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HIV is spread primarily by unprotected sex including anal and oral sex , contaminated blood transfusions , hypodermic needles , and from mother to child during pregnancy , delivery, or breastfeeding. Methods of prevention include safe sex , needle exchange programs , treating those who are infected , as well as both pre- and post-exposure prophylaxis. HIV made the jump from other primates to humans in west-central Africa in the early-to-mid 20th century. Owing to their nonspecific character, these symptoms are not often recognized as signs of HIV infection. Even cases that do get seen by a family doctor or a hospital are often misdiagnosed as one of the many common infectious diseases with overlapping symptoms. Thus, it is recommended that HIV be considered in people presenting with an unexplained fever who may have risk factors for the infection.
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