It just mentioned how this can spread from touching the rashes or touching objects contaminated from the rashes. These rashes will appear all over the skin. Otherwise it spreads like some other respiratory illnesses, where you have to be rather close to someone in order to catch the illness. You do not have to be gay or engage in homosexual activities to catch such an illness, and it has nothing to do with being gay. It's an illness similar to smallpox, and the rashes all over that will spread the infected fluids is what drives the spread of this illness.