
Universal Precautions……..
 To minimize the need for mouth to mouth
  resuscitation, resuscitation bags should be available.
 Although HIV has been recovered from saliva, there is
  no conclusive evidence that saliva is involved in HIV
  transmission.
 Resuscitation equipment should be used once only
  and discarded, or thoroughly cleaned and disinfected.
Universal Precautions…….
 HCWs with exudative lesions should refrain from all
  direct patient care and from handling patient care
  equipment.
 Pregnant HCWs: not known to be at greater risk of
  contracting HIV.
 However, if a HCW develops HIV infection during
  pregnancy, the infant is at risk.
 So pregnant HCWs should strictly adhere to these
  precautions.
ABC to Prevent AIDS

    बचाव की ABC
have faith and trust in married life relationship
Myths & misconceptions about HIV/AIDS eng hindi Dr Vikram Gupta
Myths & misconceptions about HIV/AIDS eng hindi Dr Vikram Gupta

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Myths & misconceptions about HIV/AIDS eng hindi Dr Vikram Gupta

  • 1. Dr. Vikram Gupta Assistant Professor-cum -I/C Rural Health Centre, Pohir Community Medicine, Dayanand Medical College & Hospital, Ludhiana (Punjab), India dr_vikramgupta@yahoo.co.in
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  • 3.  More than Half of the slides were presented by me at Sensitization Workshop organized by Department of Microbiology for Staff Nurses & other Para-Medical Staff in Hindi Languagae.  Please Share & use as per your need
  • 4. HISTORY/ इििहास  Discovery of AIDS in 1981 in USA./अमरीका  First case diagnosed among the homosexual men presenting with a rare infection caused by Pneumocystis carinii.  In India the HIV infection was first detected in 6 female prostitutes in chennai in 1986./ चेननई  Risk groups in India are different from American and the Europeans but similar to those in the African and the other third world countries
  • 5. Epidimological features : Agent factors / HIV वायरस की िवशे ष िा  Agent is Lentivirus subfamily of retro virus./ रे ट रो वायरस  Reservoir of infection : person harbouring HIV virus  Source of infection is: infected semen ,blood, vaginal secretions, saliva and other body fluids  Period of infectivity: life long / आजीवन संकमण  The infectivity is highest in the initial stages of infection and also in the late stage when clinical manifestations appears.
  • 6. HIGH-RISK GROUPS OF HIV/ जयादा िरसक वाला समू ह There are subpopulations who are more vulnerable or practice high-risk behavior. These are:-  Sex workers and their clients, / सेकस वकर और गाहक क  men who have sex with men (MSM)/ male homosexuals, समिलंगी पुरष  Trans-genders, िहजडे  injecting drug users (IDUs), सू ई वाला नशा करने पर  Newborn of Infected Mothers, संकिमि माँ से नवजाि को  truckers, टक चालक  migrant workers, पवासी शिमक  spouses and children of men who are prone to risky behaviour.
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  • 8. ……. via unprotected sexual intercourse
  • 9. Transmission may occur from mother to child Via breast feeding & during pregnancy or delivery .
  • 10. सू ई वाला नशा करने पर .. via injectable drug abuse
  • 11. सं क िित खू न ..via contaminated blood & blood products transfusion
  • 12. .. via infected syringes
  • 14. MYTHS AND MISCONCEPTIONS / पचिलि गलि धारणा HIV IS NOT TRANSMITTED BY  SHAKING HANDS  HUGGING  DRY KISSING  SNEEZING,COUGHING  MOSQUITO BITE  TOILET SHARING  SHARING OF TELEPHONE  SHARING OF OFFICES  TRAVELLING TOGETHER IN BUSES AND TRAINS  SHARING CUPS OR CUTLERY  LIVING IN SAME ROOM  DONATING BLOOD ASEPTICALLY
  • 15. SNEEZING,COUGHING / छीं क ने या खाँ स ने से
  • 16. SHAKING HANDS / हाथ िमलाने से
  • 17. E A T IN G TO G E TH E R / एक साथ खाने से
  • 18. MOSQUITO BITE/ मचछर क काटने से े
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  • 26. Susceptibility to chemical & physical agents  It is an enveloped virus highly sensitive to ether.  Dies outside the body with in few days.  Can survive at 20-37°C for 15 days.  Killed at 56°C in 30 min. at 60°C in 10 min. at 100°C in < 1min.
  • 27. Susceptibility to chemical & physical agents  Killed by 70% Ethanol in 10 min. by 35% isopropyl alcohol. by 3% Lysol. by 0.5% sod. hypochlorite. by 2% glutaraldehyde in 2min. by 3% H2O2. by 1% household bleach.
  • 28. A monogamous person cannot contract an STI like HIV. / अगर एक साथी वफादार MYTH / गलत Individuals who are faithful to their partners may still be at risk for contracting STIs if their partners engage in sexual activity with other people. In addition, individuals who are currently monogamous with their partners may have contracted an STI/HIV from someone else in the past; therefore, they may have HIV without knowing it and/or without telling their current partners.
  • 29. HIV is transmitted through contact with an HlV- positive person's infected body fluids./ सं क िमि खू न , थू क , वीयक FACT / सही HIV is transmitted through contact with an HlV-positive person's infected body fluids, such as semen, pre-ejaculate fluid, vaginal fluids, blood, or breast milk. HIV can also be transmitted through needles contaminated with HlV-infected blood, including needles used for injecting drugs, tattooing or body piercing.
