In terms of location, the majority of sex workers preferred to receive the HIV-prevention medication at family planning clinics or non-governmental drop-in centers—not at mobile health clinics near where they live or work. The women in the study said that the most important considerations for them were the location where they'd receive the medication and the additional services they could receive during those appointments. That makes PrEP an especially important tool because it is something women can use to protect themselves without their sexual partners' cooperation. In March of this year, the Malawi government OK'd use of PrEP specifically for sex workers, but there are no guidelines on how to make that happen, Lancaster said. The above mentioned factors altogether make Thailand a prudent choice by scores of worldwide medical tourists, including the transgendered people. Oquendo, chair of the University of Pennsylvania's psychiatry department, said efforts are underway to improve the data, including development of national reporting standards for medical examiners, coroners and others who categorize overdose deaths. There are few crimes more heinous than child molestation. And more PrEP use among the workers would also mean fewer infected male customers. The Hopkins research, however, may be the first attempt to use so-called machine learning to verify the estimates.

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