The current (April 2009) issue of the medical journal Lancet Infectious Diseases has three responses to an August 2008 article in the same journal by Alefiyah Rajabali and colleagues from Aga Khan University Karachi.

The original (Aug 2008) article may be downloaded from
http://download.thelancet.com/pdfs/journals/laninf/PIIS147330990870183X.pdf

Summary

In Pakistan, seven times more men are reported to be infected with HIV than women. Among the Pakistani population, modes of HIV transmission include infection through sexual contact, contaminated blood and blood products, injecting drug use, and mother-to-child transmission. Although most sexual transmission of HIV results from unsafe heterosexual contact, homosexual and bisexual contact also represent important modes of transmission. According to unpublished reports, the prevalence of HIV among homosexual and bisexual Pakistani men is reaching alarming proportions. We describe the Pakistani homosexual and bisexual culture, review statistics regarding HIV prevalence and risk behaviour, and identify areas of improvement in the HIV policy with specific focus on men who have sex with men.

[The Lancet]