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Friday, December 9, 2016

Zika fears not changing South Floridians' sex habits

You delay having kids. You take a cold shower for months after you've traveled to Brazil. Or you use condoms, even if you're already pregnant.

Such is life with Zika, if you play by the rules.

Safe sex practices have been part of the official Zika prevention guidelines since early this year, when researchers confirmed the virus that can cause severe birth defects could be transmitted by sexual contact as well as mosquito bites.

The current federal Centers for Disease Control precautions advise anywhere from eight weeks up to six months of abstinence or condom use, depending on where you live, where you travel, and if you are pregnant or want to be. While expectant couples are the main target, the guidelines apply to anyone who doesn't want to get Zika.

So are people actually going to live like this?

Some public health experts are doubtful.

"I have talked with quite a few physicians, as well as sexually active patients. And I have not encountered anyone who has changed their sexual behavior. It's the hardest thing in the world is to get people to do," said Dr. Sonjia Kenya, an HIV researcher and sexologist at the University of Miami Miller School of Medicine.

What's the problem? Kenya thinks, in part, the consequences of Zika just aren't scary enough, unless you are a pregnant woman worried about becoming infected.

Most everyone else "has become pretty immune to the Zika media hype," said Kenya, author of "Sex in South Beach," who has been called a multicultural Dr. Ruth. "There is something about the sun and the beach and alcohol that invites people to be more relaxed."

The Sunshine State already is a hotbed for sexually transmitted disease -- and yes, the CDC considers Zika an STD, like gonorrhea and syphillis and HIV.

The CDC's annual HIV Surveillance Report, released this week , found the rate of new infections in South Florida's cities over the past year shot up more than three times the national average.

"If getting HIV doesn't scare you into changing your behavior, I don't think Zika will," Kenya said.

True, being bitten by a Zika-infected mosquito remains by far the most common way humans get the virus. As of Dec. 7, the CDC has confirmed 38 sexually transmitted Zika cases out of 4,575 in the U.S.

That's why the CDC continues to tell people the best prevention practice is to slather on bug spray containing DEET -- even if they are clubbing on South Beach or walking the dog. CDC officials say the products are safe for pregnant women and should be used by those expecting.

Since Aug. 1, there have been three sections of Miami-Dade County that at some point were classified as active transmission zones, placing them under the strict CDC "red" advisory that suggested pregnant women not travel there. The zones included the Wynwood area near downtown Miami, portions of South and North Miami Beach, and Little River.

People who did go there, or were residents, were advised to abstain from sex or "consistently" use condoms if they were pregnant, considering pregnancy or did not want to pass the virus. Women were told to follow these guidelines for eight weeks -- but men needed to do so for six months, as researchers believe Zika can live in seminal fluid for at least that long.

On Friday, Gov. Rick Scott declared the last of those areas, a 1.5-square mile tract in South Miami Beach, free of active transmission, lifting the CDC's no-travel recommendation for pregnant women. But the four former transmission zones, along with all of Miami-Dade County, remain under a "yellow" CDC advisory that includes condom use, abstinence and other precautions for expectant couples or people considering conceiving.

Sexual precautions also are suggested for anyone who has traveled to Zika outbreak countries such as portions of Mexico and Brazil, all of Puerto Rico, and many other countries. For a full list of travel advisories, go to: cdc.gov/travel or call 800-232-4636.

The CDC has drafted guidance for physicians and public health workers regarding Zika and sexual transmission. Officials with the Florida Department of Health said they discuss Zika sex guidelines with their patients and put condoms in the Zika prevention kits distributed to pregnant women.

The AIDS Healthcare Foundation (AHF), a global patient care and education organization, has three three large billboard advertisements -- including one with a giant three-dimensional mosquito -- in Miami-Dade County promoting condom use for Zika prevention.

Michael Kahane, AHF's southern bureau chief, said the organization has been distributing condoms along with Zika fact sheets in South Florida and Jamaica, as well as in Puerto Rico, where public health officials predict one in four residents may become Zika postive.

In the Caribbean countries, "people assume everyone already has it or is going to get it. So getting infected is no big deal unless you're pregnant," Kahane said.

While Kahane said that while there has been public health education about Zika, "a lot of people in the U.S. have told me they had no idea it could be sexually transmitted," Kahane said. "I think the general public just isn't aware."

A stroll though Fort Lauderdale's Himmarshee Village entertainment district on an early December night, where diners and drinkers filled outdoor tables, suggested Kahane might be right.

