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 Every day I fear for my safety living in this country because of my sexual orientation. I am alive but if anyone ever find out and wanted to find out, they can kill me …I am an easy target for anything.
 —Peter, Dominica,…
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 Introduction
 
 
 
 An estimated 16 million people
 inject drugs worldwide.[1] An
 equal number are estimated to use methamphetamine.[2]
 Some of these individuals are…
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 Summary
 
 
 
 I

 was not happy there, I wanted to go out all the time.
 
 
 —Pacheek, a child when released

 from Somsanga in…