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T*
[(fo)19.6(rm)10.8(al)-493.7(la)18.4(bo)15.5(r)-503.1(m)0(a)17.7(r)0(k)13.9(e)0(t)18.4(,)-501.2(hi)13.2(nd)21.2(er)13.5(in)18.9(g)-501.5(t)0(h)13.2(e)0(i)18.4(r)-503.1(so)14.4(ci)18.4(al)-493.7(an)15.1(d)-501.5(e)0(c)14.7(o)0(n)21.2(o)0(m)12.4(i)0(c)]TJ
T*
[(de)15.1(ve)20.8(lo)18.9(pm)12.4(en)20.8(t)-327.5(\()0(G)15.7(r)0(a)19.2(n)0(t)-316.9(e)0(t)-311.6(a)0(l)12.8(.)-319.1(20)15.5(11)21.2(;)-327.5(U)0(N)13.4(D)12.4(P)-324.3(2)0(0)15.5(1)0(3)21.2(\))0(.)]TJ
1.0015 -1.104 TD
[(T)12.2(r)0(a)13.5(n)0(s)20(p)0(h)15.5(o)0(b)21.2(i)0(a)-408.3(a)0(n)15.1(d)-416.2(G)12.4(B)0(V)-408.5(c)0(o)15.1(n)0(t)18.9(r)0(i)17.3(b)0(u)15.5(t)0(e)-408.3(t)0(o)-402.2(t)0(r)11.6(a)0(n)20.8(s)-417.4(wo)17.3(me)17.7(n)13.9(s)-411.7(v)0(u)15.5(l)0(-)]TJ
-1.0015 -1.0983 TD
[(ne)15.1(ra)19.2(bi)18.9(li)16.5(ty)-288.4(to)-294.1(me)17.7(nt)18.9(al)-294.5(an)20.8(d)-302.4(p)0(h)21.2(y)0(s)14.4(i)0(c)18.4(a)0(l)-288.8(h)0(e)15.1(a)0(l)18.4(t)0(h)-288.4(i)0(s)17.7(s)0(u)14.4(e)0(s)19.6(,)-302(i)13.9(n)0(c)15.1(l)0(u)18.9(d)0(i)18.9(n)0(g)-291.7(d)0(e)15.1(-)]TJ
T*
[(pr)19.6(es)13.9(si)17.7(on)21.2(,)-188.2(a)0(n)15.1(x)0(i)18.9(e)0(t)18.5(y)0(,)-183.2(s)0(u)20(i)0(c)18.4(i)0(d)18.9(e)-189(\(D)15.7(e)-189(S)0(a)15.9(n)0(t)18.9(i)0(s)-181.5(2)0(0)21.2(0)0(9)15.5(;)-190.9(G)12.4(a)0(n)15.1(j)0(u)-180.3(a)0(n)20.8(d)-188.6(Sa)15.9(gg)15.5(ur)19.6(ti)]TJ
0 -1.104 TD
[(20)15.5(17)21.2(;)-338.9(U)0(n)17.3(i)0(t)16.5(e)0(d)-326.3(N)0(a)11.2(t)13.9(io)13.2(ns)-327.1(De)16.9(ve)15.1(lo)18.9(pm)18.1(en)15.1(t)-333.2(P)0(r)14.7(o)0(g)15.5(r)0(a)19.2(m)0(m)14.9(e)-336.9(et)-328.7(al)18.5(.)-341.8(2)0(0)21.2(1)0(6)15.5(\))]TJ
0 -1.0983 TD
.0127 Tc
[(human)-198.6(i)3.9(mmunod)6.2(e).1(ci)3.9(e).1(ncy)-198.6(v)6.2(ir)4.7(us)-199.8(\(HI)4.6(V)-3.4(\))4.6(,)-198.2(sex)6.2(u).6(al)3.9(ly)-198.6(t)3.9(r)-1(an)6.2(smit)3.9(ted)]TJ
T*
.0117 Tc
[(in)5.2(fections)-189.4(\(STIs\),)-187.9(a)-.9(n)5.2(d)-188.2(STI-relate)4.8(d)-188.2(can)5.2(cers)-183.7(\()-2(Baral)-190.6(e)4.8(t)-190.6(a)-.9(l.)-187.9(20)5.2(13;)]TJ
0 -1.104 TD
.0119 Tc
