Dr. Diggs has written and lectured extensively on the subject of sexually transmitted
May 15, 2005
Re: "The Little Black Book"
To whom it may concern:
Clearly this material, which appears to have the endorsement of
the Massachusetts Department of Public Health, is barely fit for
consumption by swine, much less the youth of the Commonwealth.
The brochure says "No HIV" as if condoms have been shown to stop
HIV. At best, there is an 85% reduction in transmission among stable
couples engaged in intercourse. There is no such ballpark number for
use in anal sodomy, heterosexual or homosexual.
Most data on condom use and STD prevention is based on
intercourse, not sodomy. Sodomy is clearly riskier.
The brochure is patently wrong -- Mass Department of Health,
where are you? -- when it states that other STDs are dramatically
diminished by condom use. The National Institutes of Health reviewed
widespread data which showed that there is an absence of convincing
epidemiological data that condoms prevent the transmission of
herpes, syphilis, chlamydia, human papilloma virus, and chanchroid.
The rates of anal cancer caused by HPV infection are very high
and can be fatal. Condoms have not been shown to significantly
reduce this risk.
The standard condom is not built to withstand the increased
friction associated with anal sodomy. Even with intercourse the
slippage and breakage rates approach 10%.
Lastly, the brochure mentions abstaining from risky activity with
tongue in cheek ("But how much fun is that?"). They promote "fun"
It is alarming, disheartening, and medically unethical that this
information be distributed to anyone. That it is distributed at taxpayer expense to vulnerable and confused youth should awaken every
citizen and legislator to immediately defund this organization, and
the attorney general to pursue prosecution for endangering minors
on a grand scale.
John R. Diggs, Jr., MD
South Hadley, Massachusetts