13,328 Jamaican MSM Reached by HIV Prevention says report on National HIV Program ........ but

A statement has come to hand in recent days that the new round of Global Fund money is now available for the national program to the tune of $506 million and as of March 2014 some 13,000 plus men who have sex with men (while excluding specific programs for same gender loving women) have occurred but what does this outreach means, only condom distribution and testing? when we know especially the least amongst us in the form of homeless LGBT youth in particular (bearing in mind Maslow's theory) how can they make safer sex decisions given the sensitivities involved?

Why for example was the HFLE manual placed as an achievement when the fiasco that played out in the public domain proved that sanitization of sexuality issues is the main reason why we have the homo-negative culture fuelling the problems of displacements?

see more on the HFLE matter:

URGENT NEED TO DISCUSS SEX & SEXUALITY NATIONALLY PART 2

Urgent need for sex & sexuality to be discussed nationally

Children’s Advocacy & LGBT Agencies inconsistent approach to Homeless MSM Youth

Missed Opportunities in HIV-AIDS outreach on the social scenes from 2010 for additional scope 

Here is the statement on the latest round of funding:

As it continues to strengthen the multi-sectoral response to HIV/AIDS infection rates in Jamaica, the Government has budgeted $506 million for the Transitional Funding Mechanism programme.

As contained in the 2014/15 Estimates of Expenditure currently before the House of Representatives, existing gains consolidated, and activities scaled up to reduce transmission of new HIV infections, while mitigating the impact.

The project, which is being jointly financed by the Government of Jamaica and the Global Fund is being spearheaded by the Ministry of Health.

Targets for this fiscal year include: increasing the number of schools targeted from 43 per cent to 74 per cent, with at least one teacher trained in life-skills based Health and Family Life Education, and who has taught in the last year; and reaching 490,000 students through life skills based Health and Family Life Education Interventions in School.

Additionally 3,870 commercial sex workers (CSW); 3,030 Men Having Sex With Men (MSM); and 975 inmates will be reached through prevention activities. Meanwhile, HIV counselling and testing will be carried out for 270,000 persons; and 12,833 adolescents (in the 10 to 14 age group) and 47,800 youth (in 15 to 24 age group) will be reached through prevention interventions in out-of-school setting.

Anti-retroviral combination therapy according to national guidelines, will be provided, and 63,265 CD4 tests done according to national guidelines for 8,182 men, women and children with advanced HIV.

The programme will also provide Polymerase Chain Reaction (PCR) testing according to national guidelines to 2,497 infants born to HIV positive mothers; increase from 60 per cent to 75 per cent Persons Living with HIV/AIDS (PLWHA) on Antiretroviral drug (ARV) reporting at least 90 per cent adherence by pill count; increase from 25 per cent to 60 per cent reported cases of discrimination receiving redress by setting; as well as increase from 162 to 176 the number of institutions adopting policies to address HIV/AIDS.

Some of the achievements up to March 2014 include: increasing the number of schools from five per cent to 43 per cent with at least one teacher trained in life-skills based (Health and Family Life Education) HFLE and who taught in the last year; reaching 289,626 students through life skills based Health and Family Life Education Interventions in School; reaching through prevention activities 20,998 CSW, 13,328 MSM, 1,866 Inmates, 90,000 Sexually Transmitted Infection clinic attendees.

Also 24,241 adolescents (10 to 14 years old) and 75,973 youth (15 to 24 years old) were reached through prevention interventions in out-of-school settings; counselling and testing provided for 200,000 persons; 7,684 men women and children with advanced HIV received antiretroviral combination therapy according to national guidelines; 27 per cent reported cases of discrimination received redress; 162 institutions adopted policies to address HIV/AIDS; and the number of individuals in stakeholder organisations trained in strategic information, were maintained.

ENDS

Owing to the fact that there are no residential responses to homelessness in particular (remembering the Safe House Pilot 2009) that can greatly help with self efficacious work and better results but simply distributing condoms which is overall what the national systems in indeed none state actors such as Jamaica AIDS Support do with very little psycho-social, psycho-sexual work (outside of AIDS 101 workshops) and if the work is so penetrative why do we still have a high rate of infection based on the last survey suggested a rate of over 33% in the MSM cohort.

