If effectively fighting HIV means openly getting condoms to teenagers or clean needles to addicts, or candidly discussing the prevalence of prostitution in their communities, many politicians would rather avoid the subject altogether—even if it means allowing an epidemic to flourish. Where leaders have lifted their heads from the sand, however, millions of lives have been saved. Mary Caron reviews the experiences of various countries over the past two decades and the set of policies that have worked, at least at moblilizing communities to keep HIV in check.
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