Two Concurrent Enteric Disease Outbreaks Among Men Who Have Sex With Men, Minneapolis-St Paul Area

Concurrent shigellosis and cryptosporidiosis outbreaks occurred among men who have sex with men the Minneapolis–St Paul area, 75% of whom were infected with human immunodeficiency virus (HIV). Current HIV/AIDS treatment as prevention strategy may decrease HIV transmission but raises concerns about other diseases if safer sex messages are de-emphasized. Between 1 November 2013 and 31 March 2014, concurrent shigellosis and cryptosporidiosis outbreaks occurred among men who have sex with men in the Minneapolis–St. Paul area, 75% of whom were HIV-infected. Current HIV/AIDS strategy emphasizing treatment as prevention may effectively decrease HIV transmission, but raises concerns about other diseases if safer sex messages are de-emphasized.