"SIX MONTHS?" cried Adrienne Airhart, 32, when asked how long she thought Zika might live in semen. Airhart, a Los Angeles visitor who had just finished a guided bike trip of the area's bars with pals, had guessed 22 months.

"That's really terrifying," said Airhart, who used to live in Coral Springs. "I am totally not going to Miami."

Her also surprised boyfriend, Aristotle Georgeson, 28, said he didn't know having sex could spread Zika. "So I would definitely let my partner know if I felt sick," he said.

But did he know that there was only a 20 percent chance he would even know he had a Zika infection? That's a problem, he agreed. "And it's not like I can look at a mosquito and know it had Zika," he said.

Dr. Aaron Elkin, a Hollywood obstetrician-gynecologist and past president of the Broward County Medical Association, said the majority of his patients "absolutely" are changing their health and sexual practices due to Zika.

"We are seeing more and more people living in our area afraid of becoming pregnant," said Elkin, who has been involved with federal Zika policy as a John McCain Fellow with the American College of Obstetricians and Gynecologists. "A lot of them are asking me, 'What should I do?' They are very receptive when we talk about steps they can take."

Elkin now does Zika counseling during every prenatal visit, as recommended by the CDC, and patients can pick up free condoms at the office's front desk. His practice is one of the few that, at this point, can run and process Zika tests, cutting wait times for results. So far, Elkin has screened over 200 patients for the virus and predicts, in the future, Zika testing will become a prenatal care standard, as it has for HIV.

Some couples are opting to hold off conception until a Zika vaccine is available, Elkin said, which could be within two years. If the biological clock is ticking, others are willing to move out of the area until their baby arrives.

The majority of South Floridians determined to conceive, however, stay here and wrestle with Zika.

"You can't stop mosquitoes, you can't stop travel and you can't stop sex," Elkin said. "We need to think about how we deal with patients who live here. We can't just say nobody who lives in Miami-Dade can get pregnant until there's a vaccine."

The number of in-vitro fertilizations performed at the Fertility & IVF Center of Miami has been slightly lower this year over last, said medical director Dr. Michael Jacobs, although he is not sure that is due to Zika. A few couples, before Miami-Dade County came under the CDC advisory, earlier this year froze sperm because the male partner was traveling repeatedly to Zika hot zone countries, Jacobs said.

He suspects that some people, including pregnant couples, aren't following all of the CDC Zika prevention recommendations, from applying bug repellent to using condoms. Jacobs said when Miami Beach still had active transmission zones, he spotted a very pregnant woman picnicking outdoors.

"It's all over the news, you are about to give birth, and you are standing next to water with a bunch of mosquitoes in it. I don't understand it," Jacobs said.

dlade@sunsentinel.com and 954-356-4295

SEX AND ZIKA

The federal Centers for Disease Control and Prevention suggest expectant couples or those considering conceiving in the near future take these sexual precautions. Pregnant women are those most at risk, as the Zika virus can cause severe fetal abnormalities, but anyone can get Zika through sex. Common Zika symptoms include: fever, rash, joint pain and red eyes.

Women who live in Miami-Dade County or frequently travel there should wait eight weeks before trying to become pregnant. They should abstain from sex or consistently use condoms during this time.

Men who live in Miami-Dade County or frequently travel there should wait six months before trying to get their partner pregnant. They should abstain from sex or consistently use condoms during this time.

Expectant couples where one or both partners either live or have traveled to Miami-Dade County should consistently use condoms, or abstain from sex, until after delivery.

The above guidelines also apply to couples in which one partner has traveled to a country with active Zika transmision.

For more information on Zika prevention: cdc.gov or 800-232-4636√.

"

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Uber to riders: No sex, and leave your guns at home

By Patrick May,  The Mercury News

The inside of an Uber vehicle, that ”third place” that so many of us often find ourselves these days, should also be a safe place, a clean place, a happy place.

Or so says Uber, which this week issued a set of “Uber Community Guidelines”  to keep both riders and drivers on their best behavior.

As the San Francisco-based ride-sharing giant puts it in its press release, “We want Uber to be enjoyable and safe for everyone. These ground rules are designed to ensure that riders and drivers have a five star ride when using Uber.”

Let’s have a look, shall we?

For starters, Uber wants us all to know that sex during a ride is a big no-no. Even flirting is prohibited between the rider and their driver or fellow passengers. (So, yes, group sex is out.) And don’t even think about calling your driver after the ride on their personal cell number and trying to set up a date. In its guidelines, Uber stresses that it has a ”no sex rule” and, just to make sure all you sex-in-public aficionados get the memo, it repeats “no sex” over and over like some Victorian Age mantra.

