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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.

In most cases these programs have had little effect.

The growing disaster has forced AIDS experts to reconsider old theories about how HIV spreads in Africa.

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Even in Thailand, with its thriving sex and drug trades, the proportion of infected barely exceeds 2 percent.

The high rates come despite efforts in many communities to stem the HIV epidemic through educational programs, condom distribution, and treatment for such sexually transmitted diseases as gonorrhea and syphilis, which create genital sores and ulcers that make it easier for the virus to spread.

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