Doctors are concerned that gay men with HIV are abandoning safe sex practices, and may unwittingly be spreading previously rare sexually transmitted infections such as syphilis. Instead of adopting the safe sex practices that turned around the AIDS epidemic of the 1980s, men are arranging only to have sex with people who share their HIV status – a practice known as “serosorting” – which they believe eliminates the need for condoms. But clinicians are concerned that some people may not be aware they are HIV positive when they negotiate such encounters, and it may be the reason some sexually transmitted infections are returning in record numbers. The Kirby Institute for Infection and Immunity in Society at the University of NSW reported this week that syphilis had hit its highest level in recorded history.

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