Philomena the movie, HIV and Reagan

This week at Lakeside we have a foreign film series, but these are all in English and two are about international adoptions, Philomena (British) and Lion (Australian).  I’d seen Philomena starring Judi Dench years ago and had forgotten most of it, particularly the sub-plot about the journalist who had lost his career and was more or less forced into writing a “human interest” non-fiction story which later became the book and then the movie. That it’s anti-Catholic is probably no surprise—the Roman Catholic church may be the largest and oldest target for both religious issues and social issues. Atheists, agnostics, and Protestants can all find something to criticize.    It is not just a Christian church—it is the largest social service agency in the world, and has about 26 different branches under its name all over the world each with unique language and culture. In the end, it is Philomena (the woman) who understands forgiveness, not the nuns and certainly not the journalist/author.

But Philomena the movie is also anti-Republican and anti-President Reagan, and that’s par for the course for the Brits who think we should have been happy to remain under the Union Jack.   Philomena’s birth son was adopted by an affluent American couple and grows up to become a valuable member of both the Reagan and Bush I administrations. He dies of AIDS in 1995.  However, he was gay during a time when there was almost no hope for remission from HIV (and 30 years later—it was identified in 1981—there is still no vaccine or cure), so Reagan is blamed for not pushing the federal funding more vigorously in 1986.  That’s absurd.

The U.S. was emerging from the boomer, free-sex and legalized abortion movements of the 1960s and 1970s,  people were demanding privacy in all things sexual and personal, the gay lifestyle was increasingly being recognized for “loving and caring” relationships particularly in literature and the arts, healthy lifestyles and personal responsibility for health advocacy groups were growing.  On top of all that, in the medical field researchers and university faculty were practically assuring us that the era and threat of infectious diseases was over.  STDs were going to be held at bay not by responsible monogamous life styles, but with penicillin. I remember that from the medical journals I was handling in the library.  Infectious disease journals were gathering dust.

President Reagan was blamed for the “gay disease” charge about HIV-AIDS in this movie.  And yet if you read any CDC fact sheet today, virtually all new cases (83%) of HIV are among “men who have sex with men” and that includes bi-sexual men who then infect women.
The recommendations by the USPSTF on screening are in order of importance:

1) Male-to-male sex (every 3 to 6 months screened)
And any risky life style comes next.
2) injection drug use
3) anal intercourse without a condom
4) more than one partner whose HIV status is unknown
5) transactional sex (exchanging sex for drugs)
6) commercial sex trade (prostitution)

So you see, in many cases it is still behavior and personal responsibility, not the federal government, which is your best protection from any sexual disease from syphilis to gonorrhea to AIDS. Don’t get advice on serious health matters from a movie with a political agenda.

https://www.youtube.com/watch?v=rG3QP8foCvg  Trailer

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2690288/
https://www.americanthinker.com/blog/2016/01/philomena_and_the_magical_sodomite_archetype.html
https://www.thebalance.com/who-funds-biomedical-research-2663193
https://www.pewresearch.org/science/2015/01/29/public-and-scientists-views-on-science-and-society/

UN tries to push "sexual rights" on member states

On 8 June, at the ‘High-Level Meeting on Ending AIDS’ the Member States of the United Nations adopted the ‘Political Declaration on HIV and AIDS: On the Fast-Track to Accelerate the Fight against HIV and to End the AIDS Epidemic by 2030.’ The meeting is one of the most influential gatherings of the international community on the issue of HIV/AIDS and occurs every five years.

“ADF International fully endorses the underlying aim of the Political Declaration adopted this year, namely to end the AIDS epidemic,” said Elyssa Koren, Director of UN Advocacy for ADF International. “Unfortunately, UNAIDS and some Member States took the opportunity to try and advance so-called ‘sexual rights’ and other agendas in direct contravention to the will and sovereignty of the majority of countries. It is unacceptable to pursue controversial ideologies at the expense of the millions who suffer as a result of HIV/AIDS.”

"Although certain [UN] Member States fought tirelessly for the inclusion of a reference to “reproductive rights” tied to “human rights,” this ultimately was rejected. “Reproductive rights are in no way part of the internationally recognized body of human rights,” said Koren.

“Member States were clear on the fact that responsible sexual behaviour affirming the innate dignity of every person has proven most successful in ending AIDS in their respective national contexts. Regrettably, so-called ‘UN-experts’ took the liberty of warning Member States against the inclusion of any language on abstinence or fidelity in the document, incorrectly asserting that  these terms are representative of a ‘failed social experiment.’”

