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Will Condoms Really Stop AIDS In Africa?

Scott1

Well-Known Member
If you've watched any of the mainstream news coverage of the
Catholic Church in the past month, you've heard several charges
repeated over and over: The Church needs to ordain women to address
the vocation shortage... the Church needs to change its attitude on
contraception and abortion to better accommodate modern realities...
the Church needs to moderate its stance on homosexual behavior to be
more inclusive... the Church needs to drop its claim to contain the
fullness of salvation, since it hinders ecumenism.

Chances are, you're already well equipped to address these
objections. But there's one charge that seems to throw Catholics for
a loop.

It goes something like this:

By maintaining its ban on condom use, the Catholic Church is
contributing to the AIDS epidemic in sub-Saharan Africa. Condoms have
been demonstrated to prevent infection 90% of the time. If the
Vatican cared more about people's lives than a rigid doctrine that
most Catholics reject, they'd make an exception to allow condom use
to prevent the spread of HIV/AIDS. Such a move would do more for
"life" than would maintaining a position that allows millions to die
as a result of unprotected sex.

Sounds convincing at first, doesn't it? So convincing, in fact, that
most Catholics have trouble addressing it.

One approach, of course, would be to explain the Catholic
moral/theological position on why contraception is inherently evil.
But while absolutely true, that approach isn't terribly convincing to
a non-Catholic, let alone a non-Christian. After all, logic and
philosophy are easily dismissed as abstractions when human life is
involved.

But the debate over condoms in Africa need never get to that point.
In fact, the whole matter can be settled without ever bringing in
moral theology. You see, the fatal flaw in the pro-condom argument is
both simple and devastating: Condoms aren't working to stem AIDS in
Africa.

Take for example a March 2004 article in the medical journal,
Studies in Family Planning (cited by the Zenit News Agency, June 26,
2004). Titled "Condom Promotion for AIDS Prevention in the Developing
World: Is It Working?," the piece was a meta-review of the scientific
literature on the question.

The results shocked condom advocates. In the article, researchers
Sanny Chen and Norman Hearst noted that, "In many sub-Saharan African
countries, high HIV transmission rates have continued despite high
rates of condom use." In fact, they continued, "No clear examples
have emerged yet of a country that has turned back a generalized
epidemic primarily by means of condom distribution."

No surprise, then, that Botswana, Zimbabwe, Kenya, and South Africa
-- the nations with the highest levels of condom availability --
continue to have the highest rates of HIV prevalence ("The White
House Initiative to Combat AIDS: Learning from Uganda," Joseph
Loconte, Executive Summary Backgrounder).

How could this be? After all, we're told that condoms are 90%
effective.

And that's precisely the problem.

This claim -- so prevalent in condom-promotion literature -- is
actually a tremendous strike against using condoms to reduce AIDS.
Think of it: Assuming that the 90% figure is accurate (a highly
contested point), that means that 10% of the time, condoms don't
offer protection against transmission.

That's one out of ten.

If you and I were to go skydiving, and I told you, "Don't worry...
the parachutes work 90% of the time," how comfortable would you be
making that jump?

Now, of course, the fact that a condom fails to "work" doesn't mean
the person will automatically contract HIV/AIDS. Nevertheless, this
is hardly the solution to the crisis.

You see, the pro-condom lobby's exaggerations over the effectiveness
of its product is actually making the problem worse, for one simple
reason: Condoms provide a false sense of security to those who use
them. Being convinced of their effectiveness and feeling
invulnerable, users will simply continue -- or actually increase --
their high-risk behavior. In this way, the claimed 90% effectiveness
rate plummets in proportion to the increase in self-destructive
behavior. This phenomenon is borne out in the countries that focus on
condom distribution to fight the disease.

But while condoms clearly won't solve the HIV/AIDS crisis in Africa
(or anywhere else), there is an approach that will: abstinence.
Indeed, in African nations -- where HIV/AIDS is transmitted almost
exclusively through sexual contact -- abstinence is the obvious
solution.

And better yet, it has been proven effective.

Uganda at one time had the highest rate of HIV/AIDS in the world.
Starting in the mid to late 1980s, their government instituted a
program to teach abstinence before marriage and fidelity to one's
partner afterwards. They only reluctantly advised condoms for high
risk groups (like prostitutes) whom they knew would not accept the
other two approaches.

