Which of the following diseases can be transmitted from one person to another through tattooing? 1. Chikungunya 2. Hepatitis B 3. HIV-AIDS Select the correct answer using the codes given below:

Updated 11 Apr 2026

Contents15
UPSC Prelims GS2013Science and Technology
  1. A1 only
  2. B2 and 3 only
  3. C1 and 3 only
  4. D1, 2 and 3
Show answer

Answer: (B) 2 and 3 only

Tattooing involves piercing the skin with needles/pins and injecting ink.

If the equipment is contaminated with infected blood, blood-borne diseases can be transmitted.

Hepatitis B (2) — YES, can be transmitted through tattooing.

Hepatitis B and C viruses can cause serious liver damage and are known to be transmittable through tattooing.

Hepatitis B is particularly dangerous because it can survive outside the host body for up to two weeks and resists most normal forms of disinfection.

The risk of hepatitis transmission through accidental needle stick is about 1 in 5 — much higher than HIV.

HIV-AIDS (3) — YES, can be transmitted, though the risk is lower than hepatitis.

Tattoo 'needles' are actually solid-core pins (not hollow needles like syringes), so the amount of blood that adheres to the surface is small.

The contaminated blood mixed with ink must adhere to the pin surface and enter the new person's bloodstream.

The risk of HIV transmission through needle stick is about 1 in 200.

Chikungunya (1) — NO, cannot be transmitted through tattooing.

Chikungunya is a MOSQUITO-BORNE disease (transmitted by Aedes mosquitoes).

It is NOT a blood-borne disease in the sense of transmission through needles or tattoo equipment.

So only statements 2 and 3 are correct.

Why this was asked

Hepatitis B and HIV are blood-borne pathogens that can survive on contaminated tattoo equipment and enter the bloodstream through skin piercing.

Chikungunya is transmitted only by Aedes mosquitoes, not through blood contact or contaminated needles, making it impossible to transmit through tattooing.

Blood-Borne Diseases & Transmission

Science And Technology Hepatitis B HIV-AIDS tattooing

Blood-Borne Diseases: Transmission Routes & Risk Factors

Must know

Hepatitis B and HIV are blood-borne diseases transmissible through contaminated needles/tattoo equipment

Hepatitis B has higher transmission risk (1 in 5) than HIV (1 in 200) via needle stick

Good to know

Hepatitis B virus survives outside body for up to 2 weeks and resists normal disinfection

Blood-borne transmission requires infected blood entering another person's bloodstream

What Are Blood-Borne Diseases

Blood-borne diseases are infections transmitted when infected blood enters another person's bloodstream. This happens through parenteral routes — piercing the skin barrier via needles, cuts, or medical procedures.

Major Blood-Borne Diseases

Disease

Virus/Pathogen

Transmission Risk

Survival Outside Body

Key Feature

Hepatitis B

HBV

1 in 5 needle sticks

Up to 2 weeks

Resists normal disinfection

Hepatitis C

HCV

1 in 30 needle sticks

Several days

Chronic liver infection

HIV/AIDS

HIV

1 in 200 needle sticks

Few hours

Attacks immune system

Tattooing Risk Factors

Tattoo pins are solid-core (not hollow like syringes) — smaller blood volume transferred

Contaminated blood mixes with ink and adheres to pin surface

Risk increases with unsterilized equipment, reused needles, and poor hygiene practices

Professional tattoo parlors use autoclave sterilization and single-use needles to prevent transmission

Hepatitis B poses highest risk due to virus stability and high concentration in blood

Exam traps

Chikungunya is mosquito-borne, NOT blood-borne — cannot transmit via tattooing

Don't confuse vector-borne (mosquito) with blood-borne (needle/blood contact) diseases

Hepatitis A is NOT blood-borne — it's transmitted via contaminated food/water

HIV risk through tattooing is real but lower than hepatitis — both can transmit

Chikungunya: Vector-Borne Disease

Science And Technology Chikungunya

Chikungunya: Mosquito-Borne Viral Disease

Must know

Chikungunya is transmitted only by Aedes aegypti and Aedes albopictus mosquitoes

Cannot be transmitted through blood contact, needles, or tattooing

Good to know

Causes sudden fever, severe joint pain, and rash

Transmission Mechanism

Chikungunya is an arboviral disease (arthropod-borne virus). The Aedes mosquito becomes infected when it bites a person with chikungunya viremia. The virus multiplies in the mosquito and can then be transmitted to other humans through subsequent bites.