World AIDS Day

Approximately 70% of the new HIV/AIDS cases are in sub-Saharan Africa. Most people living with HIV or at risk for HIV do not have access to prevention, care, and treatment, and there is still no cure. I wonder if Africans think the billions being pledged in Paris to be spent on the fool's errand to stop the weather is well spent? Perhaps they remember (if alive) the malaria fiasco when millions died because of a foolish American author's testimony before Congress.

https://www.aids.gov/news-and-events/awareness-days/world-aids-day/

Transgender Women (male to female)

A systematic review of studies of HIV among transgender women suggests that the prevalence of HIV in the United States is 27.7% among all transgender women and 56.3% among black transgender women. Data also suggests high rates of HIV among transgender women globally. Bacterial STD prevalence varies among transgender women, but is based largely on convenience samples.

Providers caring for transgender women should have knowledge of their patients’ current anatomy and patterns of sexual behavior before counseling them about STD and HIV prevention. Most transgender women have not undergone genital affirmation surgery and may retain a functional penis; in this instance, they might engage in insertive oral, vaginal, or anal sex with men and women.

http://www.cdc.gov/std/tg2015/specialpops.htm

http://www.thelancet.com/journals/laninf/article/PIIS1473-3099(12)70315-8/abstract

A new meaning for “social media”

The internet is allowing more hookups for sex. The appearance of Craigslist in a given region was associated with a 15.9% increase in HIV incidence. More than 6,000 new cases of HIV infection could likely be attributed to the site each year. Most are for young gay and bisexual men, especially minorities. http://papers.ssrn.com/sol3/papers.cfm?abstract_id=2035585

HIV Infection Among Young Black Gay and Bisexual Men

“Gay, bisexual, and other men who have sex with men (MSM) continue to bear the greatest burden of HIV infection in the United States.1 In fact, HIV is on the rise among all MSM, regardless of race or age, with the incidence of new infections increasing 12% annually between 2008 and 2010.2 Among MSM, however, youth and race converge to define a public health disaster of staggering proportions, with the greatest number of new HIV infections occurring among young black gay and bisexual men ages 13 to 24.2 In 2010, young black MSM accounted for 45% of new HIV infections among all black MSM and 55% of new HIV infections among young MSM overall.

The disproportionate impact of HIV on African Americans has been evident from the early days of the AIDS epidemic, with 261,000 deaths reported among blacks through 2010—a staggering 41% of total AIDS deaths—despite the fact that blacks account for only 12% of the U.S. population.3-5 Currently, the rate of new HIV infections among blacks in the U.S. is 8 times that of whites, with MSM accounting for most new infections among African Americans.”

Wait for it. . . It’s not just their risky behavior. . . Not just the higher rate of STDs among black men. . . Not just ignorance about the disease . . . Ready?  Stigma (aka other people’s fault) and lack of insurance.

http://www.medpagetoday.com/resource-center/HIV/Highest-risk/a/44567

http://www.medpagetoday.com/clinical-context/HIVAIDS/27887

http://www.hptn.org/web%20documents/HPTN061/Results/Pubs/KoblinCorrelatesHIVPLoS1.pdf

http://www.niaid.nih.gov/news/newsreleases/2012/Pages/HPTN061.aspx

Medical shortcuts and acronyms are fascinating.  Black Men Who Have Sex with Men Only (BMSMO) and  Black Men Who Have Sex with Men and Women (BMSMW). Explains how some women become infected with HIV. They seem to be victims of some bad choices.

“BMSMW, in comparison to BMSMO, were significantly older, less educated, had lower incomes, were more likely to be unemployed, less stably housed, and more likely to have been incarcerated prior to enrollment. BMSMW were also more likely to use some drugs and had higher internalized homophobia scores, lower social support and higher frequencies of depression symptoms.”  Journal of Urban Health, 2013. DOI:10.1007/s11524‐013‐9811‐1

Where are the race baiters, Jesse and Al, when you need them?

Many more young black men will be affected by HIV than will ever face a problem with Ferguson police or Ebola. Where are Jesse and Al? "In 2010, there were an estimated 10,600 new HIV infections among African American gay and bisexual men. By comparison, in the same year, there were an estimated 11,200 new HIV infections among white gay and bisexual men and 6,700 new HIV infections among Hispanic/Latinoc gay and bisexual men. Young African American gay and bisexual men aged 13 to 24 are especially affected by HIV." CDC

Why blame Reagan?

