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1. Covering request letter 2. Summary of Arathi Rao medical records and Vinay Bharadwaj conviction 3.

Arathi Rao alleged false victim of rape i. Petition in US Court to summon medical records of Arathi Rao with supporting exhibits a. Exhibit C Arathi Raos statement in chargesheet in India (Cr. No. 141/2010) alleging rape and sexual abuse b. Exhibit D Arathi Raos complaint to US Police (AAPD) alleging rape and sexual abuse and US police closing the baseless case c. Exhibit J Email communication from the US police (AAPD) to lawyer indicating there is no case against Swami Nithyananda ii. US Court order summoning Medical records of Arathi Rao iii. Medical records of Arathi Rao iv. Swami Nithyananda no STD report 4. Vinay Bharadwaj alleged false victim of unnatural sex i. Details of child molestation case against Vinay Bharadwaj and the conviction order on 4 counts of child abuse in Seattle, USA ii. Child molestation case judgment and sentencing order for 4 years 9 months for Vinay Bharadwaj for 4 counts of child molestation and immoral conduct with minor 5. Atmaprabha FIR by Atmaprabha on Arathi Rao, Lenin Karuppan and others

SUMMARY OF ARATHI RAO MEDICAL RECORDS AND VINAY BHARADWAJ CONVICTION

Summary of Important Portions in Arathi Raos Medical Records


1. 8th August 2012 - US Court summons Arathi Raos medical records in response to her false complaint in both USA and India alleging rape by Sri Nithyananda Swami (page 12) and passed on for use by Indian courts
i. State of Michigan 22nd Judicial District Court issued subpoena (judicial order) to the University of Michigan Hospitals (where Arathi Rao went for medical treatment from at least 2004) on 8th August 2012 to produce any and all medical records, reports, and test results from 2005 through 2010 regarding patient Arathi Rao, D/O/B:12/23/1973, Address: 3118 Village Circle, Ann Arbor, MI 48108 to Sri Nithyananda Swamis lawyer

2.

Arathi Raos medical records (page 65) show that she has the incurable, one of the most highly contagious STD genital herpes (at least 40% more contagious than HIV according to HIV Insite study by University of California, San Francisco) since at least 2004 that gets transmitted just by skin to skin contact and does not even need physical intercourse to transmit.

i.

Arathi Rao lies in the chargesheet that she had the first alleged unprotected sexual incident with Sri Nithyananda Swami in February 2005. Because her medical records clearly show she had the highly contagious STD genital herpes since at least 2004, and indicates she had the disease probably even since 1996. If there was any skin to skin contact even, not even sexual contact, between her and Sri Nithyananda Swami, he would have been infected with the herpes virus and contracted the disease herpes. This incurable, highly contagious disease spreads even when there is no physical outbreak. The physical symptoms may not be seen but the disease is perpetually active.

ii.

iii.

iv.

v.

Sri Nithyananda Swamis medical records as of 2nd September 2012 indicate he does not have any STD, and could not ever had because the STD herpes itself is incurable.

This proves clearly that there was no physical contact between Nithyananda and Arathi Rao in any form whatsoever. This clearly proves Arathi Rao is completely lying about her complaint of rape, physical intercourse, oral sex, etc for over 5 years from 2005 through 2009.

3. Arathi Rao lies that she had sexual relationships with Sri Nithyananda Swami since February 2005 till 2009.
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Because her 19 July 2005 medical record clearly shows that in that time period, she is in a monogamous relation with her husband (Page 47).
How does Arathi Rao say she is in a monogamous relationship if she had a sexual relation with Sri Nithyananda Swami? Arathi Rao clearly gives all extremely personal details even to the doctor. If she had a sexual relation with Sri Nithyananda Swami for over 5 years, how is it that it finds no mention even once in her over 60 pages of medical record?

4. Arathi Rao in USA blatantly lies about sexual incident with Sri Nithyananda Swami in India on December 1, 2005 (page 44).
Arathi Rao is in USA as per her medical records on 30 November 2005 which is 1 December 2005 in India when she visited the doctor that day for her disease She is leaving for India tomorrow which is 1 December 2005 in USA and 2 December 2005 in India and hence reached India on 3rd December 2005

Arathi Rao claims to be forced into oral sex by Sri Nithyananda Swami in Salem on December 1, 2005, when she was not even in India!
while Sri Nithyananda Swami was in Bidadi ashram conducting the Nithyananda Spurana Program (NSP)(there is video record proof of this)! So Arathi rao was in USA, Sri Nithyananda Swami was in Bidadi, India. Then how does Arathi Rao claim rape in Salem?! Because she got the dates of her alleged abuse in the chargesheet from

