It is well established that Men who have Sex with Men (MSM) have a disproportionately high rate of HIV compared to the general population . They also have disproportionately high rates of other Sexually Transmitted Diseases (STIs)
It is also well established that 98% 0f the reason for the difference in the rates of HIV between MSM and the general population is due to the practise of anal receptive intercourse and role reversal ( i.e a male being inserted on some occasions and inserting on other occasions).
Global epidemiology of HIV infection in men who have sex with men
Chris Beyrer et al.
• In 2012, HIV epidemics in MSM are expanding in countries of all incomes.
• HIV infection rates among MSM are substantially higher than those of general population adult males in every epidemic assessed.
• Biological and behavioral factors make the dynamics of the MSM epidemic different than for general populations.
• The disproportionate HIV disease burden in MSM is explained largely by the high per- act and per-partner transmission probability of HIV transmission in receptive anal sex. Modeling suggests that If the transmission probably of receptive anal sex was similar to that associated with unprotected vaginal sex, five year cumulative HIV incidence in MSM would be reduced by 80@90%.
• Many MSM practice both insertive and receptive roles in sexual intercourse,which helps HIV spread in this population. Were MSM limited to one role, HIV incidence in this population over five years would be reduced 19-55% in high-prevalence epidemics.
• Taking both factors (per act transmission probability and role versatility)into account explains 98% of the difference between HIV epidemics among MSM and heterosexual populations— behavioral differences account for 2% of the difference.
Despite this knowledge UN Secretary General Ban Ki Moon and UNAIDS Executive Director Michel Sidbé spend much their time speaking about stigma and discrimination and never recommend the established epidemiology principle of primary prevention i.e that acts which have high statistical association with disease should be avoided.
Instead of recommending avoidance of buggery Secretary General Ban Ki Moon and UNAIDS Executive Director Michel Sidbé are seeking to impose a made – up “right” to buggery on the world. These two gentlemen clearly put LGBT advocacy before HIV prevention
Not unexpectedly new cases of HIV among MSM continue to increase even in the USA which has the most LGBT friendly government in the world.
It is clear that Secretary General Ban Ki Moon and UNAIDS Executive Director Michel Sidbé are placing LGBT political advocacy above HIV / AIDS prevention and should be asked to resign because they are failing to do the job they were hired to do – putting the citizens of the world in peril by their negligence..
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Alarm Bells Due To Slippage In AIDS Response In The Caribbean
Activists stage a peaceful protest in Montego Bay, St James, for more to be done to fight AIDS.
“Complacency is largely responsible for the slippage in the AIDS response in the Caribbean”.
This is the view of the United Nations Secretary General Special Envoy for HIV in the Caribbean, Dr Edward Greene, who was speaking from Durban, South Africa, where more than 18,000 scientists, practitioners, and members of civil society are meeting at the 21st International AIDS Conference.
Greene was referring to the recent 2016 Prevention Gap report issued by UNAIDS just before the Conference began on 18 July.
That report shows that after years of steady decline, the Caribbean saw a nine per cent rise in new infections between 2010 and 2015 and only Eastern Europe and Central Asia with a rate of 57 per cent had a higher increase.
The Caribbean statistics compared with a two per cent increase in Latin America, three per cent in Asia and the Pacific, four per cent in the Middle East, North Africa, Eastern and southern Africa for the same period.
Elaborating on the situation for the Caribbean, Greene said that it is necessary for a thorough analysis of the causes and direction of the prevention gap.
Based on his close monitoring of developments in the region, he identified the possible causes as: inadequate attention to testing and treatment, including late testing of people with HIV, lack of care centers and fall in the rates of retention of infected people in care.
These he said are compounded by equity in access to care especially for the vulnerable populations including men who have sex with men, sex workers, transgender people, those who inject drugs and prisoners.
” In the Caribbean generally, HIV-related stigma and discrimination is one of the major barriers for key populations’ access to prevention options, since people do not feel safe or have the means to access combination services.
“Each time you describe this as a violation of human rights, there are some ‘elements’ that equate this with pushing a gay agenda. Now we are seeing the consequences which could be devastating for the Caribbean,” said Green.
According to Greene, the complacency and/or inefficiency on the part of several governments has resulted in inadequate supplies of medicines and inadequate treatment regimes which fail to immediately treat those that have been diagnosed as HIV-positive, one of the cardinal principles of arresting the spread of the disease.
In addition, he feels strongly that in too many countries in the region, sex education in being insufficiently promoted or implemented.