STD's vacation problems.

[KaraBulut]

But they probably will prescribe doxycycline again, if last time was anything to go by. My lover said he was going to pick a whole batch from Colombia up earlier this year. He said there was talk of some men using it pre-emptively.

So, one of the reasons that we're having the issues with antibiotic resistance in gonorrhea and chlamydia (GC) is that people in countries where antibiotics are sold without prescription are taking antibiotics "pre-emptively".

Recently, health departments in certain cities with high concentrations of gay clients have been promoting "doxyPEP" in the mistaken notion that their clients can prevent GC infections after unprotected sex by treating them without waiting for a test result to confirm that they have an infection.

This creates a natural selection for antibiotic resistance since the presence of an antibiotic prior to an infection will select for bacteria that are resistant. Add to this that bacteria are able to transfer DNA between themselves which enables resistant bacteria to share the DNA for resistance with other bacteria.

We're running out of antibiotic options for treating bacterial STIs. These repeated infections and the pre-exemptive use of antibiotics is making the situation worse.

Push to use antibiotics to prevent sexually transmitted infections raises concerns

The strategy has been shown to reduce STIs, but could increase antimicrobial resistance.

www.nature.com

Resistance to tetracycline-class antibiotics, which includes doxycycline, is already common for gonorrhoea. In the United States, around 25% of gonorrhoea cases are caused by tetracycline-resistant bacteria. Elsewhere, rates of resistance are higher, with studies reporting rates closer to 60% or 70% in Europe.

 

[Harke the Boeotarch]

So, one of the reasons that we're having the issues with antibiotic resistance in gonorrhea and chlamydia (GC) is that people in countries where antibiotics are sold without prescription are taking antibiotics "pre-emptively".

Recently, health departments in certain cities with high concentrations of gay clients have been promoting "doxyPEP" in the mistaken notion that their clients can prevent GC infections after unprotected sex by treating them without waiting for a test result to confirm that they have an infection.

This creates a natural selection for antibiotic resistance since the presence of an antibiotic prior to an infection will select for bacteria that are resistant. Add to this that bacteria are able to transfer DNA between themselves which enables resistant bacteria to share the DNA for resistance with other bacteria.

We're running out of antibiotic options for treating bacterial STIs. These repeated infections and the pre-exemptive use of antibiotics is making the situation worse.

Push to use antibiotics to prevent sexually transmitted infections raises concerns

The strategy has been shown to reduce STIs, but could increase antimicrobial resistance.

www.nature.com

That doesn't sound good at all.

Is there any connection to antibiotics used in the production of meat (such as poultry and beef) or are those different antibiotics?

 

[KaraBulut]

That doesn't sound good at all.

Is there any connection to antibiotics used in the production of meat (such as poultry and beef) or are those different antibiotics?

The overuse of antibiotics in livestock has played a part in staphylococcus and streptococcus antibiotic resistance. Transmission in long-term care facilities (i.e. nursing homes) and hospitals has been the bigger cause, at least for bacteria transmitted via hand contact.

For STIs, though, it's all people and it's sexual transmission. The PrEP crowd and gen Z have all but abandoned condom use and that has directly escalated syphillis, gonorrhea and chlamydia rates, along with increases in antibiotic resistance.

 

[Harke the Boeotarch]

The overuse of antibiotics in livestock has played a part in staphylococcus and streptococcus antibiotic resistance. Transmission in long-term care facilities (i.e. nursing homes) and hospitals has been the bigger cause, at least for bacteria transmitted via hand contact.

Thank you. Was wondering about that.

For STIs, though, it's all people and it's sexual transmission. The PrEP crowd and gen Z have all but abandoned condom use and that has directly escalated syphillis, gonorrhea and chlamydia rates, along with increases in antibiotic resistance.

My lover is a Gen X-er who is HIV+ and has a great dislike of condoms although he will have sex with them who insist on using those.

The plan is for us not to use any condoms unless one of our partners we like uses them, but we have great pleasure in not using them. It's just that if we get infected, I'd rather have it from him, or that we catch something together.

