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The latest (2016) HIV frequency estimate from CDC indicates that two thirds of infections have involved male-to-male sexual contact. From 2008 to 2016 the annual number of new cases in men who have sex with men (MSM) increased 3% per year in those 13-29 years (total of 106,258) and was stable for those 50 years and older (total of 29,034). Diagnoses did increase among Asians and Hispanic Latinos in the older subgroup. Blacks accounted for 25% of the diagnoses in the older group. However, from 2008 to 2015, because of better treatment, the total number of cases in MSM 50 years or older increased an average of 11% per year and at the end of the period was three times as high as the youngest group for an estimated number of 223,210 HIV positives. In 12 of the states MSM aged 50 and over were half of the persons with HIV. The CDC recommends for all ages that sexually active MSM should be tested at least once yearly with prompt referral of positives for treatment. Also, those testing negative for HIV should be given the opportunity for preventive services with the possibility of preexposure prophylaxis (PrEP) made a desirable alternative.