Chikungunya vs Blood-Borne Diseases

Feature

Chikungunya

Hepatitis B/HIV

Transmission

Mosquito bite only

Blood contact

Vector

Aedes aegypti/albopictus

No vector needed

Needle Risk

No transmission

High transmission risk

Prevention

Mosquito control

Sterile equipment

Epidemic Pattern

Seasonal outbreaks

Continuous transmission

Vector-Borne Disease Classification

# Vector-Borne Diseases
## Mosquito-Borne
- **Chikungunya**
- **Dengue**
- **Malaria**
- **Zika**
## Tick-Borne
- Lyme Disease
- Rocky Mountain Spotted Fever
## Fly-Borne
- Leishmaniasis
- Sleeping Sickness
Exam traps

Chikungunya sounds medical/serious — students wrongly assume it's blood-borne

Don't confuse Aedes mosquito diseases (Chikungunya, Dengue, Zika) with blood-borne diseases

Vector-borne means needs an intermediate organism — cannot transmit directly human-to-human

Hepatitis Types & Transmission Routes

Science And Technology Hepatitis B

Hepatitis Viruses: Types & Transmission Patterns

Must know

Hepatitis B and C are blood-borne — transmit via needles, blood transfusion

Hepatitis A and E are enteric — transmit via contaminated food/water

Good to know

Hepatitis B vaccine is part of India's Universal Immunization Programme

Hepatitis Virus Types

Type

Transmission Route

Chronic Infection

Vaccine Available

Prevention

Hepatitis A (HAV)

Fecal-oral (food/water)

No

Yes

Sanitation, vaccination

Hepatitis B (HBV)

Blood, sexual contact

Yes

Yes

Vaccination, safe practices

Hepatitis C (HCV)

Blood contact

Yes

No

Sterile equipment

Hepatitis D (HDV)

Co-infection with HBV

Yes

HBV vaccine prevents

HBV vaccination

Hepatitis E (HEV)

Fecal-oral (water)

Usually no

Limited

Safe water

Hepatitis B: High-Risk Features

Most stable hepatitis virus — survives up to 2 weeks on surfaces at room temperature

100 times more infectious than HIV through blood contact

Can cause chronic liver disease, cirrhosis, and liver cancer

Mother-to-child transmission during childbirth is common without vaccination

India has intermediate endemicity — 2-8% population carries HBV

Exam traps

Hepatitis A is NOT blood-borne — it's enteric (food/water transmission)

Don't assume all hepatitis viruses transmit the same way — A/E are enteric, B/C are blood-borne

Hepatitis B is vaccine-preventable — Hepatitis C currently has no vaccine

Chronic hepatitis only develops with HBV and HCV — not with HAV

HIV-AIDS: Transmission & Risk Assessment

Science And Technology HIV-AIDS

HIV-AIDS: Virus Characteristics & Transmission Routes

Must know

HIV attacks CD4+ T-cells leading to immunodeficiency (AIDS)

Transmits through blood, sexual contact, mother-to-child — needle stick risk 1 in 200

Good to know

Antiretroviral Therapy (ART) can control virus but no cure exists

HIV survives only few hours outside the human body

HIV Transmission Mechanism

Human Immunodeficiency Virus (HIV) is a retrovirus that integrates into host cell DNA. It primarily targets CD4+ T-helper cells, gradually destroying the immune system over years, eventually leading to Acquired Immunodeficiency Syndrome (AIDS).

HIV Transmission Routes & Risk Levels

Transmission Route

Risk Level

Risk Per Exposure

Prevention Method

Blood transfusion

Very High

>90%

Screening donated blood

Needle sharing (drugs)

High

1 in 150

Needle exchange programs

Needle stick (medical)

Low

1 in 200

Universal precautions

Unprotected sex

Moderate

1 in 500-2000

Condoms, PrEP

Mother-to-child

Variable

15-45% without treatment

ART during pregnancy

India's HIV Scenario

India has the third-largest HIV epidemic globally (around 2.1 million people living with HIV)

National AIDS Control Organisation (NACO) implements prevention and treatment programs

Free ART provided through government health centers since 2004

Major transmission routes in India: heterosexual contact (87%), mother-to-child (6%)

Pre-Exposure Prophylaxis (PrEP) now available for high-risk groups

Exam traps

HIV transmission risk through tattooing is real but lower than hepatitis — both are correct answers

Don't confuse HIV (virus) with AIDS (syndrome) — HIV causes AIDS over time

Casual contact cannot transmit HIV — only blood, sexual, or mother-to-child routes

HIV is fragile outside body (dies in hours) unlike Hepatitis B (survives weeks)