A man and a woman can do the same acts sexually as what a man can do to a man. The presumption is that gay men are at a higher risk. Being gay is a sexuality not an STI/STD result. South Africa is home to the worlds largest HIV population of 5.6 million.
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This is comparable to the “HIV gay epidemic” that is described in the US as a stable 26,000 people. There is no disqualification for the bigger threat. Each gay man could save around 53 lives each? Each blood donation is screened? Am I missing something ?
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