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Transmission & Vectors


The most common route of transmission is through contact with an infected person's sores during sexual activity.


Nanáua is contagious during its primary and secondary stages, and sometimes in the early latent stage. Less common, nanáua may spread through direct and unprotected contact with an active lesion.  


Babies born through infected mothers can become infected in the womb or during birth. Most newborns show no symptoms, although some can experience rash on their palms and soles. Later signs and symptoms may include deafness, teeth deformities, a collapsed nose or premature birth


  • Tumors on the skin, bones and/or liver
  • Headache
  • Stroke
  • Hearing loss
  • Visual problems
  • Dementia
  • Loss of pain and temperature sensations
  • Bladder incontinence
  • Impotence
  • Inflammation of blood vessels


Mold Medicines

It is thought, though not wide spread, that the step folk discovered a concoction that treats nanáua in its early stages. Taking the treatment can induce symptoms of fever, chills, nausea, achy pain and headaches. It is also the only recommended treatment for pregnant women.   In a late-stage diagnose, a dangerous and controversial blood treatment would be recommended. With additional sessions for those who have had it for longer than a year.


Primary Stage

The first sign of nanáua is a small green scaly sore that appears on the thigh and/or genital area. While most people infected with nanáua develop only one chancre, some people develop several of them.   Sores usually develops about three weeks after exposure. Many people who have it do not notice because it's usually painless, and may be hidden within the vagina or rectum. At this stage, sores will disappear on their own within three to six weeks.  

Secondary Stage

Within a few weeks of the original healing, one may experience a rash that begins on the torso and eventually spreads to the rest of the body — even the palms of the hands and the soles of the feet. This rash is not usually itchy but may be accompanied by other sores in the mouth. Some people also experience 
  • Hair loss
  • Muscle aches
  • Fever
  • Sore throat 
  • Swollen lymph nodes
  These signs and symptoms may disappear within a few weeks or repeatedly come and go for as long as a year.  

Latent Stage

If not treated by this point, the disease moves from the secondary stage to the hidden stage, when there are no symptoms. The latent stage can last for years. Signs and symptoms may never return, or the disease may progress to the third stage.  

Tertiary Stage

About a third of people infected with nanáua who don't get treatment will develop complications known in the late stage. Here, the disease may damage the brain, nerves, eyes, heart, blood vessels, liver, bones and joints. These problems may occur many years after the original, untreated infection.



The only certain way to avoid nanáua is to not have sex.   Otherwise, mutually monogamous sex where both people only have sex with each other and neither is infected.


Condoms made of deerskin can reduce the risk of contracting nanáua, but only if the condom covers the sores.

Avoid Recreational Drugs

Misuse of alcoholic drinks or other drugs can inhibit sensible judgment and lead to unsafe sexual practices.


Adult Transition Traditions

  There are many official and unofficial tenets within the valley that describe the lost of virginity or upcoming nuptials as an important crossing point into adulthood for young boys.   During and after these frolics, rates of infection tend to increase and of which only some take measure to prevent.

Cultural Reception

Painted Diseases

These are a category of disease that leave coloured markings on the victims, most of which are transferable to the later descendants of the infected.   Curiously, these people who are painted blue, yellow, white or otherwise patterned are considered exotic by some. Though most of these illnesses kill, those who survived are considered either as a decorative slave commodity or desirable breeding stock.   Nanáua is described to paint its victims in green spots.
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Cover image: Fairy in a Fair Green by Elijah Sage


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