[(Blo)5.4(ndeel)-321.3(et)-321.3(al.)-324.2(2016)5.4(;)-327(De)-325(San)5.4(t)-2.6(is)-325.8(20)5.4(09;)-321.3(G)-4.2(a)5(n)-.2(ju)-318.9(and)-324.6(S).5(a)5(g)-.2(gurti)]TJ
0 -1.0983 TD
[(201)5.4(7)-.3(;)-224.6(L)1.3(ogie)-222.6(e)-.7(t)-224.6(a)5(l.)-221.8(20)5.4(17;)-224.6(Wheeler)-223.8(20)5.4(14\).)-221.8(Trans)-223.4(w)1.5(omen)-222.2(have)]TJ
T*
.0121 Tc
[(a)-285(4)5.6(9-fold)-278.9(incre)5.2(a)-.5(sed)-278.9(odd)5.6(s)-285.8(o)5.6(f)-286.2(H)1.7(IV)-277.1(infection)-278.9(c)-.5(ompared)-278.9(t)-2.4(o)-278.9(t)-2.4(he)]TJ
T*
.0117 Tc
[(gen)5.2(e)-.9(ral)-270.3(p)5.2(opulation)-267.9(o)-.4(f)-269.5(r)3.6(eproductive)-274(a)4.8(ge)-268.3(\(Baral)-270.3(et)-270.3(al.)-267.5(2013)5.2(\))-2(.)]TJ
1.0015 -1.104 TD
0 Tc
[(In)19.6(te)18.4(rn)13.9(al)18.5(iz)18.4(ed)-275.1(tr)17.3(an)15.1(sp)20(ho)15.5(bi)18.9(a)-285.7(d)0(i)18.9(m)0(i)15.7(n)0(i)18.9(s)0(h)14.4(e)0(s)-276.3(t)13.9(ra)13.5(ns)-275.9(wo)17.3(me)17.7(n)14(s)-280.8(a)0(g)15.1(e)0(n)20.8(c)0(y)]TJ
-1.0015 -1.0983 TD
[(an)15.1(d)-387.7(s)0(o)14.4(c)0(i)18.5(a)0(l)-379.9(s)0(u)14.4(p)0(p)21.2(o)0(r)13.9(t)-390.1(an)20.8(d)-393.4(i)0(n)18.9(c)0(r)19.2(e)0(a)14.7(s)0(e)19.6(s)-394.6(ri)17.3(sk)20(y)-393.4(s)0(e)19.6(x)0(u)15.5(a)0(l)-379.9(b)0(e)15.1(h)0(a)20.8(v)0(i)18.9(o)0(r)13.9(,)-387.3(ex)15.1(-)]TJ
T*
[(ac)14.7(er)19.2(ba)15.1(ti)22.2(ng)-223.5(th)18.9(ei)18.4(r)-235.7(p)0(o)21.2(o)0(r)-225.1(h)0(e)20.8(a)0(l)18.4(t)0(h)-225.8(o)0(u)21.2(t)0(c)18.4(o)0(m)12.4(e)0(s)-219.4(\()0(D)15.7(e)-228.8(Sa)15.9(nt)18.9(is)-221.3(20)15.5(09)21.2(;)-230.8(G)0(a)16.9(n)0(j)13.2(u)]TJ
0 -1.104 TD
[(an)15.1(d)-393.4(S)11.4(ag)15.1(gu)21.2(rt)17.3(i)-395.8(2)0(0)21.2(1)0(7)15.5(\))0(.)-384(M)0(o)13.6(r)0(e)19.2(o)0(v)21.2(e)0(r)13.5(,)-393(se)19.6(rv)13.9(ic)18.4(e)-393.8(p)0(r)19.6(o)0(v)15.5(i)0(d)18.9(e)0(r)19.2(s)0(,)-383.6(i)0(n)13.2(c)0(l)18.5(u)0(d)21.2(i)0(n)13.2(g)]TJ
25.1978 53.3546 TD
[(h)-6.5(ealthcare)-322.5(wor)-7.8(kers)-313.5(an)-7.6(d)-313.7(police,)-317.8(refus)-8.6(e)-314.2(t)0(o)-316.9(serve)-320.4(trans)-322.4(women)]TJ
0 -1.104 TD