And  while you’re sitting in the back seat not having sex with anyone else in the car, you should also not vomit.

To be specific, Uber’s guidelines ban “vomiting due to excessive alcohol consumption,” so you could read that to mean that a flu-induced mishap wouldn’t necessarily get you banned forever from an Uber vehicle. But do try and avoid it anyway.

“Most riders show drivers the respect they deserve,” the company said. “But some don’t â€" whether it’s leaving trash in the car, throwing up in the back seat after too much alcohol or asking a driver to break the speed limit so they can get to their appointment on time. This kind of poor behavior is not OK.”

In the interest of time, we’ve condensed for you some of the other things Uber would like you not to do while in their care:

• Don’t touch other passengers.

• Don’t touch the driver.

• Don’t keep the driver waiting.

• Don’t swear.

• Don’t slam the car door.

• Don’t spill your Starbucks Grande, Iced, Sugar-Free, Vanilla Latte with Soy Milk and then not clean it up.

• Don’t look at people suspiciously if they’re not like you.

• Don’t comment on other riders’ appearances.

• Don’t ask your fellow rider if he/she is single.

• Don’t raise your voice.

• And last but not least, don’t bring your firearm with you on an Uber ride.

Outside of that, have a nice ride.

"

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An astonishing number of people believe Pizzagate, the Facebook-fueled Clinton sex ring conspiracy story, could be true

Here’s a question I never thought I’d ask: Do you think Hillary Clinton is connected to a child sex ring being run out of a pizzeria in Washington, D.C.?

If you voted for Donald Trump, there’s a decent chance you think it’s true. Or, at least, you’re not sure, one way or another.

Nearly 50 percent of Trump voters think the Pizzagate theory is either true or could be true, according to a new poll released today from Public Policy Polling.

It’s yet another reminder that “fake news” â€" an admittedly lousy term used to describe a wide range of untrue things on the internet â€" has a depressingly receptive audience.

In this case, the non-story is a made-up tale about Clinton, her associates and an underage prostitute network. It started up this fall in dark corners of the internet, but quickly bubbled up through Facebook, which weaponized the meme with its sharing tools.

And it’s the same tale that prompted Edgar Welch, a 28-year-old North Carolina man, to drive to a Washington, D.C., pizza place on Sunday, armed with a semi-automatic assault rifle, so he could “shine some light” on the claims. He was arrested after firing the gun inside the restaurant.

Welch told the New York Times that he didn’t vote for Trump last month. But people who did were particularly likely to think that Pizzagate was true, or might be.

Public Policy Polling, which surveyed 1,224 registered voters this week, says that 14 percent of Trump voters believe Clinton is connected to the nonexistent child sex ring, while another 32 percent aren’t sure. Nationwide, those numbers are 9 percent and 19 percent, respectively.

Public Policy Polling

Grain of salt? Sure: For starters, it’s possible that Welch’s story, which generated lots of attention earlier this week, helped seed the theory with poll respondents who might never have heard about it otherwise.

And more broadly, it’s a poll, so it’s going to have some noise in it. Which is the only plausible explanation for the fact that Public Policy Polling says that 5 percent of Clinton voters thought Pizzagate was true.

Or, in the words of Jim Williams, a Public Policy Polling analyst who worked on today’s survey: “You can ask anything to anyone, and you’re going to get 3 percent or 4 percent or 5 percent saying ‘yes.’”

It’s also true that crazy conspiracy theories about Hillary Clinton and her husband aren’t new, and have had a large national audience for decades. If you listened to talk radio during Bill Clinton’s presidency in the 1990s, you heard many tales about mysterious deaths, deals with drug cartels and more.

The difference now is that the internet, and Facebook in particular, makes this stuff so much easier to transmit, so quickly. This non-story didn’t exist a couple months ago, and now it has national traction. Imagine what we’re going to believe next.

"

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Thursday, December 8, 2016

Football sex abuse: Met Police launches investigation

Boys playing footballImage copyright Thinkstock

The Metropolitan Police has launched an investigation into allegations of historical sexual abuse in football at clubs in London.

A dedicated team of officers from the Met's sexual offences, exploitation and child abuse command will work alongside Operation Hydrant.

Hundreds of people have reported abuse to UK police so far, the National Police Chief's Council said.

The Met is not discussing the number of allegations or the clubs involved.

