There's a message that I want to start sharing with everyone I know, and I'd like to start here.
It is about the scariest day of my life. It started with stories in Africa that I began hearing about, that made me pay attention to the several AIDS related documentaries on TV, then some further reading up on the internet and on an impulse .. led me to taking an HIV test yesterday.
I thank God that my test returned negative. In retrospect, I dont think I had any reason to worry, but that didnt stop my entire life from playing out in my mind ...
"What have I done with my life so far? What do I want to do with the rest of my life? How much longer is 'the rest of my life' going to last? How will I feel on every birthday of mine hereon? What do I want to achieve by saving up my money? Of what use is every material desire that I've had in my life so far? What else do I have to be scared of, if I have AIDS."
Wow. I cant even begin to explain what the feeling is like.
These were the two stages I'd gone through ..
1. Deciding to take the test : It is one of the most complicated decisions one could possibly make. My advice, do whatever it takes to convince yourself to take the test. Irrespective of how many 'risky exposures' you may have had, everyone needs to get tested. You owe this to yourself, your family and your partner. Psyche yourself out, talk to people who've taken the test, read about the causes and effects of the HIV virus on the internet, think about the worst case, whatever ...
2. Preparing yourself for the results : The time between the test and the result was the scariest for me. I couldn't think of a better way to prepare myself for the result than to prepare for the worst. At worst, it will put a fresh spin on the life you've been living .. and for me, that was a good thing. Also, dont be alone on the day(s) of the wait, try to be around as many people as possible.
I dont mean to scare you in any manner.
But the problem is this : 25 million people have died, 39 million people carry the disease today and it is the leading cause of death in this world for people aged 15-60.
And this : We'd managed to send a spaceship 2 billion miles away to Neptune almost 17 years ago but we
still havent found a cure for AIDS.
The danger somehow doesn't seem to affect us anymore ... too many ads on TV, too many celebrities associated, too many flashy campaigns. Ironically enough, this overload has sometimes made people immune to the need to understand the disease.
Well, here are some important facts* I think everyone needs to know about HIV AIDS & HIV Testing ...
1. AIDs is not a disease that affects 'poor kids in Africa', you're as likely to contract HIV as the person next to you. They say the best way to save yourself is to abstain from sex altogether. Well ok, the second best thing to do is to give your relationship the integrity it deserves. Get tested together with your partner and live a life without anxiety. And if you're not in a steady relationship (i.e if you engage in sexual activity with multiple partners) then know the risks you are posing to your own life, or simply abstain.
2. Next, the causes .. Most of us are aware of the 3 main causes of HIV contraction : Unprotected Sex, Contaminated Needles or Blood Transfers and Heredity. You however need to understand the exact definitions of the words 'Unprotected' and 'Sex' (for example : People think Oral Sex is zero risk, this is a popular misconception) Understanding this will give rise to a whole range of risks you need to be aware of, some of which are referred to as "Theoretical Risks". Theoretical risks are risks where contraction is possible in theory, but havent been documented till date. The process of understanding these various risks, in itself, may give you enough reason to take the test. And even otherwise, you will know exactly what precautions to take in the future.
3. The test is terribly simple. The ELISA test is the most common test carried out by clinics, and involves nothing more than a quick draw of blood. The test is reasonably priced and returns results in about a day (thats the best part, a longer wait can be tortuous..) There are some other tests available that don't involve blood samples, but ask for the ELISA if possible. Why? The ELISA is a blood test, and the HIV virus (if present) has the highest level of concentration in the blood, as opposed to saliva or urine. Moreover, the ELISA is the most sensitive testing process. These two factors together deliver the most accurate results.
4. Make sure you wait for at least 3 months after your last 'risky exposure' before you get tested. This 'Window Period" is required for antibodies in your system to start reacting to the presence of HIV. Though the antibodies start developing in about 2 weeks, it is best to wait for 3 months. Why ? The ELISA test does not test for the presence of the HIV virus, it tests for the presence of antibodies that react to the presence of HIV. So in effect, the presence of these antibodies is indicative of the presence of the HIV. And depending on the state of your immune system, these antibodies could take from 2 weeks to 3 months to develop.
5. It can take from 6 months to 10 years (!) for the HIV virus to start breaking down your immunity i.e, a perfectly healthy person could have the virus without having a clue. The doctor explained this to me personally before administering the test.
6. A person who is HIV+ doesn't mean he/she has AIDs. HIV is the virus that starts attacking your immune system until it renders your body incapable of defending itself, and this advanced stage is called AIDS. The time it takes to start doing this varies greatly, and the speed of disintegration of your immune system (to some extent) can be controlled with medicines available today.
7. If someones ELISA test returns positive, There is a 20% chance (according to some sites) that this could be wrong. Only a subsequent second test confirms these results. However, a negative result after the "Window period" is most definitely negative. Since these tests are highly sensitive and follow a global standard .. the results are almost always accurate.
8. If you know someone who is HIV+, you need to know that the worst thing that could happen to them is for them to feel outcast. There is absolutely no danger in interacting or living with these people. Casual contact, kissing and sharing of kitchen utensils/toilets/clothes are perfectly safe. In fact everything is safe except for sexual intimacy or sharing of needles. Chances are, they've spent some time figuring out how to deal with their life before they told you. They don't need your sympathy, all they need is to be treated as normal.
9. I hope all of this has gotten you thinking, at the very least. At this point, you will find that the internet is your best friend (What you ask google is strictly between you and your PC!) You can also start with www.knowhivaids.org. You will find that almost all sites on the internet contain the exact same information. This is reassuring.
Spread the message. Help start saving lives. Start with your own.
(click here) * Obviously, these dont count as facts until you do your own research. Also speak to a doctor if you can.