Monday, April 2, 2018

Prostitution has taken the highest toll in Juba

By Pal Chol Nyan

Photo: Aljazeera
With war and hunger, everything is possible. We cannot be surprised to see the ills now happening. Poverty is the cause of all evils. It is the cost of prostitution which brings about the transmission of HIV and other sexually transmitted infections. It is good to bring it to the attention of those who want to live long that it is not only HIV/AIDS that is sexually transmitted. Hepatitis B and C are also transmitted through sex, blood transfusion and sharing of sharp needles just like HIV/AIDS. They have different ways of leading to death. B causes liver cirrhosis and C causes cancer of the liver. 

There are also other sexually transmitted infections like syphilis and gonorrhea besides other viral infections sexually transmitted too. They are many. We need to be careful and stick to our partners. Why do people want to die when they know the cause?  I know we are mortals and will eventually die no matter how long we live on earth but let us help God to safeguard our lives.

Love of money, excessive lust for unprotected sex, promiscuous activities, that is having many sexual partners, are risk factors for the transmission of STIs. Some are treatable but if left untreated, they cause sterility in both males and females especially urethral gonococcus which causes pelvic inflammatory infections usually abbreviated as PID. 

Chlamydia is easy to treat if detected earlier. The statistics now according to the department of HIV / AIDS, the rate of new infections rises as each day passes. 

HIV/AIDS cannot be completely treated but prevented by observing ABC (Abstention, Be faithful and use a Condom). The Antiretroviral drugs do not cure Aids; they strengthen the immunity mainly CD4 loosely translated for a cluster of differentiation. It is a type of a lymphocyte that AIDS attack. 

In Juba, there are many lodges; they are used to practice sex outside marriages instead of them being used by tourists and for commercial purposes now overridden by unlawful sexual malpractices. It is called prostitution if you meet or sleep with more than one person. It is not a term for women or ladies alone. Men, too like practicing unprotected sex and the risk of infections are higher, especially in uncircumcised men. 

It is observed that men with their foreskin not cut are prone to higher risk of infections than the ones circumcised. In the foreskin is a cell called Langerhan's cells which create a conducive atmosphere for the viruses. Once cut, it reduces the risk, scientists observed. 

It is hunger that brings about prostitution and theft. Families have broken up. Women cannot feed the kids alone. They have to use whatever means including going to the lodges to secure a meal for the kids, change their smartphones and go to the saloon

Let us protect ourselves from sexually transmitted infections by being faithful or abstain. What is the role of the Municipality in this case? Our social norms and traditions are already under attack.

The author is a medical practitioner and can be reached @

Editor's Note: The views expressed in this article belong to the author not 'The Philosophical Refugee' website. For the veracity of any information in the article, please contact the author.


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