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Article #8: Tips to make sexual work safer

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South Africa has lately been at the gonorrhea, guarding against pregnancy,
center of the world prostitutes movement. protecting your clients from infections.
The International Network of Sex Work Nobody wants to expose a customer to an
Projects is currently based in Capetown. STD.
And not far from Capetown, the recent When it comes to prostitution and
13th International AIDS Conference was illness, it's the transmittable ailments
held July 9-14. But whether it occurs in that get all the front-page coverage. But
Geneva or Durban, this event is a magnet for many hookers, the biggest health
for sex workers' rights activists and is problems are work related yet
a must-attend for anyone who plays a noncontagious. So, safe sex can also mean
leadership role in the world prostitutes abstaining from vaginal intercourse --
movement. with lovers or clients -- to reduce the
Right now, as I sit in New York, playing mechanical irritations leading to
hooky from the biggest event of the year, nonspecific urethritis and recurring
alliances are forming and shifting, bladder infections.
dying, reviving. Political love affairs "I had a UTI [urinary tract infection]
are breaking down. Some are being that was actually caused by my boyfriend
tenderly nourished. Covert enemies are -- we were having too good a time -- and
smiling at each other as they salivate I couldn't work," one girl told me. "My
over each other's funding. New factions doctor ordered me to stop fucking for two
are sprouting as former enemies are entire weeks. I didn't listen to him
forced to share hotel rooms. Australians because I felt better -- the infection
are dissing each other to their foreign was gone. And then the problem came back
allies, Latin Americans are making North a month later. I lost more time because I
Americans feel guilty and North Americans was too greedy to give my body a rest."
(especially from the U.S.) are trying not The second time around, she stuck to oral
to offend anyone from Europe or any sex during the recovery period and was
developing countries. able to return to work.
AIDS is a tragedy of epic proportions, In each case, then, "safe" takes on
claiming millions of lives. But AIDS has different meanings. Many readers of my
also made the prostitutes movement a fiction series have asked why fictional
global one. Before AIDS, the movement call girl Nancy Chan doesn't kiss. Is it,
sought its alliances among feminists, and they ask, because kissing is too
this limited our growth. During the past intimate? Not exactly. Refusing to kiss
decade this has changed and most of the clients on the mouth is, for many
important alliances tend to be AIDS professionals, a form of safe sex.
related. AIDS is terrible, we all agree, Many working girls say that kissing
but it helped our movement come of age. increases their chance of catching a
Many activist prostitutes have built cold, and most prostitutes I know worry
innovative careers in public health, more about catching a cold than they do
social and medical research and elsewhere about contracting an exotic and deadly
because of AIDS. virus. The STD problem they've got
In real life, far from the politicized covered -- with condoms -- but other bugs
atmosphere of the sex workers summit in are harder to dodge. Many prostitutes say
Durban, working prostitutes also benefit that being exposed at close quarters to
from the very thing they fear. In the so many people is a challenge to the
1980s, when my friends in the life became immune system. They fanatically dose
aware of AIDS, some clients had trouble themselves with vitamin C and coenzyme Q,
getting used to condoms. And one working keep boxes of homeopathic cold remedies
girl I know expressed the problem on hand and sleep a lot.
personally. She told a client: "If you've Even though a cold won't kill you, it
ever had to sit next to the hospital bed will put you out of work for a week.
of a friend who is dying of this disease, Prostitution is demanding: You are
you'll appreciate the need for a condom!" required to look and act alert, happy,
Yes, '80s foreplay was sometimes healthy and pretty at all times. You
heavy-handed. But she wasn't kidding. One cannot do this with a runny nose or a
of this girl's best friends from high sore throat. In some jobs, you might be
school, a gay man, had just died. regarded as a hero for struggling into
Later, when just about everyone in our the office with the remains of a head
sphere -- clients, working girls, madams cold. In this job, you just look
-- had converted to the cause of condoms, desperate.
she told me: "Thank god for AIDS -- when When your body is your business, you
I think of all the men I used to see don't find it insulting to be told about
without condoms, I just can't believe the latest new STD test -- you actively
it!" Her sorrow over a friend who died of want the latest and the best in
AIDS was, is, still real. But AIDS gave prevention, detection and (if need be)
her a good reason -- an "excuse" -- to treatment.
use a device that had been unfashionable A friend of mine in the business says,
for a while. Condoms made her work a lot "If you don't get an HIV test, if you
safer in general. Risks she had don't sit down and think about every sex
previously taken for granted pre-AIDS now act you perform, you're unprofessional.
seemed intolerable. Like any other person If you don't use condoms, if you don't
who has experienced technological get your blood tested, you're an
improvements on the job, she was amazed incredible slob. It's piggish not to care
at what she had once been able to live if you're a pro. But if you're not a pro,
with. it's romantic; it's a sign of your
Other prostitutes agreed with my friend. innocence perhaps or your purity." In
It was comforting to know you weren't 1992, one of my closest friends, an
being exposed to chlamydia, pregnancy or editor in her 20s, was still on the Pill.
gonorrhea. Men, the selfish beasts, I knew what this meant: She wasn't using
weren't so easily persuaded by the condoms! How relentlessly I nagged her,
specter of curable ailments or of and how merrily she resisted my
pregnancies that didn't affect them. The finger-wagging warnings. "Oh, I'm just
incurable specter of AIDS became a handy being very fin de sicle about it," she
angel of guilt hovering over our beds, said, cheerfully. "Besides, I'm not as
urging our customers to wear condoms. much of a feminist about this condom
Pre-AIDS, when condoms were not always thing as you are, Tracy." That really
the norm, it was normal to get tested at shut me up, since I regarded myself not
least monthly for a range of STDs as a feminist but as a post-feminist.
(sexually transmitted diseases). This God, was HIV turning me into one of those
wasn't just time-consuming, it was preachy militant friends -- the kind of
expensive. But worth it, of course. female friend who advises you not to lose
"Before AIDS," one friend reminisced, "I weight because she fears you'll develop
used to spend $200 a month on gonorrhea an eating disorder (even though you
cultures and lab tests. Once I actually really need to lose 15 pounds)? I was
had to get a penicillin shot." And once, somewhat pissed off with her. A
she even got pregnant, as a result of the prostitute who decides to take risks with
imperfections of the diaphragm method. her body would be viewed as a social
Condoms have made her life safer and menace in need of rehab, a dangerous
saner by reducing her medical and vector of disease, perhaps even a felon
emotional overhead When your body is your in some parts of the United States. Only
portable workstation, you fear for its a shameless amateur could get away with
safety. this.
You're alert to the many bugs, glitches It was indeed a very fin de sicle moment:
and unwelcome problems that can endanger My "virtuous" friend had never
its health, put you out of work, make you disapproved of my sexual conduct, was
less marketable. For many prostitutes, quite supportive of my right to do it,
AIDS is just one of these hazards and and I was the scandalized, self-righteous
it's not even the largest threat in our one. I wanted to be a good sexual citizen
sex lives. and she didn't care one way or the other.
Safe sex means more than preventing In reality, I was more preoccupied with
infection with HIV. It means increasing sex-based "virtue" than she was. I
protection of your cervix from HPV (human consoled myself with the thought that I,
papilloma virus) and cancer by using a the responsible sex professional, was
barrier like a condom or a diaphragm. It taking proper care of my intimate
means protecting your throat against equipment.






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