It seems rather odd to me that since the 1980s we have had hard evidence of the infection and psychological issues with some four major studies in the MSM populations and yet all that has ended as a response is condom distribution and testing, there must be more in terms of personal developmental work and not just meeting targets of testing us a guinea pigs. What is even more egregious about all this is that some of the agencies who do HIV work with MSM are either owned or managed by or linked to anti gay groups albeit that in order to qualify for funding they have to take on such populations though discomforting it is and so they do not put out any extra effort to see the needed changes and life improvements for LGBT people; then to add insult to injuries the LGBT groups or allied agencies too are just doing only enough to provide some sort of track record but no major or extra effort.

See: YOUNG MSM/TRANSGENDER WANT TO BE TREATED AS CITIZENS NOT POTENTIAL HIV/AIDS VICTIMS from March 2014

HIV and MSM community: Should we care? — Pt 2

Layered Stigma among Health Facility and Social Services Staff toward Most-at-Risk Populations in Jamaica

Big AIDS fight boost - Ja gets US$3.8 million from US$7-b fund

Concerns for HIV prevalence rate in MSM in Jamaica & connected matters

2007 MSM Study Reminder 

New HIV infections rising in region, Unprotected straight, anal and bisexual intercourse blamed 2011

Review condom policy for prisoners

Continued oversight of same gender loving women in HIV response

Peace and tolerance

H

More snags for the cruising community in 2013

Disclaimer: I have no formal psychological training but have been interested by the outdoor sex phenomenon for some decades now as applicable to Jamaican MSM experiences. I also decided to drop this one here as entries of this nature would be seen on Gay Jamaica Watch but due to the urgent legal matters that are at hand GJW will be hosting those posts only for now. 

This entry is not about the typical standing on or walking by a street corner or plaza in some city centre and employing ones gaydar to catch poon tangs that is easy and comes natural for some of us but this is about the masculine grizzly targeted thug hunting experience in a specific geographical zone complete with musk, grit, grime, industrial wasteland or green spaces (green grass hotel), sweat, pheromones, no deep emotions, non feminized elements and importantly un-attachment for that quick release of virulent pent up sexual desire in the end however short the time of contact. Some time ago when I last looked at sections of the outdoor cruising communities and sub groups under the MSM umbrella I noticed that some members were bitterly complaining that their haunting grounds were overtaken by the preponderance of homeless or displaced MSM who do not necessarily cruise in this specific sense especially from the New Kingston and Seymour Lands areas and beyond to the outskirts of Old Hope Roads when the homeless groups occupied illegally lands and houses but have since been removed by the local authorities namely the parish council with the aid of the police. Also see: Robbers target male hookers

The Jamaica Observer Clovis cartoon depiction of the problematic homeless MSM scenario relocated to the Barbican area, the online version from their website was removed following some complaints but I managed to get it scanned from my hardcopy edition of May 31, 2013, the paper has been in love hate relationship sorts ever since their first coverage of the matter when the men launched an attack at the former JASL/JFLAG offices August 23/4, 2011: MORE HERE and HERE

The migration pattern of that group has since gone northwards to Barbican as their options become less after the eviction of Jamaica AIDS Support, JAS and their LGBT offshoot Jamaica Forum for Lesbians Allsexuals and Gays, JFLAG from 4 Upper Musgrave Avenue (actually an old cruising haunt for MSM and female commercial sex work spot in the early nineties when previously unoccupied) newer populations still congregate in New Kingston proper. 

The men now located at a house in the Millsborough area for now as the caretaker there has insisted that they have to leave as the situation has become untenable the proper response to that issue is still forthcoming from the relevant agencies. With the migratory pattern occurring that has not helped any the comfort somewhat of the cruisers who before when the homeless MSM were far less in numbers and more docile coexisted peacefully often overlapping as commercial sexual arrangements would sometimes result if the cruisers were not making any headway for sexual pleasure via their modus operandi. 

Now it seems the bemoaning the loss of “space” continues as they are still limited to a certain quadrant in the New Kingston area added to that the other zones are limited or have since become unworkable as recent public incidents have impacted their usage and safety. Case in point is a matter of two alleged partnered masturbators who were caught in the act some three weeks ago in downtown proper at an old haunt for generations by a man who eventually called attention to the issue, the men one allegedly a handcart operator made good their escape however but not afterwards the authorities were somehow notified and the area bushed, rubble removed and cleared so as to avoid any further “batty business” thugs were apparently ordered to or hired to watch the area for now.