In 1984, the HIV virus was identified by the U.S. Public Health Service and French scientists. In 1985, a blood test to detect HIV was licensed. Yet gay advocates criticize President Reagan for not speaking out about it until 1987 even though he had instructed his Surgeon General to issue a report in February 1986. (I even saw that on the cover of Entertainment magazine recently.) Gay bars, bathhouses and rampant promiscuity continued, but somehow it's Reagan's fault men were dying from their own sexual behavior?

What other president is blamed for deaths from disease before treatment/cure was found? There were at least 9 deadly diseases known to kill citizens in Washington's 2 terms. Inoculation for small pox was being tried in the mid 18th century and Jefferson didn't advocate for it until 1806. Even Lincoln got small pox after Gettysburg. FDR didn't start the March of Dimes until almost 20 years after he'd had polio. The Fords and Carters advocated for childhood vaccines 30+ years after I'd been vaccinated in 1945 and 1953. 45 years after the Surgeon General's report on smoking, President Obama was still smoking.

In the U.S. 443,000 people die prematurely from tobacco related illnesses each year according to the CDC--more people than alcohol, AIDS, car accidents, illegal drugs, murders and suicides combined and WWII deaths!. Not a peep from the White House (except to raise the cigarette tax which disproportionately hurts the poor).

So why the anger at Reagan for not jumping on the HIV band wagon?

HIV/AIDS increasing among black gay men

"Published research does not provide definitive answers about why new HIV infections among young, black/African American gay, bisexual, and other men who have sex with men (MSM) have increased. However, black/African American MSM of all ages experience racial disparities in health and are more likely than other gay and bisexual men of other races/ethnicities to encounter broader social and economic barriers. These and other factors place black/African American MSM at higher risk for HIV."  “In fiscal year (FY) 2011, approximately 41percent of the CDC’s budget was targeted to HIV prevention activities for MSM.” CDC fact sheet.

I am stunned that “research” is blaming racial disparities and homophobia for the increase in HIV at a time when gay sex is practically being pushed into the forefront of every news story, and everyone should be covered with Obamacare.

Here’s the score.  Anal sex is transmitting HIV, not poverty, not stigma, not society. And the more that is encouraged and normalized (by “safer” sex methods), the higher the transmission rate. Also, young people know there is treatment available if they develop HIV, so there is little reason to be cautious as men were becoming in the 80s.

New statistics from the New York Department of Health and Hygiene and the Centers for Disease Control show that, in New York City, the majority of 647 women who tested HIV-positive in 2012 acquired the virus through unprotected sex with bisexual men.

There is so much money being funneled into community based prevention and behavioral programs that recipients would be crazy to ever find a way to stop young men from having sex with each other an end the government gravy train. For example:

$111 million Expanded Testing Initiative (ETI)

$55 million to 34 states and cities  to support HIV testing services  for  minority at-risk populations.

$240,000 over two years to two organizations—AIDS Unitedand theCenter for Black Equity (formerly the International Federation of Black Prides) to increase awareness

NYC article

Black men not telling their ladies the truth

By race, age and risk group, young, black gay and bisexual men (ages 13-29) are the only population in the United States in which new HIV infections increased between 2006 and 2009.

Take a look at this chart of subpopulations.  Notice anything strange?

Although only 2%  of the population, black gay and bisexual men have 61% of the new infections; but black heterosexual women  have more infections (5400) than white heterosexual women (1700)—and although I’m sure there is plenty of cross-racial sex, the majority is within same race relationships. Black men are not telling black women the truth.  If they can’t be honest about their sexuality, why should they expect everyone else to change their views?

The HIV infection rate among African Americans was almost eight times as high as that of whites in 2009, and among African American women it was 15 times higher than among white women.

Also, transgender individuals are heavily affected by HIV. A 2008 review of studies of HIV among male-to-female women found that, on average, 28 percent (from 11% to 78%)  tested positive for HIV. So do these women push up the stats of heterosexual women with HIV?

http://www.cdc.gov/hiv/policies/hip.html

How HHS spreads racism myths

Gay, bisexual, and other men who have sex with men (MSM) are more severely affected by HIV than any other group in the United States. The government infantilizes black men by absolving them of their responsibility 30 years after AIDS was recognized as a problem and how it was spread.   “Social factors such as poverty, discrimination, and lack of access to health care put communities of color at increased risk. Nearly half of all new HIV infections occur in African-Americans, for example, even though they comprise only about 12% of the U.S. population.” OPA fact sheet

Raise your hand if you believe men having sex with men rather than social factors spread HIV/AIDS.  The government’s own research contradicts this statement.

