1. Working Women: Are they getting enough? Julie Ledger Health Adviser Withington Hospital. Manchester

2. Background Increased incidence of gonorrhoea & chlamydia in the north west of England Sex workers could be a major source of this infection Sex workers were poor attenders to the health care services

3. Aims & objectives Raise awareness of STI’s among sex workers. Provide a client focused service. Hepatitis B vaccination Contraceptive info/advice Fast tracking into local GU clinics Venereal Diseases Act applicable

4. Practitioner Minimum 5 years experience Able to undertake an appropriate history Provide a triage assessment of need Contact tracing/partner notification where appropriate Vaccination training

5. Recruitment ‘Health club’ section of local Manchester paper VERY DIFFICULT! Initial visit with owner/person in charge Owner awareness Private room availability No disclosure

6. Methodology Eight massage parlours in the south of Manchester Regular visits between Jan 2001 & June 2001 by experienced nurse practitioner. Screening for STI offered to all women. Hepatitis B vaccination and sexual health advice. Evaluation of service via questionnaire

7. Testing Buccal swab for Syphilis & HIV Pharyngeal swab for GC & chlamydia Urine for chlamydia testing Self inserted HVS for GC & other non STI’s Other tests undertaken at practitioners discretion

8. Results All women aged between 19-55 years 94 women screened (138) 10 HIV tests under taken. 3 referred for termination of pregnancy 7 ‘fast tracked’ into clinic for Dr review 67.5% returned their questionnaires

14. Discussion Despite the incidence of STI’s amongst these women being lower than previously assumed, screening & treatment of this group is essential. Alcohol and drugs were necessary for women to work. Sexual health care was combined with primary care advice for this group.

15. Conclusion Sexual health advice should be provided together with primary care advice where appropriate Screening and early treatment of this group will help control/prevent the spread of STI’s 52 women wished this service to continue

16. Everything you ever wanted to know about a sauna but were afraid to ask!! 11am - 9pm (last service 8.30pm) Most relevant person = Receptionist £40 per 1/2 hour - 1st £40 to sauna - every other client = £25 to sauna (£15 to woman) 1 hour session £70 - £20 to sauna (£50 to woman

17. Specific services!! £85 ‘Lesbian love scene’ - £35 to each woman - £15 to sauna Anal sex - negotiable with woman (£25+) Water sports/reverse water sports - negotiable with woman (£25 +) Domination/submission - negotiable Other activities!!? - negotiable

18. To obtain a copy of the report bridgethughes123@hotmail.com