AIDS/HIV in Thailand

Thai prostitutes; child prostitute

Health and Well-being

The rate of HIV infection is 50% or higher among female prostitutes in Northern Thailand. (New England Journal of Medicine, Sarah McNuaght, "Prohibition," The Boston Phoenix, 23-30 October 1997)

In 1990 there were fewer than 200 reported AIDS carriers, and only a handful of AIDS patients. By 1997, the number of reported carriers is believed to have far exceeded one million, with more than 30,000 deaths recorded in official papers. The AIDS epidemic has threatened to overwhelm at least six upper Northern provinces - Chiang Mai, Chiang Rai, Lamphun, Lampang, Phayao and Mae Hong Son. Hospitals in these provinces are usually packed with AIDS cases, who outnumber other patients. At a certain hospital ward in Chiang Rai, AIDS patients occupy 15 out of the ward's 22 beds. ("Opening our eyes to the Aids problem," The Nation, 20 May 1997)

Of 103 prostitutes tested for AIDS this year, 37.8% were HIV positive, most of them from Burma's Shan state. (Dr Sura Kunkongkaphan, Aphaluck Bhatiasevi, "Influx of Burmese sex workers via Mae Sai," Bangkok Post, 2 June 1997)

NGOs say most prostitutes come from provinces in the north; a large number after travelling to cities like Bangkok to work return to their villages once they become infected with HIV/AIDS. They in turn, infect others. AIDS is mostly transmitted through heterosexual contact. Men often get the disease from a prostitute then infect their wives who then infect their unborn children. Northern Thailand accounts for about half of the country’s 800,000 cases of HIV. (Sutin Wannabovorn, "Thai Prime Minister vows end prostitution, AIDS victims react," Reuters, 29 July 1997)

Thailand has the fourth largest number of AIDS cases in the world with nearly 60,000. This is only the number of officially reported cases and health workers say the actual number is several times higher. (Sutin Wannabovorn, "Thai Prime Minister vows end prostitution, AIDS victims react," Reuters, 29 July 1997)

More than 70% of Thailand’s returning migrants are HIV positive. The men buy women in prostitution when they are abroad. Of 500 returning migrants in Khon Kaen, more than 400 are HIV positive. Migration is a key factor in the spread of AIDS. (NGOs working on HIV/AIDS issues in Issan, recent informal sample by a doctor, IOM, Leyla Alnayak, "Returning migrants to Thailand show high AIDS incidence," Earth Times, 11 April 1998)

Since enforcement of the anti-prostitution law in December 1996, police pursue cases of child prostitution less frequently, partly because the cases are complicated. According to Professor Kritaya Archavanitkul of Mahidol University's Institute for Population and Social Research, "The police at local level do not cooperate much because the Interior Ministry has announced that police authorities will be penalized if child prostitutes are found in areas under their responsibility." (Aphaluck Bhatiasevi, "Child Prostitute Problem Worrying," Bangkok Post, 28 July 1998)

Enforcement of the Prostitution Prevention and Suppression Act of 1997 caused movement of many prostituted persons from brothels to restaurants and beer bars. This puts them out of the reach of health workers, which hampers efforts to control sexually transmitted diseases by driving prostituted persons from the mainstream red-light premises. (Aphaluck Bhatiasevi, "Vice purge hinders campaign as prostitutes go underground," Bangkok Post, 17 June 1998)

Budget cuts have forced the Communicable Diseases Control Department to cut its free condom distribution program from 45 million pieces in 1997 to 12 million in 1998. In fiscal 1999, the ministry has requested funds to buy 25 million condoms. (Aphaluck Bhatiasevi, "Vice purge hinders campaign as prostitutes go underground," Bangkok Post, 17 June 1998)