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As we move into the 4th decade in the HIV/AIDS epidemic in the USA and the World, we must come to realize that the standards for prevention and outreach have failed to include, reach communities and sub-communities other than the Gay community. We must come to terms, to recognize that for "LGBT", no longer can we afford to ignore other communities that have not being reached correctly. The protocol has to change, has to be inclusive of the population that has been left behind. We no longer need to concentrate ALL efforts on this community alone, expecting it will trickle down to the sub-communities under the shadows.
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