Here is everything you need to know about mpox, including the symptoms and how it’s spread.

1. What is mpox?

Mpox is caused by the mpox virus, one of the more than 80 poxviruses known to science.

2. What are the signs and symptoms of mpox?

• Initial symptoms include fever, headache, muscle aches, backache, chills and exhaustion.
• Within 1-3 days, a blister-like rash (sores, pimples or blisters) – very much like chickenpox – will develop on the face and the extremities, including the chest, soles of the feet and palms of the hands.
• The painful rash/sores may also occur on other parts of the body including around the genitals and anus and in the rectum.
• The rash/sores progress through several stages before scabbing over.
  Most cases resolve within 2-3 weeks.

3. How is the mpox virus transmitted?

• Touching the rash, sores, or scabs of someone who has mpox
• Contact with bodily fluids, (blood, saliva, blood or pus)
• Close face-to-face contact via saliva during talking, close dancing or kissing
• Contact with personal items like clothing, bedding, or towels.
• Through skin to skin contact

4. Are gay, bisexual or other men who have sex with men (MSM) more at risk of mpox?

While men who have sex with men have been among those most affected in South Africa, anyone, no matter their sexuality, is equally vulnerable to mpox if they have close contact with someone infected with the virus. Health experts and organisations have condemned any efforts to blame, shame or stigmatise MSM concerning the mpox virus.

5. Can you get mpox from sex?

Yes. Mpox can spread during any close or intimate physical contact between people. This contact can happen when you have sex, including:

• Oral, anal, and vaginal sex, or touching the genitals or anus of a person with mpox;
• Hugging, massage, kissing or talking closely;
• Touching fabrics, shared surfaces, and objects, such as bedding, towels and sex toys, that were used by a person with mpox.

6. When is an mpox-infected person no longer contagious?

An infected person is contagious from the start of the rash/sores through the scab stage. Once all scabs have fallen off, a person is no longer infectious.

7. How is mpox diagnosed?

Mpox is diagnosed by a healthcare worker. The rash would be the most telling sign. However, many other diseases, such as chickenpox, may cause similar rashes and are more common. Samples are sent for testing to the National Institute for Communicable Diseases (NICD) to confirm a diagnosis of mpox.

8. How is mpox treated?

Most cases of mpox infection do not require any specific treatment and the disease resolves on its own. There are anti-viral drugs that a doctor may consider using for the treatment of severe cases of mpox on a case-by-case basis. It’s rare for someone to die from mpox, but individuals who are immunocompromised – such as those living with HIV who are not on treatment – are most at risk of serious complications.

9. How can mpox be prevented?

The spread of mpox can be stopped by isolating and tracing the people an infected person has been in contact with. There is limited mpox vaccine availability in South Africa .

There are several steps you can take to reduce your risk of contracting mpox:

• Reduce your number of sexual partners;
• Be cautious of group sex;
• Be cautious at sex-on-premises venues (cruising bars, saunas and darkrooms);
• Refrain from sex if you or your partner has a rash or sores;
• Wash your hands well regularly and use hand sanitizer;
• If you are able to access the vaccine, get vaccinated.

10. What should you do if you think you have mpox?

The first step is to isolate yourself and ensure that you avoid any close contact with others. It is also important to seek medical attention if you are suffering from a rash and you think you may have mpox. (There are many other causes of a rash, most of which can be treated and any discomfort or pain addressed.)

11. Where can I find more information?

• Guidelines and other useful resources on the NICD (National Institute For Communicable Diseases) website
• Department of Health mpox resources
• The World Health Organization website

The post Mpox: What You Need To Know appeared first on OUT.

In July 2023, Dawood Lagardien placed a sign outside his La Gardi packaging, spice, dairy and baking shop that read: “LGBTQ not welcome at La Gardi – save our children”.

He also created a WhatsApp hate group titled “Our Rights – Anti-LGBTQ+” with hundreds of members. The South African Human Rights Commission (SAHRC) brought the matter before the Equality Court.

In its ruling, the Equality Court dismissed Lagardien’s defence of religious freedom and said he “unfairly discriminated against the LGBTQIA+ community and, in the process, violated their right to equality, dignity and security.”

He was ordered to issue a public apology acknowledging the harm his actions caused and to pay R200,000 in damages to a non-governmental organisation identified by the SAHRC. The court said it would refer the matter to the National Prosecuting Authority (NPA) for a criminal investigation.

