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Kevin M. De Cock, M.D., D.T.M.&H., and Wafaa M. El-Sadr, M.D., M.P.H.

When to start ART in Africa — an urgent research priority

At least two thirds of people living with HIV infection are in sub-Saharan Africa, where fragile health systems, health workforce shortages, weak laboratory infrastructure, and fiscal constraints are ubiquitous. Debates about how best to use ART for both prevention and individual health are most relevant to the generalized HIV epidemics in this poorest geographic region.

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