Nithyanandas well publicized tour schedules but in this instance, the schedule had changed but the update wasn't published!
And on top Arathi Rao had an outbreak of genital herpes from Nov 2005... So, any supposed sexual act with Sri Nithyananda Swami would have transmitted the herpes infection and virus to him. But Sri Nithyananda Swami does not have any STD, as indicated in his medical records. [Medical record (page 44) says, Arathi Rao is a 31-year old female with a past history significant for HSV who presents with a lesion on her right buttock.She has had other areas similar to this on the buttocks and thighs occasionally. She is also worried about an area of itchy skin on her bilateral thighs. She is leaving tomorrow for a 4-month visit to India.

Objective: Examination of the right buttock notes a 5 mm diameter erythematous area with a small pustule centrally.]

5. 3 June 2010 - Arathi Rao admits she had a new partner in 2009, had oral sex and vaginal intercourse with this person who was HIV positive! (Page 23 and 24 / page 10 and 11 of 38)
i. Arathi Rao says she had exposure to a new partner and sexually transmitted disease. On the same day, she tested herself for HIV. This clearly indicates she had her physical relation with a HIV positive new partner. This substantiates the eye witness statement of the witness who saw Arathi Rao and Lenin Karuppan in a physical relationship in 2009. Does Lenin have HIV? iii. So, this proves Arathi Rao had an extra-marital physical relationship with Lenin who is HIV positive OR Arathi Rao had an extra-marital physical relationship with another one person who was HIV positive. This directly contradicts her chargesheet statement that she is shocked that Nithyananda allegedly asked her to lie to her husband. She calls herself a family woman in the chargesheet as well as in the media. She was tormented by the thoughts of lying to her husband in the chargesheet.

ii.

But she does not tell her husband of her extra-marital affair with another man who is HIV positive!
iv. In contrast with this, Sri Nithyananda Swami does not have any STD as indicated in his attached medical records. Also according to Arathi Rao, her alleged sexual incidents (first instances of alleged unprotected sex) with Swamiji started from 2005, in contrast to this admission of a new partner in 2009. Significantly, this is after Arathi Rao stopped going to the ashram, except in November 2009 for implementing the conspiracy against Sri Nithyananda Swami along with Lenin Karuppan, of planting a spy camera in the living quarters of Sri Nithyananda Swami and morphing the video footage.

v.

[3 June 2010 Medical record (page 23) indicates The patient is concerned she had exposure to a new partner 1 year ago and reports using condoms for contraception. She wonders if through oral sex or that episodes of vaginal intercourse she was exposed to sexually transmitted disease. ]

6. 3 June 2010 HIV consent form signed by Arathi Rao and witness and HIV test performed (page 58)
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[The medical decision-making record further indicates, Sexually transmitted infection exposure 1 year ago. HIV counseling was performed and consent signed. ]

7. Arathi Rao lies about alleged oral sex incidents in January to March 2009 in Rajapalayam and Namakkal ashrams while she has oral herpes for 5 months from February 2009 Arathi Raos 25 March 2009 medical record indicates herpes gladiatorum, a highly contagious variation of HSV-1 (Page 36 & addendum about herpes
gladiatorum attached) that is transmitted by direct contact with skin lesions, and the wound was bleeding even.

Arathi Raos 15 April 2009 medical record indicates oral herpes since 22 February 2009 (Page 33)
So the herpes virus would have definitely been transmitted to Sri Nithyananda Swami if there were multiple incidents of oral sex and hugging and kissing on the lips as alleged.

Sri Nithyananda Swami does not have the STD as per his medical records of 2 Sep 2012.
[25 March 2009 - This outbreak of herpes gladiatorum is reported as Arathi Rao is a 35year old who comes in today complaining of a rash on her chin. She states it began approximately 3 weeks ago while she was having a 4-month stay in India. It started on the right part of her chin, but has gradually spread across her chin,, was slightly weepy and bled. The record continues, Of note, the patient does have a history of genital herpes and has had skin outbreaks as well, last in 2007. Then, she continues to have monthly genital outbreaks at which point she doubles her does times 3 days.] [15 April 2009 - Ms. Rao is a 35 year old woman with a history of genital herpes presenting with a 7 week history of rash around the mouth. The rash started at the right corner of her mouth and then spread across her chin while she was travelling in India 7 weeks ago.At her appointment here on 3/25, the lesions were thought to be most likely due to herpes and she was advised to take Valtrex 500 MG BID for 7 days and using Zovirax ointmentThe lesions were essentially unchanged for 7 weeks.]