  • 30. HIV or AIDS can be cured./ इलाज है MYTH/ गलि To date, there is no cure for HIV or AIDS and there are no vaccines to prevent HIV infection.
  • 31. Since I only have oral sex, I'm not at risk for HIV/ AIDS. / मु ख मै थु न से नही होिा MYTH / गलि You can get HIV by having oral sex with a man or a woman. That is why it is important to use a latex barrier during oral, vaginal, or anal sex.
  • 32. I would know if a loved one or I had HIV. / अगर HIV होगा , मु झे पिा चल जाएगा MYTH / गलि A person with HIV may not show any symptoms for up to 10 years. Since HIV affects each person differently, many people with HIV can look and feel healthy for years. The only sure way to know is to get tested.
  • 33. Birth control methods do not prevent the transmission of sexually transmitted diseases (STD) such as HIV. / गभक िनरोधक क उपयोग से HIV का सं क मण नही े रकिा FACT / सही Birth control methods do not prevent the transmission of sexually transmitted diseases (STD) such as HIV. They only aim to prevent pregnancy. Only condoms if used correctly and consistently can be used for preventing HIV and STIs.
  • 34. Antiretroviral drugs don't keep you from passing the virus to others. / दवाई खाने क बावजू द वायरस फल सकिा है े ै FACT / सही Antiretroviral drugs don't keep you from passing the virus to others. Therapy can keep the viral load down to undetectable levels, but HIV is still present in the body and can still be transmitted to others.
  • 35. Youth are particularly vulnerable to HIV/ नवयु व को मे जयादा FACT / सही HIV is disproportionately higher among young people than adults for both biological and behavioral reasons. The highest reported cases of STIs are among young people (ages 15 to 24).
  • 36. Condoms reduce the risk for contracting STIs, including HIV infection. FACT/ सही After abstinence, latex condoms are the most effective way to prevent STIs, including HIV infection. However, latex condoms are not 100% effective. Some groups have reported inaccurate research that suggests that HIV can pass through latex condoms, but this is not true. In fact, laboratory tests show that no STI, including HIV, can penetrate latex condoms (Gardner, Blackburn, & Upadhyay, 1999).
  • 37.
  • 38. A Photo of I.C.T.C Centre
  • 39. Disposal of waste/ सं क िमि कचरे का िनषपादन  Solid wste are to be disinfected with sodium hypochlorite o.5% and then incinerated or buried.  Liquid waste are disinfected and then flushed out
  • 40. Disposal of dead bodies of individuals who have died of HIV/AIDS HIV/ AIDS पीिडि क मृ ि शरीर का े िनषपादन  It is preferable to use gloves while giving ceremonial bath.  All orifices (nose, ears, mouth vagina and anus to be packed with cotton wool  The body is then best disposed by cremation.  If it has to be buried the body is then wrapped in a plastic bag. Bleaching powder may be sprinkled below and above the body or in the coffin box.
  • 41. Post Exposure Prophylaxis(PEP)  This procedure consist of taking anti viral drugs by the health care worker as soon as possible after exposure to HIV  Steps to be taken  Needle sticks and cuts should be washed with soap and water,  Splashes to the nose, mouth or skin should be flushed with water.  Eyes should be irrigated with clean water or saline.  Pricked finger should not be put in to the mouth, but squeezed to encourage bleeding and then applied an antiseptic such as spirit.
  • 42. PEP recommendations It should be instituted with in 72 hours  Basic Regimen:  4 weeks treatment with  -AZT (Zidovudine) 600 mg/d in two or three divided doses (usually 300 mg b.d.)+  -Lamivudine 150 mg b.d.
  • 43. Universal Precautions for HIV  Washing hands with soap and water before and after all patient care.  Hands and other skin surfaces should be washed immediately and thoroughly if contaminated with blood or body fluids.  Use appropriate barrier precautions.  Gloves should be worn for patient examinations and for procedures.  Gloves should be changed after contact with each patient.  Masks, protective eye wear or face shields, and gowns or aprons should be worn when splashes are anticipated.
  • 44. Universal Precautions………  Prevent injuries caused by needles, scalpels etc.  DO NOT recap needles after use.  Needles should not be purposely bent, broken, or otherwise manipulated by hand.  After use, the disposable sharps should be placed in puncture-proof containers for disposal
  • 45. Universal Precautions……..  To minimize the need for mouth to mouth resuscitation, resuscitation bags should be available.  Although HIV has been recovered from saliva, there is no conclusive evidence that saliva is involved in HIV transmission.  Resuscitation equipment should be used once only and discarded, or thoroughly cleaned and disinfected.
  • 46. Universal Precautions…….  HCWs with exudative lesions should refrain from all direct patient care and from handling patient care equipment.  Pregnant HCWs: not known to be at greater risk of contracting HIV.  However, if a HCW develops HIV infection during pregnancy, the infant is at risk.  So pregnant HCWs should strictly adhere to these precautions.
  • 47. ABC to Prevent AIDS बचाव की ABC
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  • 50. have faith and trust in married life relationship