Billboards, radio announcements, print ads, and school programs all
promoted the virtues of abstinence and fidelity to prevent HIV/AIDS.

The results were astonishing.

In 1991, the prevalence rate of HIV was 15%. By 2001, it had dropped
to 5%. It was the biggest HIV infection reduction in world history.

Among pregnant women, the drop was even more dramatic (as reported
by CNS News, January 13, 2003). In 1991, 21.2% of expecting mothers
tested positive for HIV. By 2001, the number had plummeted to 6.2%.
Compare this with the 2001 numbers from Kenya (15%), Zimbabwe (32%),
and Botswana (38%). All three countries focus on condom distribution,
and all three countries continue to see their rates rise.

But wait, the condom advocates object. The Ugandan "miracle" is
simply the result of more widespread condom use.

Not so, says Dr. Edward C. Green, an anthropologist at the Harvard
University School of Public Health. Dr. Green was a strong proponent
of condom distribution to stem HIV/AIDS... that is, until the U.S.
Agency for International Development (USAID) hired him to study the
reasons behind the success in Uganda.

The results of his research left him little doubt. "Reduction in the
number of sexual partners was probably the single most important
behavioral change that resulted in prevalence decline," he noted.
"Abstinence was probably the second most important change" (testimony
before the Subcommittee on African Affairs, as reported by Joseph
Loconte).

"It is a very indicting statement about the effectiveness of
condoms," he told Citizen Magazine. "You cannot show that more
condoms have led to less AIDS in Africa.... I look at the data and I
see that what might be called a more liberal response to AIDS -- more
and more millions or billions of condoms -- has simply not worked,
especially in parts of the world with the highest infection rate,
Africa and the Caribbean."

Unfortunately, not everyone was pleased with Dr. Green's
conclusions. USAID shelved his study and enlisted a well-known condom
advocate and employee of ETR Associates (an organization dedicated to
"safe-sex" education) to write a new one. Apparently, USAID wasn't
concerned with the apparent conflict of interest.

This is especially tragic, as the effectiveness of abstinence and
fidelity education has been demonstrated by numerous research groups.
As Loconte notes, evidence for the success of Uganda's approach has
come from "USAID, the Joint United Nations Program on HIV/AIDS
(UNAIDS), the World Health Organization (WHO), the Harvard Center for
Population and Developmental Studies, the Ugandan government, and
numerous independent studies published in medical journals."

Yet we're still told condom distribution is the solution to the AIDS
crisis in Africa. And the Catholic Church is an easy media bogeyman,
standing in the way of that effort.

Ironically enough, Uganda's successful approach is very close to
that recommended by the Church. The only exception, of course, is the
African country's concession to giving condoms to prostitutes. But if
the people of that nation -- and indeed, of the world at large --
took seriously the Catholic notion of the dignity of women and the
nature of sexual intercourse, that last point would be addressed as
well.

But what about allowing condoms for faithful married couples, where
one partner is HIV/AIDS positive? Isn't that reasonable?

Actually, it's not reasonable at all. Love requires sacrifice. And a
person who claims to love another would never knowingly put his
beloved in danger. But that's precisely what this approach does.

Imagine if I get drunk one night and drive my wife around town.
That's not a loving act. And it doesn't suddenly become loving just
because I tell her to put on her seatbelt. When an HIV/AIDS positive
person has sex with someone who's free of the disease, he puts that
person at grave risk. That's not love... that's selfishness.

In a marital situation where one spouse is HIV/AIDS positive and the
other negative, the loving thing to do is to abstain from sex. In
those cases, love must be shown in other ways, like the
self-sacrifice that abstinence requires.

It's not easy, but real love rarely is.

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Scott1

Well-Known Member
On the suggestion of someone who's opinion I hold in high regard... I've moved this to a debate forum..... just keep in mind that I didn't write the article!
 

Jaymes

The cake is a lie
Condoms work when used properly, and I'm sick of people lying through their teeth and saying HIV is small enough to get through. Condoms are made of the EXACT SAME MATERIAL nurses use to protect themselves from HIV... and strangely enough we don't hear of any nurses spontaneously contracting AIDS. Amazing, isn't it?

