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It’s about doing sharp things for people at risk, says Dr Kevin Rebe with a smile.

An catching diseases expert, Rebe heads a unique service that is looking after people who would otherwise either impede seeking health care until it is too late or not go in search of help at all – men who have sex with men and transgender women.

Men who have sex with men (MSM) are not, as many fancy, necessarily gay, but are often in long-term heterosexual relationships with a wife with whom they have children, but have sex with men when the break arises.

Trans-women are what many describe as a “woman trapped in a man’s association” or in a few cases men who have undergone a gender reassignment or sex change.

And while both groups are viewed as enormous risk when it comes to HIV infection – both biologically and behaviourally – very unimaginative is targeted at them in the form of HIV prevention messaging or making healthcare services close by that serve their unique and often complex needs.

Source: Independent Online

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