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Although the USA is the greatest national funder of the HIV epidemic globally, it is still facing a major ongoing HIV epidemic itself, with around 40,000 new infections a year (Hull & Montaner, 2011). Stigmaand discrimination continue to hamper people's access to HIV prevention, testing and treatment services, fueling the cycle of new infections. The impact of the HIV epidemic in the USA is more seriousamong some groups than others. These key affected populations can be grouped by transmission category (for example, men who have sex with men) but also by race, with people of color having significantly higher rates of HIV infection over white Americans (Hull & Montaner, 2011). A complex set of economic and socioeconomic factors drive risk to these populations, including discrimination, stigma, poverty and a lack of access to care (Ances et al., 2012). Sexual networks is also a major determining factor, with populations at a high risk to HIV tending to have sex with people in their own communities.In the United States, I think the complacency about the need for HIV prevention may be among the strongest barriers communities face as they plan to meet the next century's prevention needs. The great success that many people, but not all, have had with new highly active antiretroviral therapies