In 2023, OUT LGBT Well-being formally lodged a complaint with the SAHRC in the Eastern Cape following the display of the discriminatory sign at La Gardi. The complaint formed part of OUT’s ongoing efforts to challenge discrimination, protect the dignity of LGBTQI+ people and ensure accountability for violations of constitutional rights.

OUT believes the judgment represents not only a victory for the broader LGBTQI+ community but also an important outcome of the human rights advocacy undertaken by civil society organisations in the Eastern Cape.

“A discriminatory sign is never just a sign. It communicates exclusion, legitimises prejudice and contributes to an environment in which hatred and violence can flourish,” says OUT Human Rights Coordinator Sibonelo Ncanana Trower.

“For OUT, this judgment is particularly significant because it demonstrates the importance of reporting human rights violations, pursuing institutional accountability and ensuring that discriminatory conduct is challenged through the appropriate legal mechanisms.”

Ncanana Trower adds: “We commend the South African Human Rights Commission for pursuing this matter before the Equality Court, alongside the Commission for Gender Equality, and acknowledge the contribution of Media Monitoring Africa Trust. We further recognise the courage of LGBTQI+ activists and human rights defenders in the Eastern Cape who continued to challenge discrimination despite the hostility, intimidation and threats associated with this matter.”

OUT remains committed to supporting LGBTQI+ people in accessing justice, documenting human rights violations and strengthening accountability through the National Task Team on SOGIESC (Sexual Orientation, Gender Identity, Gender Expression and Sex Characteristics) Matters, Provincial Task Teams and other human rights mechanisms.

The post Statement: OUT Applauds Gqeberha Equality Court Ruling as a Victory for LGBTQI+ Rights appeared first on OUT.

OUT LGBT Well-being recently hosted a specialist seminar in Johannesburg focused on key gaps in health services for gay, bisexual and other men who have sex with men (MSM).

Held on 22 September in Rosebank, the event, titled “Advancing Men Who Have Sex With Men (MSM) Health Seminar: Beyond the Basics”, brought together around 40 public health professionals and advocates.

OUT Executive Director Dawie Nel said the organisation has provided sexual health services to MSM in Johannesburg since 2019 and hoped to share its expertise and experience with the public health sector following the funding-related closure of MSM-specific clinics.

“We’re trying to move our MSM clients into the public health system, and in that process, we want to equip facilities to see our clients in a competent and sensitised way, with the hope that MSM continue to receive services,” he explained.

The seminar focused on two key areas: sexually transmitted infections (STIs), particularly undiagnosed asymptomatic STIs, and sexualised drug use, known as chemsex, and its associated health risks and demands.

The Hidden Risk of Asymptomatic STIs

Dr Elaine Saayman, who works with Sediba Hope Medical Centre and OUT’s +DR medical practice in Pretoria, offered an in-depth presentation on the importance of screening and testing for asymptomatic STIs.

She highlighted that healthcare providers in South Africa typically do not test patients for STIs unless they have obvious symptoms. Saayman also provided details about the use of Doxy-PEP as a preventive measure for syphilis, chlamydia and gonorrhoea.

Doxy-PEP involves an individual taking a dose of doxycycline (Doxy), a widely used antibiotic, within 72 hours of engaging in unsafe sex to help prevent these STIs from taking hold.

In May, the World Health Organization (WHO) recommended the use of Doxy-PEP for MSM and transgender women who have a high risk or recent history of bacterial STIs, but healthcare providers rarely prescribe it in South Africa.

Saayman further provided information about HPV-related cancer prevention, including HPV vaccines, and the importance of incorporating anal health into routine primary care for MSM — an area that often receives insufficient attention.

Research Shows High STI Rates Among MSM

Dr Etienne Muller, a principal medical scientist at the National Institute for Communicable Diseases (NICD), strengthened Dr Saayman’s call for wider testing for asymptomatic STIs among MSM by presenting results from 2023 research conducted with OUT’s assistance on the prevalence of STIs within this group.

The study found that 15% of MSM who showed no symptoms tested positive for an STI.

Reinforcing these concerns, recent data from the Gauteng Department of Health also showed that the percentage of men with STIs in the province rose from 12% in 2020 to 15% in 2023.

Chemsex and Harm Reduction Spark Debate

Finally, the seminar tackled the often-controversial topic of MSM who engage in chemsex (MSMC).

OUT Social Worker Hulisani Mudzanani presented the organisation’s work among a group of HIV-positive MSMC in Soweto. The programme used a targeted harm reduction approach — focusing on reducing risk rather than abstinence — which resulted in a significant increase in participants remaining on their HIV treatment.