That particular spot down-town and other older ruins have had incidents prior and as posted here as well but it seems to always been able to recover despite major physical changes made to it and has been used for generations of cruisers as a haunt, heterosexuals also use the area for the occasional sexual encounters and a few female commercial sex workers/substance users also operate in the area by day, they were aware of the shenanigans that took place there but it is a symbiotic relationship it seems according to my cruiser source, the men are not a threat to their business since the cruisers would stay clear when met with such hetero circumstances and vice versa. 

The groups would also exchange information and safer sex implements when available among other socializations. The old industrial factory space seems to be an irresistible attraction for men whether on the down low  cruisers or commercial sex workers as the masculinity of the environment seems to be the draw card. In speaking to one of the senior more experiences cruisers who has assisted me before in examining this issue of cruising in Kingston he said that the place just has a thing to it that he has to go to see if any men are there and according to him there is often time someone there, if not a new face then some regular. What is the draw card to me especially for far younger users or cruisers is puzzling, how do they know instinctively that that spot is for sexual connections (usually non penetrative or outer-coursal activity) is baffling, gaydar perhaps? The physical outlay of the area seems a major qualification for such a pull of these persons and subsequent sexual activity I can recall some years ago an old rice factory in Spanish Town as well (now turned the JUTC bus park) that attracted men from all over I took particular interest in the phenomenon then as it became a sight for my HIV outreach work with men who have sex with men and it was there I realized we were dealing with a totally different set of variables and practices not covered by the HIV response at all. Often times these are men with normalised lives, girlfriends, “babymothers,” even wives or just homo curious recluse who use unusual short impact sexual contact as release it seems so as to avoid too much personal contact and invasion of their psychological space. The impersonal nature of the contact, no possibility of emotional traces, the intense physical satisfaction and thrill of the hunt in doing it in public but not getting caught are also factors that I have come to understand, a kind of utilitarianism. This is of course outside of persons who do not have the convenience at their place of residence for open consensual same sex intimacy.

I will admit I too have passed through the area in Kingston for a haunt or two but it is not really my cup of tea but one thing is clear all kinds of characters are there surprisingly, some even look like your typical homophobe if seen in another setting and these are not the same populations of men one as experienced as I am see in the LGBT social scene nor in other so called cruising zones as well. This leads me to think that there are many other males though not self identifying as homosexual who prefer this kind of urban discreet rugged outdoor contact for that quickie as a release. I prefer to approach thug types in their own spaces as I have developed my skills at reading them and know the ones to avoid or to approach even when they are homo-curious or bisexual. Anal penetrative sex is not usually the chosen type of contact in outdoor spaces such as this I learnt over the years during my HIV outreach work as safety and ease of escape if discovered is crucial so less tedious activity is chosen that won’t involve removal of clothing that may impede such escape if found or caught by an unsuspecting person who may use the area to also to urinate or defecate. 

They tend to go for partnered masturbation or solo masturbation while watching another male either masturbate also unbeknownst to them being seen or if another should urinate the proverbial glory hole type voyeurism but in an outdoor scenario. Oral/anal activity may occur such as rimming if convenient my cruiser friend advised me that he often heard of some men carrying a bottle of water on their persons for a quick enema which is not surprising as many male commercial sex workers do so as well to make themselves presentable to their clients, sadly the HIV response locally is yet to move progressively to make fleet and other such types of implements available and indeed engage these sub groups under the MSM label.

Scatting and such practices do not factor here in Jamaica although the site as indicated earlier is used as a bathroom since the public restrooms charge for usage so persons avoid them.

Exhibitionists also pass through occasionally according to my trusted senior cruiser friend (who also still wants me and him to hookup) but they come few in between for open masturbation usually alone but more so after a shower or rain when less passers-by are around but enough persons to give them the drive to publicly masturbate seeing that is their urge and incessant need sexually speaking. The two aforementioned partnered masturbators were said to be frequent pass-throughs and my cruiser contact seems still concerned of how they got caught, he even speculates that maybe another would be cruiser may have been upset at the two pairing and not himself being a partner to the act.