Not wanting to use condoms in Africa has to do with the view of sex in Africa. "Wet" sex is considered dirty and embarassing. Women subject themselves to great pain to 'dry out' their vagina so that men will enjoy the sex. Condoms, unsurprisingly, are lubed so that they don't break. Condoms may be available, but that doesn't mean they're being used.
 

michel

Administrator Emeritus
Staff member
I agree with virtually everything you have said Scott. The only two small points I would like to make are 1) issuing condoms is one thing - making sure that it is used at two o'clock in the morning after too much alcohol, in the heat of passion is another matter all together.

2) abstinence is the best form of barrier contraceptive, of that there is no doubt. The problem is that nature has a remedy for abstinence - it is called libido.;)
 

BUDDY

User of Aspercreme
Good points everyone. I am getting a little tired of everyone coming down on catholicism for the stance on contraception. If you will remember, the Catholic Chursh is also against pre-marital sex. That hasn't stopped African peoples from having it though, and further spreading the virus. What makes anyone think that if the Church advocates contraception that suddenly people will start using it. It doesn't make sense that those who have ignored Church law would suddenly obey it like that.

Also, are you sure about that Jensa? I remember in High School looking through a microscope at a condom and seeing microscoic holes in it. I was told that those holes were large enough for many viruses to fit through. Condoms are still better than nothing, but I believe that there is still risk because of the viruses size. I admit, I could be wrong on this though.
 

Jaymes

The cake is a lie
Condoms are made of double-dipped latex, which is what nurses use in gloves to protect them from catching things from their patients... HIV is one of those things it is used to protect them from. I am sure of this.
 

Prima

Well-Known Member
In my opinion, condoms should never be used as a substitute for abstinence. Because, as stated, they don't have 100% safety. But they should always be used when one is going to have sex anyway.
The only solution right now is time. You work on abstinence, you work on condom use, you work on education, you work on money for a cure...but really, no one thing - not even abstinence - will make the problem go away. And abstinence takes education, learning, and support - just like using a condom. And you can't FORCE a person into abstinence. You control how well a condom works, you just have to convince people it's worth it. You can't control someone's hormones or self-control!
 

Prima

Well-Known Member
Oh, EEWRED, it also depends on when you looked at it. Though this will sound odd, a few years can make a difference in how well a condom is made.
That hasn't stopped African peoples from having it though,
Er...let's recall that there's also an AIDS epidemic in Europe, and the beginnings of one in the US, shall we?
 

BUDDY

User of Aspercreme
Prima said:
Er...let's recall that there's also an AIDS epidemic in Europe, and the beginnings of one in the US, shall we?
It is worse in Africa than almost anywhere else in the world, except for Haiti I beleive. Nothing was meant by my statement, it was just the subject of the thread. But you are right, this applies universally where the Church's view on contraception is concerned.
 

CaptainXeroid

Following Christ
Here's a fact sheet from the CDC website. and what the CDC has to say about it:
...Laboratory studies have demonstrated that latex condoms provide an essentially impermeable barrier to particles the size of STD pathogens...
Source.

Jensa, I remember sex ed teachers telling us that condoms were no protection against HIV back when I was in school. Many people still believe it because they haven't been told otherwise. I'd characterize it as misinformed rather than 'lying through their teeth'.:)

The problem as EEWRED, Prima, and michel have pointed out, the problem is not the condoms as much as it is behaviour. When people engage in promiscuous unprotected sex or do not use condoms correctly, AIDS transmission is quite high.
 

Jaymes

The cake is a lie
CaptianXeroid, I'm aware many people have been given misinformation, and I don't hold it against them at all. It's the people saying that condoms lets HIV through when all evidence points to the contrary and they know this that I get ticked at.

Also, isn't India one of the countries with the highest AIDS rate? IIRC, condoms are widely available there, as well... but they're taken and used in roads and to lubricate thread to go through machines faster. Availability does NOT mean that it's being used for sex.
 

CaptainXeroid

Following Christ
Jensa said:
CaptianXeroid, I'm aware many people have been given misinformation, and I don't hold it against them at all. It's the people saying that condoms lets HIV through when all evidence points to the contrary and they know this that I get ticked at...
That's fair, and I agree. Truthfully, I did not know until I looked it up:bonk: , but I made sure to find out before I posted one way or the other..

Jensa said:
...Also, isn't India one of the countries with the highest AIDS rate? IIRC, condoms are widely available there, as well... but they're taken and used in roads and to lubricate thread to go through machines faster. Availability does NOT mean that it's being used for sex.
HIV and India- numbers yes, but the rates are not as high because India's population is much higher.
 