The presentation sparked spirited debate among participants about how the public health sector could implement a harm reduction strategy while substance use remains criminalised and presents a moral quandary for some.

Calls for Broader Sexual Health Services

Jay Matlou, Programme Manager at Access Chapter 2, said the seminar made a valuable contribution towards broadening sexual health services for MSM.

“As a country we’ve done a lot of work, incredible work around, you know, HIV, TB and so forth, but STI information, there’s a bit of relaxation around that, and I think we need to volume that up and integrate STI information into the mainstream,” he said.

Matlou added: “It’s very important to have conversations focusing on MSM health because we’re still in an ongoing struggle around MSM people accessing healthcare, comprehensive healthcare services, due to stigma.”

The seminar highlighted that expanding access to healthcare for MSM requires more than simply moving patients into mainstream services. It also means ensuring those services are equipped to respond to their specific health needs — from asymptomatic STIs and anal health to chemsex and harm reduction — without stigma or judgement.

As specialised MSM services become less available, that challenge is becoming increasingly urgent and the message clearer: Access to healthcare means little if people do not feel understood, respected and safe enough to use it.

The post Neglected MSM Health Issues Spotlighted at OUT’s Johannesburg Seminar appeared first on OUT.

In partnership with OUT LGBT Well-being, MambaOnline publishes a monthly overview of reported LGBTIQ+ rights violations in South Africa, including hate speech, hate crimes and other forms of discrimination.

We also track the progress of cases through the criminal justice system and highlight key human rights developments. While we aim to be as comprehensive as possible, many incidents go unreported or are not identified as hate crimes.

Below is our summary for August 2026.

Hate Speech Pastor Oscar Bougardt Calls for ‘LGBQI+ Free’ Cape Town

Cape Town pastor Oscar Bougardt again targeted the LGBTIQ+ community in a Facebook post in which he called for an “LGBQI+ free Cape Town” and urged residents to support a purported “Straight Party” and elect him mayor. Bougardt said that, if elected, he would withdraw funding for WorldPride 2028, shortly after Cape Town formally received hosting duties for the international event. Sibonelo Ncanana-Trower, Civil Society Co-chair of the National Task Team on Sexual Orientation, Gender Identity, Expression and Sex Characteristics, condemned Bougardt’s comments, arguing that LGBTIQ+ people continue to face discrimination, violence and fear and that “Pride is not the problem. Hate and violence are.” The latest statements followed Bougardt’s long history of anti-LGBTIQ+ rhetoric despite previous court action against him. Pierre LeRoux-DuPisani, one of the original complainants in the long-running hate speech case against Bougardt, called on the South African Human Rights Commission to seek imprisonment for the controversial pastor.

• Read more

Paarl Rocked by Murder of 17-Year-Old LGBTQ+ Learner Justine Davids

The LGBTQ+ community in the Western Cape mourned the murder of 17-year-old transgender learner Justine Davids, also known as Justine Jameelia Evangelista. She was stabbed to death in an open field in Lantana, Paarl, in the early hours of 9 August. Justine had reportedly been walking with a friend, who escaped the attack. Police arrested three suspects, aged 17, 18 and 20, who appeared in the Paarl Magistrates’ Court on 11 August, as community members gathered outside to demand justice and oppose bail; an online petition similarly called for the accused to remain in custody. Justine’s murder prompted widespread concern that the attack may have been motivated by queerphobia, although this had not been confirmed by police.

• Read more

Gay Man Attacked with Broken Bottle in Pretoria West

A gay man was left with serious facial injuries and emotional trauma after an allegedly homophobic attack at a tavern in Elandspoort, Pretoria West, on 20 March. Koketso, who reported the incident to MambaOnline in August, said a man repeatedly made homophobic comments towards him and attempted to touch his genitals before later striking him in the face with a bottle and stabbing him with the broken glass, leaving him covered in blood and unable to see. A passing stranger eventually helped Koketso arrange transport to hospital, where he lost consciousness and only awoke the following day. Koketso opened a criminal case, and the alleged attacker was arrested on 26 March but released after one day in custody; the matter was scheduled to return to court on 12 October.

• Read more

Grindr-Related Extortion Incident in Johannesburg

OUT LGBT Well-being was contacted by a survivor of a dating app-related incident that took place at around 9 pm on 19 August in Sunninghill, Johannesburg. According to the complainant, he arranged to meet another man at his home through Grindr. After the two men engaged in intimacy, the complainant alleged that his date demanded payment for sex and became aggressive when he pointed out that money had not been discussed beforehand. The complainant ultimately paid the man to persuade him to leave. The following day, he discovered that his digital watch, which contained several stored contact numbers, had been stolen. He was subsequently contacted by a friend who reported receiving a call from someone impersonating a police officer and threatening to release false and damaging information about the complainant unless money was paid. OUT is assisting the survivor with the matter.

