By Winarto

Bali, an island with an abundance of charm, so many people from inside and outside the country "tempted" to enjoy its charm. Growing tourism industry, which is followed by the efforts of followers and supporters. Various facilities are built and developed to welcome guests tourists coming. Various occupations were available on the island.

However, these conditions also brought "devastating impact" of Bali. Prostitution industry was also growing rapidly there. Of course, this will be a path that would become a medium of transmission and spread of sexually transmitted diseases. Behavior changing partners touted as one of the factors causing the transmission of sexually transmitted diseases, but there are other factors.

Sexually transmitted diseases or the medical language called STD (Sexually Transmitted Diseases) became a hot topic discussed in the community, especially those in Bali. For Bali, sexually transmitted disease transmission according to dr. Elly is very fast. The cases that occurred during this disease is transmitted and spread through the wider world of prostitution, unsafe sexual behavior and often have multiple sexual partners, current and out of high population from within and outside the country and the practice of injection and sterilization of medical devices not yet qualified as sharing needles for drug addicts.

Society has not much to know about sexually transmitted diseases (STDs) are, said by dr. Elly in his experience so far. He mentioned the cause of PMS ie bacteria, viruses, fungi, protozoa and ekstoparasit. The bacteria can cause disease gonorrhea and syphilis (or known as the lion king). The virus causes the disease of HIV / AIDS, genital herpes, genital warts and hepititis B. Fungi and protozoa cause vaginal discharge, itching ekstoparasit resulted in the genitals. Furthermore, STDs caused by bacteria and fungus can be cured with antibiotics unknown origin and treated as early as possible, while PMS is very difficult to treat because the virus can not be cured even like HIV / AIDS.

Knowledge society that is still minimal in what it is PMS, the hazards posed and how to break the chain, called the dr. Elly as the cause of this case will remain durable and continue to expand, especially those transmitted through unsafe sexual relationships and often have multiple sexual partners. For that reason, dr. Elly shew particular attention to the campaign, introduce and educate the public about STDs through Elly Medical Service of his or participate in similar programs together with his colleagues.

From the experience of dr. Elly in the prevention of STD cases in Bali, attention is currently devoted to the approach to the elements of society who perform and behave in an active sex change sexual partners, the Commercial Sex Workers, for example, because the chain is a potential spread of STDs through them. Not only educate and provide insight into PMS, dr. Elly is also working with several parties to campaign for the use and distribution of condoms to them. The program has been executed at the places at risk of sexual transactions such as localization, dimly lit stalls and other places suspected vulnerable.

According to the testimony of some of his patients, knowledge of sexually transmitted diseases is still minimal, also in terms of condom use for prevention. That's why campaigns need to be promoted again, and education to the community. In such education, it is advisable for commercial sex workers to keep regular check-up and encourage the use of condoms to prevent disease transmission.

Concerns On Youths
Breaking the chain of sexually transmitted diseases can not be separated from the younger generation. The development of information and communications technology rapidly demikan supported by the curiosity that makes passionate among the younger generation as those most vulnerable to the spread of sexually transmitted diseases. Encouraged both cases, can lead to deviant behaviors are performed, including in casual sex and multiple partners.

In addition, younger generations are also vulnerable in terms of drug use. In relation to sexually transmitted diseases, intravenous drug users in particular, is very easy as the medium of STD transmission. That is because usually drug addicts using syringes alternately, when syringe has been used is not secure and is not sterile.

Migration flows both tourists and workers in Bali, has affected the lifestyle of young Balinese. Had several times seen two junior high school students kissing lips on the roadside. In fact, dr. Elly never seen a hotter scene performed teenagers in the pool. Already far. If in a public place which they have done that case, not very likely they will do something more? Some time ago too, Bali digemparkan by nasty video made by young people who are also rife in some areas in Indonesia.

It is identified, yet the cases have not been revealed, like an iceberg. For that dr. Elly continue to strive to educate the young generation, especially through the introduction of curriculum ideas of human reproduction, sexology and contraception among younger generations. Although still limited to the idea, but a number of activities pengedukasian to the younger generation has also been done. Hopefully, after obtaining information seputaran reproduction, sexology and contraception, young people can be cautious in keeping yourself and behave well.

Long Process
Given the educational activities carried out during this, dr. Elly admitted that takes a long process and the support of all elements of government and society. Commercial sex workers, although still very small in number, who used to shy, afraid to see her regularly and do not use condoms, have begun to understand the dangers of sexually transmitted diseases. It is said dr. Elly, that after being given information about it, some commercial sex workers call the dr. Elly to merely discussion, consultation or check-up.

Breaking the chain of transmission of sexually transmitted diseases that have a shared commitment. Commitment to be faithful to their partners each, not promiscuity, stay away from drugs, especially intravenous drug and it is important to always be careful in the association and action. Ever there was one case, inadvertently colleague dr. Elly infected with HIV / AIDS. Syringes used to inject the patient, inadvertently punctured. Apparently, these patients were suffering from HIV / AIDS. Finally, a friend of dr. Elly is also contracting the deadly virus and a scourge that.

Do not hesitate to consult, if it had been exposed to sexually transmitted diseases treatment measures can be done immediately. If one were forced to perform sexual activities active and changing partners, keep it safe by using condoms as a preventive action. Similarly, the message delivered by dr. Elly.

This paper is the result of discussions with dr. Elly putu Supriathini. Loaded in Jangkang Research Institute