Hiv Subtype E In Thailand

[maskedone]

I researched the hell out of it. I can tell you if you look up HIV subtype E all you will get is tons of info. The particular studies were done at Harvard University in Boston which showed that the strand most common in Thailand, subtype E was more easily passed heterosexually because it attached to Langerhans cells rather than needing access to the blood. That is why you often hear things like, IF YOU HAVE AN OPEN CUT ON YOUR PENIS, IN YOUR VAGINA, IN YOUR MOUTH, ETC. That is because safe sex as we are taught is meant to protect us against HIV Subtype B. Subtype E is more virulent which would account for the fact that prostitutes in Europe and USA are actually not usually at risk regardless of whether they have protected sex or not, just IV drug use is an actual risk with them whereas Thai Prostitutes have been a driving force in the spread in Thailand which still affects heterosexuals at much higher rates than anywhere else.

Western medicine ignores this fact quite often but when you google it you will get lots of info anyway, you need to look more at the transmissability as many sites mention it in passing rather than address the serious differences between the viruses. I am somewhat of an expert on HIV transmission issues so I can also answer any specific questions you have if you want me to get very technical as to what the differences in the viral transmission routes mean etc.

 

[Pompal 09.]

Sorry but they are all mockups of what the virus looks like apart from the picture of a T-Cell with blue bits on it which lets face it at that size could be absolutely anything.

 

[berry]

The above statistics may be true for Australia but for Thailand hetrosexual transmission is the "main way of transmission". I would suggest around 80% of all cases, possibly due to prevalence of the E Type strain in Thailand.


Sanuk

 

[What cookie...]

My main question is, how is type E passed more easily than type B ?
You spoke about having cuts in the vagina/penis/mouth ans that is more commonly associated with type B, but i would have thought any kind of HIV virus can be pasted if a man deposits sperm into a vagina without protection and that the risk is the same?

I don't actually know what Langerhans cells are, so would like you to tell me where they are and how the virus spreads via this method.

Thanks

 

[Alysha G]

Hmm came to think of chanses to get HIV .. reed in a newspaper here in Sweden about a lady who was tested HIV positive , she didn´t give a fcuk about it so she got married and to day she have 2 kids with her husband!
A doctor understod what was going on and her husband and the 2 kids were HIV tested ... no one of them had HIV , Weard isn´t it ??
Well the story doesnt´ tell if The Husband kicked her ass or what happend after the testing !
I don´t say: Go Boom Boom the HIV positive´s even if they sure need alittle lovin´ to .. but it makes´me wonder some time!

I mean every thing that make´s me happy is dangerous , SEX DRUGS AND LOCK N´LOLL so what to do ??
Driving a car must be more dangerous and i got 11

cs//

 

[jeremyandrew.king]

Health issues like this are always worth debate i my self have to go in Jan 2008 for HIV test as i had unprotected sex with this one gorgeous girl in Sept this year, which i know i should not have done but hey it was awsome and at my age somethings got to kill me and i might as well go out with a "bang" rather than a wimper! after saying this i suspect most of us at some time have had unprotected sex in Thailand i dont do it regularly and i am not advocating it but in the heat of passion its very difficult to put a halt to proceedings while the rubber is placed on the todger. As for oral sex it has taken me all this time to get use to the flavour so it will be hard work to stop licking the lolly! 555555555 best of luck to all nervous BM and roll on feb when i return to the place i love the most LOS !

 

[Mr Phucking NR]

OK I MUST go sleep soon but will explain this to you. HIV Subtype B is the subtype we have in USA and Europe (Western world). Subtype E is found in Thailand and now increasingly in other parts of Asia.

In the beginning of the HIV epidemic there was much said about the massive heterosexual epidemic that would be spread because of prostitution. It never happened. Even today prostitutes and heterosexuals in USA and Western Europe are not in an epidemic. And it is not because we have less or safer sex. So in researching as to why prostitution is not at the epicenter of some hetero epidemic and examining everything we know about OUR HIV(Subtype B) it has been concluded that there are certain statistical transmission probability rates per various risk acts. With Subtype B it needs access to blood, it is a blood borne disease. So two of the highest risk factors are IV Drug use (direct access of virus into bloodstream) and also **** (they censured that before so I will say UP THE BUM) sex as that is more likely to create tears and therefore an access to the bloodstream and finally it creates a vacuum and a sperm deposit gives high viral availability to transmit the virus. Heterosexual spread of Subtype B IS HARD. It means you have to have some kind of cut in most cases though not all. In the absence of access to the blood stream transmission is not likely.

Enter Thailand. Thai epidemic took off like NO OTHER, not even in Africa. Africa took a long time to get where they went, but within a span of 10 years Thailand had one of the highest per capita rates in the world. AND it was driven by their prostitution industry, something that baffled everyone as it initially affected homosexuals much the same as in the West. So again enter research and loads of it. Why did this happen? Well the virus mutated and recombined to form a new subtype, knows as subtype E though that is not its technical name anymore. What made Thai prostitutes and heterosexuals bear the brunt of this outbreak?

