features - issue 77 AIDS INDUSTRY MELTDOWN?
positive nation

partner. This makes it a "fringe and marginal" activity, he claimed, which should not be addressed in major health promotion campaigns.

He dismissed ideas of a "right" to have bareback sex as "passé liberal arguments" and accused the media of glamourising the subject.
Tempers ran high in the ensuing debate. Some delegates said gay men would not understand Maguire's definition of "barebacking". He was also accused by one delegate of labelling "barebackers" as "deviant and irrelevant," a charge he robustly defended.
Mark Watson said the UK gay.com site flashed up health promotion messages on the potential dangers of unprotected anal sex. The session ended with him asking delegates whether they thought gay.com should close its UK bareback room. No one voted in favour and in a second question on whether the room should be kept open, a clear majority voted in favour.
By contrast, the CHAPS session on oral sex proved rather lukewarm.
Ford Hickson, of Sigma Research, said that last year's gay men's sex survey showed that 97 per cent of gay men, both positive and negative, had oral sex.
Dr Barry Evans, of the Public Health Laboratory Service, said estimates from around the world now showed that up to three per cent of HIV infections in gay men were caused by oral sex. (Surveys in recent years have reported figures varying from zero to eight per cent). This means that in the UK between 15 and 45 new cases each year are acquired by gay men through oral sex.
High viral load and other sexually-transmitted infections increase the chances of a

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positive man passing on HIV during oral sex, while bleeding gums, cuts, sores, and infections in the mouth and throat are seen as being crucial in a negative man being infected.

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