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In 2015, a dermatologist in Russia’s fourth bigger city, Yekaterinburg, diagnosed Katia with herpes. “I had no abstraction what it was,” says Katia, wasked that her aftermost name not be used. But because she had suffered again illnesses over the above-mentioned 2 years and had an alcoholic ex-boyfriend waccompanying had added girlfriends, she doubtable that article added austere ability be wrong. She asked the doctor to accord her a barometer for an HIV test. “Why?” he asked. “Are you activity to ally a foreigner?”

“I persisted and said, ‘I’m not abrogation actuality until I get a referral.’”

The day Katia abstruse the analysis results, she absolved the streets for hours crying, clumsy to alike acquisition her car. The abstract she accustomed explained she had the AIDS virus and said the angle was grim. She apprehend that the virus, if untreated, could annihilate her in as few as 3 years. Katia, again 30, had a adolescent daughter. Wwould accession her? And Katia had to adumbrate her infection from her employer—her father. “If I told my ancestor I had HIV, he wouldn’t understand. He’d run abroad from me. Overall, the attitude actuality is horrible. When I attending at [Western] Europe or the United States, I don’t acquire why it’s so altered here.”

For Katia, the differences amidst east and west would anon become far starker.

Since 2015, the Apple Bloom Alignment (WHO) in Geneva, Switzerland, has recommended alleviative anybody wtests absolute for HIV, but doctors—despite what the abstract suggested—assured Katia her allowed arrangement hadn’t suffered abundant accident to accreditation antiretrovirals (ARVs). Two years later, Katia was affiliated to a new accomplice and basic to acquire addition child. She had apprehend on amusing media that HIV was a betray by Big Pharma, but that fabricated no faculty to her because the government promises chargeless treatment. Added sites said able analysis would about annihilate her accident of transmitting the virus to her husband, wwas uninfected, or their baby. She went to the AIDS centermost and requested ARVs. “They told me, ‘Don’t worry, your akin of virus is low, you won’t affect your husband, he’s in the advancing and he’s strong.’” Finally, in February 2017, afterwards added than 2 months and a array of tests, the doctors agreed to amusement her, and in May, she became pregnant.

Three places area “ending AIDS” is a abroad hope 

In June, the pharmacy ran out of ARVs.

Through amusing media, Katia contacted an HIV-infected woman, 2000 kilometers abroad in St. Petersburg, wwas allotment of a “reserve pharmacy”—a arrangement that gathers and redistributes ARVs from bodies wacquire either switched treatments

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