8. History of monthly genital herpes outbreaks at the time of her alleged sexual incidents
i.

Oral and genital herpes outbreak from 22 February 2009 continuing till 12th May 2009 (page 30) and 3 June 2009 (page 27)
in medical record

While she claims in chargesheet she was forced into intercourse in May

13-24, 2009 in Los Angeles ashram


During the outbreak, if Arathi Rao was forced into intercourse, Sri Nithyananda Swami should have been infected by the genital herpes virus. But Sri Nithyananda Swami has no STD as per his medical records. [History of present illness: patient continues to have rash around her mouth. She also has questions about her genital wart suppression. Past medical history significant for monthly recurrent genital herpes. Gynecologic care: Last menses 11th May 2009Menses occur every 30 days for 4 day duration. She is a G1, P0 with one abortion in her past. She does have a history of herpes simplex for which she takes suppressive Valtrex. She and her husband try to use condoms to try and prevent exposure to her husband. Medical decision-making: Herpes simplex Type 2, culture positive on lesion at genital and buttock.]

ii.

3 August 2006 Outbreak of genital herpes (page 42) (Lab report on 5 August 2006 indicates Herpes POSITIVE) (page 56) (Lab report on 4 August 2006 indicates Varicella Zoster POSITIVE) (page 56)
In the chargesheet Arathi Rao claims, in August to December 2006, she was told to drink alcohol, she vomited and passed out and then find herself lying on the bed with her blouse out of place. [ Medical record says The patient is a 32-year old who thinks that she has a new onset of herpes on the back of her right leg by the buttocks. She first saw symptoms 5 days ago, when she noticed a small bump. It is not unusual for her for the last 10 years to get small bumps over the buttocks that go awayshe was concerned it could be a herpes outbreakgenital herpes outbreaks normally happen at the time of her menstrual cycle.]

iii.

19 July 2005 (page 47) New onset of oral herpes on face and doctor warning even she herself touching her face can spread the disease.
[Medical record indicates, Blister on skin, outside of mouth, last week. Eight days ago, the patient had new onset of non-painful flesh-colored bumps with surface of clear covered fluid at the top. 8

The doctor explains, The patient is to avoid touching her face and and understand that the fluid in the blisters could pass on herpes to another person.]

iv.

15 November 2007 (page 39) Outbreak of HSV type 2 in the genital region (Lab report on 17 November 2007 showing Herpes POSITIVE (page 38))
[The medical record indicates Ms. Rao is a 33-year old who comes in today because of lesions on her right buttocks. She has noticed this since last 3 or 4 days. She has a history of HSV type 2 in the genital region. She has outbreaks every month with her menses.Probable HSVI obtained a sample today and sent for culture. I have told her that they clinically looked very much like herpes and I have suggested she go back on the Valtrex. Lab report Culture for Herpes simplex. Source: Vesicle Gluteal Result: POSITIVE. HERPES SIMPLEX VIRUS ISOLATED]

v.

8 August 2006 (page 41) Herpes POSITIVE


[Medical record of doctor saying I left a message on the patients cell-phone informing her of her lab results. I told her that the sore on her leg is Herpes simplex and not a zoster.]

Top 10 Questions
I. False Accusations of rape by Arathi Rao, carrier of 3 STDs 1. Arathi Rao has been the carrier of 3 STDs oral herpes, genital herpes and herpes gladiatorum since at least 2004.
She has outbreaks of genital herpes every month. She has outbreaks of oral herpes for as long as 5 months at stretch. Then by what stretch of imagination is her claim of over 40 incidents of rape over and over for 5 years by Nithyananda possibly justified given that he clearly doesnt have any STD? 2.

Nithyananda does not have any Sexually Transmitted Disease (STD)


as per 2nd September 2012 medical records. Arathi Raos husband not have STD, as per 12th May 2009 (page 30) medical records. Then from whom did Arathi Rao get the STD herpes?

3. Did Arathi Rao get the STD herpes in 2004or has it since 1996?
i. History over the years starting at least as far back as 2004 (medical records available only since 2004 so there is no prior proof) of suppressive medication for HSV 1, HSV 2 Valtrex, Valacyclovir tablets and Zovirax ointment (Pages 68, 69)

ii. Also Arathi Raos medical record of 3rd August 2006 (page 42) states, It is not unusual for her over the last 10 years to get small bumps over the buttocks that go away. So, was she having genital herpes since 1996? 4.

