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By the mid-1990s, the health transition in South Africa was already under way — infant and child mortality rates were improving, allowing the focus to move to adult health issues. Seven years later, a change in the pattern of deaths was seen; the most striking change was among young adults, particularly young women. Young women were dying in unprecedented numbers. By 2003, the number of women dying between the ages of 30 and 35 years equaled the number of women dying between the ages of 75 and 80 years — and it was all due to infection with the human
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