Det Ch Supt Ivan Balhatchet from the Met said the force takes allegations seriously and they "will be dealt with sensitively".

"Anyone who has been a victim of sexual abuse, whatever the circumstances, or has any relevant information, should contact their local police or the NSPCC," he added.

Football clubs across the UK have been implicated in a growing number of child sex abuse allegations.

Child sex abuse claims - story so far

The Met's announcement comes as the Football Association has been criticised for "dismissing" concerns about sexual abuse in football when they emerged in the 1990s.

A dedicated football abuse hotline set up by the NSPCC received more than 860 calls since it was set up about two weeks ago.

The phone line is available 24 hours a day on 0800 023 2642.


Police forces investigating allegations:

  • North Wales
  • North Yorkshire
  • Dorset
  • Staffordshire
  • Greater Manchester
  • Cambridgeshire
  • Hampshire
  • Cheshire
  • Northumbria
  • Metropolitan
  • Police Scotland
  • Avon and Somerset
  • Essex
  • Norfolk
  • Derbyshire
  • Warwickshire
  • Devon and Cornwall
  • South Wales
  • Dyfed-Powys
  • PSNI
"

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Metropolitan police to investigate sexual abuse claims at London clubs | Football

The Metropolitan police has launched an investigation into historical sexual abuse claims involving London football clubs, becoming the 21st force across the country to have begun similar inquiries into teams in their areas.

Britain’s largest police force said specialist officers would look into allegations of “non-recent” crimes, but refused to say which clubs it was investigating.

“We take all the allegations we receive very seriously and they will be dealt with sensitively,” said DCS Ivan Balhatchet of the Met’s sexual offences, exploitation and child abuse command. “Anyone who has been a victim of sexual abuse, whatever the circumstances, or has any relevant information should contact their local police or the NSPCC.”

Football sex abuse scandal: how the story unfolded

According to police, more than 350 potential victims have come forward since the former Crewe defender Andy Woodward waived his right to anonymity to reveal in an interview with the Guardian that he had been a ­victim of sexual abuse

Gary Johnson, the former player who was paid £50,000 by Chelsea not to go public with allegations that he was abused by their former chief scout Eddie Heath, has said that a personal apology from the club’s board, delivered in person on Wednesday, was “too little, too late”.

Johnson was a member of Chelsea’s first team from 1978 to 1981 after joining the club as an 11-year-old in 1970. The 57-year-old spoke out recently to say he was groomed from the age of 13 by Heath, who was chief scout from 1968 to 1979 and is now dead. Chelsea’s insurers paid £50,000 in compensation, without liability, in return for a confidentiality clause.

Johnson told the BBC that the £50,000 he received was “not enough for the pain and suffering I’ve had”, adding: “It [the abuse] took away my childhood â€" I can never get that back.”

In Holyrood, Nicola Sturgeon resisted calls for the inquiry into historical child sexual abuse in Scotland to be widened to include football clubs, after the Scottish Labour leader, Kezia ­Dugdale, pressed her during first minister’s ­questions about revelations of abuse in Scottish clubs.

The first minister said: “My view is we should allow that inquiry to get on with its job and we should allow the police to get on with their job of investigating allegations of abuse in football.”

Earlier, a former chief ­executive of the Scottish Football Association called for a separate inquiry as the revel­ations across the UK continued to mount. Gordon Smith told BBC Radio’s Good Morning Scotland that an investigation into how clubs and national bodies had responded to allegations was needed.

“There should be an inquiry, an inquiry into anybody who knew anything about this sort of thing,” he said. “If this was happening at a club, what action did they take? We’re now finding out some of the cases down in England where the club tried to hush the situation, even paid a player money to not say anything about it.”

The SFA has said it is part of a task force set up to coordinate complaints and information relating to child sexual abuse within football and that it is passing on all information it receives to Police Scotland.

Meanwhile, the Scottish Premiership club Patrick Thistle have admitted firing one of their employees in 1992 over abuse claims. The club disclosed that a former physiotherapist, named as John Hart, who died in 1995, was dismissed after the allegations came to light more than 20 years ago.

In a statement, the club denied any cover-up, stating: “The current board and management knew nothing of this until an internal investigation uncovered it in the last few days. As a result, the club informed the SFA and Police Scotland.”

This follows revelations concerning a former youth coach for Celtic, Hibernian and Falkirk football clubs, who was on Wednesday charged with a child sex offence and has been remanded in custody.