[(or)-230.7(pe)20.8(rp)13.9(et)18.4(ra)19.2(te)-231.9(vi)18.9(ol)18.9(en)15.1(ce)-224.3(ag)15.1(ai)18.4(ns)20(t)-236.5(t)0(h)13.2(e)0(m)-227(w)0(i)14.9(t)0(h)-225.8(i)0(m)15.7(p)0(u)21.2(n)0(i)13.2(t)0(y)-225.8(\()0(B)14.9(e)0(c)20.4(k)-239.8(et)-226.2(al)18.4(.)]TJ
0 -1.0983 TD
[(20)15.5(15)15.5(;)-327.5(D)12.4(e)-331.2(S)11.4(an)15.1(ti)16.5(s)-326.3(2)0(0)21.2(0)0(9)15.5(;)-327.5(Ev)17.1(en)15.1(s)-326.3(e)0(t)-317.3(a)0(l)18.5(.)-330.4(20)21.2(18)15.5(;)-327.5(L)12.2(og)15.5(ie)-317.3(et)-323(al)18.5(.)-324.7(2)0(0)15.5(1)0(7)21.2(;)]TJ
T*
[(Po)16.3(te)18.4(at)-368.5(et)-362.8(al)18.5(.)-376(2)0(0)21.2(1)0(3)15.5(;)-373(Th)17.1(e)-376.7(C)11.6(ar)13.5(i)13.9(b)0(b)15.5(e)0(a)14.7(n)-370.7(Vu)17.3(ln)18.8(er)13.5(ab)20.8(le)-368.5(C)11.6(o)0(m)12.4(m)13.2(un)15.5(it)16.5(ie)18.5(s)]TJ
0 -1.104 TD
.0118 Tc
[(Co)5.3(alition)-341.8(e)-.8(t)-344.2(a)-.8(l.)-347.1(2)5.3(0)-.3(12\).)-347.1(T)1.2(his)-343(c)-.8(omp)5.3(l)-2.7(ex)-341.8(web)-341.8(o)-.3(f)-349.1(m)2.2(ultiple,)-347.1(c)4.9(o)-.3(-)]TJ
0 -1.0983 TD
[(occurring,)-347.1(a)4.9(n)-.3(d)-347.5(m)-3.5(u)5.3(t)-2.7(ua)4.9(lly)-347.5(r)-1.9(e)4.9(i)-2.7(nforcing)-347.5(h)5.3(ealth)-347.5(c)4.9(o)-.3(nditions)-343(and)]TJ
T*
[(social)-458(inequities)-456.8(increase)4.9(s)-462.5(v)5.3(u)-.3(lne)4.9(r)-1.9(ab)5.3(ility)-461.3(a)4.9(nd)-461.3(worsens)-456.8(t)3(he)]TJ
0 -1.104 TD
.0117 Tc
[(health)-279.3(status)-280.5(of)-280.9(tra)4.8(n)-.4(s)-280.5(w)-4.4(o)5.2(m)-3.6(en)5.2(,)-284.6(a)-279.7(c)4.8(y)-.4(cle)-285.4(t)2.9(ermed)-279.3()49.2(syn)5.2(demics)49.2()]TJ
0 -1.0983 TD
[(\(Bren)5.2(n)-.4(an)-330.5(et)-332.9(al.)-335.8(2)5.2(012;)-332.9(Singe)4.8(r)-337.8(a)4.8(nd)-330.5(Clair)-332.1(2003\).)]TJ
1.0015 -1.0983 TD
0 Tc
[(As)-405(a)-405.2(result,)-405.6(mort)-10.2(ality)-404(among)-411.4(trans)-407.7(women)-409.6(is)-403.4(extre)-8.6(mely)]TJ
-1.0015 -1.0983 TD
[(h)-6.5(igh,)-244.1(especiall)-11.1(y)-239.8(i)0(n)-242.9(LAC,)-248.7(where)-249.2(trans)-242.7(wom)-9.4(ens)-245.2(estimated)-252.9(life)]TJ
0 -1.104 TD
[(e)-6.9(xpectancy)-312.5(is)-312.4(3035)-311.1(years)-314.7(\(Inter-A)-13.5(merican)-315.3(Comm)-8.4(ission)-313.3(on)]TJ
0 -1.0983 TD