In early 2011 that entire section in downtown was bulldozed I can recall under the then Jamaica Labour Party JLP administration when a certain mayoral candidate was around as the area falls in the constituency of that party and some years prior to that a nude handcart man was found dead in the vicinity the cause of death was not clear but a newspaper report suggested he was raped as tests revealed anal trauma. The once vibrant Emancipation Park area in New Kingston that was also a haunt prior to its construction and which attracted persons even after it became a public thoroughfare seems to have lost its fervour. Vendors, police patrols and car parking have since crowded the spot and the occasional exhibitionist as well are not so prevalent any more as an amusement park sits across the street attracting many children, exhibitionist have a particular aversion to carrying out there act in front of children which also is another mystery to me psychologically speaking although it makes some sense as they are not paedophiles so prepubescent persons would not fit their intended profile for near public erotic exposure.

Some questions come to mind some of which I have asked before I believe;

What would attract this set of MSM to these outdoor spots?

Why do they not also social on the main LGBTQ scenes?

Outdoor sex implies an element of danger hence the attractiveness of it?

Why is effeminacy not a prominent trait in this group of MSM?

Is hyper-masculinity or forced masculinization (including aesthetics) a means of protection in these outdoor spaces to avoid profiling or suspicion?

Another incident that came to hand was in western Jamaica by a certain beach front stretch this time however penetrative sex was involved both persons just barely escaped the doom as men swooped down on the unsuspecting couple who were allegedly in high ecstasy while making love. While not a direct cruising matter it was only this month I posted on GLBTQJA of a male couple in St Catherine who had to flee their community after being caught in the act by the grandmother of one who arrived unannounced. Such are the challenges that sometimes cause persons to seek alternate outdoor secret arrangements to compensate for lack of space apart from the other attractive reasons relative to the individuals involved. In that same post I also examined a previous incident in the same parish by a man made water course where a partnered-masturbating male couple were caught and the police also got involved to literally save them from a thrashing from an angry mob that converged after the men swam to safety and retreated in bushes on the opposite side of the canal.

Such are the risks with hook-ups and outdoor cruising but with all those issues persons still seem drawn to the practice/phenomenon I guess an old English adage the closer you are to danger the further you are from harm has some resonance in this somewhere as who would often suspect raunchy illicit sex in open spaces quite unexpectedly? After all female commercial sex workers also use this form of hiding right under your nose ideology too, many of them do engage clients in car parks and inside motor vehicle unbeknownst to passers-by as one would never suspect that activity to close by. Parts of Central Park in New York comes to mind despite police patrols and a vagrancy law I believe but men hook up none the less, France for example has red zones where outdoor sex is allowed undisturbed be it homosexual or heterosexual and the infamous bathroom glory hole cruising is a special feature of French gay male culture. Many Jamaicans who go or now live there have told me the erotic stories. Amsterdam is noted for these zones as well married with open substance use as well whether Jamaica will ever get to this kind of progressive thinking is left to be seen seeing that policing homosexuality is still a major priority in the face of the disease control, The religious/biblical fundamentalist anti-homosexuality imperative; protecting vulnerable youth from homosexuality, as conflated with paedophilia; the imperative of the ‘unnaturalness’ of homosexuality and the imperative of the purity and authenticity of a primordially homosexuality-free global African culture all of which drive our entrenched or hardened positions towards male homosexuality in particular. If we can’t even get passed just making same sex intimacy private for consenting adults on the face of a “keep it to yourself” public sentiments then how are we going to allow some unconventional personal freedoms (though not impeding others) in public spaces?

Sex; we seek it, we enjoy it how some go about it may be unconventional at least bizarre at best but it’s the human condition I guess, after all if we did not have buildings to contend with we may have all been doing it in the bushes.

Peace and tolerance

H

also see: 

Cruising community challenges continue  2011

Some cruising challenges .......... 2011

Doing 'business' in New Kingston ...

The Cruising community’s dilemma .....

Fame FM's "Uncensored" on Piercings, Men fighting ...

Thugs caught lovemaking forced to flee for their lives 2013

Down low gone mad, Biphobia, or Sexual Abuse?

World’s first condom specifically designed for anal sex

A California company has unveiled prototypes of its new accordion-shaped condoms specifically designed for receptive anal intercourse as well as for men and women, and projects that the condoms will go to market in 2015 pending approvals. [Images and video may not be suitable/safe for work (NSFW).]

A California company, Origami Condoms, is planning to roll out a new condom specially designed for anal sex to the market in 2015 pending regulatory approvals.

The accordion-shaped device is the first to be made with injection-molded engineered silicone instead of conventional latex or animal skin. In addition to the Origami R.A.I. (Receptive Anal Intercourse) condom, the company’s range also includes the Male Condom and Female Condom, both of which share a similar accordion-like design.

