The acquired immune deficiency syndrome: the case of Thailand. a new task for medical geographers
Senftleben, W.
Philippine Geographical Journal 32(2-3): 56-65
1988
ISSN/ISBN: 0031-7551 PMID: 12315603 Document Number: 359294
The reported existence of only 12 cases of AIDS, 20 ARC (AIDS-related complex) and 170 HIV infections in Thailand is discussed in terms of a possible government cover-up, and other explanations for such a low incidence in a country with a large sex tourism industry. Thailand had reported 12 cases of AIDS, making it the second most affected country in Asia (excluding the Mediterranean region). More remarkably, the Health Department stated that no cases of HIV infection have been ascertained among 15,700 prostitutes, male and female, despite regular testing. Several experts are cited who hold the view that the government is withholding information. The risk of contracting an HIV infection per single sexual contact has been estimated at 1% or less in the West, and perhaps 8% in Africa where sexually transmitted diseases enhance spread, and prostitutes engage in multiple partners daily. In Thailand, sexual practices of female prostitutes are generally limited to vaginal intercourse, and liaisons last about a week with 1 client, so risk is probably under 1%. Prostitutes are generally young, and practice strict hygiene, although they rarely use condoms. The AIDS scare has definitely affected sex tourism, causing closing of bars and massage parlours, and lowering incomes significantly. The industry has reacted by issuing AIDS test cards to girls (although clients are not required to take AIDS tests). No action has been taken in male prostitution establishments, however, where many prostitutes are married or bisexual.