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Medical Forum / Diseases and Disorders / Hepatitis / February 2007

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Specific questions about transmission in less common ways (for a library patron of ours)

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Allan - 12 Feb 2007 19:18 GMT
Hello - I'm posting this message on behalf of a patron of our library
who would prefer to remain anonymous. Any help you can provide would
be much appreciated by us both. Here's her original message:

"Has it ever happened that someone has gotten Hep C by getting semen
or saliva on broken skin? The semen would be from someone infected
with HCV and the broken skin is on someone not infected or otherwise
exposed.

(I'm thinking cut on lips, crack in butt, broken skin in gums,
scratches on back or hand, shaving nick "down there", etc etc)

Any *concrete* details that may exist would really help.

Thanks,
the mildly kinky and very nervous partner of a man with Hep C"

As a health sciences librarian I'd really appreciate any ideas for
researching this topic in a more concrete way, even if nobody on the
group can answer her questions directly. We have access to the
scholarly literature and the public WWW, of course, but mostly I see
very generic advice/information ("you don't need to wear condoms in a
monogamous relationship") or way too technical and not generalizable
stuff (in the scholarly literature). In particular I don't see much
about "non-common" modes of transmission. There's a lot more ways to
have sexual/sensual contact than just the traditional procreative ones
- how can I find out more about those risk factors?

Thanks so much,

Allan
Thomas Wagner - 12 Feb 2007 20:22 GMT
>"Has it ever happened that someone has gotten Hep C by getting semen
>or saliva on broken skin? The semen would be from someone infected
>with HCV and the broken skin is on someone not infected or otherwise
>exposed.

The general consensus seems to be that infection needs blood to blood
contact, not contact with other bodily fluids. Since contact with semen
or saliva and broken skin would likely be not that rare even in
monogamous relationships, I would think there would be a much higher
rate of infection than the one that's generally reported (which is close
to 0). That doesn't mean it's completely impossible, but I don't think
your patron has much to worry about.

Thomas
Signature

To reach me, complete my last name in the address.

Randy Thomas - 13 Feb 2007 17:26 GMT
there are small amounts of blood in semen. add that to a person with
bleeding gums  giving a bl.wj.b! possible? yes. remember the size of
virus particles and the fact that viruses attach to/enter cells. low
probability? maybe maybe not......... i compare it to hcv
roulette.......
Waterspider - 13 Feb 2007 19:28 GMT
> there are small amounts of blood in semen.

Is this normal? Common?
james thomas - 14 Feb 2007 04:21 GMT
common and normal but not every load for sure has a minute amount of
blood in it. slightly possible only.
elmoemerson@webtv.net - 14 Feb 2007 14:19 GMT
Re: Specific questions about transmission in less common ways (for...  

Group: alt.support.hepatitis-c Date: Tue, Feb 13, 2007, 11:28am (CST-2)
From: waterspider@moonlight.net (Waterspider)
"Randy Thomas" <RandyThomas2222@webtv.net> wrote in message
news:8827-45D1F4D3-1184@storefull-3353.bay.webtv.net...
there are small amounts of blood in semen.
///////
Is this normal? Common?
////////
Of course, Spidey.  But it usually occurs during rough sex when the gal
plays 'ball bongo' with the guy's nuts.  The real danger in that is if
the guy then shoots his load in the gal's eyes.  It's no problem if the
gal swallows it all tho, the alimentary tract isn't particularly virus
friendly.  
doc elmo
knowledge is power  

http://community.webtv.net/elmoemerson/DocElmosHepFile

http://community.webtv.net/elmoemerson/TheFamilyAlbum
Cactus Jammies - 14 Feb 2007 15:01 GMT
what a way to greet valentine's day, Elmo!  thanks for the info. so a
stilleto heel to the kidney area wouldn't do it then?

jaded but through January

cactus jammies =================

> there are small amounts of blood in semen.
> ///////
[quoted text clipped - 4 lines]
> doc elmo
> knowledge is power
greyhackles - 12 Feb 2007 23:34 GMT
>Hello - I'm posting this message on behalf of a patron of our library
>who would prefer to remain anonymous. Any help you can provide would
[quoted text clipped - 27 lines]
>
>Allan

What Thomas said. I don't know if the virus can't survive long enough outside
of direct blood-to-blood contact, but I really believe transmission via
anything resembling "conventional" sexual congress is damned unlikely.

The scope of your questions may exceed the group's experience (hell - they
don't all tell us *everything* they are up to - thankfully ;-)  but a couple
of years ago we had an interesting case involving a gay male and some rather
unusual contact (no - not the obvious one - it was well beyond "conventional
gay sex") coupled with a breach of protocol. If he's still reading the group
perhaps he'll drop in and 'splain it all...

Cheers

/greyhackles
kjoh - 13 Feb 2007 00:54 GMT
Greyhackles said:  
"...sexual congress is damned unlikely..."
You're a hoot, Grey.  Do you really talk like that?