The Origami Condoms’ website states the O.R.A.I condom is “intended to facilitate a pleasurable and safe experience for both partners, increase its acceptability, improve sensation and comfort, and influence consistent condom compliance for those who engage in anal intercourse and are at risk for contracting HIV/AIDS, and STI/STD.” And to “provide a receptive partner with the initiative to use a condom without negotiation.”

Last month, the Bill and Melinda Gates Foundation mentioned the new company on its blog saying: “Origami Condoms provides an excellent example of a private enterprise focused on new condom design to promote consistent use by emphasizing the sexual experience.” The foundation is offering a US$100,000 startup grant to innovators to reinvent "the next generation condom that significantly preserves or enhances pleasure" and promotes "regular use."

Before the condom reaches the market in 2015 as the company hopes, it must be approved by the FDA, the WHO and C-Mark (EU) to meet rigorous safety standards. The company also announced on its site that it will launch its crowdfunding campaign on Indiegogo on May 7.

ORIGAMI Receptive Anal Intercourse Instruction from ORIGAMI Condoms

Interview with the Inventor from ORIGAMI Condoms
“In 1993, I had a life changing incident, a broken condom and a HIV diagnosis. 

This drastically changed my view about condoms,” inventor Danny Resnic said.

Safer rimming or anilingus .......... tips & suggestions

Information you can use and to memorize (the relevant parts to you):

On the strength of a running poll that will expire in 21 days or less via Gay Jamaica Watch (imaged below) on anal cleansing/hygiene methods where:

55% of respondents said they use water

10% use vinegar

28% use homemade

17% said they did no such practice, I would imagine that means outside of regular daily hygiene.

the majority of respondents were NOT Jamaican though according to the tracking system overall of visitors to the blog but my local readers are close behind the United States in as far as hits are concerned, Canada is a distant third. Maybe this simple poll result is an indication that there maybe need to promote anal hygiene far more than we already have in the HIV/STI prevention programs. The training sessions seem to just gloss over this matter and worse yet if the presenters themselves are uncomfortable with the materials or the thought of this kind of graphic evasive sex act they may sanitize the information and quickly run through a powerpoint presentation as I have seen happen before.

A recent set of gay men's health seminars I was a part of reflected the need greatly, presenters for example had a hard time getting the men mostly in their twenties to talk about the subject of proper hygiene far more regularly and detailed than just a typical shower and or bowel movement. In fact the thought by some to insert any other object for flushing or cleaning was frightening even though the tips included lubricant use and or ready made off-the-shelf enemas.

What came out repeatedly in the sessions were that many of the men use an older practice of soda bottles with water as an emergency flush in case they have a romantic interest on the spur of the moment so as to make the interaction a more tidier episode in their eyes.

What also prompted me to do this post was an exchange I was asked to join between some young gay men at a social where the matter came up for mention and that of shaving as well.

Since Dr Wayne West antigay, and anti-abortion activist insists on talking about felching and fisting every chance he gets as if those practices abound here in Jamaica when they do not, here is a reality check of sorts for him and others too who push this dishonest imperative to advance their agenda. With this entry I also want to help those who maybe thinking about the practice or have already tried it and are not sure of what to actually do in terms of safer sex. As you may realize this blog is not limited to just the basic MSM issues but others that do not get covered elsewhere in Jamaica.

This entry does not serve as the only set of suggestions or guidelines as the internet abounds with information on the practice and commensurate safer sex options available, most interpreted as per jurisdiction and popular sexual practices there. Google and the results you get ....................

You might call it tossing salad, rimming, eating @$, a rim job, tongue f---ing, fridge cleaning, battywash or whitewashing the back 40. To a medical professional it's anal/oral sex.

No matter what you call it, following these tips below could really save your butt whether you're tossing someone's salad or they're tossing yours.

General Safer Rimming & Ass Play Tips

1. Douching (flushing inside your butt with water) - If you do it, be gentle and don't rush. Douching can damage the anal canal and drive infections further in. Douching too fast can increase the risk. Also, don't do it immediately before @$ play, do it a few hours before so you're butt isn't so irritated, making it more prone to infections. Don't use soap, it irritates the skin and tissue in and around your butt. 

