Eliza, thank you for reminding us about the very different and much worse situation in Africa.

Dave, the rapid spread of HIV requires promiscuity, but most gay men do not get HIV.
Promiscuity is an issue and is relevant to any debate about the infection.
It is not a judgement.
I would have been more promiscuous when I was single if I could have been.

Ake has called no-one a pervert (so why claim it?), but he has described homosexuality as a perversion.
It used to be an accepted description well within living memory.
Most of us no longer describe it that way.