Odds Of Female-to-male Transmission Of Hiv "type E"?

[vppro21]

I have read widely varying "facts" about Hiv subtype CRF A/E ("type E") on the internet, and I need to get the truth...

I have read WIDELY varying figures all over the internet regarding the true odds of female-to- male transmission of HIV in Thailand, with a known carrier, and using a latex condom correctly everytime...everwhere from 1% per YEAR of regular intercourse, all the way up to over 1% PER OCCURANCE...

obviously, if the former is true, that is risk I can accept...if the latter is true, I cannot accept that risk even ONE TIME

Can anyone direct me to an HIV specialist doctor who may be able to give me an HONEST, unbiased answer??

My decision to take a long vacation to Thailand hinges upon the answer...

Edited July 30, 2008 by vppro21

[jumnien]

Have you thought of attending a 10-day meditation retreat at Wat Suan Mok? This can be a life-changing experience and carries no risk of HIV transmission. The food is excellent, as well!

[Bagwain]

I have read widely varying "facts" about Hiv subtype CRF A/E ("type E") on the internet, and I need to get the truth...

I have read WIDELY varying figures all over the internet regarding the true odds of female-to- male transmission of HIV in Thailand, with a known carrier, and using a latex condom correctly everytime...everwhere from 1% per YEAR of regular intercourse, all the way up to over 1% PER OCCURANCE...

obviously, if the former is true, that is risk I can accept...if the latter is true, I cannot accept that risk even ONE TIME

Can anyone direct me to an HIV specialist doctor who may be able to give me an HONEST, unbiased answer??

My decision to take a long vacation to Thailand hinges upon the answer...

F#ck ME MATE, ARE YOU PARANOID OR WHAT????????????

[Heng]

Super low risk.

But then again, do you have any other STDs? It's one of those vicious cycles. It's like professional porn, virtually no risk of getting HIV, but you're virtually assured of contracting HPV and/or type two Herpes.... both of which facilitate "easier" HIV infection if you happen to come across it.

[Who, me ?]

Quote :My decision to take a long vacation to Thailand hinges upon the answer...

Now, we know what this guy will come to Thailand for !! Very interested in the cultural differences, scenery, local food, history, etc..... The kind of real tourists we do need here !!!

So yes, even with a triple layer condom, you will surely get infected....Now that you have a honest and unbiased answer, I hope your decision is made. Stay home

[cloudhopper]

Go to Russia and play roulette instead.

[Carib]

I have read widely varying "facts" about Hiv subtype CRF A/E ("type E") on the internet, and I need to get the truth...

I have read WIDELY varying figures all over the internet regarding the true odds of female-to- male transmission of HIV in Thailand, with a known carrier, and using a latex condom correctly everytime...everwhere from 1% per YEAR of regular intercourse, all the way up to over 1% PER OCCURANCE...

obviously, if the former is true, that is risk I can accept...if the latter is true,

Can anyone direct me to an HIV specialist doctor who may be able to give me an HONEST, unbiased answer??

My decision to take a long vacation to Thailand hinges upon the answer...

It is very simple and the answer is in your own post: " I cannot accept that risk even ONE TIME"

Answer is easy: Donot do it..even ONE TIME !.

You see ?? Easy Hm ??

By the way, you sound trollish, Bye

[Sheryl]

The only studies that would come close to measuring the rate of transmission "with a known carrier, and using a latex condom correctly" are studies of married couples, and in these cases it is almost always the husband who is positive, not the wife. In any case such data would not be generalizable to commercial sex encounters since commercial sex workers (formal or informal) tend to have other characterictics that increase their relative infectivity (e.g. other STIs).

I don't think anyone has studied the rate of infection among men using condoms with sex workers with known HIV as there would be obvious ethical problems. It would also be awfully difficult to obtain male volunteers for such a study, unlike the OP most men would not consider having sex with a "working girl" they knew was HIV positive, full stop.

In any case average rates of transmission are not the same as the risk incurred by any specific individual, because there are a large number of factors that affect the transmission risk: the viral load of the infected partner, whether or not they have any other STIs or genital lesions (which in women may be interior and not visible) etc.

And that's the honest, unbiased answer.

[poshthai]

as usual sheryl very informative and non judgemental to the op,unlike many.

[huggybear]

My decision to take a long vacation to Thailand hinges upon the answer...

Well that's just outright lame pal.

As long as you don't get that viral load in your rear end, your chances of dying on a motorbike here are much greater.

[dotcom]

I would just avoid known carriers.

[mommysboy]

I have read widely varying "facts" about Hiv subtype CRF A/E ("type E") on the internet, and I need to get the truth...

I have read WIDELY varying figures all over the internet regarding the true odds of female-to- male transmission of HIV in Thailand, with a known carrier, and using a latex condom correctly everytime...everwhere from 1% per YEAR of regular intercourse, all the way up to over 1% PER OCCURANCE...

obviously, if the former is true, that is risk I can accept...if the latter is true, I cannot accept that risk even ONE TIME

Can anyone direct me to an HIV specialist doctor who may be able to give me an HONEST, unbiased answer??

My decision to take a long vacation to Thailand hinges upon the answer...

At a guess I'd say absolutely zero chance, and I don't think there's a big risk without one either, but nobody knows. BUT THAT IS NOT WHAT HEALTH AGENCIES SAY.

I don't think the internet is a good forum, be it from official sites or otherwise.

