The HIV rebound nobody is discussing

Is an AIDS-free generation on the horizon? Not without the help of sex workers and other marginalized “key populations,” public health officials say.

The world needs more prostitutes like Hawa Abdallah. At least that’s what many public health officials believe.

There’s something about the 25-year-old — the harsh angle of her eyebrows, the way her red lipstick contrasts with the dirty walls, the cold stare she directs at passing men — that says she’s in control. Abdallah has sex with as many as 20 men every day in a brothel in Dar es Salaam, Tanzania’s largest city, where 1 in 20 residents and 1 in 3 sex workers are infected with the virus that causes AIDS.

But a series of simple steps have kept Abdallah healthy until now: She knows how HIV spreads. She is tested regularly. And she’s confident enough to insist that her customers use condoms every time. Just as importantly, she’s managed to avoid the assault, arbitrary arrest and extortion that plague the profession. Health officials say that unless more prostitutes start fitting a similar profile, the world doesn’t stand a chance at beating back the virus.

Jason Kane
PBS News Hour
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During the Canada Post strike announced September 25, 2025, the following measures will be undertaken to minimize service disruption to BC-CfE clients and providers.

  • The BC-CfE Laboratory has transitioned to private courier for delivery of outgoing reports and documents. Results required urgently can be faxed upon request. (Lab Contact Information: Phone 604-806-8775; FAX 604-806-9463)
  • The BC-CfE Drug Treatment Program (DTP) will fax outgoing forms and documents to the provider’s office. (DTP Contact Information: Phone 604-806-8515; FAX 604-806-9044)
  • St. Paul’s Hospital Ambulatory Pharmacy has transitioned to private courier for delivery of medications. We recommend requesting medication at least 2 weeks in advance in case of delivery delays, particularly to rural/remote parts of BC. (Contact Information: Phone 1-800-547-3622; FAX 604-806-8675)

During the Canada Post strike, we recommend that documents be faxed or couriered to our sites, versus utilization of regular mail service

The BC-CfE Laboratory is streamlining reporting processes for certain tests in order to simplify distribution and record-keeping, and to ensure completeness of results. Beginning September 2, 2025, results for the ‘Resistance Analysis of HIV-1 Protease and Reverse Transcriptase’ (Protease-RT) and ‘HIV-1 Integrase Resistance Genotype’ tests will be combined into a single ‘HIV-1 Resistance Genotype Report’.
For more details and example reports, please click on the button below