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Missing the Point: Bloodborne HIV in Malawian Prisons


Journalists can never resist anything they interpret as being ‘evidence’ of sexual practices in prisons. For example, an article about HIV prevalence in a prison in Malawi concludes that it must all have been transmitted sexually, and rants on about homosexuality, with prurient rubbish about whether the distribution of condoms does or does not ‘promote’ homosexuality.

This article cites an odd finding: “A recent screening exercise conducted by the Malawi Prison Services at Chichiri Prison in the commercial city of Blantyre revealed that out of 1880 inmates tested for syphilis, 46 were diagnosed positive. The exercise also revealed that out of the 1,344 inmates screened for HIV, about 100 were diagnosed positive and 62 of them were newly infected.

That means syphilis prevalence stands at 2.5%, yet HIV prevalence stands at 7.4%. As syphilis is generally easier to transmit sexually than HIV, the fact that HIV prevalence is three times higher may suggest that much of it is not sexually transmitted.

For example, there could be some questionable practices in the prison healthcare facility, including unsafe practices among those administering first aid. There could also be traditional or prison related practices that risk bloodborne transmission of HIV, hepatitis and other conditions, such as tattoos, blood oaths, traditional medicine, etc.

There may even be illicit drugs administered in a way that risks bloodborne transmission of viruses and infections. Indeed some could argue that, since HIV prevalence in this prison is lower than prevalence nationally, which stands at 9%, perhaps there are a lot fewer risks in prisons than in the general population, sexual and non-sexual risks?

Constantly associating HIV with sexual and homosexual practices reinforces the view that HIV is always transmitted through sexual contact of some kind. As a result, people fail to take precautions against non-sexual transmission risks, of which there are many.

The article goes on to bemoan colonial-era laws prohibiting homosexuality, the evident influence of some evangelical churches, social ‘conservatives’ and other misanthropes. But this misses the point that it is the entire HIV industry that goes to great lengths to distract attention from non-sexually transmitted HIV, through unsafe healthcare, cosmetic and traditional practices.

 

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