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The virus has spread extremely rapidly in Botswana.

Two decades ago, virtually no one there was HIV-positive.

Outside of sub-Saharan Africa, many HIV-positive people are injecting drug users, prostitutes, and highly promiscuous homosexual men who may have hundreds of different sexual partners every year.

HIV infection rates range from around 6 percent in Uganda to 39 percent in Swaziland.He pointed to the cultural desire for many children, the tradition of polygamy, and other aspects of African society that contributed to a greater tolerance of promiscuous behavior than in the West.Caldwell’s views sparked controversy and for years received little attention.At the time, Uganda had one of the highest HIV-infection rates in the world, so she flew there in 1993 to gather data on sexual behavior.“Just after I arrived in Uganda, I had to give a lecture to Ugandan doctors at the medical school in Kampala, telling them what I planned to do,” she recalls.“At the time there was talk in Uganda about helicopter scientists—whites from the United States and Europe who just parachuted in, took data, and didn’t work with local African experts.

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Vast and underpopulated, it is largely free of the teeming slums, war zones, and inner-city drug cultures that epidemiologists say are typical niches for the human immunodeficiency virus. Shortly after gaining its independence from Britain in 1966, large diamond reserves were discovered, and the economy has since grown faster—and for longer—than that of virtually any other nation in the world.