I Don't Want an HIV Test

MY DRUGGIEWORKER is on at me to get tested for HIV and hepatitis. I really don't want to get it done. I was negative last time. She doesn't think I have HIV (and remarked she thinks this is distinctly unlikely, I don't "look" like it either). But she believes hepatitis C might be a possibility because I'm so exhausted so much of the time.

Hepatitis is a "retrovirus" just like HIV. Retroviruses, as far as I understand, alter their genetic coding like the twists of a rubic's cube between generations, which is why it's so very tricky to make vaccines against them. Like HIV hep C is transmitted most "effectively" via blood-to-blood contact (hence the connexion with IV drug abuse). Unlike HIV, the hep C viruses are extremely hardy and are thought to be able to survive for months outside the body.

In the minds of the general public it's "dirty" (used) needles that spread such infections. In actuality hepatitis is said to be more likely spread via shared spoons. The microscopic viruses pass from the end of a reused needle into the drug solution and from here find their way into the myriad micro-scratches that lace the bowl of any drugs spoon, no matter how "new". It's here, in these scratches that hep C is thought to congregate and pass on and on...

... it is also suspected that hepatitis C can spread via used tourniquets (that could have micro-scabs all over them, even if they look clean) and other shared drug paraphernalia, including the citric acid or vitamin C European heroin users add to the mix to break down brown Afghan heroin.

On top of this, the testing nurse, who I've spoken to, says she knows cases who have NEVER INJECTED AT ALL ~ but caught the hep C virus most probably by sharing crack pipes. Tiny cuts or burns on the lips allow the virus in... and wahey.

In most cases hep C remains asymptomatic most of the time. When symptoms do manifest, they tend to be along the lines of constant fatigue, "brain fog", run-down-ness and depression. A very similar picture to the chronic fatigue syndrome I got diagnosed with over 15 years ago. So I really don't want hep C on top...

In a smaller number of cases, about 10-20% hep C leads on to severe liver damage and cirrhosis. In a smaller percentage, about 5% liver cancer results.

I know someone who is walking around today with less than half of his original liver as cancer ate a chunk out of it and surgeons cut a chunk more. He's the only person I know who's had interferon combination therapy to kill of the virus ~ and it worked! None of this is anything you'd go through voluntarily. After weekly "therapy" he said he could barely get out of bed for the first four days...

I have had at least four "blood bourne virus" tests, covering HIV, hep A, hep B, hep C and syphilis. Each one so far has been negative for everything, thank God. I don't know, am I being childish? I just don't want to be tested again, at least not right now. I also have reservations about just how "confidential" the results might be. Considering that even in the supposedly anonymous GUM clinic where you're encouraged to give a name "you can remember" with your real date of birth (for ease of memory, though I always made one up). Security cameras film your face on entering and leaving... Just how anonymous is any of this anyhow? Excuses, excuses I know.

I basically don't want the test...


ILLUSTRATIONS: top and bottom = HIV virus; middle = heptatitis C virus