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Science  28 Jul 2006:
Vol. 313, Issue 5786, pp. 477
DOI: 10.1126/science.313.5786.477a

HIV/AIDS relentlessly exploits the gaps that still separate the haves from the have-nots in this region. Free antiretroviral treatment is widely available, but it's often hard to find the drugs outside of major cities. Without money, it's even harder to find quality care. Epidemiological data suggest that men who have sex with men, rampant migration, a thriving sex-worker industry, gangs, and crowded prisons are all contributing to the spread of HIV. Honduras and Belize are the hardest hit; Nicaragua and Mexico are at the other end of the spectrum.

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