Euphemism for having sex, especially by those in important jobs who should be doing those jobs, not having sex.
Originally coined by satirical magazine Private Eye. Says Wikipedia:
"The term originally referred to an incident at a party hosted by journalist Neal Ascherson and his first wife, at which fellow journalist Mary Kenny had a "meaningful confrontation" with a former cabinet minister in the government of Milton Obote, later claiming that they were "upstairs discussing Uganda". The poet James Fenton apparently coined the term. The saying is often wrongly attributed to the antics of a female Cabinet minister in Idi Amin's government, who was caught having sex in a public lavatory at Heathrow Airport. The euphemism has variations: for example, before his marriage a senior member of the Royal family allegedly went on holiday with an aging ex-Page Three girl, whereupon Private Eye reported he had contracted a "Ugandan virus". In 1996, "Getting back to basics" was suggested as a replacement euphemism after the policy of the same name adopted by John Major's government, which some Private Eye contributors regarded as hypocritical.
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