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Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: November 1, 2010
Memorandum on the infections hazards of the common communion cup with especial reference to AIDS
1Division of Communicable Diseases, Clinical Research Centre, Harrow, UK.
Abstract:
Bacteriological studies on the communion cup have shown that there is a low level of contamination with mouth organisms on the rim. The death rate of bacteria on the cup surface would not be significant, but the wine had a bactericidal effect on most but not all organisms tested. However droplets of saliva did not readily mix with the wine. In considering the spread of AIDS, extensive studies of people infected with human immunodeficiency virus (HIV) in hospital or at home have shown that the established routes of spread are the injection of blood or blood products, sexual intercourse or at birth. There are only very rare examples of spread by other means. The virus is rarely isolated from the saliva and a study of homosexuals indulging in oral sexual intercourse suggests that it is very poorly infectious when taken into the mouth or swallowed. It is concluded that the risk of transmission of HIV by the common communion cup can be neglected under ordinary circumstances. Suggestions are made for improving the hygiene of the communion service which may be useful under special circumstances: there is no evidence that disease is spread in this way under normal conditions.
Insights
The common communion cup has a low risk of transmitting infections like HIV. While bacteria can be present, wine has a killing effect, and saliva doesn't easily mix, making transmission unlikely.
Area of Science:
- Microbiology
- Infectious Diseases
- Public Health
Background:
- Communion practices involve shared cups, raising questions about potential pathogen transmission.
- Previous studies indicate low levels of oral organisms on communion cup rims.
- The human immunodeficiency virus (HIV) is primarily transmitted through specific routes, not casual contact.
Purpose of the Study:
- To assess the risk of disease transmission, specifically HIV, via the common communion cup.
- To evaluate the bactericidal properties of wine and saliva interaction with cup surfaces.
- To provide recommendations for enhancing communion service hygiene.
Main Methods:
- Bacteriological analysis of communion cup rims to identify microbial contamination.
- Assessment of the survival rate of bacteria on cup surfaces.
- Evaluation of the effect of wine on microbial viability.
- Review of established HIV transmission routes and saliva infectivity.
Main Results:
- Low levels of mouth organisms were detected on communion cup rims.
- Wine demonstrated a bactericidal effect on most tested organisms.
- Saliva droplets did not readily mix with the wine.
- HIV is poorly infectious when ingested and rarely isolated from saliva.
Conclusions:
- The risk of HIV transmission through the common communion cup is negligible under normal circumstances.
- The established routes of HIV spread do not include the use of communion cups.
- Enhanced hygiene measures can be implemented for communion services, particularly in special circumstances.
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