From twitter there are a lot of warnings going around from the Australian and European providers. Many of them are refusing bbbj anymore because of this. It's definitely worrisome and something we have to keep our ear to the ground about. If it's antibiotic resistant its nothing any of us want to deal with that's for sure. Please gents make sure you get tested as well, this is how it's being spread from gent to provider from bbbj.
I have read the article in question, and do find it interesting (and disturbing). That being said, I am skeptical about whether the strain of antibiotic-resistant gonorrhea can be
directly linked specifically to unprotected oral sex, as opposed to unprotected sexual activities more broadly. I have read somewhere before (can't immediately recall the publication -- will link to it once I find it), which indicate that unprotected (vaginal and anal) sex has been on the rise among younger sexually active people, and that sexually transmitted infections (STIs) apart from HIV in general have been on the rise in this population.
I recall growing up during the height of the AIDS epidemic, with no viable treatment available (contracting HIV was the equivalent of a death sentence back then) and the sense of urgency in promoting safe sex practices that ensued to limit the spread of HIV (and STIs more broadly). I am speculating here, but I suspect that the development of anti-retroviral drugs -- a wonderful development which has enable HIV+ people to live longer, healthy lives, and turned AIDS from a death sentence to a chronic, manageable illness -- has led to (some) people taking a much more relaxed attitude in terms of STIs more broadly, taking for granted that treatments are always available, and thus have become less diligent in protecting themselves in terms of sex. Combine that with the widespread over-prescription and misuse of antibiotics and it's not hard to see how antibiotic resistant strains of gonorrhea can occur.
In summary, I completely agree about the importance of regular testing and screening (for both clients and SPs, and more broadly to all sexually active people) to ensure that we are able to contain the spread and limit exposure. At the same time, I don't think we need to be too concerned about BBBJ specifically, but that should be a judgement call between all parties in terms of what risks to accept.
Just my 2 cents on that front, FWIW.