I strongly suggest an enema if you can't afford a more professional one for at least once a month or the over the counter fleets (as seen above) that are reasonable priced at just over $250 in nearly every major pharmacy I have been to and they are also on the shelves so you DO NOT have to ask for it in secret anymore as in the old days. Enemas do not protect you 100% from parasites in and around the orifice or ass but it will remove any build-up thus making anal contact a far more tidier activity contrary to what the aforementioned doctor would like to parade to his supporters and the public. 

Enemas are sometimes used to treat constipation, or hard stools. Oil retention enemas serve to lubricate the stool and area, help passage. sometimes used ad preliminary enema before tap water or saline type (phosphate) enemas, Soda bottles are a no no as the mouths of them are perverted with sometimes sharp points that can cut the area and make for transmission of HIV or other STI's if a condom or other barrier was not used during the exchange or penetration. Tell your friends who you may know who do this practice.

What are the differences between a fleet enema and a regular enema?

enema balls example

Fleet's brand enemas come in a variety of types-phosphate, saline, oil. They come in pre-filled bottles. Regular enema is tap water, often hung in a bag (looks like a hot water bottle with a hose and nozzle). Do not use soap suds-very irritating to lining of colon.

A diet consisting of fibre rich foods such as wholewheat bread so as to make the excrement or your bowel movements more solid leaving less materials inside the sphincter muscle area or the ass-hole thus making the removal or cleansing process much easier. Rimming can be a most pleasurable experience based on the mucous membranes that line the outer part of rectum and the sphincter muscle (ass-hole). DO NOT OVERDO IT though and if you really need to be fresh for your partner do so at LEAST one hour before the activity is the recommendation, however over the counter fleets contain sodium phosphate which some experts warn that the substance causes water or fluid to leave the gastrointestinal tract. You can use an enema that contains sorbitol and glycerin. It comes in a squeezable 180 ml bottles. Its commercial name is "easy-go" in some countries. Or just use water enema. There are also one use disposables as seen at hospitals with the lengthy tubes and bags.

Do not take the rectal enema by mouth. It is for use only in your rectum.

To use the enema, lie down on your left side with your knees bent.

Remove the cap from the applicator tip and gently insert the tip into your rectum. Slowly squeeze the bottle to empty the contents into the rectum.

For best results, stay lying down until you feel the urge to have a bowel movement. This should occur within 2 to 15 minutes in most cases. Then relieve yourself in the toilet.

If you do not get any results after using sodium biphosphate and sodium phosphate, call your doctor before using another dose. Certain heart drugs also must not be taken with or near the time of the enema, lookout for signs such as unusual bowel movements etc.
Fleet Enema EXTRA contains 70% more volume than Fleet Enema for extra cleansing and relief. The tips of the Fleet Naturals Cleansing Enema contains a water-based lubricant to ease insertion into the rectum. Fleet Naturals is a non-medicated Cleansing Enema designed for personal cleansing at home. Fleet Naturals is intended for safe use whenever you want to feel fresh and clean. Fleet Laxative Enemas are used to relieve occasional constipation, or may be recommended by your physician.

2. Use Dental dams or non-lubricated condoms split lengthwise down the middle to protect yourself during rimming. Mark one side of the barrier so if you drop it, you’ll know which side was yours. Use lube on the side touching your partner to increase his/her pleasure and sensitivity.

3. Latex allergy? - Use polyurethane condoms or female condoms (also polyurethane) to make the dental dam.

3. Sharing sex toys? - Cover them with a condom and change condoms between partners; clean after every use to avoid sharing STDs and parasites.

4. Get vaccinated for Hepatitis A & B (which can be transmitted during anal play)

Protecting Against Herpes

1. Don’t rim someone without a barrier if you’ve got active or recently healed cold sores (herpes). Infections for herpes can also happen four or five days prior to the appearance of sores.

2. If there are sores on your partner’s butt, be sure to use a barrier when rimming him.

3. If a partner has a cold sore (herpes) insist they use a barrier or find other ways to play with each other

Protecting Against Parasites

Use these tips, especially if you don't use a barrier (e.g. split condom or dental dam)...

1. Wash around and just inside the @$hole (anus) before rimming. (Less invasive than douching). Just with douching, don’t use soap when washing inside your anus—it’s an irritant.

2. Get checked for parasites during your regular STI checkup. If you experience diarrhea, cramping, bloating, changes in appetite, weight loss, fatigue or other possible symptoms of a parasitic infection get tested sooner.