“Young men who have sex with men (YMSM) are at alarming risk for HIV acquisition, demonstrating the highest rates of incident infection of any age-risk group.” Cite.

“Gay, bisexual, and other men who have sex with men (MSM) are more severely affected by HIV than any other group in the United States.” Cite

“By race/ethnicity, black/African American transgender women [formerly men]  have the highest percentage of new HIV-positive test results. . . A review of studies of HIV infection in countries with data available for transgender people estimated that HIV prevalence for transgender women was nearly 50 times as high as for other adults of reproductive age.” Cite

“. . . there is one population in which the epidemic continues to grow in countries of all incomes: men who have sex with men (MSM) Cite

"The recent rise of HIV/AIDS ... is huge and it's not talked about because 'Gay Inc.' says nothing about it," he says Cite

Who is homophobic? Society or the gay men.

Men who have sex with men is the primary way HIV/AIDS is spread.  Although less than 14% of the population, blacks (men and women) have 44% of the new infections.  New HIV infections among 13-24 year olds increased 22% from 2008 to 2010, and half of those were African American.  If the gay black or bi-sexual man is afraid to go to the doctor/clinic and continues to risk his life and the lives of the men and women he is having sex with, then who is being homophobic?  The black man with the disease, that’s who.  That excuse might have been good 20-30 years ago, but not in 2013.   Stop blaming others in society for their unwillingness to be healthy, chaste and faithful to their partners.  If they don’t think enough of themselves and their boyfriends or casual sex partners, why is the CDC (the government) expecting others to? The increase from 2008 to 2010 shows young men are being careless with the hard earned truths of the 70s and 80s.

http://www.cdc.gov/nchhstp/newsroom/docs/HIVFactSheets/TodaysEpidemic-508.pdf

HIV Infections and ART

Gay, bisexual, and other men who have sex with men (MSM) represent approximately 2% of the US population, yet are the population most severely affected by HIV.

• In 2009, (men who have sex with men) MSM accounted for 61% of new HIV infections in the US and 79% of infections among all newly infected men. Compared with other groups, MSM accounted for the largest numbers of new HIV infections in 2009.
• Among all MSM, white MSM accounted for 11,400 (39%) new HIV infections in 2009. The largest number of new infections (3,400) occurred in those aged 40–49.
• Among all MSM, black/African American MSM accounted for 10,800 (37%) new HIV infections in 2009. Whereas new HIV infections were relatively stable among MSM overall from 2006–2009, they increased 34% among young MSM—an increase largely due to a 48% increase among young black/African American MSM aged 13–29.
• Among all MSM, Hispanic/Latino MSM accounted for 6,000 (20%) new HIV infections in 2009. The largest percentage of new infections (45%) occurred in those aged 13–29.

I’ve looked through the guidelines given to doctors to combat HIV/AIDs in gay men.  They include counseling for condoms, screening and treatment for other sexually transmitted diseases, hepatitis vaccine, and PrEP, short for Pre-Exposure Prophylaxis, the combination medication tenofovir disoproxil fumarate plus emtricitabine (TDF/FTC).   PrEP was approved in July, 2012 and treatment costs about $14,000 a year, requires constant monitoring, and absolute adherence to the drug regimen. Giving it to uninfected people who don’t have HIV might prevent those already infected from receiving it. 

In the guidelines I saw nothing about chastity or celibacy, the only two methods which are 100% effective in combating HIV and have no toxic side effects.

HIV and HBV

Worldwide, hepatitis B virus (HBV) is the leading cause of chronic liver disease and death, accounting for up to half of all cases of cirrhosis and liver cancer.  Four hundred million people are infected with HBV in Asia and Africa with the infection occurring through perinatal transmission (before and after birth).  In more developed countries HBV is most often acquired during adolescence or adulthood through sex and drugs. Statistics from NEJM May 10, 1012.