[(Hum)-9.4(an)-326.3(Rights)-333.9(2015\).)-330.2(Moreo)-7.8(ver,)-329(78%)-329(of)-327.5(the)-329.4(26)-7.2(09)-325.9(globally)]TJ
T*
[(report)-10.6(ed)-474.3(murd)-7.8(ers)-477.8(of)-475.4(trans)-481.7(and)-480.7(gender)-479.3(diver)-8.2(se)-475.4(people)-480.1(be-)]TJ
0 -1.104 TD
[(tw)-7.8(een)-361.6(2008)-367.2(and)-366.9(2017)-361.6(wer)-8.2(e)-359.7(comm)-9.7(itted)-364.2(in)-362.4(LAC)-367.9(\(Trans)-372(Re-)]TJ
0 -1.0983 TD
[(spect)-275.7(versus)-270.7(Tr)-7.2(ansphob)-6.9(ia)-266.1(Worl)-8.2(dwide)-272.3(2017\).)-273.2(While)-271.9(the)-272.5(trans)]TJ
T*
[(c)-6.9(ommunity)-341.5(has)-333.9(been)-339.6(working)-337.6(for)-335.5(decades)-343.9(to)-334(gain)-335.9(visibil)-10.4(ity)]TJ
0 -1.104 TD
[(an)15.1(d)-478.8(a)0(c)20.4(c)0(e)14.7(s)0(s)-464.8(t)0(o)-470.5(r)0(i)17.3(g)0(h)15.5(t)0(s)17.7(,)-472.7(tr)17.3(an)15.1(s)-474.3(w)0(o)11.6(m)13.2(en)-468.6(co)15.1(nt)18.9(in)18.8(ue)-468.6(to)-470.5(ex)15.1(pe)20.8(ri)17.3(en)15.1(ce)]TJ
0 -1.0983 TD
[(pe)15.1(rv)19.6(as)13.9(iv)18.8(e)-365.4(s)0(o)20(c)0(i)18.4(a)0(l)-357.1(m)0(a)12(r)0(g)19.6(i)0(n)18.9(a)0(l)18.4(i)0(z)12.8(a)0(t)18.5(i)0(o)18.8(n)-365(an)20.8(d)-365(a)0(b)15.1(u)0(s)20(e)-365.4(by)-354.3(fa)13.5(mi)15.7(l)13.9(y)0(,)-359.7(c)0(o)20.8(m)0(-)]TJ
T*
[(mu)12.4(ni)18.9(ty)-493.3(me)12(mb)18.1(er)19.2(s,)-497.4(in)18.9(ti)16.5(ma)17.7(te)-499.4(pa)20.8(rt)17.3(ne)15.1(rs)18.4(,)-506.8(p)0(o)21.2(l)0(i)16.5(c)0(e)14.7(,)-501.2(ed)15.1(uc)20.8(at)12.8(or)19.6(s,)-497.4(se)19.6(x)]TJ
0 -1.104 TD
[(wo)11.6(rk)-316.1(cl)18.5(ie)18.4(nt)18.9(s,)-315.3(he)15.1(al)18.4(th)18.9(ca)14.7(re)-316.5(wo)17.3(rk)13.9(er)19.2(s,)-315.3(an)15.1(d)-325.1(o)0(t)18.8(h)0(e)20.8(r)-326.7(st)17.7(at)18.5(e)-325.5(a)0(c)14.7(t)0(o)18.9(r)0(s)18.4(,)-324.7(pe)15.1(r-)]TJ
0 -1.0983 TD
[(pe)15.1(tr)17.3(at)18.4(ed)-252.3(ac)20.4(ro)13.9(ss)-248.6(th)18.9(ei)18.5(r)-258.4(l)0(i)16.5(f)0(e)19.2(s)0(p)14.3(a)0(n)-246.6(\()0(B)14.9(e)0(c)20.4(k)-256.8(et)-249(al)12.8(.)-256.5(2)0(0)21.2(1)0(5)15.5(;)-259.2(B)11.6(h)0(a)15.1(t)0(t)16.5(a)0(c)20.4(h)0(a)15.1(r)0(j)17.3(y)0(a)]TJ
T*
