There was an amusing observation when data on HHV-1 & 2 (Human Herpes Virus) [cold sores, genital herpes] were displayed, it showed a normalisation in ratios between the strain types in the sites. That is, HHV-1 used to be primarily causing cold sores (near mouths), and HHV-2 near genitalia. Nowadays, a mix or a switch is happening with the strains one way finding there & then.

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Added on August 14, 2011, 6:59 pmAnd when you're old, shingles! ... And a bill for aciclovir.

This post has been edited by trencher10: Aug 14 2011, 06:59 PM

After first month, ELISA can give a true positive HIV test, after six months, na-da. Regardless of first (probable) false positive test results (after six-months cases [quite uncommon]), a second test using a different non-antibody test is used, PCR-type tests.

The doctor is supposed to send the blood test, it's his judgement to order what type of HIV screen test [ and most likely, he'll follow a set protocol/procedure ]. I doubt any patient can just up an order himself a Quantiferon assay just like that.

Of course, I have no idea how the average private clinic goes about it anyway. All I remember is about hunting for results of tests in hospital labs, nearly becoming like postmen for higher-ups. You'd think those pneumatic tubes were there for a reason.

This post has been edited by trencher10: Aug 30 2011, 10:34 PM

Ignorance is bliss ... but a b**** to the public health team who have to run around, contact tracing susceptible exposed individuals and educating the whole lot. But that's what your tax ringgit are paying for!

Human herpesvirus types

The only type of herpes virus that can spread as simple as casual contact (not just sexual contact) is HHV-3, varicella zoster, the one that causes chicken pox/shingles, though someone with chickenpox/shingles would generally be sick enough to not be so macho to go on LRT to work (and they actually can just spread it by coughing, though shingles is less contagious respiratory-wise).

The ones generally regarded as 'herpes' by the general public is HHV-1 & -2, also known as herpes simplex. But HHV-4, Epstein-Barr, while also in the herpes group, and has some hallmarks of a STD (since very close contact is needed to trigger infection), aren't generally regarded by the public as 'herpes', primarily because they don't cause sores like HSV. HHV-5, CMV is similar as well in that regard.

Simply put, kissing-wise HHV-1, and -4 are most implicated. Intercourse-wise your genitalia gets HHV-2 (the usual joke is that if you also go kissing down there, your mouth gets HSV-2, your pubes get HSV-1), and through that HHV-5 also gets in your body.

The time we hear HHV-8 in an STD context is with AIDS.

This post has been edited by trencher10: May 20 2019, 12:11 AM

gonorrhea is a public health notifiable disease (chlamydia isnt in the list). if you have lab confirmed gonorrhea, the doctor who ordered and reviewed the result have to notify (according to MoH regulations) the nearest district health office.

rest assured, your personal details, case details are protected under the relevant privacy regulations.

go doktor. we kenot see your mouth (and advise NOT to post pics). and yes, getting inoculum from an active lesion is THE pathological description of HSV transmission anyway.