:-)
kj

P.S. OT do you live in Maine?
greyhackles - 13 Feb 2007 01:07 GMT
>Greyhackles said:  
>"...sexual congress is damned unlikely..."
>You're a hoot, Grey.  Do you really talk like that?
>
>:-)
>kj

LOL! I confess I do try to be as delicate as possible when discussing such
matters. Someone has to think of the children, after all ;-)

(And you didn't even mention my skillful tip-toeing around the incident that
led to Gordo's appearance here ;-)

>P.S. OT do you live in Maine?

While I spend much of the fishing season casting flies up in Maine and New
Hampshire, I live in Central Massachusetts, just a bit west of historic
Concord...

Cheers - and hope you're feeling well these days!

/greyhackles
kjoh - 13 Feb 2007 21:25 GMT
Hi Grey.

I am well enough, thank you for asking.  It seems like my brain is still
clearing from tx, even though it has been a full year now.  It’s
reassuring because there were times on tx when I convinced I would be
wallowing in a chronic foggy panic attack for the rest of my days.  But
not so. Whew.  I have decided to wait for the upcoming results of the
newest  VX950 trials before deciding about re-treatment.  I have read that
there will be results from a phase (somethingerother) trial this spring.  

The reason I inquired if you live in Maine is because a giant national
timber corporation called Plum Creek is selling off part of their
million-acre holdings in Maine for a 400,000 acre real estate development
at a place called Moosehead Lake.   Plum Creek owns +/- 8 million acres
nationwide but information about their activity is scarce on the internet.
I was hoping that if you lived in Maine you could steer me toward some
reliable sources.  Folks in Montana are looking toward Maine for
precedents because Plum Creek plans to  “divest” over a million acres in
Montana, much of it in Missoula County, where I live.  

The reason Plum Creek selling their timberlands is because they were
heavily clearcut and degraded over the years and will no longer
sustainably produce timber on a scale that will satisfy corporate
shareholders.  Much of the degraded land is huge chunks  interspersed
within relatively pristine federal and state land  in a checkerboard
pattern such that development will impact everything around it, on many
scales.  Sadly, our local government lacks the intellectual infrastructure
(cough) to grasp the ecological scope of the issue, let alone take
effective action.  

A good way to get a visual perspective on the huge checkerboard clearcuts
is to Google Earth for Condon, Montana, then pan out a bit.  The clearcuts
are a mile square/640 acres each. Condon is in northwest MT near Glacier
National Park .  If you’re interested, here are a couple news stories.
The third one has info about Maine.

http://www.missoulian.com/articles/2007/02/04/news/top/news01.txt
http://www.missoulian.com/articles/2007/02/04/news/local/news02.txt
http://www.meepi.org/files05/pa021005.htm

Whoops I was gonna keep this short … Anyway you might find it interesting
since you recreate in Maine.  

Well that’s the news from Montana!
Kathy
awaiting spring won’t be long now the chickadees are dancing
ghibelno - 13 Feb 2007 10:06 GMT
> Hello - I'm posting this message on behalf of a patron of our library
> who would prefer to remain anonymous. Any help you can provide would
[quoted text clipped - 5 lines]
>
> Allan

Hi Allan,
    I'm sorry I cannot give you directions to find good sources of
information. All I have done in the last years was to "Google" for
things and read medical articles from what I thought it was a good
source. Most of all I asked for advice here.

Then I can tell about my experience as I just had to worry (again) about
my partner.
We've been together since 1998 and I was diagnosed with Hepatitis C in
1996. In 2004 I started treatment which I completed successfully in
2005. I have been tested clear 6 months and a year after the end of
treatment.

Last week she had to check again if she had been infected as a previous
lab test revealed elevated ALT.
Bottom line, she DOES NOT have HCV antibodies ( yes thanks for the
support I asked for back then guys ;) ).

She has never been in contact with HCV virus then, in spite of the fact
that, YES, we've been practicing quite a lot together.
In fact, the examples you quote (lips, butt, gums) seems quite common in
every "mormal" couple.

Have the lab test to live peacefully and here's my best wishes.

Cheers,
jeeb.
greyhackles - 13 Feb 2007 14:24 GMT
>> Hello - I'm posting this message on behalf of a patron of our library
>> who would prefer to remain anonymous. Any help you can provide would
[quoted text clipped - 33 lines]
>Cheers,
>jeeb.

Glad to hear (and not surprised) about your partner, jeeb!

Cheers

/greyhackles
Randy Thomas - 13 Feb 2007 17:14 GMT
you answered your own questions. anal fissures are breaks in skin
tissue. dry cracked lips? common sense should be enough ...... go to CDC
site and they will tell you. gee. i have a cut on my hand, if i stick it
in a septic tank can viruses and bacteria enter my blood system? daaaa
Randy Thomas - 13 Feb 2007 17:21 GMT
wear condoms if you have multiple partners. hard anal sex? think about
that.......  if you are married discuss risks with your spouse. Normal
sex activities/infection rates are considered low to none. so the pros
say. if you are gay there is no slippery vagina...... you work in a
library? there should be access to good info. im not trying to be a
wise-a.s, just seems like your friend needs to read or/and talk to
his/her doc......
 
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