Landlord Found Guilty of Assaulting Lesbian Woman

On 12 August, the Germiston Magistrates’ Court in Gauteng found a man guilty of assaulting a 23-year-old lesbian woman in connection with an incident that took place in March 2026. According to case documentation, the man, who was the woman’s landlord, became involved in a disagreement with her when she attempted to repair a malfunctioning gate. The argument escalated after the landlord made comments about her gender expression. He then pushed the woman in the chest, causing her to fall against steel shelves and sustain injuries. The case documentation further recorded that the accused assaulted two other people who intervened to assist the complainant. The court sentenced him to six months’ imprisonment or a fine of R3,000, with the sentence suspended for five years.

Petition Calls on South Africa to Reject Anti-Rights “Family Values” Conference

MambaOnline launched a petition calling on South Africa to reject the planned 3rd Pan-African Conference on Family Values (PACFV), scheduled to take place in Cape Town in May 2027. The event forms part of a broader anti-rights movement targeting LGBTQ+ rights, women’s and reproductive rights, comprehensive sexuality education and diverse families across Africa. The petition attracted more than 2,000 signatures within 48 hours and sought to stimulate a wider national conversation about defending South Africa’s constitutional commitments to equality, dignity and freedom from discrimination. MambaOnline also argued for a sustained, broad-based response to misinformation, exclusion and efforts to frame LGBTQ+ equality as incompatible with African or “family values”.

• Read more

Have you experienced or witnessed an LGBTIQ+ rights violation such as a hate crime, hate speech or any other kind of LGBTIQ+ discrimination in South Africa? If you’d like to bring it to the attention of the LGBTIQ+ community or request support, email MambaOnline on info@mambaonline.com or OUT LGBT Well-being on sncanana@out.org.za.

The post South Africa LGBTIQ+ Rights Watch: August 2026 appeared first on OUT.

For many LGBTQ+ South Africans, it is also an opportunity to learn how harm reduction can save lives, improve health and uphold human rights.

This year’s IOAD theme, “25 Years On. Still Needed.”, is both a reflection and a challenge. For a quarter of a century, the campaign has brought people together to remember lives lost and advocate for change. Yet overdose continues to affect people from every background and community.

Why This Matters for LGBTQ+ People

For some people, substance use can be linked to experiences of stigma, discrimination, trauma, rejection or poor mental health. Others may use drugs recreationally in social settings or as part of sexual experiences, including chemsex.

Whatever the circumstances, everyone deserves access to accurate information, compassionate healthcare and support without fear of judgement.

That is the foundation of harm reduction.

Rather than focusing on punishment or demanding abstinence before offering help, harm reduction aims to reduce the health, social and legal harms associated with drug use.

It recognises that people deserve dignity, healthcare and evidence-based support regardless of whether they are currently using drugs.

What Is Harm Reduction?

Harm reduction is grounded in human rights, compassion and science.

It does not demand abstinence (stopping substance use). It foregrounds practical measures that reduce the risk of overdose and other health harms while helping people stay connected to healthcare and support services.

These approaches can include:

• Information about safer drug use, helping users understand health risks and potentially harmful combinations of drugs
• Drug checking services that check the purity of illicit drugs to identify dangerous contaminants
• Needle and syringe programmes that reduce the spread of HIV and hepatitis
• Provision of clean glass pipes for smoking and balm for cuts on lips
• Condom distribution
• Opioid agonist maintenance therapy for people using heroin
• Prevention and treatment measures for sexually transmitted infections, HIV, viral hepatitis and tuberculosis, such as regular testing, vaccination and treatment optimisation
• Overdose prevention education and life-saving interventions
• Psychosocial support
• Housing and employment initiatives that do not require abstinence as a condition of support

Research from around the world has consistently shown that harm reduction is cost-effective, evidence-based and improves both individual and public health outcomes. Studies have demonstrated that comprehensive harm reduction services can lead to a 41% lower risk of HIV infection and a 76% lower risk of acquiring hepatitis C.

Nearly 100 countries have already adopted harm reduction policies or programmes.

Criminalisation Has Failed

One of the central messages of International Overdose Awareness Day is that criminalising drug use has not solved the problem.

Instead, punitive drug laws often drive drug use underground, increase stigma and discourage people from seeking healthcare or calling for help during an overdose.

