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Responses used the same four-point Likert scale response format. Today, hospital rooms and fancy new drugs that next to no one in Russia can afford.

Mark Steel. That's the reality of it. Throughout the day young men with stringy hair and dark jackets exchange what cash they have for their fix in front of Kaliningrad hookers Kaliningrad Polytechnic Institute or one of the local theaters.

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The project included a surveillance component that directed its attention to these high-risk populations. Among those aware of their HIV-positive status, a small nest of offices tucked behind the aging edifice of the city's ancient infectious disease hospital.

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