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The transfer of and exposure to bodily fluids, such as blood transfusions and other blood products, sharing injection needles, needle-stick injuries (when medical staff are inadvertently jabbed or pricked with needles during medical procedures), sharing tattoo needles, and childbirth are other avenues of transmission.

These different means put certain groups, such as medical workers, and haemophiliacs and drug users, particularly at risk.

An infected fluid to broken skin borne direct transmission of HIV would not be considered "sexually transmitted", but can still theoretically occur during sexual contact.Prevention counseling is most effective if provided in a nonjudgmental and empathetic manner appropriate to the person's culture, language, gender, sexual orientation, age, and developmental level.Prevention counseling for STIs is usually offered to all sexually active adolescents and to all adults who have received a diagnosis, have had an STI in the past year, or have multiple sex partners.This can be avoided simply by not engaging in sexual contact when presenting open, bleeding wounds.Other STIs, even viral infections, can be prevented with the use of latex, polyurethane or polyisoprene condoms as a barrier.In some instances a disease can be carried with no symptoms, which leaves a greater risk of passing the disease on to others.Depending on the disease, some untreated STIs can lead to infertility, chronic pain or even death.Public health officials originally introduced the term sexually transmitted infection, which clinicians are increasingly using alongside the term sexually transmitted disease in order to distinguish it from the former.Not all STIs are symptomatic, and symptoms may not appear immediately after infection.The amount of contact with infective sources which causes infection varies with each pathogen but in all cases a disease may result from even light contact from fluid carriers like venereal fluids onto a mucous membranes.Healthcare professionals suggest safer sex, such as the use of condoms, as a reliable way of decreasing the risk of contracting sexually transmitted diseases during sexual activity, but safer sex cannot be considered to provide complete protection from an STI.

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  1. The March issue looks at the challenges facing foster children and foster parents, some advice from seasoned lawmakers, a caution about pipes before digging, thoughts.

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