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HIV can be transmitted from an infected person to another through the following infectious fluids: 1  Blood. 2  Semen (including preâseminal fluid) 3  Vaginal secretions. 4  Rectal fluids. 5  HIV can also be transmitted through breast milk expressed through feeding, in limited circumstances, where there is exposure to large quantities.
1 Survival depends on which body fluid it is in, volume of the body fluid, concentration of the virus within it, temperature, acidity, and exposure to sunlight and humidity. 2  HIV transmission has not been reported as a consequence of contact with spillages of blood, semen or other body fluids. Sewage is highly unlikely to pose a risk because infectious HIV has never been isolated from faeces or urine. 2  However, research by Thames Water has shown that HIV can survive for several days in sewage in the laboratory. 3  HIV does not survive as long as other viruses in sea water.