It's true that my PreP use has made me much sloppier with safe sex and that the chems likely make the situation even worse, but in the past (twenty years ago) I have passed STI's when I never had unsafe anal sex.

Don't know what to do except what I'm doing already and ride the rest out. I find that there is a great deal of misunderstanding about gay sex, and this isn't helping our situation.

I'm certainly interested in safer sex, but I'm not interested in those bloody oversized rubber shit sacks that usually are used for condoms and slide about as well as a pencil eraser.

Recently I tried to fuck a guy with one (and lube) and I couldn't even get my penis in!
When I don't use a condom, it just slips right in.

Feeling miserable right now. Don't want to continue this way. At this point I don't know what to do. Except get medication and inquire if I can get some for my beloved too (although I'm sure the answer will be "no").

 

[KaraBulut]

Well, just an observation: when it gets to this point, it's not really about the sex. There's another need that no amount of sex is going to fulfill. I don't have an answer as to what that need is. That would be work you would have to do to figure it out.

 

[Harke the Boeotarch]

Well, just an observation: when it gets to the point, it's not really about the sex. There's another need that no amount of sex is going to fulfill. I don't have an answer as to what that need is. That would be work you would have to do to figure it out.

We (my boyfriend and I) both have it, but I'm skeptical that viewpoints of this kind might be more informed by an ingrained negative opinion of human sexuality than anything else.

I have heard us MSM's called mentally unhealthy too many times (and we gays do that to bis) by people who sought to ridicule or discredit our culture or the mere fact of our existence that I have trouble taking this viewpoint seriously -unless presented with compelling evidence.

 

[Harke the Boeotarch]

Found this.

 

[KaraBulut]

Found this.

San Francisco is one of the "health departments in certain cities with high concentrations of gay clients" that I mentioned earlier. The department has a group of employees that are not in the mainstream of infectious disease treatment.

The article I posted earlier mentions SF and how the rest of the public health community is looking at the 25% rate of doxycycline resistant gonorrhea in the US and thinking, "Well, that's going to create more super-bugs".

 

[Harke the Boeotarch]

San Francisco is one of the "health departments in certain cities with high concentrations of gay clients" that I mentioned earlier. The department has a group of employees that are not in the mainstream of infectious disease treatment.

The article I posted earlier mentions SF and how the rest of the public health community is looking at the 25% rate of doxycycline resistant gonorrhea in the US and thinking, "Well, that's going to create more super-bugs".

I would like to have sex with my lover this weekend when I finally see him again, but treatment will start tomorrow.

 

[Harke the Boeotarch]

[update] just got my injection in the buttocks. Asked for extra medication for my beloved, but(t) they wouldn't give it (surprize, surprize). They said no sex for a week, but I'm seeing my lover Friday evening.

 

[Nude_Dude]

So I just found out I have chlamydia and gonorrhea in my anus and gonorrhea in my throat.

You poor DUDE !
I must have missed SO many bullets, throughout "my dirty life and times"
Not the one HIT !

 

[Harke the Boeotarch]

You poor DUDE !
I must have missed SO many bullets, throughout "my dirty life and times"
Not the one HIT !

Maybe the pathogens are getting worse?

One of my recent dates said he had had siphilis, chlamydia and gonorrhea all at once. (we used methamphetamine trice, and of those times he slammed me twice).

Warned him about the gono.

 

[Harke the Boeotarch]

So, one of the reasons that we're having the issues with antibiotic resistance in gonorrhea and chlamydia (GC) is that people in countries where antibiotics are sold without prescription are taking antibiotics "pre-emptively".

Recently, health departments in certain cities with high concentrations of gay clients have been promoting "doxyPEP" in the mistaken notion that their clients can prevent GC infections after unprotected sex by treating them without waiting for a test result to confirm that they have an infection.

This creates a natural selection for antibiotic resistance since the presence of an antibiotic prior to an infection will select for bacteria that are resistant. Add to this that bacteria are able to transfer DNA between themselves which enables resistant bacteria to share the DNA for resistance with other bacteria.

We're running out of antibiotic options for treating bacterial STIs. These repeated infections and the pre-exemptive use of antibiotics is making the situation worse.