The campaign argues that responses based on healthcare, education and human rights are far more effective than punishment.

South Africa is beginning to see growing support for this approach.

In June, the Vusubuntu Coalition for the Decriminalisation of Drugs for Personal Use launched with a call for the country to rethink its response to drug use.

The coalition – of which OUT LGBT Well-being is a member – argues that people found with small amounts of drugs for personal use should receive healthcare, information and social support rather than arrest and criminal records.

Importantly, the coalition emphasises that decriminalisation is not the same as legalisation. Instead, it seeks to treat drug use primarily as a public health and social issue.

According to the coalition, this approach could reduce stigma, improve access to care, strengthen communities and ease pressure on South Africa’s criminal justice system.

Compassion Saves Lives

International Overdose Awareness Day reminds us that every overdose statistic represents a person who was loved, valued and part of a community.

The campaign calls on everyone to learn about overdose prevention, challenge stigma and support policies that prioritise health, dignity and evidence over fear and punishment.

For LGBTQ+ communities, where many people continue to face barriers to healthcare and support, these conversations are more important than ever.

At OUT LGBT Well-being provides confidential, affirming healthcare and harm reduction support in a safe, welcoming environment in Johannesburg and Pretoria.

Pretoria: +DR LGBTQ+ Medical Practice in Pretoria. WhatsApp 072 113 6597 to find out more or book an appointment or contact Sello for support on 071 765 7039 or email motsomanes@out.org.za.

Johannesburg: WhatsApp OUT Johannesburg on 060 909 2611 for more information.

Article photo: Pexels / Ketut Subiyanto

The post International Overdose Awareness Day: Why Harm Reduction Matters for South Africa’s LGBTQ+ Community appeared first on OUT.

While anyone can get viral hepatitis, some forms – such as hepatitis A and B – can disproportionately affect men who have sex with men (MSM) at higher rates because of how these viruses can be transmitted through sexual contact and exposure to body excretions.

Additionally, South Africa has recently entered the top ten countries with the highest burden of new hepatitis C infections.

The good news is that hepatitis A and B are preventable through vaccination, and all types can be managed with appropriate medical care.

What is viral hepatitis?

The liver plays a vital role in filtering the blood, processing nutrients, supporting digestion, and removing harmful substances from the body. Viral hepatitis occurs when a virus infects the liver, causing inflammation. The main types are:

Hepatitis A: Hepatitis A usually causes a short-term infection. It does not typically become chronic, but it can make someone very unwell for weeks.

Hepatitis B: Hepatitis B can become a long-term (chronic) infection and may lead to serious liver problems, including liver failure or cancer if untreated.

Hepatitis C: Hepatitis C can also become chronic and may cause long-term liver damage; however, modern treatments can usually cure hepatitis C.

Why are MSM affected by viral hepatitis?

MSM are not at risk because of sexual orientation or identity. The risk is linked to certain ways these viruses can spread.

Hepatitis A transmission
Hepatitis A can spread through contact with tiny amounts of infected faecal matter. During sexual activity, this can happen through oral-anal contact or contact involving the anus. Outbreaks of hepatitis A among MSM communities have occurred in many countries.

Hepatitis B transmission
Hepatitis B is highly infectious and can spread through:

• Semen and other sexual fluids
• Contact with infected blood
• Unprotected sexual contact
• Sharing needles or drug-use paraphernalia
• Unsterile medical practices including medical procedures, tattoos, or blood transfusions

Hepatitis C transmission
Hepatitis C spreads mainly through blood-to-blood contact. Among MSM, transmission risk can increase through:

• Sexual activities that involve blood exposure
• Sharing drug-injecting equipment
• Sharing equipment used for certain sexual practices
• Having HIV can increase one’s vulnerability and disease progression

What are the symptoms of viral hepatitis?

Many people with hepatitis have no symptoms, especially in the early stages. This means someone can have hepatitis and unknowingly pass it on.

When symptoms do occur, they may include:

• Extreme tiredness
• Loss of appetite
• Nausea or vomiting
• Stomach pain
• Fever
• Joint pain
• Dark urine
• Pale stools
• Yellowing of the eyes or skin (jaundice)

Symptoms can range from mild to severe and may last weeks or longer. Because symptoms are not always obvious, testing is important, especially if you may have been exposed.

How can MSM prevent viral hepatitis?

1. Get vaccinated

Vaccination is the best protection against:

• Hepatitis A: A safe and effective vaccine is available
• Hepatitis B: The hepatitis B vaccine provides strong protection and is recommended for people who may have increased exposure risk.