Health risk realities 

There are many health problems that can result from practising anilingus providing the bacteria, viruses, or parasites that cause them are on or in the anus or rectum. These include:

Bacterial diseases - Always possible since human feces is the waste product of the human digestive system including bacteria.
shigellosis (bacillary dysentery)

Viral systemic diseases
hepatitis A
hepatitis B
hepatitis C
poliomyelitis
human papillomavirus (HPV)
herpes simplex virus

Parasites
intestinal parasites

Infections and inflammations
chlamydia infection
gastroenteritis
conjunctivitis
gonorrhea

and other sexually transmitted diseases.

Applying the mouth to the genitals immediately after applying it to the anus can inadvertently introduce the bacterium Escherichia coli("E. coli") into the urethra, leading to a urinary tract infection. 

HIV/AIDS is not believed to be easily transmitted through anilingus.

Frequent anilingus with casual partners increases the health risks associated with the practice. Generally, people carrying infections that may be passed on during analingus appear healthy. Parasites may be in the faeces if poorly cooked meat was consumed. The faeces contain traces of Hepatitis A only if the infected person has eaten contaminated food.

Another recent study suggests a correlation between oral sex and throat cancer. It is believed that this is due to the transmission of HPV because this virus has been implicated in most cervical cancers. The study concludes that people who had one to five oral-sex partners in their lifetime had approximately a doubled risk of throat cancer compared with those who never engaged in this activity. Those with more than five oral-sex partners had a 250% increased risk compared with those who never engaged in this activity.

Prevention as in all things do what you can to avoid raising your risk level.Avoid unprotected sex which involves fellatio after anal intercourse.

If the receiving partner has wounds or open sores on the genitals, or if the giving partner has wounds or open sores on or in the mouth, or bleeding gums, this poses an increased risk of STD transmission. Brushing the teeth, flossing, undergoing dental work, and eating crunchy foods (such as potato chips) relatively soon before or after performing anilingus also increases the risk of transmission, because all of these activities can cause small scratches on the inside of the lips, cheeks, and palate. These wounds, even when they are microscopic, increase the chances of contracting STDs that can be transmitted orally under these conditions.

Because of disease risks, many medical professionals recommend the use of dental dams in anilingus. An enema can reduce the risk of direct faecal contact. However, a person who receives an enema may still have harmful microbes in the anus after the procedure.

Basis for anal pleasure

The anus (the anal opening), the anal canal (the first few inches inside), and the rectum are all sensitive in different ways, which is why anal stimulation and penetration can be so pleasurable. The external and internal sphincter muscles surround the anal opening. These muscles can work together or independently of each other, and these are the muscles we must learn to relax in order to achieve comfortable anal penetration whether by a penis, a toy or a tongue. When we talk about the sphincter and pelvic muscles and how they play a role in anal pleasure, we discuss them less in terms of sensitivity and more in terms of how tone and “in shape” they are and how tense or relaxed they are. The anus and the outer part of the anal canal are made of the same sensitive soft tissue and this tissue contains the most concentration of nerve endings of all our anal anatomy. In general, this tissue tends to be more sensitive to touch and vibration. The inner part of the anal canal and the rectum are mucous membrane and have a lot less nerve endings; however this tissue is much more sensitive to pressure (like from penetration).

Men and women have nearly identical anorectal anatomy except for one important difference: men have a prostate gland, which can be stimulated directly via anal penetration, that is why for some men they can ejaculate while being penetrated by another man or by a toy inserted the anus with targeted thrusts. The prostate gland surrounds part of a man’s urethra; it’s behind the pubic bone, below the bladder and above the base of the penis. A mass of muscle, glands, and connective tissue, the prostate is about the size and shape of a walnut; it produces ejaculatory fluid that combines with sperm and fluid from the seminal vesicles to create male ejaculate. Men can experience direct prostate stimulation when they are anally penetrated. It can be found by sliding a finger (or toy) about one to two inches inside a man’s ass and aiming toward the front of his body.

While women don’t have a prostate, but we do have a G-spot and can experience indirect G-spot stimulation through anal penetration. The G-spot is the urethral sponge which sits around the urethra; to find it, slip a finger inside her vagina an inch to an inch and a half and toward the front of her body. The G-spot can be stimulated through the front wall of the vagina or indirectly though anal sex.

Consider well before getting down in that shoot brothers, legal or not it's bound to be eaten, poked or licked. Keep that box fresh!!!!!!!! for your man,

Peace and tolerance

H