No one knows how many people in China have AIDS, and that's a huge problem.*
About two years ago I was at a conference unveiling a new ad campaign to fight the outbreak of AIDS in China. The message wasn't "use a condom" or even "abstain from sex" the message was: over 50% of people with HIV got it through sex.
That's right, the message was, unprotected sex put you at a risk for getting HIV. The people unveiling the campaign said "people in China just don't realize that you can get AIDS through sex," the common thought is the most major way to get AIDS is through tainted blood.
They were quickly backed up by one of the reporters in the room, who stood up and asked "I thought it was really difficult to get AIDS through sex? and can't AIDS be cured by traditional Chinese medicine?"
This interacting came to mind when I read this post musing about the absence of sex in the Chinese edition of Cosmo. Which linked further to a crackdown sexual health related websites (though I could imagined benevolent ways to interpret the latter article). China's control over information is almost certainly having a very real and large effect on the transmission of STDs in the country. Consider:
1. We don't know how many people in China have AIDS.
2. We do know that there is a large drug problem in the area near the golden triangle.
3. Lack of information about AIDS is at a high enough level that educated people don't think it is transmitted (or at least not very likely to be transmitted) through sex.
4. While illegal, the Chinese government mostly turns a blind-eye to prostitution (unlike sexual education), particularly among migrant workers, who also have less access to any form of education.
5. Prostitution is so wide spread in areas with large numbers of migrant workers that it is impossible for prostitutes to self-enforce condom usage. (as it would mean giving up a large amount of business)
Simply put, if you want to see a country that is doing everything wrong when it comes to the spread of HIV, you don't have to look any farther than China.
* China does release an official number. In 2005 up to 760,000 people had AIDS. In 2009, the number had reached.... ::cough:: 740,000

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