2. Use safer sex practices
Ways to reduce risk include:

• Using condoms and barriers where appropriate
• Using lubricant to reduce skin damage during sex
• Avoiding sharing sex toys unless they are cleaned properly or covered with a new condom between users
• Avoiding contact with blood
• Getting tested regularly if you have ongoing risk

3. Get regular sexual health screenings
Ask your healthcare provider about hepatitis testing, especially if you:

• Have multiple sexual partners
• Are living with HIV
• Have had a sexually transmitted infection (STI)
• Have had condomless sex
• Use drugs that involve needles

Can viral hepatitis be treated?

Hepatitis A: There is no specific antiviral treatment, but most people recover fully with medical support and rest.

Hepatitis B: There is no universal cure, but antiviral medicines can control the virus, reduce liver damage, and lower the risk of complications. Some people clear the infection naturally.

Hepatitis C: Hepatitis C is usually curable with modern direct-acting antiviral medicines, often taken for a short course of treatment. Reinfection is possible.

Living well with hepatitis

A hepatitis diagnosis does not mean your sex life or relationships have to stop. With vaccination, testing, treatment and support, people living with hepatitis can maintain healthy lives. A balanced diet, exercise and reduced alcohol intake will aid the recovery of the liver. If you think you may have been exposed, do not panic — speak to a healthcare provider about testing and the next steps.

Knowing your status protects your health and helps protect your partners. Get vaccinated. Get tested. Get treated.

Hepatitis services at +DR in Pretoria

At +DR—OUT LGBT Wellbeing’s stigma-free, patient-centred medical practice in Pretoria—we are dedicated to keeping our community safe and healthy. To empower you to take charge of your health, we are running a special community campaign:

Get a FREE hepatitis B vaccine and hepatitis C antibody test for the entire month of July!

How to claim your free test and/or vaccine: Simply book your appointment and use the promo code HEPATITIS when you check in.

To make an appointment for +DR, WhatsApp +27 72 113 6597, call +27 12 430 3272, email clinic@out.org.za or book online here.

The post Viral Hepatitis and MSM: What You Need to Know appeared first on OUT.

The convening was hosted by the Other Foundation in partnership with the the Centre for Human Rights at the University of Pretoria Faculty of Law, South Africa.

OUT was represented by Sibonelo Ncanana-Trower in his capacity as Human Rights Officer. He also attended on behalf of the National LGBTI Task Team on SOGIESC Matters.

The convening forms part of an ongoing regional process that began in 2022 and seeks to strengthen coordinated, accessible, and responsive protection and emergency mechanisms for LGBTI human rights defenders across Southern Africa. Participants engaged with a draft research report commissioned by the Other Foundation and contributed to shaping a practical, regionally grounded emergency response protocol informed by the lived realities of defenders.

Speaking during the convening, Ncanana-Trower emphasised the urgency of collective accountability and shared systems of care:

“For LGBTI human rights defenders, safety cannot depend on who you know or where you are based. We need a strong and shared protocol that is trusted across the region, rooted in lived realities, and capable of responding quickly when lives are at risk. Solidarity must move beyond statements into coordinated action that saves lives.”

OUT LGBT Wellbeing welcomes this important step towards a regionally supported emergency response framework and reaffirms its commitment to working with partners, movements, and institutions to ensure that LGBTI human rights defenders are protected, supported, and able to continue their vital work without fear.

The post OUT Participates in Regional Protection and Emergency Response Convening appeared first on OUT.

Here’s what you need to know about LEN, how it works, and where you can get it in Gauteng.

What is LEN

• LEN is six-monthly injections type of PrEP (Pre-Exposure Prophylaxis) given to prevent HIV
• When used as prescribed, LEN is more than 96% effective in preventing HIV
• LEN is safe to use
• LEN contains an antiretroviral ingredient called lenacapavir
• It is injected just under the skin on the stomach area or buttocks

Who can use LEN?

Any person who has an HIV-negative test result and weighs 35kg or more.

How do I get started?

When you start using LEN for the first time, you will:

• Receive 2 injections and 2 pills
• Receive 2 pills to take home, to be taken the next day
  (NB: The two tablets that you take on day 1 and day 2, must be taken 24 hours apart, not sooner and not later!)

After that, you return to the clinic after 1 month for an HIV test and check-up.

Return to the clinic six months (after your first two injections) for 2 injections and continue doing so every six months.

How soon does it start working?

LEN starts working on day 3 if you received the injection and took 2 tablets on day 1, and 2 tablets on day 2.

