By Unknown
STD aka Sexually Transmitted Diseases, are infections that can be spread by various sexual activities.
That's the most creative use of an upside-down "J" that I've seen all day.
If you're reading this and you happen to hail from Alaska, then you've my sincerest condolences; cause bruh, you apparently live in an STD-ridden state populated by sexually active folk with a staggeringly underdeveloped ability to use protection.