Bobert, if you'd posted that in the beginning, my own participation would have been a lot shorter. Thank you for the detailed response.

I still don't think misdiagnoses are a major factor. I think there are all the things you named, food, water [plus other poverty-related causes] and, on top of all these things, AIDS. This difference in opinions is not a big deal though. As you indicated, time will tell.

I also don't think the AMA has as much to do with this as you do. It's the Centers for Disease Control and Prevention that come up with the 'model' and publish guidelines for prevention and treatment in the US. I don't know who's responsible for this within the Word Health Organization.

Blaming people for what's done is wrong. Overcoming the stigma of talking about sensitive issues such as sex, without judgement, is something health professionals absolutely HAVE to do to prevent further infections. Addressing the issue isn't the same thing as laying blame.