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Transmission is only through humans and no other agents are involved.
Some of the important risk factors for oral herpes are:
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Contact with infected saliva
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Kissing or other close physical contact with infected person
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Cross-infection of type 1 and 2 viruses can occur from oral to genital contact
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Exposure of health care providers (physicians, surgeons, dentists, nurses) to oral secretions during medical or surgical procedures
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Infection of mother's nipple while the infected baby breastfeeds
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Inoculation or injection of virus into susceptible mucosal surface
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Injuries or minor cuts help the virus to gain entry into skin
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Nail biters or thumb suckers get herpetic whitlow (herpetic finger infection) through infected saliva
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Skin-to-skin contact in heavy contact sports such as wrestlers and rugby players
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Occasionally through sharing food and drinks, utensils, towels,underclothes, etc.
These are the main risk factors for oral herpes which contribute to the development of Herpes.
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