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One doctor told her that she would be dead within five years. WHO estimates that globally as many as half of all HIV-positive people in long-term relationships have HIV-negative partners — forming what are known as serodiscordant couples. Receiving voluntary HIV testing and counselling as a couple means that both partners get tested together, receive their results and share their status with the support of a counsellor. A range of prevention, treatment and support options can then be discussed and decided upon together. Maripaz is now married to Moises Marinero. Maripaz was reluctant to start a new relationship at first, but a counsellor told her that it was safe to have sex, provided she always used a condom.

Mathematical models forecast that quickly reaching a large number of uncircumcised men with VMMC in strategically chosen populations may dramatically reduce community-level HIV incidence and save billions of dollars in HIV care and treatment costs. Because VMMC is a 1-time procedure that confers life-long partial protection against HIV, programs for adult men are vital short-term investments with long-term benefits. However, a myriad of necessary cultural, political, and ethical considerations have moderated the pace of overall success. Incorporation of safe innovations into surgical VMMC programs may provide the opportunity to reach more men more quickly with services and dramatically reduce HIV incidence for all. Scientists next looked to ecological data and found many populations where lack of circumcision was correlated with higher HIV prevalence. Although these ecological and observational data indicated a causal relationship between circumcision and reduced HIV incidence, doubts remained due to potential confounding by unknown or inadequately measured factors including sexual behaviors, cultural practices, religion, and hygiene.

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