[(et)-243.3(al)18.4(.)-245.1(2)0(0)21.2(1)0(5)15.5(;)-247.8(B)11.6(l)0(o)13.2(n)0(d)21.2(e)0(e)14.7(l)-242.1(et)-243.3(al)18.5(.)-245.1(2)0(0)21.2(1)0(8)15.5(;)-247.8(De)-239.2(S)11.4(a)0(n)15.1(t)0(i)16.5(s)-241(20)15.5(09)15.5(;)-242.1(D)0(i)14.9(v)0(a)15.1(n)-245.5(et)-237.6(al)18.4(.)]TJ
T*
[(20)15.5(16)15.5(;)-242.1(E)0(v)17.1(e)0(n)15.1(s)-246.7(et)-231.9(al)12.8(.)-245.1(2)0(0)21.2(1)0(8)15.5(;)-242.2(Ga)11.2(nj)18.9(u)-245.5(a)0(n)20.8(d)-245.5(Sa)15.9(gg)15.5(ur)19.6(ti)-239.6(20)21.2(17)15.5(;)-242.2(G)0(r)15.7(o)0(s)14.3(s)0(m)16.9(a)0(n)]TJ
0 -1.104 TD
[(et)-345.7(al)18.5(.)-347.5(2)0(0)15.5(0)0(5)21.2(;)-350.3(Lo)17.1(gi)18.9(e)-348.3(e)0(t)-340.1(a)0(l)12.8(.)-347.5(20)21.2(17)15.5(;)-350.3(L)12.2(om)12.4(ba)20.8(rd)13.9(i)-350.3(e)0(t)-340.1(a)0(l)18.5(.)-347.5(20)15.5(01)21.2(;)-350.3(P)0(o)16.3(t)0(e)18.4(a)0(t)]TJ
0 -1.0983 TD
[(et)-311.6(al)12.8(.)-319.1(2)0(0)21.2(1)0(3)15.5(\))0(.)-310(T)0(r)15.5(a)0(n)20.8(s)-320.6(wo)17.3(me)17.7(n)-319.4(a)0(r)13.5(e)-319.8(al)18.4(so)-310(mi)15.7(st)17.7(ak)15.1(en)20.8(ly)-311.2(ta)18.4(rg)13.9(et)18.5(ed)-309.2(wi)14.9(th)]TJ
T*
[(ho)15.5(mo)18.1(ph)15.5(ob)21.2(ic)-448.2(vi)18.9(ol)18.9(en)15.1(ce)20.4(,)-455.6(a)0(s)-441.3(m)0(a)17.7(n)0(y)-445.4(p)0(e)15.1(o)0(p)21.2(l)0(e)-442.5(c)0(o)15.1(n)0(t)18.9(i)0(n)18.8(u)0(e)-445.8(t)0(o)-442.1(r)0(e)13.5(m)0(a)17.7(i)0(n)]TJ
0 -1.104 TD
[(ig)13.2(no)21.2(ra)13.5(nt)-345.3(of)-350.3(th)18.9(e)-359.7(d)0(i)18.9(s)0(t)17.7(i)0(n)18.9(c)0(t)18.4(i)0(o)18.8(n)-359.3(be)15.1(tw)20.6(ee)14.7(n)-353.6(g)0(a)15.1(y)-359.3(me)17.7(n)-353.6(a)0(n)15.1(d)-359.3(ot)18.9(he)20.8(r)-360.9(m)0(e)17.7(n)]TJ
0 -1.0983 TD
[(wh)11.6(o)-473.1(h)0(a)15.1(v)0(e)-468.6(s)0(e)19.6(x)-478.8(wi)14.9(th)-470.5(me)17.7(n,)-467.8(an)15.1(d)-473.1(t)0(r)17.3(a)0(n)15.1(s)-480(w)12.4(o)0(m)12.4(e)0(n)20.8(.)-478.4(Th)17.1(e)-479.2(r)0(e)19.2(p)0(o)15.5(r)0(t)17.3(e)0(d)]TJ
T*
[(pr)13.9(ev)20.8(al)12.8(en)20.8(ce)-400.7(of)-407.2(ph)21.2(ys)14.4(i)13.9(c)0(a)14.7(l)-412.9(an)20.8(d)-410.5(s)0(e)13.9(x)0(u)21.2(a)0(l)-402.7(v)0(i)18.9(o)0(l)13.2(e)0(n)20.8(c)0(e)-400.7(e)0(x)15.1(p)0(e)15.1(r)0(i)17.3(e)0(n)20.8(c)0(e)14.7(d)-410.5(by)]TJ