Arathi Rao with 3 STDs has a HIV positivenew partner in 2009 and states to be in a monogamous relation with her husband while claiming to have sexual incidents with Sri Nithyananda Swami (no STD) for over 5 years
She states being in a monogamous relationship with her husband on 19 July 2005. She claims having sexual intercourse and oral sex with Nithyananda since February 2005. She has been carrying 3 STDs since at least 2004 while Nithyananda does not have any STD! So, she claims she had 3 sexual relationships, one of whom was HIV positiveand she claims to be a traditional woman from an orthodox Brahmin family!

5. Who is this new partner in 2009 (page 23) with whom Arathi Rao

admitted to oral sex and vaginal intercourse?


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An eyewitness statement says Arathi Rao was having a physical relationship with Lenin Karuppan. So Arathi Rao along with her extra-marital suspected HIV positive partner Lenin Karuppan hatched a conspiracy of creating a morphed video of Sri Nithyananda Swami. 6. As Arathi Rao claims multiple incidents with Nithyananda right from 2005, how did

she not tell her doctor about any of the alleged incidents even once when she shares extremely private conversations about her new partner
and suspected HIV positive?

7. No medical test on Nithyananda or Arathi Rao who claimed to be a

victim of rape!
Why was the only medical diagnosis done on her just to see whether she is a woman? 8. What should have been done before accusing Nithyananda of rape? i. Material evidence of rape on Arati Rao ii. Testing whether Nithyananda is a man, whether he is even capable of a sexual act

iii. Just the basic first step of physical examination of Arathi Rao would have revealed she is carrying a STD.
9. In December 1, 2005, Arathi rao claims rape in Salem. But her medical records show clearly she was in USA then (page 44). Sri Nithyananda Swamis video records clearly prove he was taking the NSP program in Bidadi ashram, India. This substantiates Arathi

Raos own further statement in the chargesheet that she invented the dates of her alleged abuse from Nithyanandas program calendaras there was no abuse to start with! II. False Accusations of Unnatural Sex by Vinay Bharadwaj, convicted child molester
1. Vinay Bharadwaj sentenced for 4 years and 9 months by the USA court on 4 serious counts of child molestation of second degree, in Seattle - King County, Washington (conviction order and sentencing order) 2. Vinay Bharadwaj dissociated himself from US organization after collecting his dues and signed a closure agreement on August 10, 2009, indicating the same (last 13 pages of Second Amended Complaint). In that he clearly indicates he has no grievances whatsoever of any alleged abuse by Sri Nithyananda Swami. 3. Vinay Bharadwaj filed a false civil complaint against US organizations on January 3, 2011 for financial related claims only. In this original complaint, Vinay Bharadwaj has no claims whatsoever of sexual abuse. 4. He then modified the original complaint based on his lawyers advice on June 2011, claiming unnatural sex by Sri Nithyananda Swami. 11

He claimed he never signed the release agreement but this documents notarized copy dated 10th August 2009 is available in the US court records same (last 5 pages of Second Amended Complaint). 5. Vinay Bharadwaj gave a false statement to Karnataka CID claiming sexual abuse by Sri Nithyananda Swami in October 2011, well after he was charged with child molestation.

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List of Addendums
1. Addendum A About Herpes 2. Addendum B About herpes transmission 3. Addendum C About Herpes Gladiatorum 4. Addendum D.1 About Herpes suppressive medication Valacyclovir 5. Addendum D.2 - About Herpes suppressive medication Valtrex 6. Addendum D.3 - About Herpes suppressive medication ointmentZovirax

Addendum A
About Herpes
http://doctor.ndtv.com/topicdetails/ndtv/tid/426/Herpes_infection.html

What is herpes?
Herpes is an infection that causes sores or ulcers. It is caused by a virus called Herpes simplex and can be of 2 types HSV-1 and 2. HSV-1 is mostly responsible for infection above the waist while HSV-2 causes sores below the waist, usually in the genital area. Genital herpes is caused by HSV-2. Herpes is different from other viral infections since it is lasts a lifetime. The virus remains latent or "sleeping" within the body and travels through nerve pathways to cause the symptoms. Because this virus remains dormant in the nerve roots for long periods, the symptoms can also manifest later in life.

What are the symptoms?


