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She is knowledgeable about the disease, having learned about it through the government’s anti-AIDS program, and she was tested twice during a stint in jail last year for prostitution.

In Havana, the sex trade becomes obvious after sunset.

Hermita, 28, a secretary at a school who earns about $8 a month, was trolling for tourists near the Hotel Inglaterra in Old Havana on a recent evening.

She has a 2-year-old daughter from a marriage that did not last, and she said she needed money for food, clothing and shoes.

The infection rate in the United States is six times that in Cuba, and Cuba’s rate is far below that in many neighboring countries in the Caribbean and Central America.

That is not to say the disease is not spreading in Cuba, and some outside the government say a thriving sex industry has contributed to its spread.

and her sister, Yamilet, two young women from Camaguey province, were showing off their legs and midriffs to tourists who approached the club, hoping someone would invite them in for a drink or take them to a rooming house for the night.

Maria A., 23, said she gave up working as a hairdresser and started sleeping with tourists two years ago.

Around 10 p.m., young women in skimpy attire begin gathering outside the main tourist hotels, asking men if they would like to go to nightclubs, where a sex-for-cash proposition is usually made.