- hands after gardening, contact with raw meat or change of cat litter; 3) wash raw vegetables and avoid eating them raw and 4) avoid changing cat litter, keep pet cats inside and feed cats commercial food or well cooked meat.
- CRYPTOSPORIDIOSIS
Sources are stool from infected people and animals, and contaminated food and water. Prevention is most important with CD4 count <200 cells/mm3. Patients with HIV should: 1) avoid contact with stool from patients with possible cryptosporidiosis and stool from pets, especially dogs and cats <6 months of age; 2) sex practices that involve oral contact with feces; 3) avoid drinking water from lakes or rivers and 4) avoid raw oysters. During outbreaks involving drinking water: boil water for 3 minutes, use bottled water (see www.bottledwater.org or call 1-703-683-5213) or put water through a 1 um filter (see www.nsf.org/notice;cryptospo.html or call 1-800-673- 8010). Note that rifabutin and azithromycin may have a protective effect. Also note that bottled water is unregulated and many commercial supplies are not different from municipal water supplies (that are regulated).
- VACCINE RECOMMENDATIONS (SUMMARY)
 TABLE 3-1: Vaccine Recommendations for Patients with HIV
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