A herpes infection can recur at any time, but the symptoms are usually the most severe during the first attack because the body does not have any defence against the virus. This attack is usually also the longest. Primary herpes usually affects various regions of the body causing: Ulcers in the mouth region

Keratitis ulceration in the eye

Finger infection

Vulvo-vaginitis genital herpes

Encephalitis infection of the coverings of the brain

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The main symptoms of herpes are the eruption of blisters or pimples, which crust over and then scab off. There may be some flu-like symptoms like fever, body ache and swelling of lymph nodes near the groin. Though the symptoms are usually moderate to severe, they may also be so mild that a person may not even notice them. In some cases, the symptoms of herpes may be mistaken for insect bites, mild abrasions or yeast infections. Some people get warning signs before an attack. These are called prodromes and consist of itching, tingling or a painful feeling in the area where the lesions will develop. The attack usually follows a day or two later.

How is the infection spread?


Herpes infection spreads through direct contact from one person to another. HSV-1, that usually affects the upper portion of the body, is spread by kissing and skin to skin contact. HSV-2, that usually causes genital herpes is spread through vaginal or anal intercourse and oral sex. Humans are the only known carriers of the infection. The infection can also be transmitted from a pregnant mother to her baby.

How is it diagnosed?
A sample from the infected area is taken and tested in a laboratory. When the virus is stained with a dye to identify it. A blood test may be done to identify antibodies that are produced even when no symptoms are visible.

What is the treatment?


There is still no known treatment to cure herpes. The symptoms can only be controlled with medication. The most commonly used drugs for the treatment of herpes are acyclovir, valayclovirand famciclovir. These are better absorbed by the body and can be taken less often. Treatment can be given in two ways episodic therapy and suppressive therapy. Episodic therapy is given during the active infection when the outbreak and its symptoms can be seen. This form of treatment provides considerable relief during the attack. Suppression therapy means taking the antiviral therapy even in times of dormancy. It is a preventive form of therapy aimed at reducing the number of flare ups and at lessening the symptoms.

http://www.mamashealth.com/stds/herpes.asp
What is Herpes? Herpes is a sexually transmitted disease (STD). A sexually transmitted disease is a disease that you get by having sex with someone who already has the disease. Genital herpes is a viral infection caused by the Herpes Simplex Virus (HSV). Once you are infected with herpes, the virus stays in your body for life. You can give herpes to another person if you have sex when your herpes virus is active. Herpes simplex virus remains in certain nerve cells of the body forever, and can produce symptoms off and on in some infected people. Herpes is spread through direct contact. So, a genital herpes infection will stay in the area it originated unless transferred elsewhere via direct contact or skin-to-skin

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transference. Genital herpes won't just show up on its own somewhere else on the body. Because genital herpes is spread through direct contact, it is important to avoid contact with infected areas. If a genital herpes infection is not localized, further complications may occur. For instance, a herpes infection in the eyes can lead to severe complications, including blindness. Herpes is equally common in males and females. Types of Herpes? There are two types of Herpes Simplex Virus. Both types can cause genital herpes and oral herpes. HSV type 1 usually infects the lips. When the lips are infected sores called fever blisters or cold sores are present. However, HSV type 1 can infect the genital area and produce sores there. Research has shown that between 50 to 80% of all Americans carry theantibodies to HSV-1. Herpes Simplex Virus type 2 is the usual cause of genital herpes. However, it also can infect the mouth during oral sex. A person who has genital herpes can pass or transmit the virus to an uninfected person during sex. Both HSV 1 and 2 can produce sores (also called lesions) in and around the vaginal area, on the penis, around the anal opening, and on the buttocks or thighs. Sometimes, sores also appear on other parts of the body where the virus has entered through broken skin. HSV remains in certain nerve cells of the body for life, and can produce symptoms off and on in some infected people. Herpes Simplex Virus type 1 and type 2 look identical under the microscope, and either type can infect the mouth or genitals. However, HSV-1 occurs above the waist, and HSV-2 below. How does someone get Herpes? Most people get herpes by having sex or direct skin to skin contact with someone who is has cold sores or blisters present. When the sores are present, it means that herpes simplex virus is active. Sometimes a person can have a herpes outbreak and have no visible sores at all. People usually get herpes by having sexual contact with others who dont know they are infected or who are having outbreaks of herpes without any sores. A person with genital herpes also can infect a sexual partner during oral sex. The virus is usually not spread by touching objects such as a toilet seat or hot tub. Herpes is not spread through the air. It is spread by direct contact to the site of infection. If you have a cold sore and you kiss someone, you will transfer the virus to their mouth. If you have a cold sore and you have anal or vaginal intercourse, you will give your partner genital herpes. What are the symptoms of Herpes? Most people who have herpes dont know it because they never have any symptoms, or they do not recognize any symptoms they might have. When symptoms are present, they can be different in each person. Usually when a person becomes infected with herpes for the first time, the symptoms will appear within two to 10 days. The first episode of symptoms of herpes usually last two to three weeks. Symptoms of a genital herpes outbreak include: itching or burning feeling in the genital or anal area, pain in the legs, buttocks, or genital area. discharge of fluid from the