Push to use antibiotics to prevent sexually transmitted infections raises concerns

The strategy has been shown to reduce STIs, but could increase antimicrobial resistance.

www.nature.com

Don't ever want this to happen again.

I'm sure I will have STI's again, but this was too much. No more chemsex. No more cruise park.
Slamming, no more.

Don't know what my lover wants, but he does have doxycycline, which he could take this weekend and we might have sex then.

The ball is in his court.

Kara, your concern about 'breeding' (see what I did there?) a resistant strain of gonorrhea is noted.

My heart is broken that I have disappointed my lover again, but I want us to have the option of unprotected sex. This weekend.

 

[KaraBulut]

Don't ever want this to happen again.

I'm sure I will have STI's again, but this was too much. No more chemsex. No more cruise park.
Slamming, no more.

Well, I hope that is the case. In the US, we're having cross-contamination issues with meth and fentanyl- either through intentional adulteration of the meth or because the scales aren't being cleaned between dispensing the products.

Overdose deaths from fentanyl jumped 22% in the US in 2022.

Meth is a place I wouldn't recommend anyone go but these days, it's hard to be completely sure that it's meth that you're getting.

 

[Harke the Boeotarch]

Well, I hope that is the case. In the US, we're having cross-contamination issues with meth and fentanyl- either through intentional adulteration of the meth or because the scales aren't being cleaned between dispensing the products.

Overdose deaths from fentanyl jumped 22% in the US in 2022.

On bluelight.org there is a discussion on fentanyl test results showing erroneous positive results for various drugs, although no one is denying fentanyl is all over the place.

Meth is a place I wouldn't recommend anyone go but these days, it's hard to be completely sure that it's meth that you're getting.

This fit the discriptions for meth on the youtube videos to a "T" (couldn't resist). Meth production seems to have started in The Netherlands for the Asian market. As of 2023 the only people who use it here seem to be homosexuals.

I've gotten to know a few of us.

 

[KaraBulut]

On bluelight.org there is a discussion on fentanyl test results showing erroneous positive results for various drugs, although no one is denying fentanyl is all over the place.

For field test strips (FTS) the false positive is intentional. FTS are 96-100% accurate for returning a positive result when fentanyl is known to be present in the sample. However, any time you see a high accuracy rate, it's because the test has been calibrated to be too sensitive which translates to false positives. The rationale is that it's better to have a false positive versus an unintentional death from a false negative.

The deaths that are reported to CDC are confirmed with lab testing, not FTS, so the death statistics are more accurate.

This fit the discriptions for meth on the youtube videos to a "T" (couldn't resist). Meth production seems to have started in The Netherlands for the Asian market. As of 2023 the only people who use it here seem to be homosexuals.

I've gotten to know a few of us.

What we're seeing in the US is adulterated meth- either the intermediaries are intentionally adding fentanyl to the meth or it's being contaminated during packaging.

https://www.health.ny.gov/statistics/opioid/data/pdf/nysdoh_op_dta5.pdf

 

[Harke the Boeotarch]

For field test strips (FTS) the false positive is intentional. FTS are 96-100% accurate for returning a positive result when fentanyl is known to be present in the sample. However, any time you see a high accuracy rate, it's because the test has been calibrated to be too sensitive which translates to false positives. The rationale is that it's better to have a false positive versus an unintentional death from a false negative.

The deaths that are reported to CDC are confirmed with lab testing, not FTS, so the death statistics are more accurate.



What we're seeing in the US is adulterated meth- either the intermediaries are intentionally adding fentanyl to the meth or it's being contaminated during packaging.

https://www.health.ny.gov/statistics/opioid/data/pdf/nysdoh_op_dta5.pdf[/URL

Although there are Dutch drug-users on the internet who say they use fentanyl in a recreational way, streetdrugs here are not usually adulturated with it.

The complete opening of the borders within the EU has created the bizarre situation where countries with very strict anti-drug laws are next to countries with very lax laws, with no border controls.

