In the Flint area, Valacak said, syphilis was being spread among the hetero sexual population. The number of cases in Genesee County has been greatly reduced, but only after the Health Department launched a safe sex and STI testing campaign. “We do a behavioral risk factor phone survey. When we ask the question, ‘With a new partner, do you always use a condom?’ half the population says no,” he said. Then there’s the sex. There are certain types of sex, says Chris Cobb, a communicable disease investigator with the Ingham County Department of Health, that are stigmatized, like sex work or married men having sex with other men on the “down low.”
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One patient who came to his clinic at the Health Department was a sex worker in Florida. She was exhibiting oral yeast infections and was found to have fullblown AIDS.
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