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 How does someone get Hep C or HIV?

Both Hep C (hepatitis C) and HIV pass through blood-to-blood contact (when blood carrying the virus gets into another person’s bloodstream). HIV can also be spread through semen (both cum and pre-cum), vaginal, front hole or anal fluids and breast/chest milk.

You cannot get Hep C or HIV from hugging, dry kissing, shaking hands or eating together.

Hep C can pass from someone who has Hep C to another person when sharing anything with blood on it, even if you can’t see the blood. The blood with Hep C must get into the bloodstream of the uninfected person for Hep C to pass. Hep C virus can live outside the body for many days. Hep C often passes when sharing needles. This includes sharing equipment to inject or inhale drugs or re-using tattoo or piercing equipment. Hep C may also pass when sharing razors, nail clippers, toothbrushes or earrings. It is rare for Hep C to pass during sex, but it can, especially during rough, condomless anal sex.

HIV can pass through sharing needles and other drug use equipment, and it can pass when equipment is shared for tattooing or piercing. HIV may also pass during condomless sex and during pregnancy, birth or nursing.

Sharing pipes is a part of some spiritual ceremonies. There is no research about the risk of passing Hep C and HIV when sharing a ceremonial pipe, such as the Aboriginal tobacco pipe, but the risk is likely very low.

There are ways to stop Hep C and HIV from passing from one person to another. Learning about these can help you protect yourself and the people you care about.

Tests for Hep C and HIV

The only way to know for sure if you have Hep C or HIV is to get tested. It’s a good idea to get tested for both Hep C and HIV if you haven’t already. You can have Hep C or HIV and not feel sick for many years. By the time you do feel sick, the virus has already done a lot of damage to your body. The sooner you find out you have Hep C or HIV, the more you can do to stay healthy.

The tests for Hep C are different from the tests for HIV, so you need to be tested for both viruses. If you are told the test result is “positive,” it means that you have Hep C or HIV.

If your test result shows you don’t have Hep C or HIV, it is still possible to get them in the future. If you have had Hep C before and cleared it, it is possible you could get it again. Think about getting tested regularly, every six months to one year.

Hep C testing: how does it work?

You need two tests to know for sure if you have Hep C. Both are blood tests. The first test checks for Hep C antibodies in your blood (Hep C antibody test). Antibodies are like flags that tell you if the Hep C virus has ever been in your body. If the first test finds Hep C antibodies, you need to get a second test to see if Hep C is still in your body, since some people can clear the Hep C virus without treatment. The second test is called the RNA test or PCR (polymerase chain reaction) test; it will tell you if you have the active virus. If this test is positive you have Hep C. Hep C testing is confidential. Anonymous Hep C testing is not available in Canada.

HIV testing: how does it work?
There are different kinds of HIV tests: standard blood tests, rapid blood tests and, in some places, oral swab tests. All tests check for HIV antibodies. Antibodies are like flags that tell you if HIV virus is in your body. A positive test result means that you have HIV. Your body cannot clear HIV on its own.

With standard testing, a blood sample is sent away to a lab and you should get the test result in about two weeks. With rapid blood testing and oral swab testing, the results of the test are available to you in minutes. HIV testing is available as confidential testing or anonymous testing, although anonymous testing is available only in some parts of Canada. You may want to talk about your options with someone you trust before deciding which type of test to do.

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