The article you cite by Ellis, is simply a rant against "homophobia"
irrelevant to this discussion. The article was written in 1999 and the Aids and Hiv figure have worsened considerably since then.

I was referring to the period in which Fidel Castro introduced compulsory testing, compulsory treatment in sanatoria and sexual education, without these preliminaries, the relaxation of the rules we see today in Cuba could never have come about.

I note that since the partial liberalisation Aids figures have started to rise yearly.