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We declare no competing interests. Support for this Correspondence and the Lancet Series on HIV in the USA was provided in part by the Foundation for AIDS Research, the US National Institute on Drug Abuse, the Center for AIDS Research (grant number P30AI094189) at Johns Hopkins University, Emory University, Harvard University, and the University of North Carolina, and the Desmond M Tutu Professorship in Public Health and Human Rights at Johns Hopkins University.