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Because of the lack of HIV cases in that area beforehand and the youth of many but not all of those affected, the relative unavailability in the local area of safe needle exchange programs and of treatment centers capable of dealing with long-term health needs, HIV care, and drug addiction during the initial phases of the outbreak, it was not initially adequately contained and dealt with until those were set up by the government, and acute awareness of the issue spread. This virus may have evolved so that its multiplication in humans always decimates the immune cells to a fatal degree. At times of high spread, the virus may be introduced by one man to another who, the same day or soon after, conveys it to a third man, and so on. This, in turn, slightly curbs multiplication of HIV, since the virus depends on host reproductive mechanisms. Such relatively weak viruses could give insight into more harmful types. Groups acted to educate and raise awareness of the disease and its effects on different populations, even those thought to be at low-risk of contracting HIV. It could easily become endemic because of factors such as poor education, communication, and medical care, which have already made it near endemic in much of Africa. Thorn, and read in his place at the Summit, was attained by Congressman Jim McDermott , who advocated the issue to the Obama administration's Health Secretary.
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