Sex partners for a traveler or tourist may be:
(1) fellow travelers
(2) local residents
(3) local professional sex-workers
Different scenarios:
(1) just out to have fun, started partying and got carried away
(2) business person or worker who is on the road a lot
(3) repressed sexuality at home (homosexual, middle aged woman)
(4) deviant, exploitative and predatory (sex tourists, pedophiles)
Risks:
(1) physical assault (getting mugged)
(2) sexual assault (getting raped), which may include use of a "date rape" drug
(3) getting arrested
(4) HIV
(5) hepatitis B
(6) other sexually transmitted diseases (STD) including gonorrhea, syphilis, pubic lice, chlamydia, chancroid, etc.
(7) other infectious diseases (amebiasis, tuberculosis, dermatophyte, etc.)
Risk factors for a serious outcome:
(1) intoxication and drug abuse
(2) coming from a relatively sheltered health environment with limited risks
(3) failure to use a condom with all sexual encounters
(4) failure to use contraception
Preventive measures:
(1) Becoming aware of the potential hazards of uninhibited behavior.
(2) Learning the risk of acquiring HIV and sexually transmitted diseases at each destination.
(3) Receiving hepatitis B vaccination.
(4) Having or receiving HIV prophylaxis immediately after a high risk encounter.
(5) Being evaluated for STD on return, especially after consorting with sex workers.
(6) Abstinence or protected sex on return pending medical evaluation and incubation.
