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Speech Coalition and the PASS program were formed amid the AIDS crisis in the US.
It happened long before the peak of the AIDS crisis, when testing was still spotty and the devastating virus and resulting disease were poorly understood. Regular testing continued, and scenes without condoms were banned. Widespread testing and contact tracing are emerging as the clear public health tools that the US needs in order to to reopen. Like the mainstream film industry, adult entertainment shoots are currently shut down, but its leaders are hard at work developing safety measures in addition to the kinds of sanitization and testing practices that they've long used and which are now being ramped up across the US.
I caught a glimpse of how a syndemic understanding of Austin's problems might work when I accompanied Combs and McClintock during their home delivery of sterile drug paraphernalia, a service they provide every Friday afternoon.