In the last few years stories of XTC-labs (The Netherlands is a big exporter of XTC in very reasonable quality) converted into meth labs have been in the media, apparently converted by people from the (Mexican) Cartels for Dutch-based criminal organizations (temp-work seems to have infiltrated organized crime as well by now!).

German newscasters blamed The Netherlands for the methamphetamine in Germany, but Leipzig has had a meth scene since 1995, and stories of methamphetamine being exported from Central Europe (then beyond the Iron Curtain) date from the seventies. In Germany (and further East) whole towns are addicted to meth. In The Netherlands we don't have that -so far.

Isn't it interesting that drugproblems are almost always the fault of the other country?

France blames The Netherlands, but guess where we get our hashish from!

etc.

 

[KaraBulut]

Although there are Dutch drug-users on the internet who say they use fentanyl in a recreational way, streetdrugs here are not usually adulturated with it.

That's going to change. Opioid prescriptions increased in Europe during the pandemic. Scotland has already reported an increase in overdose deaths.

In the US, fentanyl was a late symptom of the prescription opioid crisis. It started with over-prescribing of hydromorphone and oxycodone. When this habit gets too expensive, then heroin and fentanyl fill the addiction gap.

Once fentanyl gets into the market, it becomes pervasive. The US has fentanyl overdoses happening in people who thought they were buying X, molly, benzos, et al. It's everywhere.

Mexico mistakenly gets blamed for fentanyl epidemic in the US. The primary source is China and a surprising amount of it is coming from international postal service or commercial shipping.

And Europe is about to get a lot closer to China with the BRI getting closer to reality.

 

[Harke the Boeotarch]

That's going to change. Opioid prescriptions increased in Europe during the pandemic. Scotland has already reported an increase in overdose deaths.

There's a British youtube content creator who calls herself Dorian Bridges. She blames the NHS budget cuts under the Tories for deminishing the mental health and drug treatment options within the NHS.

I take it that also goes for Scotland?

In the US, fentanyl was a late symptom of the prescription opioid crisis. It started with over-prescribing of hydromorphone and oxycodone. When this habit gets too expensive, then heroin and fentanyl fill the addiction gap.

Once fentanyl gets into the market, it becomes pervasive. The US has fentanyl overdoses happening in people who thought they were buying X, molly, benzos, et al. It's everywhere.

Miss Bridges (as an opiate addict) has also complained about the reluctance to subscribe anything opoid in the UK to (potential) drugseekers.

There might not be such a big crisis in Europe as the financing system for medics and medication likely works different in Europe.

Some Brits seem to want to legalize MDMA because illegal MDMA is sometimes laced with fentanyl and this is what supposedly mainly causes most MDMA related deaths.

Mexico mistakenly gets blamed for fentanyl epidemic in the US. The primary source is China and a surprising amount of it is coming from international postal service or commercial shipping.

That was discussed on the Joe Rogan show about Mexico.

And Europe is about to get a lot closer to China with the BRI getting closer to reality.

Not sure how far this will go. Recent acquisistions of the Chinese People's Republic in Europe, such as in Greece, have come under scrutiny within the EU.

 

[KaraBulut]

There's a British youtube content creator who calls herself Dorian Bridges. She blames the NHS budget cuts under the Tories for deminishing the mental health and drug treatment options within the NHS.

I take it that also goes for Scotland?

To connect mental health treatments to addiction is a stretch since addiction has a lot of factors that can't be addressed proactively by mental health treatment. It's always hard to measure a intervention that prevents a measurable condition, though.

American fentanyl overdoses have two very different populations- opioid addicts are the obvious population; the second population are people who thought they were taking a drug like ecstasy or meth, only to discover it had been tainted with fentanyl.

What the Scotland overdoses have in common is a population of disaffected workers, similar to those in the Rust Belt in the US. Once they are in the opioid addiction pattern, poor people tend to select the cheaper option which is street purchase of heroin or fentanyl.

Not sure how far this will go. Recent acquisistions of the Chinese People's Republic in Europe, such as in Greece, have come under scrutiny within the EU.

For northern Europe, BRI has a better chance of completion because it 100% over land and they're using existing rail right-of-ways. The Russia-Ukraine war might be the thing that slows that portion.