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Learning Objectives

1. Describe how HIV is transmitted and dispel some of the common misconceptions about how one cannot get HIV.
2. Describe the presence and possibility of transmission of HIV in households, foodŽservice establishments, through kissing, biting, saliva, tears, sweat and insects.
3. Describe the natural history of HIV infection in adults and the progression of the disease to AIDS.
4. Discuss the CDC system for classifying HIV infection and AIDS in adults and adolescents in the U.S. and identify clinical conditions under each of the three categories.
5. Define "viral set-point" and indicate its use in predicting the rate of future progression of the illness.
6. List various laboratory tests used as indicators of prognosis and/or stage of illness in HIV infection and weigh their advantages and disadvantages.
7. List host factors, viral factors, acquired factors and clinical indicators that influence the rate of HIV -disease progression.
8. Identify the three primary routes of HIV transmission and indicate the relative risk of infection.
9. Discuss the three factors-infectiousness of the host, susceptibility of the recipient and the quantity and infectivity of the virus-that influence the transmission of HIV infection.
10. Identify the HIV / AIDS prevention needs of women.
11. Address the special challenges posed to the prevention of HIV epidemic in the African American community.
12. Describe the epidemiology of HIV/AIDS among Hispanics in the U.S. and compare HIV exposure risks for U.S.-born Hispanics and Hispanics born in their countries.
13. Describe the epidemiology of HIV/AIDS among America's youth.
14. Describe the standard screening test for antibody to HIV and contrast it with the rapid HIV testing.
15. Discuss the various advantages and disadvantages of rapid HIV test as compared to an EIA.
16. Understand the importance of measuring HIV-RNA blood levels (viral load.)
17. Explain what "undetectable" level of HIV in the blood means.
18. List 5 steps for the correct use of condoms.
19. Make the connection between sexually transmitted diseases and HIV and explain how other STDs facilitate HIV transmission.
20. Point to the new evidence of the effectiveness of STD treatment in HIV prevention.
21. Point to statistics showing the effectiveness of condoms in preventing HIV and STDs.
22. Discuss the study sponsored by the CDC that quantified the risk of HIV infection associated with oral transmission.
23. Describe the prevalence of HIV among men who have sex with men and outline the measures to combat the spread of STDs and HIV in this population group.
24. Describe the risk of HI V transmission among women who have sex with women and list 3 specific measures that should be taken to reduce their risk of contracting HIV.
25. Discuss the injection drug use and the transmission of HIV and other blood-borne infections.
26. Make 3 specific recommendations to drug users who continue to inject to reduce the public and individual health risks.
27. Describe the extent of the problem in curbing the transmission of HIV and other blood-borne diseases in the intravenous drug-using (IDU) population.
28. Enunciate the 4 basic principles underlying the comprehensive approach to working with IDUs.
29. Define universal precautions and list body fluids to which universal precautions apply and those to which they do not apply.
30. Discuss precautions that a healthcare worker should take for other body fluids in special settings.
31. Describe general guidelines for healthcare workers in the use of protective barriers.
32. Discuss why the routine use of gloves for all phlebotomies is not necessary.
33. Identify general guidelines in the selection and use of gloves in healthcare settings
34. Evaluate the risk healthcare workers face of getting HIV on the job.
35. Evaluate the risk of patients in a dentist's or doctor's office of getting HIV.
36. Review the effectiveness of HIV prevention programs targeted toward changing personal behaviors, sexual education, intravenous drug users, HIV -infected pregnant women, blood banks and healthcare workers.
37. Recount the dramatic success of protease inhibitors in the treatment of patients infected with HIV.
38. Answer specific questions of people living with HIV/AIDS, including progression to AIDS, opportunistic infections, antiretroviral drug therapy and safe sexual behavior.