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The industry standard is for actors in gay scenes to wear condoms to protect against transmission of HIV and other sexually transmitted diseases.

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The group requires testing every 28 days and is considering a shift to every 14 days.Technology has complicated matters even further, said Katherine Hsu, the medical director of the Massachusetts Department of Public Health’s Division of STD Prevention & HIV/AIDS Surveillance.When a person tests positive for syphilis in Massachusetts, the case is reported to the state public health department, which reports it to the CDC without identifying the person.A second actor for, the San Francisco adult film company, announced Tuesday that he tested positive for HIV.The actor, who goes by the screen name Rod Daily, wrote on his Twitter account that he contracted HIV in the past month.The AIDS Healthcare Foundation filed a complaint with the state's Division of Occupational Safety and Health last week following Bay's diagnosis, calling for to better protect their employees by mandating condom use in all scenes.

Acworth said industry standards for testing are rigorous.

Tracking and controlling transmission are already tricky since the disease manifests as a small painless lesion about a month after exposure.

Nicknamed the “The Great Pretender,” it can cause a head-scratching constellation of symptoms or none at all, depending on the stage.

Hsu said this “on-the-ground” approach has encountered significant challenges in today’s world of dating apps.

Before, when “an individual had (primary stage syphilis) and they knew the ...'s chief executive, Peter Acworth, said Daily and an actress known as Cameron Bay - who tested positive two weeks earlier - had been dating offscreen for at least six months.