Condom use provides additional protection from HIV and sexually transmitted infections (STIs).
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The CDC’s surprising conclusion and suggestion is that, based on this single transmission of HIV on a bareback porn set, all performers should be on Truvada/PrEP:Īdult film performers and production companies, medical providers, and all persons at risk for HIV should be aware that testing alone is not sufficient to prevent HIV transmission. Contact tracing and phylogenetic analysis of HIV sequences amplified from pretreatment plasma revealed that a non–work-related partner likely infected patient A, and that patient A likely subsequently infected both a coworker during the second film production and a non–work-related partner during the interval between his negative test and receipt of his positive HIV results. Neither patient A nor any of his interviewed sexual partners reported taking HIV preexposure prophylaxis (PrEP). Patient A had additional partners during this time period for which no locating information was provided. Patient A also provided contact information for five male non–work-related sexual partners during the month before and after his symptom onset. This investigation found that during the 22 days between the negative NAAT and being informed of his positive HIV test results, two different production companies directed patient A to have condomless sex with a total of 12 male performers.
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Patient A had a negative HIV-1 RNA qualitative nucleic acid amplification test (NAAT)† 10 days before symptom onset. He was informed of his positive HIV and gonorrhea test results 6 days after his examination. Patient A had a 6-day history of rash, fever, and sore throat suggestive of acute retroviral syndrome at the time of examination. In 2014, the California Department of Public Health was notified by a local health department of a diagnosis of acute human immunodeficiency virus (HIV) infection* and rectal gonorrhea in a male adult film industry performer, aged 25 years (patient A). The study also proves that HIV testing, while certainly reliable, is not enough to prevent the spread of HIV, given so-called “window periods” when a positive performer can still test negative for the virus. This report gets extremely detailed, as they tracked down just about everyone with whom the performer had sex, and they were able to determine how and when the virus was transmitted using genetic testing. Now, that single transmission of HIV is the impetus for a study in the CDC’s Morbidity and Mortality Weekly Report, released today.
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In 2014, a bareback gay porn star who was unknowingly HIV-positive passed the virus on to one of his co-stars during production of a bareback gay porn scene in Nevada.