HIV/AIDS in the pornographic film industry
HIV/AIDS in the pornographic films industry deals with the outbreak of cases of transmission of HIV/AIDS in the course of production of the pornographic films in the United States, which became a major cause of concern within the industry, especially for pornographic film actors, since the 1980s. There have been twenty-two reported HIV cases in the industry, roughly half were among men who work in gay films, while the rest were both men and women working in heterosexual productions.
1980s and 1990s
In February 1986, Holmes was diagnosed as HIV-positive, six months after he had been tested negative for the virus. During the summer of 1986, Holmes, knowing his HIV status, agreed to perform in two pornographic films to be filmed in Italy, without informing the producers of his HIV status. Performers in one film, The Rise and Fall of the Roman Empress, were Ilona 'Cicciolina' Staller, who later became a member of the Italian parliament, Tracey Adams, Christoph Clark, and Amber Lynn. Performers in the other film, The Devil In Mr. Holmes, were Tracey Adams, Amber Lynn, Karin Schubert, and Marina Hedman. Subsequently, it was revealed that Holmes had consciously chosen not to reveal his HIV status to his co-stars before engaging in unprotected sex for the filming. Holmes first confiding in January 1987 that he had AIDS, and died from AIDS-related complications on March 13, 1988 at the age of 43.
Marc Wallice, a known IV drug user, tested HIV positive in 1998. On April 30, 1998, Wallice was diagnosed by AIM as HIV positive, and it was alleged that he had hidden his HIV positive status for two years, with rumors and speculation that he intentionally hid his HIV positive status with fake blood work through several HIV testing cycles to continue working. This speculation has been disputed and investigated using Wallice's tests, but it has not been doubted that during this period Wallice infecting seven women on the set: Brooke Ashley, Tricia Devereaux, Caroline, Nena Cherry, Jordan McKnight, Barbara Doll and Kimberly Jade.
After four years of no HIV-issues within the industry, in April 2004, Darren James was diagnosed by AIM with HIV. It was concluded that James had been infected while engaging in unprotected anal sex with Brazilian actress Bianca Biaggi during a scene for the video Split That Booty 2 in Rio de Janeiro. An urgent search was initiated by AIM for other potentially infected performers. It was discovered that three actresses who had worked with James shortly after his return to the United States had also become infected. These were Canadian newcomer Lara Roxx, Miss Arroyo and Czech-born Jessica Dee.
The heterosexual segment of the porn industry voluntarily shut down for 30 days (a 60-day moratorium was originally announced but it was lifted early) while it tried to deal with the situation. Darren James, Jessica Dee and Lara Roxx were barred from further production of sexually explicit content. About sixty actors who had had contact with James or Roxx were barred from working until HIV tests were completed and they were declared HIV negative. A further estimated 130 actors who had had contact with James were tested and also received an HIV-negative result. A total of five actors were diagnosed with the virus by the end of the moratorium: one male and four females, including one transsexual. The transsexual's name was Jennifer, in an unrelated case.
In June 2009, AIM reported that a female adult entertainer had tested positive, though it was believed that transmission occurred in her private life. LA County Public Health claimed that there had been sixteen "unreported" HIV cases in the adult film industry. The AIM Healthcare Foundation claimed those cases did not involve actors in production companies that followed their testing protocols and included members of the general public that use AIM Healthcare testing services or were individuals attempting to work in the porn industry who never were able to obtain employment in adult films because of their failure to provide proof negative status for HIV or other STD.
On October 12, 2010, AIM reported that an actor or actress had been infected with HIV. The name and gender of the person was not released to the public. Vivid Entertainment and Wicked Pictures were the first companies to announce a production shutdown. Although Wicked Pictures allow some performers to wear condoms, the company shut down to wait for the quarantine list. Several other porn studios shut down as a preventative measure. At the time, no other performers tested HIV positive.
In December, the HIV positive performer was identified as Derrick Burts. Burts had worked in both heterosexual and gay pornography. Despite contracting gonorrhea, chlamydia and syphilis, Burts continued taking part in unprotected sex in films before quitting once he was diagnosed as being HIV positive. He was informed by the Adult Industry Medical Health Care Foundation that he had contracted the disease, which according to Burts, he received on set while having oral sex scene with another "HIV positive male actor".
2011 - False positive report
In August 2011, the industry was temporarily shut down because of news of a performer was testing positive for the virus. Diane Duke, executive director of the Free Speech Coalition, confirmed the situation. Production later resumed production when a performer was retested and it came back negative.
In June 2013, a gay male performer tested positive for HIV in a routine blood test required by the industry PASS system (then known as APHSS), run by the Free Speed Coalition. The anonymous performer had previously worked exclusively on condom-only movies. The Free Speech Coalition conducted genealogy and determined that no infection took place on-set.
In September, an adult female performer, Cameron Bay was tested positive for HIV. In response, the Free Speech Coalition organized an industry wide moratorium from August 21 to August 27. On September 4, Rod Daily, Cameron Bay’s boyfriend at the time, announced he had also tested positive. Two days later, a third anonymous performer tested positive  prompting the Free Speech Coalition to organize a second moratorium from September 6 to September 20. All three infections were found via genealogy to have happened off-set. Rumors were surfaced of a 4th positive test during September but they were never substantiated.
In December 2013, a male porn actor tested positive for HIV causing the Free Speech Coalition to halt production for one week. This infection was also determined to have happened off set via genealogy. 
Testing and clinics
The revelations led to the creation of the Adult Industry Medical Health Care Foundation (AIM Healthcare or AIM) in 1998, which helped set up a monitoring system in the pornographic film industry in the United States, and pornographic film actors were required to be tested for HIV every 30 days.
The AIM system required all sexual contact to be logged, with positive test results leading to all sexual contacts for the last three to six months being contacted and re-tested. The use of condoms became standard in films featuring homosexual anal sex. Due to accurate and mandatory medical tests, HIV and AIDS cases became rare in the pornographic film industry.
However, testing is voluntary (though refusal to be tested can result in the actor not being cast in a sex role) and there is no testing or monitoring of the pornographic film industry in other countries. There have been indications that actors have voluntarily left the industry, at least the industry in the United States, rather than be tested by AIM and have their AIDS and HIV status disclosed.
AIM closed all its operations in May 2011.
Regulations to limit the spread of HIV
Due to this limited outbreak, the California State government considered regulating the industry. Some proposed to mandate the wearing of condoms during sexually explicit scenes. Industry insiders say this would ruin sales of their wares since the unprotected content is one of the selling points of some of their films. They say the wearing of condoms ruins the sexual fantasies of many viewers. Insiders say that such regulation would force the industry underground, out of California or overseas where it would be more prone to health risks for performers. The non-profit Adult Industry Medical Health Care Foundation (AIM Healthcare) worked with the government, to develop policies that both the industry and the government would find acceptable.
2012 ballot measure in Los Angeles
Shall an ordinance be adopted requiring producers of adult films to obtain a County public health permit, to require adult film performers to use condoms while engaged in sex acts, to provide proof of blood borne pathogen training course, to post permit and notices to performers, and making violations of the ordinance subject to civil fines and criminal charges?
Proponents of the measure claimed pornography performers were significantly more likely to acquire HIV than the general population and that they are generally not given health insurance by their employers and so the tax payer would foot the bill for HIV treatment. Opponents claimed it to be a waste of tax dollars because of existing stringent HIV testing protocols and because nobody has contracted HIV on set in the past 8 years in the United States.
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