There is an immediate need for an increase in HIV/AIDS education, outreach and prevention efforts on the Navajo Nation to avoid an epidemic of the disease, say doctors working on Navajo land. HIV/AIDS cases have increased fivefold in the Navajo Nation since 1999, and new diagnoses were up 20% between 2011 and 2012. "HIV in Indian country is very different than the rest of the world," said Indian Health Service Chief Medical Officer Dr. Susan V. Karol. "Our communities are very small, and that can lead to people avoiding stigma, rather than getting the care they need."

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