[2] The search and subsequent testing were conducted by the Adult Industry Medical Health Care Foundation, where James had received his diagnosis.
It was concluded that James had possibly been infected while engaging in unprotected anal sex with Brazilian actress Bianca Biaggi during a scene for the video Split That Booty 2 in Rio de Janeiro.
[3][4][5] It was discovered that three actresses who had worked with James shortly after his return to the United States had also become infected: Canadian newcomer Lara Roxx, American Mariesa Arroyo, and Czech-born Jessica Dee.
[11] The ensuing fears of HIV infection (as well as the public scandal and criticism of the industry that followed the outbreak) caused a temporary shutdown of production of adult movies in Southern California.
[12] According to James, his diagnosis and the public disclosure thereof — which was how his family learned of his pornographic career — left him so distraught that he attempted suicide.