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What Is HIV And How Is It Transmitted? A Singaporean Dermatologist Explains Why HIV Patients Should Not Be Stigmatised

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Portrait of Dr Colin Theng
Dr Colin Theng

February 11th, 2019· 5 min read

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The recent news on the data leak on individuals with HIV infection has reignited interest in HIV.

In particular, there have been calls to avoid discrimination of HIV individuals in the workplace and reduce the stigma associated with HIV.

What is HIV?

3d rendered HIV Virus in Blood Stream

3d rendered HIV Virus in Blood Stream

HIV is the Human Immunodeficiency Virus and this virus attacks the immune cells (T cells) in the body, leading to a depressed immune system and increased susceptibility to infections.

HIV is a sexually transmitted disease

sexually transmitted disease hiv

HIV is spread through contact with blood and body fluids from an infected individual. The virus is found in blood, semen, vaginal fluid and breast milk.

It can be spread through:

  • Unprotected vaginal and anal sex.
  • Oral sex, especially if there are wounds or ulcers in the mouth.

The risk of transmission is higher through vaginal and anal sex and is lower with oral sex.

HIV can also be transmitted through blood and blood products

HIV can be transmitted through needles

Sharing needles through intravenous drug use carries a high risk. It is also possible to catch it through contaminated needles from tattooing.

For health care workers, there is also a risk of acquiring HIV through needlestick injuries, though the risk is small.

HIV can also spread from mother to child. Blood transfusion with contaminated blood is also a risk factor but all blood for transfusions in Singapore is screened for HIV.

Who is most at risk?

multiple sexual partner HIV

If you have multiple sexual partners and practice unprotected sex, you are most at risk of catching HIV.

Practise safe sex to reduce your risk of HIV

safe sex HIV

This risk of spread is higher in individuals who have a high viral load, as there is a greater amount of the virus in the blood and body fluids.

As HIV is most commonly acquired through both heterosexual and homosexual contact, it is important to practice safe sex.

Having a monogamous relationship and regular use of condoms can reduce the risk of acquiring HIV.

Can HIV spread through social interaction with an HIV individual?

HIV social interaction

The answer is no! HIV is not transmitted through handshakes, sharing of meals and cups and even social kissing. HIV is not transmitted through saliva.

Outside the body, the HIV virus has a short life span

HIV virus

The HIV virus cannot survive outside the body for long and is this is affected by factors such as surrounding temperature, ultraviolet light and pH balance.

It is also not an airborne disease so the risk of catching HIV from the environment is remote. You also cannot catch HIV from an insect or mosquito bite.

Fear and ignorance lead to stigmatization. A better understanding of how HIV is transmitted can help to reduce the stigma associated with HIV.

Also read: The Ultimate Guide to getting a HIV Test in Singapore (2021)


Dr Theng is also featured in our list of dermatologists to go to for skin treatment.

Would you like to ask any related health questions?

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I hope that you've found this guide useful, and perhaps gained more insight into the application process. Most of the admissions-related information (admin and logistics wise) can be found on the official NUS Faculty of Dentistry website.

To help yourself out, you should take note of what people look for when they look for a dentist.

This article was written by Dr Colin Theng and published on Wednesday, 25 January 2017. Human medically reviewed the article on Wednesday, 25 January 2017. The last update was made on Friday, 18 September 2020.

Disclaimer: Opinions belong to the author and not to the platform.

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