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The virus likely moved from primates to humans when hunters came into contact with the blood of infected primates.
The hunters then became infected with HIV and passed on the disease to other humans through bodily fluid contamination. HIV made the leap from rural isolation to rapid urban transmission as a result of urbanization that occurred during the 20th century.
The virus is transmitted by bodily fluid contact including the exchange of sexual fluids, by blood, from mother to child in the womb, and during delivery or breastfeeding.
AIDS first was identified in the United States and France in 1981, principally among homosexual men.
All the rivers in Cameroon run into the Sangha River, which joins the Congo River running past Kinshasa in the Democratic Republic of the Congo.
As a result, those involved in the fight against HIV began to emphasize aspects such as preventing transmission from mother to child, or the relationship between HIV and poverty, inequality of the sexes, and so on, rather than emphasizing the need to prevent transmission by unsafe sexual practices or drug injection.
Because public health authorities perceived AIDS to be an urban phenomenon associated with prostitution, they believed that the majority of Africans who lived in "traditional" rural areas would be spared.