Manitoba Health

Human Immunodeficiency Virus (HIV)

Human immunodeficiency virus (HIV) is a virus that attacks the immune system, the body's natural defense system. Without a strong immune system, the body has trouble fighting off infections. Around 25% of people with HIV infection are unaware of their condition and do not have symptoms. They may continue to spread the infection without knowing it. HIV treatment is available, which allows people with HIV to live long, healthy lives and can prevent transmission to others. Without HIV treatment, HIV is a chronic illness that gets worse over time. In the severe stage, when the body can no longer fight infections, it is called acquired immunodeficiency syndrome (AIDS).

Symptoms

Within a few weeks of initial infection, many people may have fever, rash, joint or muscle pains, enlarged lymph nodes, sore throat, fatigue, headache, oral and/or genital ulcers, weight loss, nausea, vomiting, and diarrhea. These symptoms last for a week or two then go away until years later.

Other people have no initial symptoms at all. They may appear and feel healthy for several years. Even if they feel healthy, HIV is still affecting their bodies, and the virus can be spread to others. Without treatment, HIV infection over time progresses to AIDS, which results from severe damage to the immune system. AIDS often begins as weight loss, chronic diarrhea, fever and fatigue. The symptoms then progress to those of severe infections or cancers and eventually death.

The only way to know for sure if you have HIV is to get tested for it.

Transmission

HIV can be transmitted through blood, rectal fluid, semen, vaginal fluid or breast milk. The virus is usually spread through sexual contact or contact with blood. Contact with blood can occur when sharing needles and other equipment for drug use.

It can be passed to the baby during pregnancy or childbirth or while breastfeeding.

Treatment

There is currently no cure for HIV. However, the use of antiretroviral therapy (ART) reduces the amount of HIV in the body and helps prevent HIV from progressing to AIDS. Treatment also decreases the chance of transmitting HIV to others; this is known as treatment as prevention. Due to these medications, HIV is no longer considered a terminal illness. Many people live long and healthy lives after becoming infected with HIV.

Although HIV can also be passed on during pregnancy, birth or while breastfeeding, but with proper care and treatment, transmission to the baby can be prevented.

Any person living with HIV who has a Manitoba Health Card and who does not have 100% prescription medication coverage under another federal or provincial program is eligible to receive ART at no cost through the Manitoba HIV Medications Program. For more information visit: Manitoba HIV Medications Program - Frequently Asked Questions (FAQ).

Prevention

Reduce your risk for HIV infection:

Get tested and treated for HIV and other sexually transmitted and blood borne infections (STBBIs). Check with your health care provider on how often you should get tested.
Discuss your HIV and STBBI status with your sexual partner.
Practice safer sex (e.g., use condoms/barrier methods correctly and consistently).
Choose activities with lower HIV risk like oral sex (which may still be high risk for other sexually transmitted infections (STIs) like syphilis and gonorrhea).
If you are likely to be in contact with someone else's blood, wear disposable gloves. Also, wash your hands with soap and water for at least 15 seconds or use an alcohol-based hand sanitizer before putting on and after taking off the gloves.
Do not share needles or other equipment for drug use. Use new needles and equipment every time.
If you are at ongoing risk for HIV, ask your health care provider if pre-exposure prophylaxis (PrEP) is right for you.

If you think you've been exposed to HIV within the last 3 days, including if you have been in contact with blood or other body fluids that you suspect might be infected with HIV, it is critical that you consult a health care provider immediately. Your health care provider may request HIV testing for you, and may recommend post-exposure prophylaxis (PEP) medications. PEP can prevent HIV, but it must be started within 72 hours of being exposed.

Anyone who has a Manitoba Health Card and who does not have 100% prescription medication coverage under another federal or provincial program is eligible to receive PEP or PrEP at no cost through the Manitoba HIV Medications Program. For more information visit: Manitoba HIV Medications Program - Frequently Asked Questions (FAQ).

HIV Testing

For HIV and other sexually transmitted and blood borne infections (STBBI), getting tested is an important part of regular health care. Testing can help protect you and others, including your baby if you are pregnant.

For information on who should be tested and when, talk to your health care provider or view the Manitoba HIV Program Testing Guidelines at: https://mbhiv.ca/wp-content/uploads/2021/11/MB-HIV-Pgm-Testing-Guidelines-FINAL-1.pdf.

For information on how to get tested, visit: https://www.gov.mb.ca/health/publichealth/cdc/sti/stbbi-testing.html.

If you are living with HIV

You can live a long and healthy life with HIV treatment and care
Find and stay connected to HIV care. It can keep you healthy and help reduce the risk of transmitting HIV to others
Take your HIV medicine as prescribed
Use condoms/barrier methods the right way every time you have sex, and talk to your partners about PrEP
Get tested and treated for other STIs

Talk with a health care provider about your risk for Human Immunodeficiency Virus (HIV). Have an open and honest conversation about your sexual history and testing for STIs. Your doctor can give you the best advice on any testing and treatment that you may need.