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No one knows the answers to these questions, but Africans are not waiting for the West to solve the problem. In theory, behavioral changes could stop the epidemic, and many Africans look to Uganda for hope. Some of the epitopes in the vaccine are ones targeted by killer T-cells of the exposed but uninfected Pumwani prostitutes. You will receive emails containing news content , updates and promotions from The New York Times. The veins on her forearms are prominent, running like long ridges down the smooth landscape of her skin.

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Antibodies against the virus won't appear in the blood for about two more weeks -- sometimes not for a few months -- and they seem to have little effect. National Institutes of Health, which dwarfs any other medical research agency in the world, and which spends more than a billion dollars on AIDS research alone, used to give vaccine research less than 10 percent of its AIDS budget, less than any other category of HIV research.

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While the Africans are pushing as hard as they can, AIDS scientists around the world are also putting vaccines high on the agenda.
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