Midlanders are still failing to heed the safe sex message as a new report revealed sexually transmitted infection rates in the region are among the highest in Britain.
Figures recorded by the Health Protection Agency showed chlamydia was the most commonly diagnosed STI last year with 7,668 men and women contracting the infection, which can affect a person's fertility if left untreated.
The region also had the second highest rates of HIV, gonorrhoea and syphilis outside London.
Last year 483 new cases of HIV were diagnosed, compared to 495 in 2003, with 23 per cent of the cases contracted through homosexual intercourse, and more than half through heterosexual relations. A total of 2,253 new cases of gonorrhoea were identified in the West Midlands last year, a decrease of 377 cases since 2003.
There was a big increase in syphilis cases, which have more than doubled from 98 to 206 in this period - particularly among heterosexuals.
Across the Birmingham and the Black Country Strategic Health Authority area, the number of cases in men has doubled from 36 to 79 while in women that figure has risen from seven to 40.
Dr Babatunde Olowokure, regional epidemiologist for HPA West Midlands, said: "These figures make for grim reading. It is evident that some current efforts to control the spread of HIV and STIs are having little impact.
"But people can play their own part in HIV and STI prevention by ensuring they protect themselves by practising safe sex with all new and casual partners."