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The preventive nostrums we depended on—community mobilization to address the threat; virtually ubiquitous, free, confidential, and anonymous HIV counseling and testing; and, eventually, very effective treatment—no longer work. Perhaps most important, somehow we need to immunize prevention science, programs, and policies against stigma, political opportunism, and sanctimony. Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. Accepted February 28, Effects of a behavioural intervention to reduce acquisition of HIV infection among men who have sex with men:

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Themes and counseling methods shown by previous research to be salient to MSM risk behavior were synthesized in a design that sought to balance flexibility with reproducibility. High-risk behaviors among men who have sex with men in six cities in the United States: J Gay Lesbian Med Assoc. What, besides hot sex, constitutes a good life? Please visit the source responsible for the item in question to report any concerns you may have regarding content or accuracy. Substance use and high-risk sex among people with HIV: Support Center Support Center.

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Secondary syphilis rashes barely receive a mention, although they are also infectious, are more persistent than transient primary lesions, and are readily ignored, misinterpreted, or misdiagnosed. The important new concept suggested by Ron Stall and colleagues 5 is that these conditions often co-occur in the same individual and, in those circumstances, are synergistic in conditioning difficulties with the adoption and consistent practice of safer sex. N Engl J Med. It seems well worth considering whether an effective way to augment syphilis control would be to devise and widely distribute a self-testing kit that could be administered in private, with facilitated access to treatment referrals. Apparent contradiction may undermine cautionary advice in the absence of clarifying explanations that population-based averages and individual risk calculations differ, and that specific cofactors may up-regulate HIV in genital compartments even when peripheral blood measurements remain unaffected.

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