San Francisco Chronicle - August 4, 2009
Doc Gurley**

The Background:

A new version of HIV was identified in a 62 year old woman from Cameroon. She tested positive for HIV in 2004, has no evidence of disease, and, because of some irregularities in her HIV viral load tests, had her blood examined by researchers. This new HIV is believed to come from gorillas (not chimps, who are believed to be the originators of our "standard" HIV virus). The woman from Cameroon denies any history of contact with apes, or handling/eating any bush meat. "Bush meat" is an African phrase for eating monkey - a practice I saw often when I worked at the Schweitzer hospital in Gabon, including the time I was offered a monkey entree by a local restaurant's waitress. While no one knows for sure how a virus jumps from ape to human, I can promise you that killing and dressing a monkey involves significant blood exposures.

There are already 3 known versions of HIV - why the flap about this 4th one? To begin with, no one can answer basic questions, such as: 1) will our current tests reliably identify it? [the test did in this one woman, but no one knows yet if it will consistently identify the infection in others] 2) will this version of HIV make you sick/cause AIDS? 3) how many people have it already? and 4) would our current medicines be effective against it, if need be? No one knows.

Right now, there are only two things known for sure - first, that the virus can replicate in human cells. And second, the fact that the woman got on a plane one day, and was in France the next, demonstrates how very easy it is for viruses (including H1N1) to fly the friendly skies. The time from mutation to migration is awfully tiny these days.

So What Are You Gonna Do About It?

What's a reasonable person to do with this kind of news? Other than hide under the bed, that is?

This kind of news is a great reminder for us all to reaffirm healthy sexual practices. You know the drill: consistent condoms and barrier methods, fewer partners, and more sober sex. And then maybe even take safer, healthy sex to a new level. What kind of new level? That's where a 7-foot plush penis comes in (ahem). Byron, the Healthy Penis, is one of our local sex-celebrities (sex-lebrities?). His job? To give us all a "heads up" about the importance of getting checked for syphilis, and the role of syphilis in the spread of HIV.

The author

Go to www.healthypenis.org for info about when/how/who should get checked, as well as some graphic - and by that I mean graphic-novel type graphic - descriptions of symptoms you can watch out for.

Besides the syphilis angle, there's more news on the advanced-safer-sex front (...or back, depending on your preference). In the same edition of the journal Nature that reported the new HIV virus, other researchers reported that herpes virus continues to help spread HIV long after the herpes sores have healed. Treating the herpes doesn't make any difference in HIV transmission. Immune cells stay in the area, lurking under the surface, long after the blisters are gone. HIV uses those same immune cells to hitch a ride into the body. Gonorrhea and chlamydia have both long been known to increase HIV transmission rates, so ask your doctor whether it's worthwhile screening for them, even if you don't have symptoms. Heck - it's like these germs are working together. Yet another reason to "prick" up your ears about healthy sex these days. While both syphilis and herpes can be spread in areas that condoms don't cover, the take home message is the same - condoms are your friend. Now and forever. A-men.

Sext: Acronym Stimulation For A New Generation

So does all this news mean your sex-positive attitude is starting feel, well, kind of wilted? If so, check out this chortle-worthy article at eSarcasm, titled 25 More Sexting Acronyms Parents Need to Know. As the authors put it (tongue firmly in cheek - their own, we presume), "The problem with any list like this is that it's just not comprehensive enough. There are in fact at least 25 other commonly used abbreviations that enable your teens to have 100 percent safe sex via their cells. And we can't have that." My favorites on the list? Number 15: "SC" (translation: still chafing); number 20: "HPIMPNSIM" (translation: I have a popsicle in my pants. No, seriously - it's melting); and number 25, "HWH?" (translation: Herpes? What herpes?).

With all these STD developments in the news, now's a great time to embrace...your health. Pass the news along to friends and loved ones - let's treasure our wellth.

** What do you think? Is it time to re-gird your loins? Share in the comments section and keep up on the latest health issues in the news, and healthcare reform insanity/hilarity by signing up for a Doc Gurley RSS feed.

Got a thingie on your doohickey? Or are you pondering how to tell your doctor he's a jerk? Send your burning healthcare questions to Doc Gurley by emailing docgurleyatgmaildotcom. Doc Gurley cannot answer every question, and she cannot practice medicine through a keyboard (not even with her stethoscope pressed firmly against the monitor) but be assured - your questions will be kept strictly confidential and identifying traits are changed.

Read more: http://www.sfgate.com/cgi-bin/blogs/gurley/index?blogid=114#ixzz0NLmldt9S

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