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In Kenya 1.5 million people are living with HIV, and there are about 100,000 new infections every year. Despite this, some sex workers are having unprotected sex � and taking antiretroviral drugs afterwards to cut the infection risk. How reckless is this? �Let me tell you the truth about why many of us don�t use condoms,� says Sheila who has been a prostitute in Nairobi�s Korogocho slum for six years. �We don�t have money, and when you meet a client who offers to give you more money than you usually get, you have sex without protection even when you don�t know his HIV status.� Sheila says she and other prostitutes can go to a clinic the next morning to get emergency antiretrovirals � drugs which suppress the virus, if taken within 72 hours of infection, and in many cases stop its progression. Some clinics will only give clients one course of PEP a year. They worry that if they hand the drugs out too freely, prostitutes will stop using condoms altogether. This hasn�t stopped 24-year-old sex worker Pamela using PEP four times in the past year. �I had unprotected sex when I was very drunk one night and the following morning I didn�t go to the same clinic where I got the first PEP tablets� I went to a different clinic where they don�t have my records, and lied that I was forced into unprotected sex,� she says. She didn�t finish the full course because of the side-effects. �You feel bad, like vomiting, dizziness, and generally you just feel sick,� she says. �So I stopped taking them.� Peter Godfrey-Faussett, senior science adviser with UNAIDS, says there is a place for antiretrovirals among sex workers, but only when used in the right way. �We know that despite fairly high rates of condom use in many sex-work communities, we still have very high rates of HIV so we need additional tools as well as what�s already happening,� he says.