In August 2013, Lisa Ann said that a male performer with whom she was scheduled to work might have tested positive for hepatitis C yet had attempted to remain available for production. According to her account, the performer showed her a test from an outside facility that did not provide a clear result for hepatitis, while two adult-industry testing databases listed him as unavailable to work. Rather than proceeding, Ann said she paid for a new round of tests for her co-stars to ensure that they were negative for sexually transmitted infections. The incident was alarming because it suggested that performers could potentially move between testing systems with incomplete or conflicting documentation. Soon afterward, Adult Production Health & Safety Services announced that it would begin monthly testing for hepatitis B, hepatitis C, and trichomoniasis, beginning August 19, 2013. The episode therefore became a concrete example of the safety and record-keeping problems Ann had been criticizing for years.
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