Jim McCafferty, who worked in football across the central belt of Scotland and in Ireland from the 1980s, was arrested in Belfast on Tuesday after presenting himself at a police station. He was charged with engaging in sexual activity with a child aged 13-16 between December 2011 and December 2014.

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Saturday, December 10, 2016

Bad Sex in Fiction Awards ceremony celebrates 24th year

“It’s terribly British, isn’t it,” said the man next to me at last night’s Bad Sex in Fiction Awards ceremony at the (appropriately named) In and Out Club in St James’s. He was referring, of course, to the yearly bash â€" now in its 24th year â€" in which the Literary Review magazine nominates half a dozen passages from contemporary fiction seen to represent sex at its most cringeworthy, reads them out to champagne-infused guffaws, and then awards a prize to the author of the worst.

It is a terribly British event, but it also provides a snarky satisfaction that transcends nationality. Because for anyone with the sneaking suspicion that the sexual act is better done or seen than artistically described â€" that its complex idiosyncrasy is one of the few things that lie outside the remit of the otherwise resourceful English language â€" the Bad Sex Awards hits its mark.

Yet as the entrants this year make clear, writing about sex with flagrant abominableness is still cheerily far from going out of fashion. Hearty examples were a passage from Blue Peter presenter Janet Ellis’s The Butcher’s Hook:

When his hand goes to my breasts, my feet are envious. I slide my hands down his back, all along his spine, rutted with bone like mud ridges in a dry field, to the audacious swell below.

“Audacious swell”? Quite.

Then there was the American Gayle Forman’s entry, from Leave Me:

They were in that room, Jason had slammed the door and devoured her with his mouth, his hands, which were everywhere. As if he were ravenous. And she remembered standing in front of him, her dress a puddle on the floor, and how she’d started to shake, her knees knocking together, like she was a virgin, like this was the first time.


Erri de Luca.
Claudio Onorati/EPA

But the gong went to the Italian poet and translator Erri De Luca for The Day Before Happiness (de Luca understandably wasn’t present). “My prick was a plank stuck to her stomach,” the Neapolitan was justly rebuked for writing:

With a swerve of her hips, she turned me over and I was on top of her … I was her plaything, which she moved around. Our sexes were ready, poised in expectation, barely touching each other: ballet dancers hovering en pointe.

Not everyone felt this deserved the award â€" as an American woman nearby remarked to me, this could clearly be read as satire, plain and simple. Perhaps, but satire doesn’t necessarily get you home dry, especially when it’s ambiguous. After all, the book, a coming of age story, is not particularly comic in the way that, for instance, the early sex-mad tomes of Philip Roth and Martin Amis were.

In fact, the awards were conceived not to discourage writing about sex, but to discourage writing about sex badly. The wording of the original mission statement in 1993 by Auberon Waugh, then editor of the Literary Review, is revealing: the bash was to “draw attention to poorly written, perfunctory or redundant passages of sexual description in modern fiction”.

It would be helpful to have some guidance on what non-redundant, good sex writing looks like, since it’s not entirely clear whether it can exist in a literary form at all. After all, the most sexually charged novels of the last 100 or so years use the rule of thumb that the act is unmentionable, boring, or best only suggested.

The novels of Dickens, Eliot and Trollope are full of sexual yearning, and their emotional and erotic pull are none the worse for the veiled references to kissing and love. Even in 20th century novels with subject matter devoted to romantic entanglements, the sexual act is not necessarily spelled out or even mentioned â€" Iris Murdoch doesn’t go further than “making love” as an account of the nocturnal activities of her highly sexually charged couple Dora and Paul in The Bell (1958).

And while Margaret Drabble’s super-sexy characters Clara and Gabriel get pretty steamy in Jerusalem the Golden, nothing beyond the fact is spelled out. It’s a blessed relief which does nothing to diminish the profoundly saucy atmosphere of the book.

The awards are also a humorous reminder not just of the imaginative power but also of the literary value of discipline and restraint in matters of bonking. A recent book about prime minster Herbert Asquith’s passionate attachment to Venetia Stanley tells of his thousands of letters to her, all passionately headed with variants of “my own darling” and “darlingest”.

Asquith’s desperate fixation with Stanley pours out from every page, but had he indulged in anything more sexually explicit than the desire to “go for a little drive, or will you come to Downing St & have a talk”, it would hardly have helped, and probably only hindered, the accumulated intensity of his fixation. Voluble lusters: take note.

Zoe Strimpel, PhD Candidate, University of Sussex

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