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Matthew Lukwiya, one of the few Ugandan doctors willing to work with Italian clinicians "upcountry" because rebel forces still terrorize local communities there, described in detail how war exacerbates the difficulty of preventing the spread of HIV and AIDS. "What underlies the problem is poverty and insecurity," said Lukwiya, who the rebels once abducted for 5 days. "It's been impossible for us to translate the benefits of research in a situation where there's a war. The onus is on the government. The rebels are raping left and right. People are terrified and their priorities are different. You can't educate them about AIDS."

(Photograph by Malcolm Linton)


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Science. ISSN 0036-8075 (print), 1095-9203 (online)