Epidemiologist blames syphilis outbreak on improved HIV treatment.

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    Nov 09, 2015 6:50 PM GMT
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    Portland known for bicycles, beer, and syphilis.

    And if you can't stand hateful nonsense, stay away from the "comments" section. On the other hand, if you enjoy watching that sort of train wreck, make some popcorn first!

    Note that they are now recommending that gay men add quarterly syphilis testing to their quarterly HIV test. The usual places are offering it for free. Unfortunately, that means a larger blood sample. I tried, last year, but the volunteer kids who can usually handle a finger-prick, make lousy amateur phlebotomists. After they stabbed me twice and missed, I walked out. As the physician's assistant at the actual clinic I later went to said, "Honey, anybody who can't hit your vein needs to get their eyes examined."
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    Nov 09, 2015 7:10 PM GMT
    The article seems to imply that increased syphilis rates is due to HIV+ men not using condoms. That is probably not entirely true, or at least a gross exaggeration. Syphilis is said to be easily spread through any sexual contact. Most gay men who use condoms do not put on a condom until just before actual penetration by fucking occurs. That would often leave plenty of unprotected exposure during which the bacteria could be transmitted from a syphilis chancre.
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    Nov 09, 2015 7:13 PM GMT
    I didn't read the article but what about Gonorrhea? I'd think that if this rise is from a decrease in condom use that there'd also be a similar rise in Gonorrhea.
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    Nov 09, 2015 7:20 PM GMT
    Lumpyoatmeal saidI didn't read the article but what about Gonorrhea? I'd think that if this rise is from a decrease in condom use that there'd also be a similar rise in Gonorrhea.


    You'd think. Maybe they didn't report on the incidence of that disease.
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    Nov 09, 2015 8:06 PM GMT
    Well, the quality of Oregonian articles has really declined in recent years, and precipitously so since marijuana legalization - except they run a lot of in-depth stories about how to grow pot. icon_rolleyes.gif But it's enough to suggest that something is going on and you might want to check out more reliable (or less small) sources. The graph is pretty sobering.

    Also mentioned in the story is that "two thirds" of the new syphilis cases are in men who have sex with men. That means a significant surge among the "straight" people too. One of the comments suggests that the surge is actually due to the unfortunate plauge of hipsters that the city has been experiencing.

    Another aspect that they don't examine (though you would think that the epidemiologist did) is that the surge in cases coincides with the surge in testing. Could some of it be due to diligence in discovering latent cases? We don't know. But in that case, I'll bet the gay guys get tested a lot more frequently than the straights.
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    Nov 09, 2015 9:22 PM GMT
    I want to rant about the usual poor reporting where they're more interested in grabbing eyeballs rather than accurate reporting, but I clicked on the links in her article and there really wasn't a comprehensive overview of the rates of STDs. And Oregon is lower than the rest of the US for Gonorrhea.

    http://public.health.oregon.gov/DiseasesConditions/CommunicableDisease/DiseaseSurveillanceData/STD/Pages/index.aspx
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    Nov 09, 2015 11:23 PM GMT
    Hmm... good points above. US national trends don't show any spike in syphilis, yet HIV treatment should be the same everywhere... unless it isn't.

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    AH HAH! It's Terrence and Philip! Blame Canada!

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    Or is it the Welsh? So confusing...

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    Nov 12, 2015 2:44 AM GMT
    Every Gay man needs to get it through their heads that Prep is a HIV prevention tool and only when taken as directed and protects against nothing else, the porn Industry will have a lot to answer for, with its latent promotion of bareback sex. I have no doubt the current trend of rising STD infection (STI's) is directly related to no condom use, those who deny it even just using simple human logic are delusional.

    Barebacking is not a Gen Y trend, it's all and was started by Gen X anyway due to HIV+ people, who from 1996 were told that there would not be a superbug and abandoned Condom use altogether and now it has crossed over into the mainstream of those Gay men who would not have done previously, believing they are not going to have consequences for their sexual exploits and now with online apps the primary method of meeting people together with a culture that' normalises the extremes of sexuality, this is what happens.

    That doesn't mean Prep is evil or porn is but our choice as a community to explicitly or implicitly support the status quo trends, does say a lot about the state of our community. Attitudes need to change and I am not claiming to be an angel myself either: HIV POZ guys are not necessarily the problem as that implies it's all their fault and that is completely incorrect. The worst part is that Gen Y who in the western worlds were taught about rights but not encouraged about responsibilities and about morality being more than just religion, due to our community leaders taking short sited approaches are now at a stage that they are set on this path of carefree sex, distorted morality to justify there choices and it will take the next Generation to change this path.

    PS if you only read part of this post it will be self evident in your reply