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M ehdi Remadnia was one. It had made him fatalistic. A social worker, Mohammed, recalled meeting him after he got out. His mother had died when he was nine.

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A United Nations report released this month said the of people becoming infected with HIV has slowed worldwide, with AIDS-related deaths also on the decline as access to treatment becomes more widespread. But the Arab world has been slow to catch up.

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Here, HIV contraction rates and AIDS-related deaths are increasing as public awareness, government response and access to adequate medical services have been slow to progress. While there is little reliable data on the Middle East and North Africa, the United Nations estimates betweenandpeople live with the HIV virus in the region, home to a population estimated at more the million.

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One study, published recently on the open-access Public Library of Science, put infection rates among men who have sex with men at 5. And while some countries have begun to take small steps towards fighting a growing but hushed problem, shame and stigma show very little of waning in a region where same-sex relationships and premarital sex are often a crime.

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That stigma has become a fact of life for one young man in Beirut, reached through a group that provides free support for people who are HIV-positive or suffer from AIDS. I could never burden them with that.

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Infection is typically concentrated among high-risk groups, including injecting drug users, men who have sex with men and sex workers and their clients. Many states in the Arab world require that foreigners take an AIDS test before issuing visas or residency permits.

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Making headlines this month was the case of a South African journalist who was deported from Qatar after being diagnosed with HIV and sacked by the satellite network Al-Jazeera. But some more liberal countries in the region have begun to publicise the problem, with a media campaign in Egypt and Lebanon hitting the airwaves and billboards last month.

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The campaign, which in Lebanon stars a former beauty queen and wildly popular band Mashrou3 Leila, also supplies a list of free and anonymous testing centres for both countries. But despite the tentative progress, experts say governments are less likely than ever to turn their attention to the rising epidemic in a region gripped by political upheaval.

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