AboutGorkey Gourab Expertise Social and behavioral issues related to HIV transmission, sexually transmitted infections, Human Rights issues, rights of marginalized populations, gender and sexuality, research design and analysis related social & behavioral issues, , computer assisted qualitative data analysis and data management (using ATLAS.ti)
Experience Specialized in Medical Anthropology. Working on Social and behavioral studies related to HIV transmission as well as Human Rights issues. Specialization in gender, sexuality, masculinity, behavioral studies related to HIV transmission. Research experience with MSM, hijra (TG), indigenous groups, female sex workers for five years.
Organizations International Center for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) as Senior Research Officer
Publications (1) Khan, S. I., Hussain, M. I., Parveen, S., Bhuiyan, M. I., Gourab, G., & Bhuiya, A. (2009). Living on the extreme margin: Social exclusion of the hijra in Bangladesh. Journal of health, population and nutrition.
(2) Khan, S. I., Hussain, M. I., Gourab, G., Parveen, S., Bhuiyan, M. I., & Sikder, J. (2008). Not to stigmatize but to humanize sexual lives of the transgender (Hijra) in Bangladesh: condom chat in the AIDS era. Journal of LGBT Health Research, 4(2-3), 127-141.
(3) Khan, S. I., Pasa, K., Gourab, G., Hasan, A. M. R., Kaukab, S. S. T., & Islam, A. (2007a). Living with risks and vulnerabilities to STIs/HIV: a qualitative assessment of indigenous populations at the northwestern belt in Bangladesh. Paper presented at the ASCON: ICDDR,B, Dhaka, Bangladesh. From http://www.icddrb.org/images/11thAscon_Orals_Day2.pdf.
(4) Gourab, G., Karim, M. S., & Karim, Z. (2004). Religiosity of the santal community. Paper presented at the International Seminar on Anthropology: Chittagong University, Chittagong, Bangladesh.
(5) Khan, S. I., Gourab, G., Sarker, G. F., Ghosh, S., & Khondokar, S. I. (2008a). Mapping geographical and service delivery gaps and estimating size of street, hotel and residence based female sex workers in Bangladesh (draft report). Dhaka: ICDDR,B & Save the Children USA.
(6) Khan, S. I., Gourab, G. et al. (2008b). Understanding the operational dynamics and possible HIV interventions for residence-based female sex workers in two divisional cities in Bangladesh (draft report). Dhaka: ICDDR,B & Save the Children USA.
(7) Khan, S. I., Gourab, G. et al. (2007b). Understanding the context of risks and vulnerabilities to STI/HIV and sexual health: an anthropological assessment of the indigenous community of northwestern belt of Bangladesh. Dhaka: ICDDR,B.
(8) Khan, S. I., Parveen, S., Hussain, M. I., Bhuiyan, M. I., & Gourab, G. (2007c). Socialization and sexuality constructions of hijra: implications for STIs/HIV intervention. Dhaka: ICDDR,B.
Education/Credentials (1) Post graduate in Anthropology, University of Rajshahi, Bangladesh
(2) Advanced training on HIV-AIDS related data analysis, Center for Global Health, Vanderbilt University, Nashville, TN, USA
Question I am normally very careful when it comes to safe sex however I was very careless this time and I had one exposure where a CSW gave me an unprotected oral which is not worrying me much , but I runbbed my penis up and down quickly with her vagina and while doing that she used her hands to open her vagina to the extent that I felt clearly all her liquid on my penis shaft (not sure if it reached the head and the urethra or not) .
after 5 weeks I had 1 day my temperature was raised by 0.5 degrees and gone , then 9 weeks after the exposure I had a sore throat that is still on going for 2 weeks now with mild inflammation in the neck lymph nodes on the left side of my neck which is lasting now for 4 days .
My questions are ;
1- Do I go under the high risk category that needs to do a test ? if so when should I go?
2- Does my symptoms sounds like ARS related to HIV especially the fever , sore throat and lymph nodes?
Pls help me as I am getting worried .
Answer Hello Essam,
Thanks for asking the questions. Please find the answers below:
Q 1: Do I go under the high risk category that needs to do a test ? if so when should I go?
A: There are two requirements for HIV infection to take place: (a) Concentration of Viral Load and (b) Port of Entry like body fluids. Vaginal fluid is one of the body fluids, which contain a high enough concentration of HIV to infect someone. You have not mentioned whether the CSW was HIV+ or not. Considering her/his high-risk behavior, based on my understanding it is better to get tested 30 days after the exposure and repeat it after 3 months, 6 months and 12 months. If test remains negative then it can be concluded that the HIV virus was not transmitted.
Q 2: Does my symptoms sounds like ARS related to HIV especially the fever , sore throat and lymph nodes?
A: Most people newly infected with the HIV virus show few, if any, symptoms for a few years. However, there are examples that some people develop symptoms within a month or two of exposure to HIV. And these include fever, swollen glands etc. So, getting tested for HIV and STIs is better.
Sources used: Johns Hopkins Center for Clinical Global Health Education, U.S. Center for Disease Control and Prevention, ehealthMD
