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In Bangkok, Chonburi, Chiang Mai, Chonburi and Phuket, the median HIV prevalence among this group was estimated at 12.7% in 2014, making transgender people a particularly at-risk population.26 A large proportion of transgender people also sell sex making them increasingly vulnerable to HIV.27 For example, a 2015 study by UNICEF found 39% of young transgender people had sold sex.28 In 2014, data from the five areas above found condom use among transgender people to be at 84%.

Around 59% of transgender people in these areas were accessing prevention services and 34% were testing for HIV.

A study has shown that nearly 10 million people avoided HIV transmission because of early intervention programmes with key affected populations between 19.4 Between 20, AIDS-related deaths declined by almost two thirds.5 There were 6,400 new HIV infections in Thailand in 2016.6 Most will have occurred through unprotected sex, which is estimated to account for 90% of all new HIV infections.

44 In 2013, Thailand’s Ministry of Public Health announced a policy to provide health insurance (with antiretroviral treatment coverage included) for cross‐border migrant workers who are not covered by social security, including both registered and unregistered migrants.

• Although the epidemic is in decline, prevalence remain high among key affected groups.• Thailand is the first country to effectively eliminate mother to child transmissions, with a transmission rate of less than 2%.

• Thailand hopes to be one of the first countries to end aids by 2030, however to achieve this more must be done to target young people and key affected populations.

However, Thailand’s National AIDS Committee (NAC) reported an increase in the percentage of people testing for HIV from 40% in 2009 to 61.2% in 2014, but warns that its data is limited as it is based on research from just three areas.38 Migration can put people in situations of heightened vulnerability to HIV, due to factors such as social exclusion and a lack of access to healthcare services or social protection.

In South-East Asia, HIV prevalence among migrants to Thailand from neighbouring countries is up to four times higher than among the general population.39 The highest prevalence among migrants in Thailand was found in the fishing industry, with rates of 2% among fishermen and 2.3% among fishery workers, compared to HIV prevalence of 1.1% and 0.74% among factory workers and farm workers, respectively.40 In a behavioural survey conducted in 24 provinces among migrant workers aged 15-49, 21.6% of male workers had sex with more than one partner in the previous year compared with 4.6% female workers.

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The legal Age of Consent for states bordering Texas:16: Under the Alaska age of consent laws, it is second degree sexual abuse for someone aged 16 or older to engage in sexual penetration with an individual who is a) at least 3 years younger and b) aged 13, 14 or 15 years old.18: In Arizona, statutory rape is consensual sexual or oral intercourse with an individual who is below Arizona’s age of consent.

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Before we pat ourselves on the back, we should acknowledge that we still have the highest rate in the Western World.” Not only does sex education still virtually not exist in some areas of the country, but school programs that do teach kids about what used to be called the facts of life start too late.

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