0 -1.104 TD
[(tr)11.6(an)20.8(s)-508.4(p)0(e)15.1(o)0(p)21.2(l)0(e)-505.1(i)0(s)-500.2(m)0(a)17.7(r)0(k)13.9(e)0(d)20.8(l)0(y)-499(h)0(i)13.2(g)0(h)21.2(e)0(r)-504.3(e)0(v)20.8(e)0(n)-502.7(t)0(h)18.9(a)0(n)-502.7(o)0(t)18.8(h)0(e)15.1(r)-508.8(ta)18.5(rg)19.6(et)12.8(ed)]TJ
0 -1.0983 TD
[(gr)13.9(ou)21.2(ps)14.4(s)19.3(uc)15.1(h)-359.3(a)0(s)-355.9(l)0(e)18.4(s)0(b)14.4(i)0(a)18.4(n)0(,)-354(g)0(a)20.8(y)0(,)-354(b)0(i)18.8(s)0(e)13.9(x)0(u)21.2(a)0(l)12.8(,)-358.9(an)15.1(d)-359.3(i)0(n)13.2(t)0(e)18.4(r)0(s)18.4(e)0(x)-354.7(p)0(e)20.8(o)0(p)15.5(l)0(e)]TJ
T*
[(\(B)14.9(lo)18.8(nd)15.5(ee)14.7(l)-321.8(e)0(t)-317.3(a)0(l)18.5(.)-324.7(20)21.2(18)15.5(\).)]TJ
1.0015 -1.0983 TD
[(Th)17.1(e)-240.2(U)0(n)17.3(i)0(t)16.5(e)0(d)-229.6(N)0(a)16.9(t)0(i)16.5(o)0(n)21.2(s)-241(\(U)15.7(N\))-229(sy)14.4(st)17.7(em)-227(ha)15.1(s)-241(e)0(x)20.8(p)0(r)19.6(e)0(s)13.9(s)0(e)19.6(d)-239.8(it)16.5(s)-235.3(c)0(o)15.1(n)0(c)15.1(e)0(r)19.2(n)]TJ
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[(at)-391.3(th)13.2(e)-393.8(e)0(x)15.1(t)0(e)18.4(n)0(t)-390.9(a)0(n)15.1(d)-393.4(gr)13.9(av)20.8(it)16.5(y)-399.1(o)0(f)-390.1(h)0(u)15.5(m)0(a)17.7(n)-399.1(ri)17.3(gh)21.2(ts)-392.1(vi)18.9(ol)18.9(at)12.8(io)18.9(ns)-389.7(pe)20.8(rp)13.9(e-)]TJ
0 -1.0983 TD
[(tr)11.6(at)18.4(ed)-428.7(ag)15.1(ai)18.4(ns)14.4(t)-441.3(i)0(n)18.9(d)0(i)18.9(v)0(i)18.9(d)0(u)15.5(a)0(l)18.4(s)-440.1(ba)15.1(se)19.6(d)-444.6(o)0(n)-434(t)0(h)18.9(e)0(i)18.5(r)-440.5(se)14(xu)21.2(al)-436.8(or)19.6(ie)18.4(nt)13.2(at)18.4(io)18.9(n)]TJ
T*
[(an)15.1(d)-330.8(g)0(e)15.1(n)0(d)15.5(e)0(r)-322.2(i)0(d)18.8(e)0(n)15.1(t)0(i)16.5(t)0(y)-322.6(\()0(U)15.7(N)-334.8(OH)19.1(CH)12.6(R)-335.5(2)0(0)21.2(1)0(1)15.5(b)0(\))19.6(.)-336.1(In)19.6(ve)20.8(st)12(i)13.9(g)0(a)15.1(t)0(i)16.5(o)0(n)21.2(s)-337.7(by)]TJ
0 -1.104 TD
[(th)13.2(e)-422.3(U)0(N)-413.4(H)0(i)14.9(g)0(h)-411.2(C)0(o)16.5(m)0(m)14.9(i)0(s)17.7(s)0(i)17.7(o)0(n)15.5(e)0(r)-413.2(f)0(o)19.6(r)-423.5(Hu)17.3(ma)12(n)-421.9(R)11.6(ig)18.9(ht)13.2(s)-423.1(f)0(o)19.6(u)0(n)15.5(d)-421.9(ev)20.8(i-)]TJ
0 -1.0983 TD
