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Commentary By Theodore Dalrymple

DoxyPEP Is a Disaster in Waiting

Culture, Health Culture & Society

Fellini’s Satyricon comes to the pages of the New England Journal of Medicine.

There is a very easy way to eliminate death on the roads: prohibit all traffic. Unfortunately, such a policy would have effects other than the elimination of death on the roads, but road safety experts might have difficulty in appreciating this. As we saw during the Covid epidemic, enthusiasts—who may be perfectly honest and sincere—are sometimes blinded to other considerations by their enthusiasm. The elaboration of public policy requires more than attention to narrow scientific findings, important as the latter are. Policy rarely hits only its target. 

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Trials of the old and cheap antibiotic, doxycycline, taken “post-exposure,” have been shown in trials to be effective in preventing sexually transmitted diseases, at least among “cisgender men who have unprotected sex with men,” as the scientific literature now delicately puts it, and among “transgender women.” The Centers for Disease Control and Prevention therefore now proposes to recommend the prophylactic use of doxycycline by such persons in such circumstances.

Continue reading the piece here at The American Conservative

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Theodore Dalrymple is a contributing editor of City Journal and a Senior Fellow at the Manhattan Institute.

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