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Positively Negative Workshop Outline Divide participants into smaller groups (4-6) and give each group a stack of ‘activity cards’ and a set of ‘risk levels’ cards. Have them discuss among themselves which level each activity goes under. When they are finished have the group share their different activities/levels with the class to make sure they’ve got it right. Do an example activity first, being sure to explain your reasoning on how you determine the risk level. Ejaculation on Skin –No Real Risk -2 people, semen present, but healthy skin provides a solid barrier Masturbating Someone –No Real Risk -2 people, semen present, but healthy skin provides a solid barrier Fingering Barehanded - No Real Risk -2 people, vaginal fluid present, but healthy skin provides a solid barrier Fingering with a Glove – No Real Risk -2 people, vaginal fluid present, but healthy skin provides a solid barrier and the glove provides an extra barrier in case of cuts Oral Sex with Latex Dam - No Real Risk -2 people, vaginal fluid present, but the latex dam provides a solid barrier that’s unlikely to break Oral Sex with Condom - No Real Risk -2 people, semen or pre-cum present, but the condom provides a solid barrier that’s unlikely to break Rimming, no Latex Dam –No Real Risk -2 people, but feces does not transmit HIV (can transmit parasites though) Rimming with Latex Dam - No Real Risk -2 people, but feces already does not transmit HIV and the latex dam provides an extra barrier against other STI Rubbing Vulvas –No Real Risk -2 people, vaginal fluid present, but tearing of the vulva and contact with bloodstream is considered to be unlikely by Health Canada Sharing Condom Covered Sex Toys –No Real Risk –if the condom is thrown out after each use, any fluids are thrown out with it, so there is only 1 person in contact Fisting Barehanded - No Real Risk -2 people, vaginal fluid present, but healthy skin provides a solid barrier. Note: this activity is likely to cause tears that increase the risk of activities that follow. Candlelight Dinner –No Real Risk -1 person Masturbation - No Real Risk -1 person Striptease - No Real Risk -1 person Reading Erotica/Porn - No Real Risk -1 person Phone Sex - No Real Risk -1 person Role Playing - No Real Risk -1 person Sharing Clothing - No Real Risk -1 person Dry Kissing - No Real Risk -2 people, but saliva does not transmit HIV French Kissing - No Real Risk -2 people, but saliva does not transmit HIV Licking Skin - No Real Risk -2 people, but saliva does not transmit HIV Nibbling Ears - No Real Risk -2 people, but saliva does not transmit HIV Biting, no Broken Skin - No Real Risk -2 people, but saliva does not transmit HIV Hugging - No Real Risk -2 people, but sweat does not transmit HIV Tickling - No Real Risk -2 people, but sweat does not transmit HIV Playing Sports - No Real Risk -2 people, but sweat does not transmit HIV Dancing Together - No Real Risk -2 people, but sweat does not transmit HIV Rubbing Bodies - No Real Risk -2 people, but sweat does not transmit HIV Sensual Massage - No Real Risk -2 people, but sweat does not transmit HIV Scratching - No Real Risk -2 people, but sweat does not transmit HIV Spanking - No Real Risk -2 people, but sweat does not transmit HIV Showering - No Real Risk -2 people, but no fluids exchanged Tying Someone Up - No Real Risk -2 people, but no fluids exchanged Using a Public Toilet – No Real Risk -2 people may be in contact through seat, but urine and feces don’t transmit HIV, and the bum skin touching the seat provides a solid barrier Sharing Cleaned Penetrative Sex Toys –Low Risk -2 people in contact through the toy, traces of vaginal fluid or blood could be present after washing and in contact with the lining of the vagina or anus/rectum. Cleaning means boiling or washing with household bleach. Cleaning does not get rid of Hepatitis. Sharing Cleaned Needles –Low Risk -2 people in contact through the needle, traces of blood could be present after washing and in direct contact with the bloodstream. Cleaning means rinsing the needle and syringe with sterile water three times, followed by rinsing them with full strength household bleach three times, followed by rinsing them with sterile water three times. None of the liquids should be reused, and both bleach and sterile water can be found at needle exchange sites. Cleaning does not get rid of Hepatitis. Vaginal Sex, no Condom – High Risk -2 people, semen and vaginal fluid present and in contact with the lining of the vagina, urethra, and fragile skin on the penis Anal Sex, no Condom – High Risk -2 people, semen and possibly blood present and in contact with the lining of the anus/rectum, urethra, and fragile skin on the penis Sharing Penetrative Sex Toys –High Risk -2 people in contact through the toy, vaginal fluid or blood present and in contact with the lining of the vagina or anus/rectum Sharing Steroid Needles –High Risk -2 people in contact through the needle, blood present and in direct contact with the bloodstream Sharing Piercing Needle – High Risk -2 people in contact through the needle, blood present and in direct contact with the bloodstream Sharing Heroin Works – High Risk- 2 people in contact through the works, blood present and in direct contact with the bloodstream. Heroin works include the needle, syringe, as well as the spoon and cotton used to prepare the drug. Fisting with a Glove - No Real Risk -2 people, vaginal fluid present, but healthy skin provides a solid barrier and the glove provides an extra barrier in case of cuts. Note: this activity is likely to cause tears that increase the risk of activities that follow. New Tattoo Needle –No Real Risk -2 person. Note: there are other forms of cross contamination, such as sharing ink or ink wells, using unsterilized tubes, not wearing gloves, and not covering switches, the machine, and bottles with new plastic. Preparing Food –No Real Risk -1 person. Even if someone accidentally cuts themself while preparing food, they will likely throw out anything that comes in contact with blood Spilled Blood on Skin –No Real Risk -2 people, blood present, but healthy skin provides a solid barrier. Note: It’s still a good idea to wear gloves when giving first aid to prevent germs on your skin from getting into an open wound and to prevent any possible risk Oral Sex, no Latex Dam –Low Risk -2 people, vaginal fluid present and in contact with the mouth Oral Sex, no Condom –Low Risk -2 people, semen or pre-cum present and in contact with the mouth Vaginal Sex with Condom –Low Risk -2 people in contact, semen and vaginal fluid present, but the condom provides a barrier. The risk comes from any genital contact before putting on the condom, or if the condom breaks or slips off Anal Sex with Condom –Low Risk -2 people, semen and possibly blood present, but the condom provides a barrier. The risk comes from any genital contact before putting on the condom, or if the condom breaks or slips off Sharing Cocaine Straws – Low Risk -2 people in contact through the straw because cocaine dilates blood vessels and makes them burst, blood present and in contact with the nose. The risk may be higher depending on the circumstances. |