Lintu

Active Member
I feel the need to make it clear that many people who are infected with AIDS every day in Africa did not make the choice to have sex. Many of them did not have any control over whether a condom was used.
 

Jaymes

The cake is a lie
But Lintu, it's easier to just chant the mantra of abstinence than work on any real problem solving... :sarcastic
 

ker krypter

Member
if the people are educated about having lubricated sex like jensa said, the condom will break if dry sex is performed. i think the church needs to do something bigger like provide hospitals to contain all the aids victim in africa and why not around the world. take up a cause to help the people who believe in you.
 

Fat Old Sun

Active Member
Just making condoms available is not going to help much. The leading cause of condom failure is not using them properly. I've used condoms no matter what since I was 18. I estimate that I've probably used around 700 of them since then. According to the 90% statistic, I should have had 70 of them break. Not even close. I've had two of them break... TWO. That's roughly 99.7%


Another problem is that not everyone uses them every time or for the entire time. Starting without one, then putting it on before you finish doesn't count. I have no problem with trying to increase abstinance as long as it is done using the truth. Reality is scary enough. I don't think that claims of condoms being the perfect solution should be promoted either. It's better than nothing, but not guaranteed. I think both approaches should be covered. When you live on a lake, you don't just tell your children not to go in the water and hope they listen. You teach them to swim as well.
 

jamaesi

To Save A Lamb
http://www.crisismagazine.com/


Looks like a very "fair and balanced" site... if you're going by FOXNews definitions. However, I tend to stick with my trusty dictionary.com.

I'd love to see all those nifty little statistics cited in that email from another source (the Catholic News Service doesn't count) and more information on how the data was gathered. I've taken classes in statistics, you can prove just about any damn thing you want with them.


Did you ever stop and think about how the Catholic Church is LYING to the African people? It breaks my heart whenever I read about how the priests are telling them condoms don't do a damn thing to stop AIDs and they're full of holes and whatever else they feed these poor people as the Pope turns a blind eye and sets everyone to attack the gays or some other hated group.

Have you ever stopped to think of the culture? The women putting grass and leaves and dry feces into their vaginas or sitting in tubs of bleach to please the men who think that wetness during sex is a dirty, dirty thing. Have you ever though that the lack of lubracation and the fact that dry sex tears at the lining of the vagina might be the fact that condoms don't work?

What about the fact that Africa is not a first world nation? Do you think that you can just throw condoms at people and the problem will go away? These people can't log on into the internet and figure out how to use the damn things (and trust me, they're sneaky little buggers) and with people there lying to them about the condoms, do you really think they got a proper sex education?



~Jamaesi, who thinks education is almost always the best fix
 

Fluffy

A fool
Can anyone provide some scientific evidence for the following (preferably from an unbiased source but not necessarily):

The claim that condoms have holes large enough to let through AIDS.
Abstinence (or condoms for that matter) are effective methods of preventing the transmission of AIDS via rape.
The claim that condoms only prevent AIDS transmission 90% of the time. (also is this statistic referring to AIDS alone or all sexually transmitted diseases?)
 

michel

Administrator Emeritus
Staff member
CaptainXeroid said:
Here's a fact sheet from the CDC website. and what the CDC has to say about it:
Source.

Jensa, I remember sex ed teachers telling us that condoms were no protection against HIV back when I was in school. Many people still believe it because they haven't been told otherwise. I'd characterize it as misinformed rather than 'lying through their teeth'.:)

The problem as EEWRED, Prima, and michel have pointed out, the problem is not the condoms as much as it is behaviour. When people engage in promiscuous unprotected sex or do not use condoms correctly, AIDS transmission is quite high.
I don't think it is so much a case of using condoms correctly - I think it is just a case of using condoms period. As far as I can gleam from my sons and their friends, the attitude is pretty much that most girls are on the contraceptive pill, and, surely, I am the first one......aren't I ?:eek:
 

ker krypter

Member
michel said:
I don't think it is so much a case of using condoms correctly - I think it is just a case of using condoms period. As far as I can gleam from my sons and their friends, the attitude is pretty much that most girls are on the contraceptive pill, and, surely, I am the first one......aren't I ?:eek:
so the condom is for sloppy seconds. interesting .i really cant see them enforcing rape laws. maybe im wrong. aids spreads so easy. it must be contained
 
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