On the whole experts are positive about the Cuban health figures and treatment regime, but find the high numbers of homosexual/bisexual infections and their annual rise "worrying".

Cuban health authorities depend very much on "contact tracing" in their fight against the disease; and the promiscuity and large number of "casual" sexual partners which seems to accompany homosexual practice works against an effective treatment...IMO.

Thus, I see homosexual practice as unsafe and unhealthy.
There may need to be an element of compulsion in any attempt to arrest the disease in US/UK.