HIV/AIDS JAMA special issue

JAMA (Journal of the American Medical Association) periodically has a topic specific issue, and July 21, Vol. 304, no.3, was on HIV/AIDS. Not everyone reads medical literature, but if you happen to pick up this title which is held by many public libraries, turn to p. 364, "JAMA Patient Page" first. HIV is a virus that causes a disease, AIDS, and it is primarily but not exclusively, a disease of gay men and IV drug users. Women get it from their male gay spouses and gay boyfriends (don't play games with terms like bi-sexual). Women can then pass it on to other men who are not gay, and to their children during pregnancy and nursing. And even then, that's a very small percentage; most transmission is through gay men. So that's where prevention should start, but that's not the emphasis in this journal because it is not culturally sensitive to expect people to change destructive behavior, unless it is smoking, drinking, overeating, not exercising, not recycling or wife beating. Even though gay sex has caused a world wide epidemic, after a push in the 1980s for closing of bath houses and spreading condoms and mouth dams around, the main stream medical people are too feaful to say, "Stop it."

The patient page clearly says, "Women with HIV infection can transmit the virus to their babies during pregnancy or delivery or through their breast milk."  It says nothing  "clear" about gay sex and the transmission of disease, and instead tip toes through "bodily fluids, including semen, " using condoms, and not having sexual contact with infected persons, including oral, anal or vaginal.