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vagina, feeling of pressure in the abdomen, fever, headache, muscle aches, painful or difficult urination, vaginal discharge, and swollen glands in the groin area. No symptoms of Herpes? Herpes can be spread between outbreaks when there are no signs or symptoms present. This is called "Asymptomatic Transmission." Research shows that herpes simplex infections are often spread by people who don't know they are infected. This occurs because people may have symptoms so mild that they don't notice them at all or else don't recognize them as herpes. Will I ever have Herpes outbreaks again? If you are infected by herpes simplex virus 1 and/or herpes simplex virus 2, you will probably have symptoms or outbreaks again. The herpes virus never dies. It merely falls asleep (dormant) like "Sleeping Beauty", Waiting to wake up under the right stimulation. When the virus is no longer active, it travels to the nerves at the end of the spine and stays there for a while. In some people, the virus can become active several times a year. This is called a recurrence. When the virus becomes active again, it travels along the nerves to the skin and makes more viruses near the site of the very first infection. The site of the virus is where where new sores usually will appear. Herpes outbreaks are not predictable. If you experience an outbreak of herpes, avoid touching the sores. If you get the get the virus on your hands and may transmit it to other parts of your body. Oral herpes is easily transmitted through skin-to-skin contact so if you are experiencing an outbreak, avoid kissing others and sharing utensils. How does the doctor diagnose Herpes? A doctor will diagnose herpes either by visual inspection and a blood test. Can Herpes be Treated? Currently there is no cure for herpes. However, your doctor might prescribe medicine to treat the symptoms. Can genital herpes cause any other medical problems? Usually, genital herpes does not cause major problems in healthy adults. If a woman has her first episode of genital herpes while she is pregnant, she can pass the virus to her unborn child and may deliver a premature baby. A baby born with herpes can develop problems that may affect the brain, the skin, or the eyes. How can I protect myself or my sexual partner? You can help protect your partner from getting herpes by using a condom during and between outbreaks (especially since you may not know if you are having an outbreak). ***An estimated 35,000,000 to 40,000,000 people in the United States, from ages 15 to 75, may have been infected with herpes. Up to 500,000 new cases of herpes are reported each year.

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Addendum B
About Herpes Transmission

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Addendum C
About Herpes Gladiatorum
Source:Wikipedia

Herpes gladiatorum
From Wikipedia, the free encyclopedia

Herpes Gladiatorum is one of the most infectious of herpes-caused diseases, and is transmissible by skinto-skin contact. The disease was first described in the 1960s in the New England Journal of Medicine. It is caused by cutaneous infection with Human Herpes Simplex Virus type 1 (HSV-1), which more commonly causes cold sores. It is not to be confused with HSV-2, which usually causes genital herpes. While the disease is commonly passed through normal human contact, it is strongly associated with contact sports outbreaks in sporting clubs being relatively common.[1] Other names for the disease are herpes rugbiorum or "scrumpox"[1] (after rugby football), "wrestler's herpes" or "mat pox" (after wrestling). In one of the largest outbreaks ever among high-school wrestlers at a four week intensive training camp, HSV was identified in 60 of 175 wrestlers. Lesions were on the head in 73 per cent of the wrestlers, the extremities in 42 per cent, and the trunk in 28 per cent.[2] Physical symptoms sometimes recur in the skin.[3] Previous adolescent HSV-1 seroconversion would preclude most herpes gladiatorum, but being that stress and trauma are recognized triggers, such a person would be likely to infect others.

Causes
Herpes gladiatorum is a skin infection primarily caused by the herpes simplex virus. The virus infects the cells in the ectodermal layer of the skin. The initial viral replication occurs at the entry site in the skin or mucous membrane.[4] The infections caused by a HSV Type 1 virus may be primary or recurrent.[5] Studies show that even though most of the individuals who are exposed to the virus get infected, only 10% from them will develop sores as well. These types of sores appear within two to twenty days after exposure and usually do not last longer than ten days. Primary infections usually heal completely without leaving scars but the virus that caused the infection in the first place remains in the body in a latent state. This is the reason why most of the people experience recurrences even after the condition is taken care of. The virus moves to the nerve cells from where it can reactivate. Once the condition has recurred, it is normally a mild infection. The infection may be triggered by several external factors such as sun exposure or trauma. Infection with either type of the HSV viruses occurs in the following way: First, the virus comes in contact with damaged skin, and then it goes to the nuclei of the cells and reproduces or replicates.[6] The blisters and ulcers formed on the skin are a result of the destruction of infected cells. In its latent form, the virus does not reproduce or replicate until recurrence is triggered by different factors.

