Britannica Sources used in this answer

Can HIV spread through coughing or sneezing?

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No, HIV cannot be spread through coughing or sneezing.1

The virus is fragile and cannot survive for long outside the human body. HIV is transmitted only through the direct transfer of specific bodily fluids—such as blood, semen, vaginal or rectal fluids, and breast milk—from an infected person to an uninfected person.12

Because of how the virus functions, it is not transmitted through casual contact, such as shaking hands, nor is it spread through food, water, or insect bites.12