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In this, April 4, 2014, photo, homeless youths hang out at the entrance of a sewer pipe along a trash-strewn canal where they live beneath a busy road in Kingston, Jamaica. They are part of a small group of young, gay and transgender Jamaicans who mostly sell sex to make money. In much of the world, giving out condoms and guidance to gay, bisexual and transgender sex workers is routine. But reaching out to men who have sex with men is practically revolutionary in parts of the English-speaking Caribbean, where homophobia and laws criminalizing gay sex have long driven people underground. (AP Photo/David McFadden) - JAMAICA OUT

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