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Disease characteristics
Herpes gladiatorum is characterized by a rash with clusters of sometimes painful fluid-filled blisters, often on the neck, chest, face, stomach, and legs. The infection is often accompanied bylymphadenopathy (enlargement of the lymph nodes), fever, sore throat, and headache.[7] Often, the accompanying symptoms are much more of an inconvenience than the actual skin blisters and rash. Each blister contains infectious virus particles (virions). Close contact, particularly abrasive contact as found in contact sports, causes the infected blisters to burst and pass the infection along.Autoinoculation (self-infection) can occur through self-contact, leading to infection at multiple sites on the body.[7] Herpes gladiatorum symptoms may last up to a few weeks, and if they occur during the first outbreak, they can be more pronounced. In recurrences of the ailment, symptoms are milder, even if lesions still tend to occur. With recurrent infections scabs may form at 3 days yet the lesions ar still considered infectious up til 6.4 days after starting oral antiviral medications.[8] Healing takes place without leaving scars. It is possible that the condition evolves asymptomatically and sores are never present.

Transmission
Herpes gladiatorum is transmitted by direct contact with skin lesions caused by a herpes simplex virus. This is mainly the reason why the condition is often found in wrestlers. It is believed that the virus may be transmitted through infected wrestlers' mats, but this is still subject of research since the virus cannot live long enough outside the body in order to be able to cause an infection. Direct contact with an infected person or infected secretions is undoubtedly the main way in which this virus may be transmitted. It is also believed that wearing abrasive clothing may increase the chances to get infected with this type of virus. Shirts made of polyester and cotton may cause frictions that lead to small breaks in the skin which makes it easier to contract the infection. Studies in which athletes were wearing 100% cotton shirts showed a decrease in the number of herpes gladiatorum cases.[9] The spread is facilitated when a sore is present but it can happen in its absence as well. The patients may know that the virus is present on the skin when they experience the so called "prodromal symptoms". These include itching or tingling on the skin, right before the blisters or lesions appear. The virus may spread since the first symptoms appear until lesions are completely healed. The incubation period is situated between 3 and 14 days. This means that a person will experience the symptoms within 14 days after he or she contracted the infection. This type of virus may be transmitted even if the symptoms are not yet present. Some individuals can have very mild symptoms that may not be taken as herpes symptoms and the patient may not recognize them. The asymptomatic transmission occurs when the infection is spread between outbreaks.[10]

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Prevention and treatment


Key measures to prevent outbreaks of the disease are maintaining hygiene standards and using screening to exclude persons with suspicious infections from engaging in contact sports. A skin check performed before practice or competition takes place can identify individuals who should be evaluated, and if necessary treated by a healthcare professional.[7] Herpes outbreaks should be treated with antiviral medications like Acyclovir, Valacyclovir, or Famcyclovir, each of which is available in tablet form.[1] Oral antiviral medication is often used as a prophylactic to suppress or prevent outbreaks from occurring.[11] The recommended dosage for suppression therapy for recurrent outbreaks is 1,000 mg of valacyclovir once a day or 400 mg Acyclovir taken twice a day. In addition to preventing outbreaks, these medications greatly reduce the chance of infecting someone while the patient is not having an outbreak. Often, people have regular outbreaks of anywhere from 1 to 10 times per year, but stress (because the virus lies next to the nerve cells), or a weakened immune system due to a temporary or permanent illness can also spark outbreaks. Some people become infected but fail to ever have a single outbreak, although they remain carriers of the virus and can pass the disease on to an uninfected person through asymptomatic shedding (when the virus is active on the skin but rashes or blisters do not appear). Of interest, the use of antiviral medications has been shown to be effective in preventing acquisition of the herpes virus.[12] Specific usage of these agents focus on wrestling camps where intense contact between individuals occur on a daily basis over several weeks. They have also been used for large outbreaks during seasonal competition, but further research needs to be performed to verify efficacy.