Human immunodeficiency virus  (HIV) infects about 33 million people worldwide, the majority in Asia and Africa. According to the CDC, gay, bisexual, and other men who have sex with men (MSM)¹ represent approximately 2% of the US population, yet are the population most severely affected by HIV and are the only risk group in which new HIV infections have been increasing steadily since the early 1990s.  Since the beginning of the US epidemic, MSM have consistently represented the largest percentage of persons diagnosed with AIDS and persons with an AIDS diagnosis who have died.

“HBV is 100 times easier to transmit sexually than HIV ( the virus that causes AIDS). HBV has been found in vaginal secretions, saliva, and semen. Therefore, it doesn’t matter if a person’s sexual partner is of the same or the opposite gender. If one partner has hepatitis B, the other one can get it. Oral sex and especially anal sex regardless (whether it occurs in a heterosexual or homosexual context), are possible ways of transmitting the virus.” http://www.liverdisease.com/hbvtransmission.html

Medical advancements can help, but humans obeying God’s laws of chastity and marriage will do miracles for global health.

High risk sexual behavior

What does the Bible consider high risk sexual behavior?
(10 commandments, OT; Hebrews, NT)
1) Any sexual relations outside the marriage bed (man and woman).

What does the government consider high risk sexual behavior?
(CDC)
1) Men who have sex with men
2) Women who have sex with men who also have sex with men
3) 5 or more sexual partners in the last 12 months
4) Oral or anal sex with multiple sex partners in the last 12 months
5) Any sex where money, drugs or something of value is exchanged
6) Sex with a person who injects drugs
7) Sex with a person who has HIV
8) Sex with a person who has been treated for other STDs in last 12 months

Solution seems pretty simple, doesn't it?

What's up with HIV testing?

The gains in our life expectancy in the United States have primarily been in the area of public health, not miracle technology, end of life nursing care, pharmaceuticals or screening for disease. Malaria and polio and small pox didn't become footnotes in our history books because people were given choices. When my sister Carol got polio in 1949, the poster quarantining us and warning the whole town went up immediately--even in a rural community.

So I'm wondering why men entering the prison system, who've had most of their rights taken away, have the right to say NO to being tested for HIV. Male to male/men having sex with men (MSM) is still the #1 method of transmission of HIV/AIDS followed by IV drug use. Although MSM represent 2% of the population, they account for 64% of all new infections (including 3% among MSM who are injection drug users [IDUs]). In prison, sex is how you get and return favors. Even men who aren't gay have sex with men in prison, plus rape and sexual assault makes the younger, weaker and disabled men very vulnerable. There is actually a law passed during the Bush years that addresses the seriousness of rape and assault in prisons. However, counting noses for sexual assault will not provide treatment for a disease that can now be controlled with anti-retroviral drugs.

Today I was reading about a program for HIV screening of male inmates in the state of Washington, 2006-2010. When the program was opt-in (inmates offered the test during incoming medical evaluation and they needed to agree to it), there were fewer diagnoses of HIV than when prisoners were offered opt-out (during evaluation they were told the testing was standard but they could refuse it). Opting out brought in about double the new diagnoses. The numbers of new diagnoses using either opt-in or opt-out was not huge--but what baffles me is why they were given a choice, since in other STDs, testing seems to be a part of the screening without prisoner choice. Also, these are NEW diagnoses--some carriers were already know to the health authorities since they were not new to the system.

Since a higher proporation of prison inmates are minorities, and a higher proportion of minority men have HIV/AIDS, this option to be tested has a greater impact on the minority population in general, since most of the incarcerated will evenually leave prison and go home to their families--untreated and undiagnosed, and probably not reporting they were assaulted in prison.

Of those diagnosed with new cases (not the total group), 42% who had newly diagnosed HIV identified themselves as heterosexual and 21% reported sex with men, and 32% reported IV drug use. Many young people today do not remember the severity of the AIDS epidemic in the 1980s before the new drug treatments--and combine that with the generally lack of foresight among the young, and I believe you have a toxic brew that could be made less dangerous if the prison systems required HIV testing with no opt-in, opt-out, or crying about violation of rights by some do-gooders who can't look beyond next year to see what will happen down the road.

Health disparities

The new golden goose. Disparities. It's must be the magic word for getting grant$$.

African-Americans have the highest life time risk for HIV (1 in 22) compared with whites (1 in 170) and Hispanics (1 in 52). Sociologists and government health workers try to attribute this to poverty, homophobia and housing, and increasingly, you see geographic location thrown in. However, this idea is repugnant, insulting and degrading to the millions of low income men and women who do not have multiple same sex partners or are not unfaithful to their spouses.

