1. The intermeshed sexual networks of drug users, MSM, WSW and other community members Samuel R Friedman* Melissa Bolyard Carey Maslow Pedro Mateu-Gelabert Milagros Sandoval National Development and Research Institutes, Inc., New York, NY *Friedman is also a Senior Associate, Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University First National Conference on Methamphetamine, HIV and Hepatitis, Salt Lake City, August 2005.

2. Acknowledgements This presentation was supported by –NIDA grant R01 DA13128, Networks, norms and HIV risk among youth – NIMH grant RO1 MH62280 Local Context, Social Control Actions and HIV Risk We want to thank the busy men and women who took part in this study by answering some very personal questions and letting us take specimens.

3. HIV Positive by Gender/Sexuality (MSM=up triangle, WSW=down triangle, other female=circle, other male=square) by Hardest Drug Use Ever (from dark red to light pink: IDU, Crack, NI Heroin or Cocaine; blue=other)

4. HCV Positive by Gender/Sexuality (MSM=up triangle, WSW=down triangle, other female=circle, other male=square) by Hardest Drug Use Ever (from dark red to light pink: IDU, Crack, NI Heroin or Cocaine; blue=other)

5. What happens if methamphetamine enters this MSM GS party- scene-derived network whose members all use crack, heroin, other cocaine, or IDU and have had many unshown SPs (and IDU Ps) in the last 30 days? HIV+,HSV2+, star urger HSV2+, 1mSP unsafe GS, 3mSP, 40mIDU P HCV+,HSV2+, star urger, unsafe GS, 30 day amph use, 500mSP, 9mIDU P HIV+,HSV2+, unsafe GS, 8mSP HCV2+, unsafe GS, 3 SP HCV+,HSV2+, star urger, unsafe GS, 30 day amph use, 2 SP HIV+,HCV+, HSV2+, 0m SP HSV2+, star urger, 2mSP HIV+,HSV2+, unsafe GS, 8mSP HSV2+, unsafe GS, 4mSP HSV2+, unsafe GS, 0mSP