[(de)15.1(nc)15.1(e)-376.7(o)0(f)-373(a)-382.4(pa)20.8(tt)16.5(er)19.2(n)-382(o)0(f)-373(v)0(i)18.9(o)0(l)18.9(e)0(n)15.1(c)0(e)-372.2(a)0(n)20.8(d)-382(di)18.9(sc)19.6(ri)11.6(m)13.2(i)0(n)13.2(a)0(t)18.4(o)0(r)19.6(y)-382(la)18.4(ws)-370.8(an)15.1(d)]TJ
T*
[(pr)13.9(ac)20.4(ti)16.5(ce)14.7(s)-343.4(a)0(f)13.5(f)0(e)19.2(c)0(t)18.4(i)0(n)18.9(g)-347.9(le)18.4(sb)14.4(ia)18.4(n,)-336.9(ga)20.8(y,)-336.9(bi)13.2(se)19.6(xu)15.5(al)18.5(,)-341.8(t)0(r)17.3(a)0(n)15.1(s)0(,)-338.1(a)0(n)20.8(d)-347.9(in)18.8(te)18.4(rs)12.8(ex)]TJ
0 -1.104 TD
[(\(L)15.5(GB)12.6(T)12.2(I)0(\))-277.9(p)0(e)15.1(o)0(p)21.2(l)0(e)-277.5(i)0(n)-277.1(a)0(l)12.8(l)-282(re)13.5(gi)18.9(on)21.2(s,)-281.2(le)18.4(ad)20.8(in)13.2(g)-285.3(U)12.4(N)-289.2(e)0(n)15.1(t)0(i)22.2(t)0(i)16.5(e)0(s)-276.3(t)0(o)-277.1(i)0(s)12(s)0(u)20.1(e)-285.7(a)]TJ
0 -1.0983 TD
[(jo)13.2(in)18.9(t)-225.1(s)0(t)17.7(a)0(t)18.4(e)0(m)17.7(e)0(n)15.1(t)-225.1(in)-214.5(20)15.5(15)21.2(,)-228(c)0(a)20.4(l)0(l)16.5(i)0(n)18.9(g)-228.4(on)-212.1(st)17.7(at)18.4(es)-219.4(to)-214.5(ac)14.7(t)-225.1(u)0(r)19.6(g)0(e)15.1(n)0(t)18.9(l)0(y)-214.5(t)0(o)-214.5(e)0(n)15.1(d)]TJ
T*
[(vi)13.2(ol)18.9(en)20.8(ce)-446.2(an)15.1(d)-450.3(d)0(i)18.9(s)0(c)14(r)0(i)17.3(m)0(i)15.7(n)0(a)20.8(t)0(i)16.5(o)0(n)-445.4(a)0(g)20.8(a)0(i)18.4(n)0(s)14.4(t)-452.7(LG)18.9(BT)12.4(I)-451.9(a)0(d)20.8(u)0(l)13.2(t)13.9(s,)-446.2(ad)15.1(ol)18.9(es)19.6(-)]TJ
0 -1.104 TD
[(ce)14.7(nt)18.9(s,)-218.6(an)20.8(d)-222.7(c)0(h)15.1(i)0(l)16.5(d)0(r)19.6(e)0(n)-218.2(\()0(I)18(L)0(O)-214.4(e)0(t)-220.6(a)0(l)18.5(.)-222.3(20)15.5(15)21.2(\).)-219(A)12.4(s)-229.6(pa)20.8(rt)-216.1(of)-213.7(th)13.2(is)-215.7(ef)19.2(fo)19.6(rt)11.6(,)-222.3(t)0(h)18.9(e)]TJ
0 -1.0983 TD
[(UN)-447.6(Hi)14.9(gh)-445.4(C)11.6(o)0(m)18.1(m)0(i)15.7(s)0(s)13.2(i)13.9(on)15.5(er)-441.7(fo)13.9(r)-451.9(H)0(u)17.3(m)0(a)17.7(n)-456(R)11.6(i)0(g)13.2(h)0(t)18.9(s)-451.5(ha)20.8(s)-457.2(c)0(a)20.4(l)0(l)16.5(e)0(d)-445.8(f)0(o)19.6(r)]TJ
T*
