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Malaria programs in Sao Tome and Principe have achieved significant impact with a dramatic decrease in annual incidence rates. Deaths rates from malaria fell to zero between 2012 and 2016. Due to improved diagnostics, the country is making great advances against TB – prevalence was halved between 2005 and 2015 and death rates are decreasing steadily. Seventy-nine percent of multidrug-resistant TB cases were successfully treated. However, the HIV epidemic in Sao Tome and Principe shows characteristics of both generalized and concentrated epidemics in rural areas and among key populations.
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