Well after research was done, it has been determined that in vitro, subtype E MUCH MUCH more readily affects langerhans cells. Langherhans cells are cells that are part of our immune response and are found all over and their job is to identify invaders and bring them to the lymph glands...this is where the big problem is. Firstly we are not talking about all langerhans but just the ones present in mucosal lining which are more susceptible to HIV Subtype E. The problem is that for one to be infected by HIV the HIV must replicate enough and establish itself in the host (the person getting infected). It does this by bypassing immune responses and sneaking into the lymph glands and once there, you are infected and will soon sero-convert. (become hiv positive by presence of serum antibodies). No keeping in mind that SUBTYPE B is blood borne, even infection with subtype b still gives your body one more chance to identify and fight it off (many people are thought to be able to fight hiv off before sero-converting so that the hiv never establishes itself). BUT what if the route of transmission is a cell that has direct access to the lymph glands? Well that is the case langerhans cells so infection with subtype E via these cells has a better "hit" ratio as well. So firstly, the body is more susceptible because unlike B that needs an in, E has its in already in place in all of us because we all have present langerhans cells on our mucosal body parts, that inlcludes the penis guys! Secondly once E infects those cells it has a quicker route right into its target...so it has a double advaneforum.xxxe over the HIV we are taught about!

That said, safe sex still works and one slip up does not mean you are dead. There are many other factors that affect hiv transmission including viral load and point of disease that your partner is in, other std's which increase viral shedding, and many more!!! So I hope I have explained this well enough if you have more questions I will answer them tomorrow as I am knackered!

 

[Rockownsrap]

I dont know about education.. Of course more is always better but I think that most if not all of them know..

The thing is Thais have a very fatalistic attitude.. Mai Pen Rai and whatever will happen will happen.. Pre ordained destinay and all that..

Add in a dose of difficult life and desperate thoughts.. Probably family problems due to thier work.. Possibly a child they dont see or raise.. All can lead to a 'if I die so what' mindset..

 

[rv84]

Well if you pull out the "it could be anything" defence it's impossible to prove. And follow all the links from that page they are clearly not all mockups.

 

[Gaylord Brunosky]

This whole issue of different subtypes and different transmission rates is scary; but, this thread was started in 2005. If one thinks of how many people have been with bg's in Thailand in the last few years and have then gone back home and NOT lived as celibate monks, one would have thought that Subtype E would not be confined to Asia; but would be more widespread by now.
There's obviously a lot that we don't know about it - particularly in terms of individual susceptibility and precise modes of transmission. It does seem that male circumcision reduces the risk of transmission; but, other than that, nothing changes the bottom line of needing to wear a condom.
In some respects, I think that the p4p scene may be a little safer than the casual sex scene in the sense that people are more likely to be aware that they are in a risky environment, more likely to be careful and may find it easier to insist on safe sex. Alcohol would likely significantly increase the risk of not having safe sex though.
I have been put off having a soapy by all of this though - I'm concerned about the level of contact that may take place before actual sex (starting to sound like Bill Clinton!!!). I assume that having a naked masseuse sliding all over you does lead to a significant amount of genital-to-genital contact before reaching the point where a condom would be used and that this would be difficult to control. Does anyone have any views on this last point?

 

[Giggles]

Well done for explaining that whilst tired, I too am tired just reading it.

thanks

 

[Polexia owns your SOUL]

Totally true again!

The famous last one, was in that league!

 

[AutumnWynd777]

:mad2: a very informative thread eurogirl. You have got me worried enough to get a test done at the earliest opportunity (about 2.5months) as the bg I was seeing was having her time of the month when we started *******, although I made sure I was 'wellied up' while with her she was a bit sneaky about where she rubbed herself!!!
Talking of STD's if any of you are taking doxycycline as an antimalarial, at stronger doses it also does a good job of taking care of some of the other nasties such as syph, clap and NSU!!!! :aan:

 

[Mr. P]

To eurogirlinthaiguy

Well all that might be very nice to be explained, most of the members know alot about the subject anyway and it's everyone choice.
as for a doctor explaining it to you in thailand. well a lot of doctors if you go to them with a thai girl will say do you want a hiv test.
the doctor i spoke to in England explained that the ten minute or so tests that they do to say yes or no that someone has hiv you might as well toss a coin for all the good it would do because you would not 100% tell in the short a time.
i'm sure if you get no one answering your questions your post the same question again.
then maybe you send the rest of the board asleep.

baz
p.s were all old enough to make our own choices.

 

[SassyB]

Fragments of Viagra , right?

 

[Lady Blue]

Evidence of 80% hiv transmission due to heterosexual sex in thailand.
seems like a reach to me. have they accounted for how huge the sex trade is in thailand,, needle use in thailand. this is just a thought, but in the beginning, aids was thought of as a homosexual disease. segregation between the orientations kept the spread to hmosexuals for a long time. would it not be hard to believe that hiv had its root in heterosexual sex in thailand and that segregation again slows the transmission to the homosexual population, which could account for the 80% prevalence in heterorsexuals. I don't know, i just don'tsee that statistic as proof that E type is more transmissionable then B type

 

[Wiz]

hi euro girl,subtype b is also highly effective in transmiting itself through langerhans cells not just subtype e
i do agree with your assesment of type e as it does apeer to be more infectiuos but at the end of the day if everybody takes responsbility for there actions and practices safer sex concistently and correctly you all should have not to much to worry about.

 

[Gia C]

Just re-read what I posted above - absolutely did NOT mean to imply that if circumcised no need to use a condom, simply that circumcision seems to reduce the overall risk of catching HIV; but condom still essential.

 

[Warren T]

I'm not S.A. but I think this governement has a good point here.
HIV & AIDS - AIDS in Africa: distinguishing fact and ficion

 

[Gret37]

mg:

LOL... Thanks for that.. Best typo I have seen in ages..