Yes, Keith, *some* aspects of *some* outreach to *some* africans requires *some* culturally specific experience and context.

That is not what you said in your "practices" comment, that is not what you meant. You are back-pedalling on the racist part of your prejudice, not your homophobic views (yet).

Taking aside the breast feeding element of HIV transmission, the fact remains that heterosexual and homosexual HIV is spread primarily by unprotected genital sex.

The report you quote is about the reasons why some Africans are missed or not well served by the mainstream outreach and prevention measures. It is not saying that Africans have practices that are more risky / less hygienic / less 'good'

Straight white people are doing very well at contracting and spreading a wide range of STI's by having unprotected genital sex with multiple overlapping partners - more so than other demographics - so their practice of the primary mode of transmission is just as prevalent, or greater, than any other group. They just don't encounter HIV so often.

So it is not 'practices' in the sense of sexual acts that explains primarily why one group is 'afflicted' while another is 'saved'. The group that is afflicted by HIV then has to develop group-specific prevention measures.

The biggest definer of individual risk is about accidental (from the victim's perspective) membership of epidemiological networks - which I know that you understand; and your utter resistance to acknowledging that is one of the most telling points to emerge about your underlying beliefs.

Now we are back where we were just before your little school holiday, and I am certainly not going to go round the circle again.

Cue a load of masturbatory self aggrandising old twaddle and old statistics again, I suspect.