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註釋In Europe and America, AIDS, although terrifying in its potential and devastating to those whom it affects, is still a minority disease. In Africa the impact of AIDS is widespread and the disease has already spread largely into the heterosexual community, particularly in the economically active age groups. For a continent already weakened by drought, poverty, civil war and debt, this latest catastrophe threatens to be the most severe problem Africa has ever faced. It could result in millions of deaths not only directly from the disease but also from starvation caused by economic collapse. Forced migration and refugees could spread the disease even further, thus inducing a particularly vicious circle of debility and death.