“…Infections can be transmitted between two oropharynges via tongue kissing and saliva exchange, and there is increasing emerging evidence to support this new paradigm including epidemiological risk factor studies, sequencing data, partner studies and a sexual network investigation [38 ▪▪ ,39 ▪ ,40 ▪▪ ,41]. Charleson et al [42 ▪ ] summarised the existing evidence from six studies suggesting tongue kissing may be a neglected risk factor for oropharyngeal gonorrhoea although all these six studies were conducted among MSM in Australia and with its limitations [38 ▪▪ ,39 ▪ ,43–46]. Further studies on non-MSM populations will be required given kissing is also a common practice in other populations [47 ▪ –50 ▪ ,51–54].…”