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MONITORING METH

Michael Specter's picture of the ravages of crystal-methamphetamine
addiction among gays is frightening and realistic ("Higher Risk," May
23rd). However, we are concerned that widespread alarm about crystal meth
may divert attention from what must remain the chief focus of H.I.V.
prevention - safe sex. Our recent online survey of more than four thousand
gay men from all over American found that sixty-four percent of those who
reported having anal sex without a condom in their last encounter with a
new or casual partner did not use drugs. Drug use is a serious problem, but
if it stopped tomorrow sexual transmission of H.I.V. would continue.
Interventions that target high-risk sex are urgently needed.

Mary Ann Chiasson and Sabina Hirshfield

Medical and Health Research Associates Of New York City

New York City