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Re:Is the End of Aids in Sight? by hn_throwaway_99 on Tuesday September 19, 2023 @03:42PM (#37575327)
The point I try to get across is to separate "promiscuity is inherently bad" from "sex can have serious negative consequences that you should appropriately plan for depending on your risk tolerance."

Another way to think of it: it's also highly likely that if you go to a crowded event that there are tons of diseases you can expose yourself to. Pre-COVID, people used to talk about getting "SXSW flu", e.g. with so many crowded events at SXSW it was nearly impossible to avoid getting sick. Importantly, at some times (obviously when there was a high prevalence of COVID), I think this risk is too great and crowds should be avoided. At other times, though, I think it's utterly reasonable to think that the risk of a cold or flu is worth it to go to a bunch of fun concerts. Nobody ever talks about "You know, there will always be a ton of dangerous diseases associated with concert-going, so you should always avoid them."

So when it comes to sex, I find it totally reasonable to adjust your behavior based on the risk at the time. Currently, e.g. for a gay man on PrEP, lets look at potential risks:

1. HIV risk is extremely low for those who adhere to PrEP.

2. Most bacterial infections can be cured straightforwardly with antibiotics.

3. The biggest risks are then (a) lifetime viral diseases, primarily Herpes, and (b) at this point, multi-drug resistant gonorrhea.

Thus, I think it's important to be aware of #3 and to take precautions, again relevant to your risk level, accordingly. What I don't think makes sense is to say "But you never know what could spring up!" That's true, but if you look at the recent monkeypox outbreak, I think a lot of people had the right approach: when the outbreak was publicized, many people (a) stopped or reduced their number of sexual partners and then (b) got vaccinated as quickly as possible.

The primary point I'm making is to disentangle the real risks associated with sex (and to treat them dispassionately) from the the moralizing around "you're a dirty whore if you have sex a lot."

Re:Is the End of Aids in Sight? by TZubiri on Tuesday September 19, 2023 @05:01PM (#37576563)
Regarding concert going, I've certainly met people so risk averse that they don't join a concert mass outdoors, and a lot more that don't do so indoors. This is especially more common before important events like a trip.

That said, the respiratory route is very distinct from the oral, genital and anal route.

On a spectrum of frequency of contact, respiratory is the most frequent, then comes oral/digestive, then genital, and finally anal.

The more frequent and vital a route is, the more natural and artificial resources we can allocate to combat infections.

So infections spread by talking to each other, being vital, gets a vaccine developed in less than a year, and gets diverse natural antibodies.

On the other hand, a disease that spreads among adults who seek pleasure, will be allocated less resources, more so if it spreads preferentially through non reproductive sex.

Aids on the respiratory system would be fucking deadly, but my guess is that it would never spread there because there's more protection mechanisms, respiratory is like a process running unprivileged on an open port 80. Genital is port 22 and anal-genital is rdp or teamviewer with admin privileges on a server.

Re:Is the End of Aids in Sight? by hn_throwaway_99 on Tuesday September 19, 2023 @05:44PM (#37577242)
> but my guess is that it would never spread there because there's more protection mechanisms, respiratory is like a process running unprivileged on an open port 80. Genital is port 22 and anal-genital is rdp or teamviewer with admin privileges on a server.

Dude, considering we're not even done yet with a worldwide pandemic caused by a deadly respiratory virus, I'd probably stop with the bad analogies.

Re:Is the End of Aids in Sight? by elzbardico on Tuesday September 19, 2023 @07:36PM (#37578564)
Covid is not remarkably deadly. How long will people insist it is? Don’t they teach history in the US?
Re:Is the End of Aids in Sight? by sundaeofshock on Wednesday September 20, 2023 @09:44AM (#37584022)
In 2022, Covid was the fourth leading cause of death in the US.

1.https://www.cdc.gov/mmwr/volumes/72/wr/mm7218a3.htm

Re:Is the End of Aids in Sight? by TZubiri on Wednesday September 20, 2023 @01:54PM (#37587402)
Lethal respiratory diseases do exist, but they spread too fast to be as impactful. That's another factor to consider.