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This groundbreaking work, with its unique anthropological approach, sheds new light on a central conundrum surrounding AIDS in Africa. Thornton explores why HIV prevalence fell during the 1990s in Uganda despite that country's having one of Africa's highest fertility rates, while during the same period HIV prevalence rose in South Africa, the country with Africa's lowest fertility rate.

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STD prevention is an essential primary care strategy for improving reproductive health.1 Despite their burdens, costs, and complications, and the fact that they are largely preventable, STDs remain a significant public health problem in the United States.

This problem is largely unrecognized by the public, policymakers, and health care professionals.

STDs cause many harmful, often irreversible, and costly clinical complications, such as: The Centers for Disease Control and Prevention (CDC) estimates that there are approximately 20 million new STD infections each year—almost half of them among young people ages 15 to 24.3 The cost of STDs to the U. health care system is estimated to be as much as billion annually.4 Because many cases of STDs go undiagnosed—and some common viral infections, such as human papillomavirus (HPV) and genital herpes, are not reported to CDC at all—the reported cases of chlamydia, gonorrhea, and syphilis represent only a fraction of the true burden of STDs in the United States.

Untreated STDs can lead to serious long-term health consequences, especially for adolescent girls and young women. Janus considers the HIV pandemic: Harnessing recent advances to enhance AIDS prevention.

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