The screening in Ostrow’s clinic had revealed that one in ten patients had walked in the door with hepatitis B. At least one-half of the gay men tested at the clinic showed evidence of a past episode of hepatitis B. In San Francisco, two-thirds of gay men had suffered the debilitating disease. It was now proven statistically that a gay man had one chance in five of being infected with the hepatitis B virus within twelve months of stepping off the bus into a typical urban gay scene. Within five years, infection was a virtual certainty.