$Unique_ID{BRK00386} $Pretitle{} $Title{Hot Tubs and Herpes Transmission} $Subject{herpes hot tub virus viruses viral Infections genitourinary genitals genital herpes HSV-2 infection secretions sores active phase source infection contagion dormant periods lesions Sexually Transmitted Disease std venereal Diseases vd} $Volume{A-14,A-15} $Log{ Sexually Transmitted Disease: Herpes*0006401.scf} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. Hot Tubs and Herpes Transmission ------------------------------------------------------------------------------ QUESTION: Recently my husband and I purchased a hot tub. A frequent visitor to our house has herpes. We don't want to hurt feelings if there is no risk involved, but is our family at any risk if they share the tub, or if the visitor uses the tub? Please answer as soon as possible as we are eager to know the answers to our questions. ------------------------------------------------------------------------------ ANSWER: I am going to assume that your visitor suffers from genital herpes caused by a virus known as HSV-2. There are other forms of herpes, "cold sores" for example and they are usually caused by the HSV-1 herpes virus. The human herpes viruses are very widespread and extremely difficult to control. I'll bet just about every one you know has had a cold sore at one time or another. However, we believe that genital herpes is spread by direct contact with the infected secretions that are produced in the sores that are the most evident sign of the disease. Thus, an individual who is suffering through the active phase of the disease, with sores present, must be considered as a source of infection. During the dormant periods, when no lesions are present, contagion is certainly less of a possibility, but certain authorities speculate that the virus can be transmitted even when sores are not present. The possibility of an indirect spread through the communal waters of a hot tub is even less certain. I would like to spare your visitor's feelings, but I can't think of a polite way of asking if their lesions are active when they are visiting. Besides, I think hot tubs must be shared with a bit of discretion, a little like sharing a tooth brush. Though there is only a remote chance of there being danger to your family if no lesions are present, I suspect you may sleep a bit better if your hot tub is "closed for repairs" during your visitor's stay. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.