fully infected when inoculated with HTLV-III intravaginally (D. Francis, MD, oral communication, November 1985).We concur that rigorous epidemiol¬ ogy will be required in the future to define the importance of a single sexual contact with an infected part¬ ner and the relative efficiency of transmission of different sexual ac¬ tivities. In the meanwhile, it is criti¬ cal that we do not undermine our ability to control this deadly epidemic by underestimating this virus. Hu¬ man T-cell lymphotropic virus type III is a bidirectional sexually trans¬ mitted disease.