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In the 10 years between 19, new HIV infections dropped from 143 000 per year to less than 14 000.

For this sex worker, who asks to be referred to as ‘A’, insisting that clients wear a condom is not just a matter of protecting herself, it is also about their protection.

So Rojanapithayakorn and his colleagues worked directly with provincial governors and police authorities, as well as with the owners of all sex establishments, to promote a “no condom, no sex” message.

Condoms were distributed free to brothels and massage parlours and sex workers and their clients were required to use them.

Just three years later the number of cases had jumped to around one million.

In his role as director overseeing seven provinces in the central region and the west, Rojanapithayakorn remembers his growing sense of alarm as he watched the virus spread from community to community.

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