The Arusha Times

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ISSN 0856-9135

No. 00280

July 26 - August 1, 2003

Talking AIDS

 

Suggested Headline: Condom Rules

By Matthew Craven

Last week this column discussed the chance that religious leaders have to make a difference in the fight against HIV by promoting condom use along with sexual abstinence and being faithful to one uninfected partner.
Education about condoms is important, because although they are not difficult to use, obeying a few simple rules can make them much more effective.

Every year, many people who say they use condoms are infected with HIV. This has led some to speculate that they are contracting the disease from the condoms. However, this is not true - HIV can only live in human body fluids and an unused condom presents no risk. The most important reason for condom users contracting HIV is that condoms are most effective when used every time. If someone only uses them sometimes, or only the first few times with each sexual partner then they are not protecting themselves effectively. Repeated condom use requires strength of will and planning ahead. Shops are often closed at the time when condoms are needed so it is important to buy them before they are needed. It should also be remembered that each condom can only be used once, so people need to make sure that they have an adequate supply on hand.

Two weeks ago, Sister Agreda Mosha correctly pointed out in this newspaper that condoms are of variable quality. They should be made of latex (a derivative of rubber), since HIV and sperm cannot pass through latex. Condoms made from goatskin or other materials are not effective at preventing the spread of sexually transmitted diseases. Reputable brands clearly mark an expiry date, and condoms should not be used after that time since the latex starts to degrade.

Proper storage is also important. Latex is a delicate material and is easily damaged by extremes of temperature. Keeping condoms in a pocket or hot part of the house for long periods of time can lead to degradation of the rubber. It is best to carry them in a bag or jacket pocket when going out. Sharp objects can make holes in condoms - users should check to make sure that there is air trapped in the packet before opening. The South African government once distributed 5 million condoms with an instruction card stapled to them. The staples went through the condoms, rendering them useless.

Condoms must be put on immediately before sex, and removed immediately afterwards. The whole purpose of the condom is to prevent body fluids from touching, and care should be taken at every stage of use to ensure that this is achieved. Finally, condoms should be disposed of appropriately; pit latrines are often good places to put them.

Even when all of these rules are followed condoms will never be 100% effective. Occasional manufacturing defects, damage in transit and unlucky breakages can never be entirely eliminated. Nevertheless, if condoms were always used properly their failure rate would be greatly reduced. Sexual abstinence and being faithful to one uninfected partner will always be better than condoms at preventing HIV infection. However, there are people for whom these are not realistic options, and for those people following these rules for condom use will greatly reduce their risk of HIV infection.

 

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