Contenido:
CONTAGIOUS DISEASES
AIDS
AIDS means Acquired Immuno-deficiency Syndrome. It is a contagious illness
that destroys the natural defences of the body against other infections.
The illness is caused by the HIV virus which is found in the blood, vaginal
fluid and semen of the infected person and which is also, although in lesser
quantities, found in saliva, urine, tears, and breast milk.
Most people infected by HIV also contract AIDS, but the period of time
between infection and the appearance of AIDS varies from one person to another.
Some people with HIV appear and feel healthy for a period of up to 10 years.
Catching HIV
Anyone with HIV can transmit the virus to any other person by the exchange
of bodily fluids, such as semen, vaginal liquids, blood or breast milk.
There are three main methods of transmitting HIV from one person to another:
- Through anal or vaginal intercourse with a person who has HIV. Some
forms of sexual relations present a greater risk than others for the transmission
of HIV from an infected person to a non-infected person; For instance,
the risk is greater in the case of unprotected anal intercourse with penetration
than unprotected vaginal intercourse with penetration. Oral sex is less
dangerous than anal or vaginal intercourse, but not absolutely safe.
- By inoculation with blood infected with HIV, by sharing syringes with
some drug addicts, or by blood transfusion in a country where blood is
not analysed to verify if it is infected with HIV. By sharing toothbrushes
and razors, as these could be contaminated by infected blood, although
the risk is smaller.
- By a mother infected with HIV to her child before, during, or after
childbirth, or as a result of breast feeding.

Picture 11-5: How to catch HIV.
How you DO NOT to catch HIV
- Through daily human contact such as touching, shaking hands, hugging,
friendly kissing, from a toilet seat or by sharing cups, cutlery, crockery
or books.
- By sharing bedclothes, the cabin or workplace, or by sharing food. Towels
cannot transmit HIV, though it can be transmitted through skin infections
such as herpes.
- By coughing or sneezing, as HIV cannot be transmitted through the air.
- Through mosquito bites or other insects, or by contact with dogs, cats
and other domestic animals.

Picture 11-6: How you do not catch HIV.
Prevention
- Safer sexual relations:
- The more people you have unprotected sexual relations with, the
more possibilities you have of meeting someone who has HIV who could
transmit it to you, and of catching other illnesses contracted through
sexual contact, such as gonorrhoea, herpes and hepatitis B, which
you in turn could transmit to others. It is easier to infect a partner
with HIV if the partner already has a sexually-transmitted disease
which is not HIV.
- Use condoms to protect both yourself and your partner.
- Drugs, HIV and AIDS:
- Never inject yourself drugs.
- If you know someone who does, advise him to always use sterile
utensils (syringes, needles, etc.), and never share these utensils
with anyone else, no matter how healthy they appear to be nor how
well gyou know them. Dispose of needles and syringes in an appropriate
place.
- Blood, HIV and AIDS:
- Currently, all blood used for transfusions in Spain is examined
to verify that it does not contain HIV.
- In Spain and in developed countries it is not possible to catch
HIV by donating blood, as all utensils are sterilized and only used
once.
- In some countries the blood used in transfusions is not examined.
If you are abroad and need a transfusion, it may be possible for the
doctor treating you to find examined blood. Avoid operations and dental
treatment if they are not urgent.
- If you need an injection, make sure that the person administering
it uses a sterile needle. The medicine kits of a ship contain disposable
needles, syringes, suture materials, etc. You should take these on
land to receive medical attention should you have any doubt.
- First aid, HIV and AIDS:
- Avoid contact with blood and other bodily fluids. Put on gloves
before administering first aid and cleaning blood and other bodily
fluids. Wash or wipe gloves before taking them off and take them off
so that they end up inside out, placing them afterwards in a plastic
bag. Wash your hands and other parts of the body immediately if they
come into contact with blood or other bodily fluids, as well as after
taking off the gloves.
- Make sure you do not cut yourself while examining an injury or
when taking off the dressing of a wound. Be careful when handling
needles, scissors, or other sharp or cutting instruments. If they
are disposable, save these items in a well designated resistant container.
Throw the container away in the port, following the port authorities'
established procedures. DO NOT throw it overboard!.
- What to do in case of an accident:
If blood is flowing freely from the injury, do not suck it. Wash the
area with soap and water (if it is the eyes that are affected, wash
them with plenty of water). Do not forget to report all accidents
and ask for appropriate medical advice.
- If there is profuse bleeding, wash copiously with plenty of household
bleach solution diluted with water in a 1-10 ratio and dry with a
disposable towel. Put on rubber gloves. If the blood has stained any
clothing, pick it up with rubber gloves and soak it in cold water
before washing it in the hot water cycle of a washing machine.
- Mouth to mouth resuscitation: There
is no proof that there is any risk of catching HIV through mouth-to-mouth
resuscitation and, therefore, we should not hesitate to perform this
kind of assistance. If there is blood in the mouth it will need to
be cleaned away before starting the resuscitation. This is done by
placing a clean handkerchief over the injured person's mouth.