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Myth Check

Myth Check: Can Someone on HIV Treatment Pass the Virus to Their Partner?

Not if their viral load is undetectable. WHO says people on treatment with an undetectable viral load will not pass HIV to sexual partners.

On HIV treatment and undetectable? You can't pass it on

A woman living with HIV marries a man who is negative. Relatives whisper that she will infect him. If she takes her treatment and keeps her virus down, the science says they are wrong.

WHO says people living with HIV who take antiretroviral treatment and reach an undetectable viral load will not pass HIV to their sexual partners. Even a level that is suppressed but still detectable, below 1,000 copies per millilitre, carries almost zero risk. Campaigners call it U=U: undetectable equals untransmittable.

Two catches. It works only when pills are taken every day and viral load is tested regularly, so ask your clinic for the test. And it does not cover breastfeeding, where mothers still need extra checks and protection for the baby.

Knowing your status is the first step. In Lagos, 4 in 10 people living with HIV do not know it. Read WHO’s HIV fact sheet for more.

This article is for general information and is not a substitute for professional medical advice.

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Sources

  1. World Health Organization, "HIV and AIDS" fact sheet, https://www.who.int/news-room/fact-sheets/detail/hiv-aids
  2. aidsmap, "Amber light: World Health Organization's position when HIV viral load is suppressed but not undetectable", July 2023, https://www.aidsmap.com/news/jul-2023/amber-light-world-health-organizations-position-when-hiv-viral-load-suppressed-not
  3. International AIDS Society, WHO policy brief on viral suppression and HIV transmission, July 2023, https://www.iasociety.org/node/1014

This does not replace seeing a health worker. If you notice these signs, visit your nearest primary health centre or speak to a doctor or nurse. Any costs mentioned are general estimates and vary by facility and state.

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