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This month we go to press amid continuing uncertainty over the future of a proposed anti-homosexuality bill in Uganda. Our publication this month of our Editor's choice study1 (see page 136) of men who have sex with men in Cameroun is timely, and highlights the vulnerability of men who have sex with men in the African region, and their lack of access to the prevention initiatives now so well established across the world—57% of participants reported unprotected anal intercourse in the past 6 months. The fear of arrest was described by a number of participants, and only just over half of the group had been exposed to prevention initiatives. In an accompanying editorial, McIntyre et al2 (see page 82) discuss the failure in prevention for men who have sex with men in Africa, and focus on the priorities for prevention that are now emerging from a growing and welcome literature.
Looking back in history through our archive, a small lesson in the value of legal toleration in disease prevention can be seen in a study that compared male homosexual …
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