What Is AIDS?: Human Immunodeficiency Virus

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HIV (human immunodeficiency virus) is a virus that attacks cells that help the body fight

infection, making a person more vulnerable to other infections and diseases. It is spread by
contact with certain bodily fluids of a person with HIV, most commonly during unprotected sex
(sex without a condom or HIV medicine to prevent or treat HIV), or through sharing injection
drug equipment.

If left untreated, HIV can lead to the disease AIDS (acquired immunodeficiency syndrome).

The human body can’t get rid of HIV and no effective HIV cure exists. So, once you have HIV,
you have it for life.

However, by taking HIV medicine (called antiretroviral therapy or ART), people with HIV can live
long and healthy lives and prevent transmitting HIV to their sexual partners. In addition, there
are effective methods to prevent getting HIV through sex or drug use, including pre-exposure
prophylaxis (PrEP) and post-exposure prophylaxis (PEP).

First identified in 1981, HIV is the cause of one of humanity’s deadliest and most persistent
epidemics.

What Is AIDS?
AIDS is the late stage of HIV infection that occurs when the body’s immune system is
badly damaged because of the virus.

In the U.S., most people with HIV do not develop AIDS because taking HIV medicine
every day as prescribed stops the progression of the disease.

A person with HIV is considered to have progressed to AIDS when:

 the number of their CD4 cells falls below 200 cells per cubic millimeter of blood
(200 cells/mm3). (In someone with a healthy immune system, CD4 counts are
between 500 and 1,600 cells/mm3.) OR
 they develop one or more opportunistic infections regardless of their CD4
count.

Without HIV medicine, people with AIDS typically survive about 3 years. Once someone
has a dangerous opportunistic illness, life expectancy without treatment falls to about
1 year. HIV medicine can still help people at this stage of HIV infection, and it can even
be lifesaving. But people who start ART soon after they get HIV experience more
benefits—that’s why HIV testing is so important.

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