Tiger and Arnold (Austrian males have the highest rate of promiscuity) and Weiner are certainly not poor or powerless, nor lacking in health insurance, yet they've chosen a promiscuous life style endangering the women they married and the children they've conceived.

It is personal choices not neighborhood, not income, not race that determines whether one will have HIV. Unfortunately, that choice may be a man choosing not to tell his wife or girlfriend that he is gay and has been having sex with men. It is his own homophobia, not mine.

HIV/AIDS and African Americans | Topics | CDC HIV/AIDS
HIV, AIDS and Men Who Have Sex with Men
Fact Sheet

Obama Is Heckled by AIDS Protesters

It's not often I have to defend President Obama, but truly, he really didn't mean he was funding AIDS--he meant he was funding the fight against AIDS. There's a huge difference you know. Get that man off teleprompter and you just don't know what he's going to say! Many extremist groups actually believe that the USA has released the AIDS virus on innocent Africa. But twice during his speech in Bridgeport, where he was be heckled not by religion clingingRepublicans or angry Tea Partiers, but leftist radicals, he said he was funding global AIDS. Even if he had said it correctly, it was Bush's program PEPFAR that was successful beyond their wildest dreams, and Obama hasn't been able to come even close. That's what the hecklers were mad about. Their guy stinks on their one and only issue.

"Obama was interrupted by college-age hecklers demanding more funding for the global fight against AIDS. They chanted, "Keep the promise," and unfurled banners with the same message. The protesters were booed. "Excuse me! Excuse me, young people!" Obama said, trying to regain control. "These folks have been, you've been appearing at every rally we've been doing. And we're funding global AIDS, and the other side is not. So I don't know why you think this is a useful... Link

Obama Is Heckled by AIDS Protesters - NYTimes.com

However, even when Bush is acknowledged as a leader in this area, he is disparaged by the media. Obama has done next to nothing, but arouses no criticism in the press.

Reminds me of the Tuskegee Syphilis Study

One of the most famous violations of human rights is the U.S. government's Public Health Service study of poor black men infected with syphilis which went on for 40 years and the researchers continued to study the effects of the disease even after penicillin was invented which could have cured them.

Now, fast forward from 1972 to 1993, to another deadly disease, and a "data set" made up this time primarily of poor black women. The WIHS, Women's Interagency HIV Study, (pronouced WISE) has resulted in 440 published research papers with a data base that can be mined for many more to determine the affects of HIV on (poor minority) women.

The population of 2625 women is 60% black and 27% Hispanic; less than 1/3 are employed; 2/3 report a history of physical, sexual, or emotional abuse. These women have a high smoking rate, high crack cocaine use, high alcohol and illegal substance abuse rate; they have numerous co-morbidities not realted to HIV such as cardiovascular disease, liver disease, cancers, cognitive disorders, and depression.

I've poured through the report, both as summarized in the July 21 issue of JAMA and the on-line site, and the newsletters (most very dated and containing recipes and weight tips on portion control) the participants receive. Through anti-retroviral drugs AIDS is no longer a fatal disease. This clinical study does not treat the women; it refers them for treatment. It offers them money for participation, child care for attending, transportation help, workshops, phone call reminders, and for a select few, a seat on the advisory board.

Well, whoop! Double whoop! Pardon me if I'm not impressed. If all participants were handed the pills and medical staff watched them take it (they do this in methadone clinics), and they were then in remission (there is no cure, but there is life extension), where would the studies be? Instead of being an HIV/AIDS study, and I think the women originally believed they would be treated, not just studied, it has become a data set for researchers (just like the Tuskegee study) for studying poverty, substance abuse, child rearing, and other diseases that may put these women at risk. It's also a study on why people may not follow doctor's orders or follow through on drug therapy--but at the cost of their own lives.

My question is this: How did a disease that began in a tiny demographic made up of privileged white men with higher than average education and income, become the scourge of the poor and black? Why, with 12% of the population, are blacks so affected, and black women? Ten years ago you could talk about "down low" sex, the practice of gay black men bringing the disease home to the wife/girlfriend and then to the children. But these days, that has become politically incorrect to even raise the issue. So you're left to your own devices by this study, JAMA (the American Medical Association's journal) the Gay and Lesbian Alliance, NPR, and any broadcast media, because they certainly won't tell you the truth.

Women's Interagency HIV Study

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.