Similar infections
Herpes gladiatorum is only caused by the herpes simplex virus. Shingles, also manifesting as skin rashes with blisters, is caused by a different virus: Herpes zoster. Other agents may cause skin infections, for example tinea corporis gladiatorum is primarily due to the fungal dermatophyte, T. tonsurans. Impetigo, cellulitis, folliculitis and carbuncles are usually due to Staphylococcus aureusor Beta-hemolytic streptococcus bacteria. These less common forms can be potentially more serious. [1] Anti-viral treatments will not have an effect in non-viral cases. Bacterial infections must be treated with antibiotics and fungal infections with anti-fungal medication.[1]

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Addendum D.1
About Suppressive Medications for Herpes Valacyclovir
Source: www.drugs.com (http://www.drugs.com/valacyclovir.html)

What is valacyclovir?
Valacyclovir is an antiviral drug. It slows the growth and spread of the herpes virus so that the body can fight off the infection. It will not cure herpes, but it can lessen the symptoms of the infection. Valacyclovir is used to treat infections caused by herpes viruses in adults and children. Illnesses caused by herpes viruses include genital herpes, cold sores, shingles, and chickenpox. Valacyclovir is used to treat cold sores in children who are at least 12 years old, and to treat chickenpox in children who are at least 2 years old. Valacyclovir will not prevent the spread of genital herpes. Herpes infections are contagious and you can infect other people even while you are taking this medicine.

Addendum D.2
About Suppressive Medications for Herpes Valtrex
Source: www.drugs.com (http://www.drugs.com/valtrex.html)

What is Valtrex?
Valtrex is an antiviral drug. It slows the growth and spread of the herpes virus so that the body can fight off the infection. Valtrex will not cure herpes, but it can lessen the symptoms of the infection. Valtrex is used to treat infections caused by herpes viruses in adults and children. Illnesses caused by herpes viruses include genital herpes, cold sores, shingles, and chickenpox. Valtrex is used to treat cold sores in children who are at least 12 years old, and to treat chickenpox in children who are at least 2 years old. Valtrex will not prevent the spread of genital herpes. Herpes infections are contagious and you can infect other people even while you are taking with Valtrex.

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Addendum D.3
About Suppressive Medication Ointment for Herpes Zovirax
Source: www.drugs.com (http://www.drugs.com/zovirax.html)
Zovirax (acyclovir) is an antiviral drug. It slows the growth and spread of the herpes virus so that the body can fight off the infection. Zovirax will not cure herpes, but it can lessen the symptoms of the infection. Zovirax is used to treat infections caused by herpes viruses. Illnesses caused by herpes viruses include genital herpes, cold sores, shingles, and chicken pox. Herpes infections are contagious and you can infect other people, even while you are being treated with Zovirax. Avoid letting infected areas come into contact with other people. Avoid touching an infected area and then touching your eyes. Wash your hands frequently to prevent passing the infection to others.

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Arathi Rao alleged false victim of rape i. Petition in US Court to summon medical records of Arathi Rao with supporting exhibits a. Exhibit C Arathi Raos statement in chargesheet in India (Cr. No. 141/2010) alleging rape and sexual abuse b. Exhibit D Arathi Raos complaint to US Police (AAPD) alleging rape and sexual abuse and US police closing the baseless case c. Exhibit J Email communication from the US police (AAPD) to lawyer indicating there is no case against Swami Nithyananda ii. US Court order summoning Medical records of Arathi Rao iii. Medical records of Arathi Rao iv. Swami Nithyananda no STD report

PETITION IN US COURT TO SUMMON MEDICAL RECORDS OF ARATHI RAO WITH SUPPORTING EXHIBITS

Exhibit C Arathi Raos statement in chargesheet in India (Cr. No. 141/2010) alleging rape and sexual abuse Exhibit D Arathi Raos complaint to US Police (AAPD) alleging rape and sexual abuse and US police closing the baseless case Exhibit J Email communication from the US police (AAPD) to lawyer indicating there is no case against Swami Nithyananda

US COURT ORDER SUMMONING MEDICAL RECORDS OF ARATHI RAO

MEDICAL RECORDS OF ARATHI RAO

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SWAMI NITHYANANDA NO STD REPORT

CHILD MOLESTATION CASE JUDGMENT AND SENTENCING ORDER FOR 4 YEARS 9 MONTHS FOR VINAY BHARADWAJ ON 4 COUNTS OF CHILD MOLESTATION AND IMMORAL CONDUCT WITH MINOR

FILED
12 AUG 20 PM 12:26 KING COUNTY SUPERIOR COURT CLERK E-FILED CASE NUMBER: 10-1-10009-8 SEA