A 40-year-old English gay man has developed arthritis after catching a sexually-transmitted infection through anal sex.
The patient was diagnosed with reactive arthritis – which caused severe pain in his joints after he caught shigella flexineri, which causes diarrhoea and is found in infected faeces and which can be passed through food or sex, according to those experts on such matters at the Daily Mail.
Doctors at Leeds said the patient frequently took part in in chemsex.
The incidence of HIV among gay men is falling, according to Public health England.
PHE uses the CD4 counts of men diagnosed with HIV to estimate the incidence of HIV in the community. A man diagnosed with HIV at a CD4 count of 400 is likely to have acquired HIV about four years ago. So each year’s data is used to refine previous year’s estimates.
PHE now say infections in gay and bisexual men have been steadily falling for five years. There were 2,800 infections in 2012, 2,100 infections in 2014 and 1,700 infections in 2016.
The estimated figures for people with undiagnosed HIV have been falling, bringing England close to meeting the United Nations 90-90-90 targets. Estimates are now that 88 percent of people living with HIV have been diagnosed, 96 percent of those diagnosed are taking treatment, and 97 percent of those treated have an undetectable viral load.
An estimated 10,400 people living with HIV have still not been diagnosed.
Human Rights Watch have published first-hand accounts from people in China who have been subjected to forced gay conversion therapies.
Their report details 17 cases between 2009 and 2017, including verbal and mental abuse, forced medication and electric shock therapy in Chinese hospitals. 11 of those interviewed were forced to take medication without being informed about its purpose or side-effects. Five of those interviewed were subjected to electric shocks while being shown images or videos – or given verbal descriptions – of homosexual acts.
Doctors and clinics can charge up to 30,000 yuan (£3,440) to “treat” gay people.
NHS patients in England will be asked about their sexuality under new guidelines designed to ensure gay people aren’t discriminated against, from 2019. The new guidelines recommend that doctors, nurses, and other health professionals ask about sexual orientation during “every face to face contact with the patient, where no record of this data already exists.”
No patient will be obliged to disclose their sexuality, and the new guidelines will not be mandatory on individual NHS trusts.
An NHS spokesperson commented:
“All health bodies and local authorities with responsibility for adult social care are required under the Equality Act to ensure that no patient is discriminated against.
“This information standard is designed to help NHS bodies be compliant with the law by collecting, only where relevant, personal details of patients such as race, sex and sexual orientation. They do not have to do it in every area, people do not have to answer the questions and it will have no impact on the care they receive.”
There has been an 18 per cent drop in the number of people newly diagnosed with HIV, 5,164 last year, the biggest fall on record, according to Public Health England.
New cases of HIV are falling among gay and bisexual men for the first time, thanks partly to use of Prep.
In London new cases among gay and bisexual men fell by 29 per cent.
AFP reports that Tunisia has banned forced anal examinations to determine sexual orientation, the North African state’s minister for human rights said on Friday.
The authorities carry out the tests on suspected homosexuals but “these exams can no longer be imposed by force, physical or moral, or without the consent of the person concerned”, Mehdi Ben Gharbia told AFP.
Foreign and local rights groups have condemned the practice of forced anal exams as “cruel” and “inhuman”. In Tunisia sodomy is punishable by jail.
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Two-thirds of gay and bisexual men said they didn’t use a condom the last time they had anal sex, and more than a quarter considered themselves to have a “risky sex life,” including sex with partners who are HIV-positive, reports Newsweek.
Gay Men Fight Aids surveyed 500 gay and bisexual men, asking them about the risk involved in their sex lives. Twenty-seven percent consider themselves to throw caution to the wind in their sex lives.
The use of PrEP has changed all the rules for gay and bisexual men. HIV-negative men on PrEP, and HIV-positive men who have an undetectable viral load, meaning they cannot pass on the infection due to their HIV treatment, can now have sex without a condom without risk.