Any side effects?

Most people experience injection site reactions (redness, pain, and/or swelling). A small number of people may experience nausea or feel sick. If you experience any of these reactions, the staff at the clinic will assist you.

NB: It is normal to feel a small lump under the skin where the injection was given – this is normal, and you don’t have to be concerned about this.

Why choose LEN?

• It can be kept private
• It is safe
• It is very effective in preventing HIV
• There is no need to remember to use it every day

How does LEN prevent HIV?

Lenacapavir is slowly released into the bloodstream, where it prevents HIV from multiplying.

What does LEN not do?

While LEN prevents HIV, it does not prevent pregnancy or STIs. Condoms and contraception can be used together with LEN if you want to prevent STIs and getting pregnant.

What happens when I stop using LEN

At 28 weeks (6 and a half months) after your last injection, LEN no longer prevents HIV. If you may still be exposed to HIV, you’ll need to use another prevention method such as oral PrEP and/or condoms. Speak to your healthcare provider for guidance on stopping LEN safely.

Where can I get LEN?

• LEN will be available at selected Department of Health clinics from June 2026
• It is not yet available in private clinics or chemists
• For a list of LEN clinics in Gauteng, click here

* Information source: Department of Health * Photo: cottonbro studio / Pexels 

The post All About LEN and Where to Get It appeared first on OUT.

Pretoria, South Africa – A new community survey conducted by OUT LGBT Well-being has found strong enthusiasm among gay, bisexual and other men who have sex with men (MSM) for Lenacapavir (LEN), the groundbreaking long-acting HIV prevention injection that is set to be introduced in South Africa’s public health sector.

The online survey, conducted between 22 May and 2 June 2026, gathered 277 responses from MSM across South Africa to better understand community perceptions, concerns and preferences regarding LEN.

The results suggest that LEN has the potential to substantially increase both uptake and adherence to HIV prevention among MSM, a population that continues to experience a disproportionately high burden of HIV.

Lenacapavir is a new form of Pre-Exposure Prophylaxis (PrEP) that protects against HIV infection. Unlike traditional oral PrEP, which requires taking a tablet every day, LEN is administered as injections only twice a year.

According to the survey, 85% of respondents said they were keen to start LEN when it becomes available, while an even larger proportion (87%) indicated that they would prefer receiving injections every six months rather than taking a daily HIV prevention pill.

“The findings show that many MSM are excited about the arrival of Lenacapavir and see it as a more convenient and manageable option than daily oral PrEP,” said OUT LGBT Well-being Executive Director Dawie Nel.

“For years, we have known that remembering to take a daily pill can be challenging for many people. The strong preference for twice-yearly injections suggests that LEN could help more people start and stay on HIV prevention, which is extremely encouraging.”

Concerns About Access and Side Effects

While interest in LEN was high, the survey also highlighted areas where more information and community education are needed.

Respondents expressed uncertainty about where LEN would be available and whether it is safe for people who use drugs or those living with mental health conditions.

Side effects emerged as the biggest concern among respondents, followed by worries about potential costs and the risk of acquiring other sexually transmitted infections.

“These findings tell us that there is still a need for clear, accessible and community-centred education about Lenacapavir,” said Nel.

“People want accurate information about how the injection works, who can use it, its safety profile and where they will be able to access it. As the rollout begins, ensuring communities have trusted information will be essential.”

LGBT-Affirming Services Remain the Preferred Choice

The survey also reinforced the importance of LGBT-affirming healthcare environments.

Nearly half of respondents (47%) said they would prefer to receive LEN at an LGBT-affirming clinic, compared to just 18% who selected Department of Health facilities as their preferred option.

Concerns centred on long waiting times at public sector clinics and perceptions that these facilities remain unwelcoming towards MSM.

“The message from the community is clear: respectful, affirming and non-judgemental healthcare matters,” Nel noted. “Many MSM continue to feel more comfortable accessing services in environments where they know they will be treated with dignity and understanding. The successful rollout of LEN will depend not only on making the medication available but also on ensuring that healthcare services are welcoming and accessible to the communities that need them most.”

OUT LGBT Well-being said the survey findings will help inform its HIV prevention programmes and advocacy efforts as South Africa prepares to introduce Lenacapavir through selected public healthcare facilities.

