This is another compare and contrast of how California vs Florida differ in the treatment of HIV/AIDS. And FL and Miami are LOSING badly.
The cities of CA (LA, San Francisco, San Diego and others) are achieving a good start to ENDING HIV by 2030. San Francisco is down to 255 new cases of HIV last year. Another 17% decline over last year, and a decline every year for at least the last 5. The health departments know the science and encourage it. PrEP and TasP work.
Art Deco still seems to think it's voodoo science apparently. His Floridians seems to agree with him. Miami is up ANOTHER 25% last year. Florida and all of it's major cities have an increase. Miami is #1 for new HIV infections, and the state is also #1. Broward County and Wilton Manors are equally up. In the gay community, in 2016, that is inexcusable.
Art Deco insists condoms are the sole legitimate 'safe sex' strategy and that people who use PrEP and TasP have a bareback agenda. The only agenda is to prevent HIV as much as possible for EVERYONE. Those who use condoms or not. You can not have an agenda with a majority, as most people already don't prefer or use condoms. I would be great if they all did use condoms, it does decrease HIV and STIs. If you are negative and don't wish to use PrEP definitely use condoms. Or find an undetectable BF, but many just can't make that adjustment.
The more people like Art Deco who stigmatize those on PrEP and TasP, by either denying the medical science or falsely misjudging their intended use, the more people will become infected. if condoms were the answer AIDS would have been over in 1993.
"The only large longitudinal study of condom efficacy in gay men was published back in 1989. Its findings were affected by the sexual risk behaviour paradox we noted above. The Multi-AIDS Cohort Study (MACS), the oldest HIV cohort study in the world, found that, amongst 2914 initially HIV negative gay men, the six-month incidence rate in men who claimed 100% condom use was 0.7% and amongst men who never used condoms it was 2.9%. This yields a condom efficacy of ‘never’ versus ‘always’ of approximately 70%, somewhat lower than that seen in studies in heterosexuals, probably because anal sex is less forgiving of occasional exposure." http://www.aidsmap.com/Do-condoms-work/page/1746203/
These are real numbers, not confidence numbers. in 6 months 3 people became positive using condoms "always". 6 in a year hypothetically if not more because the pool is smaller. By 1998 it would have been 60 Gay men who were infected with HIV who "always" used condoms, 120 by 2008 and 240 by 2018. That is assuming it would be linear rather than exponential. Remember that only 2914 people are in that study group. But 2914 is a high number for a statistical study. Now x 1000=240,000. It is estimated there are 1.2 million people in the US with HIV. A pretty good chunk of that is from "condoms always".
A study like that today would be unconscionable. You couldn't give one group condom only and another group PrEP only.
Art Deco arguing I have a bareback "agenda" is ludicrous. If anything I think condoms aren't enough.
This reliance on cheap condoms is affecting the poor, youth and minorities who can not access PrEP. The CDC says 1 in 4 gay men should be on PrEP. In some cities it is given out for free after blood tests and a Dr. visit. Until that is common place HIV numbers will increase, especially in the South, especially in Florida...........especially in Miami where republicans prevent progress.