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From: PHILLIP SISSON <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Subject: SIGHTINGS  AIDS Is Passed   By Oral Sex  Link     2-1-00
Date: Sunday, February 20, 2000 11:19 AM

SIGHTINGS
AIDS Is Passed
By Oral Sex
Link

2-1-00






SAN FRANCISCO (Reuters) - A significant number of gay men are becoming
infected with the AIDS virus through oral sex -- an activity that was
rumoured to be safe, researchers said on Tuesday.

A study presented at a meeting of AIDS researchers found nearly 8
percent of recently infected men in the San Francisco area were infected
through oral sex.

Dr. Beth Dillion of the Centres for Disease Control and Prevention (CDC)
and colleagues at the University of California San Francisco surveyed
102 gay and bisexual men recently infected with HIV and found oral sex
was the only risky behaviour that eight of the men had engaged in.

"It's certainly sobering news," Dr. Ronald Valdiserri, deputy director
of the CDC's HIV prevention centre, said in a telephone interview.

"We've known ... that there was a risk of HIV transmission through oral
sex. Of course scientists indicated that they thought it was a much
smaller risk compared to anal or vaginal sex. In this study, the eight
men who were infected, many of them indicated that they were not aware
of the risk."

Valdiserri said even if a behaviour carries a low risk, if someone does
it often enough, it adds up to a high risk. "Low risk does not mean no
risk," he said.

"I think some investigators have actually shown that gay men might be
substituting oral sex for anal sex in an attempt to curb transmission."
The study showed this could be a deadly mistake.

Valdiserri said the news was even more disappointing because the men
involved lived in San Francisco -- a city where the gay community has
been very actively involved in studying AIDS and lobbying for prevention
and treatment.

"Here are men from San Francisco, a city which probably compared to many
American cities has more community-based resources for gay men ... and
these men did not really understand that receptive oral intercourse
could lead to HIV infection," he said.

No one should really be surprised that HIV, which infects 40,000
Americans a year, could be passed through oral sex, Valdiserri said.

"There is nothing mysterious about the way the virus has been
transmitted in these instances," he said. "The virus is present in semen
and it also present in pre-ejaculate."

Having a cut or sore inside the mouth greatly increases the chances of
transmission, and many people can have tiny abrasions of the mouth or
gums without being aware of them.

"It doesn't have to be a gaping sore or ulcer," Valdiserri said.

He said the study was very carefully done, and the men were able to
pinpoint exactly when they became infected.

"We definitely believe that this is perhaps the most definitive study to
date on oral sex transmission among gay men," Valdiserri said.

The researchers did not count a man as having been infected through oral
sex if he said he had engaged in any other risk behaviours. "Because of
these stringent requirements, 7.8 percent may be an underestimate of
transmission through oral sex in this group," the CDC said in a
statement.

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