jacob_cannell comments on Open Thread, September, 2010-- part 2 - Less Wrong

3 Post author: NancyLebovitz 17 September 2010 01:44AM

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Comment author: jacob_cannell 21 September 2010 01:53:14AM *  1 point [-]

However, the typical estimates of transmission rate are extremely low: 0.05% / 0.1% per insertive/receptive P/V sex act 0.065% / 0.5% per insertive/receptive P/A sex act

At an (unrealistically?) independent 0.5% chance per act, a 50% chance of transmission would require 139 sex acts — hardly "years and years".

That is for the highest transmission activity - receptive A, so be careful not to cherry pick. Yes - 139 unprotected sex acts. It would take 1390 unprotected insertive A sex acts to reach a 50% chance of transmission.

So with some assumptions, mainly - gay bathouses and no condom use - yes the virus could spread horizontally, in theory. Although that population would necessarily first acquire every other STD known to man, more or less.

But in the general heterosexual population, not a chance. If you compare to the odds of pregnancy from unprotected sex, the insane requisite amounts of unprotected sex with strangers would result in a massive baby epidemic and far more vertical transmissions long before it could ever spread horizontally in the hetero population.

I don't know why you mention "modern developed-world rates" and then have a link to 1901 NY and Africa . . .

So in my mind this makes it technically impossible for HIV to be an STD.

At best, this can show that pandemic AIDS can't primarily result from sexual transmission of HIV, which is evidence that AIDS has causes other than HIV, but also that pandemic AIDS spreads through other means (as suggested here.

You don't need the "at best" qualifier, but yes I agree that is what this shows. Showing that however opens a crack in the entire facade. Perhaps not a critical failure, but a significant doubt nonetheless.

If the orthodox position had updated on the evidence, and instead changed their claim to "HIV is a borderline infectious disease that spreads primarily through the prenatal and blood-borne routes", then I would give them more creedence. Of course, for political reasons alone they could never admit that.

Comment author: Alicorn 21 September 2010 01:57:56AM *  8 points [-]

Although that population would necessarily first acquire every other STD known to man, more or less.

...a massive baby epidemic...

Many non-AIDS STIs, and pregnancy, are curable.

Comment author: jacob_cannell 21 September 2010 02:01:17AM 1 point [-]

Funny to think of pregnancy as curable, but yes of course that's true. However, it doesn't really change the numbers much.

Also, from what I have read about the early 80's bathouse scene, it is possible that many of those guys did acquire every STD known to man, so at least in that case the sexual transmission route could work even with such terribly low efficiency.

Regardless, it seems strange to label it as a STD from an evolutionary perspective, it doesn't fit that profile, and it seems incredibly unlikely it could have evolved as such.

Comment author: Alicorn 21 September 2010 02:24:52AM 6 points [-]

Funny to think of pregnancy as curable

It's also funny to call babies an epidemic.

Comment author: MartinB 21 September 2010 02:34:45AM 2 points [-]

Life is a disease. It is transmitted by sex and ends deadly always.

Comment author: jacob_cannell 21 September 2010 02:35:49AM 0 points [-]

touche!

Comment author: Nick_Tarleton 21 September 2010 02:36:28AM 0 points [-]

Of course, for political reasons alone they could never admit that.

What are the political reasons? Staying on-message and retaining funding, or something more specific?

Comment author: jacob_cannell 21 September 2010 02:41:41AM 4 points [-]

Essentially the government committed to a public awareness campaign that HIV was 'rapidly growing' in the heterosexual community, and this became part of the dogma. It is politically motivated - it's anti-sex message appeases religious conservatives while also shifting attention away from the gay bathouse scene, so it sort of benefits everyone politically, regardless of whether it's actually true.

Comment author: Nick_Tarleton 21 September 2010 02:18:58AM 0 points [-]

I don't know why you mention "modern developed-world rates" and then have a link to 1901 NY and Africa . . .

I meant "rates are higher outside the modern developed world". Rephrased for clarity.