Survey at a Glance

• 277 completed responses
• Conducted online from 22 May to 2 June 2026
• 85% keen to start LEN when available
• 87% prefer LEN injections over daily PrEP pills
• Side effects identified as the leading concern
• 47% prefer accessing LEN at LGBT-affirming clinics
• 18% prefer Department of Health facilities
• Concerns about public clinics include waiting times and lack of MSM-friendly services

The post OUT Survey Finds Strong Demand for Twice-Yearly HIV Prevention Injection Among South African MSM appeared first on OUT.

In its work in Johannesburg, OUT found that 15% of MSM who showed no symptoms tested positive for a sexually transmitted infection (STI). Reinforcing these concerns, data from the Gauteng Department of Health shows that the percentage of men with STIs in the province rose from 12% in 2020 to 15% in 2023.

Of particular concern is syphilis, which can go unnoticed for long periods while still causing serious harm and being easily transmitted.

“Syphilis is often called a ‘silent’ infection because people may not realise they have it,” says Dawie Nel from +DR. “You can feel completely fine and still be living with an infection that can be passed on to others and lead to serious complications if left untreated.”

Why Syphilis Matters

Syphilis is a bacterial STI spread through direct sexual contact, especially during condomless anal, oral, or vaginal sex. It develops in stages, each with different symptoms — and sometimes none at all.

In its early stage, syphilis may appear as a single painless sore on or around the genitals, anus, or mouth. Because it doesn’t hurt, many people miss it. Later stages can include rashes, fatigue, swollen glands, and other symptoms that may come and go.

If untreated, syphilis can remain in the body for years and, in rare cases, lead to serious complications affecting the brain, heart, and other organs.

“The key message is simple: don’t wait for symptoms,” says Nel. “Regular testing is the only reliable way to know your status and protect your health and your partners.”

The Link Between Syphilis and HIV

Syphilis does not exist in isolation — it can also increase the risk of HIV transmission.

Having a sore or break in the skin caused by an STI such as syphilis can make it easier for HIV to enter the body. In addition, the same behaviours and circumstances that increase the risk of contracting STIs can also increase vulnerability to HIV.

“Protecting yourself from STIs like syphilis is also part of protecting yourself from HIV,” Nel explains. “These infections are closely linked, which is why regular screening and prevention are so important.”

Treatment and Prevention

Thankfully, syphilis is easily treatable with antibiotics, although if left late, treatment might not undo damage the infection may have caused. This again highlights the importance of regular testing.

Prevention options for syphilis include reducing the number of sexual partners and using condoms during sex. Screening for syphilis is advised annually.

In addition, Doxy PEP (doxycycline post-exposure prophylaxis) can be very effective. This entails taking a single 200 mg dose of prescribed antibiotics (doxycycline) within 72 hours after condomless sex to reduce the risk of bacterial STIs, including syphilis.

“When used correctly, Doxy PEP can be a powerful additional tool for people at higher risk,” Nel says. “It can significantly reduce the chances of infection when combined with regular screening.”

Accessible, Inclusive Care at +DR

Launched in April 2026, +DR is a doctor-led medical practice in Lynwood, Pretoria, offering safe, specialised, welcoming, and stigma-free healthcare tailored to LGBT+ communities.

Services include:

• HIV testing and treatment (ART)
• PrEP and PEP for HIV prevention
• STI testing and treatment, including syphilis screening, Doxy PEP and treatment
• General health screenings and chronic care

“Too many people avoid healthcare because they fear judgement or discrimination,” says Nel. “At +DR, we’ve created a space where you can be yourself and get the care you need without stigma. Your health matters — and you deserve respectful, informed care.”

Book a Consultation and Get a Free Syphilis Test

+DR is offering a free syphilis antibody (Ab) test to any client attending an in-person consultation during May 2026. To claim the offer, use the promo code “SYPHILIS” when booking via WhatsApp, enter it in the “Additional Information” section of the online booking form, or mention it when calling to make an appointment.

Book a virtual or in-person appointment:

• WhatsApp: 072 113 6597
• Phone: 012 430 3272 (08:30–15:00, Monday to Friday)
• Book online: https://www.recomed.co.za/nurse/pretoria/dr-out-wellbeing/61389/74777/
• Email: clinic@out.org.za

Consultations are reasonably priced, medical aids are accepted, and Discovery members may qualify for Vitality rewards.

About +DR

+DR is an innovative healthcare initiative by OUT LGBT Well-being, designed to provide inclusive, patient-centred medical services for LGBT+ communities at reasonable rates. The practice offers a full range of sexual health, HIV care, and general health services tailored to diverse needs.

Photo: Ketut Subiyanto / Pexels

The post +DR Urges Regular STI Testing for Gay and MSM Communities Amid Rising Syphilis Concerns appeared first on OUT.