There's probably only a 100 or so experts, the rest just repeat what they've been told as it is a very specialist area.

[wasabi]

Sub Type E is easier to catch and more deadly. I don't like to gamble with statistics and what if so I chose to avoid the sex workers of Thailand entirely. However that certaintly doesn't prevent me from enjoying my time here.

[JAS21]

I have read widely varying "facts" about Hiv subtype CRF A/E ("type E") on the internet, and I need to get the truth...

I have read WIDELY varying figures all over the internet regarding the true odds of female-to- male transmission of HIV in Thailand, with a known carrier, and using a latex condom correctly everytime...everwhere from 1% per YEAR of regular intercourse, all the way up to over 1% PER OCCURANCE...

obviously, if the former is true, that is risk I can accept...if the latter is true, I cannot accept that risk even ONE TIME

Can anyone direct me to an HIV specialist doctor who may be able to give me an HONEST, unbiased answer??

My decision to take a long vacation to Thailand hinges upon the answer...

Have you thought of asking the girl to walk around the room while you pull it yourself..no risk then....

[Chaimai]

Assuming you are male, (I am also assuming that you are not bringing your own lady because that would be like carrying coals to Newcastle) your question is disqualified because there is no guarantee that the lady you pick up will, in fact. be a lady - and don't believe the old "you can tell by the adams apple" story, you cannot always be sure.

This could of course increase the risk significantly, so given all your prejudices it may be best not to come.

(By come I actually meant don't travel)

[roygsd]

I have read widely varying "facts" about Hiv subtype CRF A/E ("type E") on the internet, and I need to get the truth...

I have read WIDELY varying figures all over the internet regarding the true odds of female-to- male transmission of HIV in Thailand, with a known carrier, and using a latex condom correctly everytime...everwhere from 1% per YEAR of regular intercourse, all the way up to over 1% PER OCCURANCE...

obviously, if the former is true, that is risk I can accept...if the latter is true, I cannot accept that risk even ONE TIME

Can anyone direct me to an HIV specialist doctor who may be able to give me an HONEST, unbiased answer??

My decision to take a long vacation to Thailand hinges upon the answer...

Forget the holiday just change your job, the month in hand should solve your dilema and maybe save your life

roy gsd

[britmaveric]

0% chance of getting anything - don't shag.

[Chaimai]

0% chance of getting anything - don't shag.

could still catch a cold, if you are not careful

[geriatrickid]

Wow and I thought I was Mr. don't touch door handles.

Unless you have the ability to pretest all sexual partners and know that they have not had sex for a period of 3 months prior to the test and have not had sex since the test, you don't know for a definite certainty that your partner is negative.

If you are coming for sex and plan to retain the services of a companion that doesn't carry his or her testing booklet that's been updated, chances are higher that you will come in contact with a sero positive person. if you intend to stay in Chiang Mai or Pattaya, those chances are significantly higher.

I'd be more worried about HPV and herpes than HIV.

[mommysboy]

Wow and I thought I was Mr. don't touch door handles.

Unless you have the ability to pretest all sexual partners and know that they have not had sex for a period of 3 months prior to the test and have not had sex since the test, you don't know for a definite certainty that your partner is negative.

If you are coming for sex and plan to retain the services of a companion that doesn't carry his or her testing booklet that's been updated, chances are higher that you will come in contact with a sero positive person. if you intend to stay in Chiang Mai or Pattaya, those chances are significantly higher.

I'd be more worried about HPV and herpes than HIV.

lol- don't touch door handles.

Has OP considered anti toxin body suit of the type used by nuclear power station workers. No doubt an acquired fetish but very little chance of contamination.

OP contact me for name swap, you need it more than me I guess.

A serious point about the fallacy of stats or at least the way we view them: I believe- I don't know- but I read that many infections occur in small clusters, ie, one particular participant may be highly infectious and could infect a whole group. That kind of throws simplistic statistical assumptions out the window, ie, you simply can't go around thinking I have a 1 in 10000 chance or whatever, it may not work that way. If you come across a particularly infective person your odds might go down to 1 in 10 say, and worse if you fall in with the wrong crowd.

[Pushit]

0% chance of getting anything - don't shag.

could still catch a cold, if you are not careful

Whoa!! Bird Flue!! God Help Us All

[Sheryl]

I'd be more worried about HPV and herpes than HIV.

Not to mention Hep B, altho for that, there is a vaccine. Anyone coming to Thailand with this sort of thing in mind should be vaccinated first.

" A serious point about the fallacy of stats or at least the way we view them: I believe- I don't know- but I read that many infections occur in small clusters, ie, one particular participant may be highly infectious and could infect a whole group. That kind of throws simplistic statistical assumptions out the window, ie, you simply can't go around thinking I have a 1 in 10000 chance or whatever, it may not work that way. If you come across a particularly infective person your odds might go down to 1 in 10 say, and worse if you fall in with the wrong crowd."

Thanks, MB, that is exactly the point I had tried to make. Statistical odds are averages and do not reflect a specific person's risk in a specific situation. Some individuals are indeed unusually infective due to such factors as high viral load, genital lesions etc. It is niot possible to identify these people by sight...they can look perfectly well and no different from someone who is HIV negative.

Having casual sex with paid partners or others likely to have multiple casdual contacts carries significant health risks. These risks can be substantially reduced, but not 100% eliminated, through condom use. That's the simple fact of the matter.

[dsfbrit]

Just to add to the other comments. Condoms break!!