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This image, used cleverly by a North Carolina fraternity in the 1990s to promote safe sex and condom use, is based on an ancient Central Indian painting first published in 1883 in the Kama Sutra of Vatsyavana. While loaded with potentially offensive cultural and sexual innuendo, the message is serious, "No sexual act is more death-defying than sex without protection. Don't put yourself in that position.--Pi Kappa Phi."
Original Repository. History of Medicine Division. Prints and Photographs Collection. 11611. Free Text. This image may also be accessed from the Images from the History of Medicine (IHM).. URL. http://www.nlm.nih.gov/hmd/ihm/. IHM Order Number. C00237