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Of the 131 quarterly infections in April to June, 65 were MSM infections and at least some of the 37 infections of so-far undetermined source were expected to fall into the same category, he said. The figure is both the highest quarterly number and ratio of MSM infections on record.
By contrast, Wong said, the trend for heterosexual infections had remained stable in recent years. “The MSM epidemic is a big challenge in HIV prevention and control,” he said, with rates many times higher than other at-risk groups.
Most infections in the MSM community result from unprotected sex. “I am not sure why but maybe some members in the (MSM) community are just ambivalent. They don’t have enough awareness or concern about the risk of infection, or they just ignore the issue,” said Wong.
In contrast to Grindr’s rapid popularity, the Department of Health’s mobile app targeting MSM has picked up few followers so far, Wong admitted.
The most effective way to tackle the epidemic, however, he said, was through safe sex education and regular HIV testing – something currently done by around 40 percent of Hong Kong’s MSM population.
“If safe sex can be taught at an early age, it is useful for future protection,” Wong said. “Interestingly, from the surveys we have done, we found that condom use when an MSM first has sex is correlated with consistent condom use in future.
“We don’t know why but this finding is quite consistent. So it would be useful if they could be taught to use condom when they have sex when they are still quite young.”
Paul Ramscar, a Hong Kong businessman and gay rights advocate who is launching a Pink Dollar smart phone app to promote gay-friendly bars, shops, nightclubs and restaurants, said it would be wrong to single out Grindr for blame in the rise in HIV cases.
“It’s a tragedy when this happens to someone but ultimately the buck stops with the individual. They need to be looking after their own health,” he said. “If they want to take the risks, if they want to play what is effectively Russian Roulette by not using a condom, then maybe there are going to be consequences.”
Free dating 4
But when trouble struck we just could not be apart, no matter how annoying the other one could be. By February we were properly going out. On Valentine’s Day we ran off to Brighton and stayed at The Grand – a tradition we continue to this day.
The moment came when I knew he was The One after a row in which I had panicked and called it all off. As I put the phone down, I thought about how happy he had made me. I simply could not countenance my life without him. I had never felt that way about anybody. I slept on it to see if it felt any different the next day. It didn’t. After two days I called him back and told him that I loved him. I just had not known it.
We were about five months into the relationship when one afternoon, over a chat in a tea shop, our worlds changed for ever. The dating site had asked whether you wanted children. We had both ticked ‘no’, he because he already had two, me because I was over 40 and was being realistic.
“You know, I would like a baby with you,” he said, just like that, as I poured the tea.
By the time the scones turned up we were engaged. Well not officially. I made him propose properly much later, with a ring, on bended knee, on top of a mountain, with snow and everything. But really there was no going back from that moment. I realised, right then, that I would like a baby with him too.
We got married that summer and our son was born two years later, healthy and bright. Both conception and birth were achieved without the aid of modern medicine, though I was in hospital for the latter. I was 43.