Sex and death are associated with each other numerous times in this film. The first sex scene between Jeff and Marcy is inter-spliced with shots of Bert shooting squirrels. The second sex scene between Marcy and Paul is inter-spliced with a shot of seriously ill Karen decomposing. And the scenes where Paul lays dying of the disease in a hospital bed are inter-spliced with scenes of him kissing his bikini-clad girlfriend. Also, Marcy gives a notorious speech about how the only thing a dying person would want to do is have one last screw. It is implied that by not using a condom while they had sex, Marcy passed the deadly illness to Paul. Also, of the four main cast members who got the disease, Karen was revealed to be ill when Paul was touching her in a sexual manner, Marcy's first telltale wounds came from marks Paul made when he squeezed her back hard while they had sex, and Bert and Paul first discovered lesions near their groins.

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