What public toilets reveal and other stories

BMJ 2013; 346 doi: https://doi.org/10.1136/bmj.f535 (Published 30 January 2013) Cite this as: BMJ 2013;346:f535

Anonymous urine samples collected from stand-alone, four person portable urinals in central London reveal a lot about what the people using them have been taking. Since the urinals have no flushing mechanism, sample dilution did not occur. Hordenine (a novel “legal high”) was found in all 12 urinals; cocaine (and metabolites), cannabis metabolites, cathine, and methylenedioxymethamfetamine (ecstasy; and metabolites) were found in 11. Metabolite detection indicates drug use, not the simple discarding of drugs (Quarterly Journal of Medicine 2013;106:147-52, doi:10.1093/qjmed/hcs219).

Mother-to-child HIV transmission could be cut further if men were more involved. A South African study found that of 117 men who believed male HIV testing was important, just under half had never been tested. The likelihood of men getting tested during their partner’s pregnancy was significantly associated with prior discussion about existing prevention programmes, knowing that their …

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