gay youths play 'unsafe sex games'

By Dominique Herman  (Source: Cape Times)

October 31, 2006: The focus on safe sex in the gay community in South Africa seems to be "dropping off", according to the executive director of health services for the City of Cape Town, Ivan Toms.

"Young, crazy people are starting to play young, crazy risk games," Toms said on Monday at the internationally attended founding meeting of the Africa Genome Education Institute's Biotechnology and Health Economics Working Group of South Africa.

Toms attributed this "scary change" of an increased taking of sexual risks - especially among younger men - to their thinking that Aids was a chronic disease that could be managed with medication.
Aids was a heterosexually driven disease in this country, and indeed in sub-Saharan Africa, but initial work with the Human Sciences Research Council to ascertain the prevalence of HIV-infection among homosexuals had established that it was "becoming a really serious problem in the gay community as well", Toms said.

Toms quoted two sources of HIV data which put the total number of people living with HIV in SA in 2005 between 5,2 million and 5,5 million. The HIV prevalence rate among the adult population (15 to 49) was between 18 percent and 19 percent.

In Brazil - to which South Africa is often compared as the South American country is also battling a raging pandemic but, unlike South Africa, has achieved considerable gains in the past six years, in particular - 620 000 people are living with HIV with an adult prevalence rate of 0,5 percent.

"Clearly, we have a huge issue that needs a bigger, faster response. Ultimately, we're not on top of the problem," Toms said.

To illustrate the failure of the country's prevention campaign thus far, he mentioned an anecdote he had heard from some women that they only used condoms when they wanted to "punish" their boyfriends.

For these young people, he said, protection, and, in turn, prevention, was equated with punishment.

However, in the Western Cape, the size of the HIV problem was still manageable, Toms said.

This was a result partly of political will, effective leadership and the large skills base from the three major universities. In the province this year there have been over 267 000 total HIV infections and a prevalence rate among adults at 8.6%. The total number of those sick with Aids in June was just under 20 000 and the number of Aids deaths so far in 2006 just over 11 000. The number of new infections is just under 28 000.

There are about one million orphans in SA who have lost one or both parents to Aids.