|
transmission by 100 per cent. The first generation microbicides are
likely to be about 60 per cent effective if used properly and consistently.
But the point is that this is a harm minimisation tool. Many women and
men world-wide don't or can't use condoms or find it difficult to negotiate
condom use even if they want to.
A microbicide can be used by a woman or (rectally) by a man, possibly
without their partner knowing, and it will protect them and their partner
from transmission of HIV and STIs during intercourse. It minimises risk
and prevents transmission at times when the only other alternative might
be totally unprotected sex. Anna Foss of the London School of Tropical
Hygiene & Medicine estimated that a 60 per cent effective microbicide
could stop an estimated 2.5 million infections over three years. (In 2001
there were five million new infections worldwide).
Will it be used where it's most needed?
Heidi Jones from the Population Council reminded us that, globally, more
women are infected than men, being biologically more vulnerable to infection.
A lot of these women (or their men) have cultural reservations about the
use of lubrication during sex. Attitudes about female wetness and female
orgasm vary from culture to culture.
In some African cultures, we've heard a lot about 'dry sex' as being a
factor that increases women's vulnerability to HIV infection. There is
more likely to be a risk of HIV transmission from an HIV positive man
to an HIV negative women than if she is wet.
|
|