4 ms·

I am not naturally a doom merchant, but with the disease of this nature it is likely that by the time the country knows it has a problem it is already well esta

I am not naturally a doom merchant, but with the disease of this nature it is likely that by the time the country knows it has a problem it is already well established. We know already that the population of specific interest does not generally follow advice on limiting the spread of such diseases very rigorously. Perhaps I’ll be proven wrong this time, but I doubt it. Behaviours tend not to change.

reureu 4y ago
Men who have sex with men (MSM) are quite adept at changing behavior as needed. Before HIV was even identified as the cause of AIDS, it was known from the basic epi that unprotected anal intercourse was a high risk activity. There was a grassroots effort to (among other things) encourage condom use, and a dramatic shift towards using condoms. It's only with the subsequent generations of MSM who did not see their friends die (thanks to better medications starting) that condom use started waning. A similar behavior shift happened after 2012, when HIV PrEP was found to be effective. If you're interested in this topic, there's a couple of really good documentaries about the early HIV epidemic and how gay men adapted: "how to survive a plague" and "we were here" are two of my favorites.
- MichaelCollins 4y ago
  During the early days of the HIV epidemic, front-line medical professionals in San Francisco received death threats when they when they suggested that bathhouses voluntarily close down, or at least turn up the lights so people could see if their partners were covered in KS sores. You can read about their experience at the University of California San Francisco's AIDS Oral History Project: https://www.library.ucsf.edu/archives/aids/oral-history-project/ https://www.library.ucsf.edu/archives/aids/oral-history-proj... Death threats: https://oac.cdlib.org/view?docId=kt2m3n98v1;NAAN=13030&doc.view=frames&chunk.id=d0e3127&toc.depth=1&toc.id=d0e3127&brand=oac4 https://oac.cdlib.org/view?docId=kt2m3n98v1;NAAN=13030&doc.v...

reureu 4y ago

Men who have sex with men (MSM) are quite adept at changing behavior as needed. Before HIV was even identified as the cause of AIDS, it was known from the basic epi that unprotected anal intercourse was a high risk activity. There was a grassroots effort to (among other things) encourage condom use, and a dramatic shift towards using condoms. It's only with the subsequent generations of MSM who did not see their friends die (thanks to better medications starting) that condom use started waning. A similar behavior shift happened after 2012, when HIV PrEP was found to be effective. If you're interested in this topic, there's a couple of really good documentaries about the early HIV epidemic and how gay men adapted: "how to survive a plague" and "we were here" are two of my favorites.

MichaelCollins 4y ago
During the early days of the HIV epidemic, front-line medical professionals in San Francisco received death threats when they when they suggested that bathhouses voluntarily close down, or at least turn up the lights so people could see if their partners were covered in KS sores. You can read about their experience at the University of California San Francisco's AIDS Oral History Project: https://www.library.ucsf.edu/archives/aids/oral-history-project/ https://www.library.ucsf.edu/archives/aids/oral-history-proj... Death threats: https://oac.cdlib.org/view?docId=kt2m3n98v1;NAAN=13030&doc.view=frames&chunk.id=d0e3127&toc.depth=1&toc.id=d0e3127&brand=oac4 https://oac.cdlib.org/view?docId=kt2m3n98v1;NAAN=13030&doc.v...