[(be)15.1(tt)16.5(er)-276.7(ev)15.1(i)13.9(d)0(e)15.1(n)0(c)15.1(e)-285.7(re)19.2(ga)20.8(rd)13.9(in)18.9(g)-285.3(t)0(h)18.8(e)-285.7(pr)13.9(ev)20.8(al)18.4(en)15.1(ce)-275.5(an)15.1(d)-285.3(t)0(y)18.9(p)0(e)20.8(s)-286.5(of)-276.3(hu)15.5(ma)17.7(n)]TJ
T*
[(ri)11.6(gh)21.2(ts)-278.2(vi)13.2(ol)18.9(at)18.5(io)18.9(ns)-281.6(ag)20.8(ai)12.8(ns)20(t)-287.7(L)0(G)13.2(B)11.6(TI)-280.4(pe)15.1(op)21.2(le)-283.2(\(U)15.7(N)-289.2(O)0(H)19.1(C)0(H)12.6(R)-290(20)21.2(15)15.5(\).)]TJ
1.0015 -1.104 TD
[(Moreo)-7.8(ver,)-277.8(there)-281.7(is)-278.2(a)-274.3(gap)-275.8(in)-277.1(the)-278.2(eviden)-7.8(ce)-275.5(around)-279.7(the)-278.2(types)]TJ
-1.0015 -1.0983 TD
[(o)-6.5(f)-537.3(abuse)-546.4(trans)-544.3(women)-546.2(experience)-548.5(in)-538.8(LAC)-544.3(and)-543.3(globally)]TJ
T*
[(\(B)-7.8(londee)-7.8(l)-475.5(e)0(t)-482.3(al.)-482.7(2018;)-484.2(PAHO)-486.4(et)-482.3(al.)-482.7(2014;)-478.5(Rei)-9.8(sner)-478.6(et)-482.3(al.)]TJ
0 -1.104 TD
[(2)-6.5(016\))-255(and)-258.8(the)-255.5(effect)-261.7(of)-253.5(GBV)-259.6(and)-258.8(human)-257.7(rights)-262.5(violati)-9.6(ons)-253.9(on)]TJ
0 -1.0983 TD
[(the)-460.3(health)-459.7(of)-458.4(trans)-458.9(people)-463(\(Blonde)-8.7(el)-453.9(et)-459.6(al.)-454.2(2)-6.5(018;)-455(Reisner)]TJ
T*
[(e)-6.9(t)-350.3(al.)-357.5(2016\).)-358.6(Trans)-358.2(activists)-361(in)-356.7(the)-352.2(regio)-8.2(n)-353.6(are)-357.5(suppor)-7.4(tive)-355.3(of)]TJ
0 -1.104 TD
[(resear)-10.2(ch)-332(on)-337.3(transgender)-340.7(viol)-7.8(ence,)-334.7(as)-333.2(their)-334.9(reques)-8.2(ts)-335.2(for)-335.5(state)]TJ
0 -1.0983 TD
[(a)-6.9(ttention)-277.8(are)-272.2(often)-275.7(met)-270(wi)-7.8(th)-271.4(requests)-275(for)-272.9(proof)-274.5(of)-270.6(a)-274.3(problem.)]TJ
T*
[(Exi)-8.8(sting)-465(docum)-7.4(entation)-469.3(on)-462.5(violence)-467.3(agains)-9(t)-458.4(trans)-470.3(women)]TJ
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8.9663 0 0 8.9663 70.9795 96.3212 Tm
[(*A)-280.5(persons)-284.7(internal,)-284.8(deeply)-277.2(felt)-281.7(sense)-284(of)-278.2(being)-284.2(male,)-276.7(female,)-289.1(or)]TJ
-.999 -1.1128 TD
[(some)-411.9(alternative)-408.8(gender,)-411.5(which)-407.7(for)-411.4(transgender)-410.4(women)-413.5(does)-410(not)]TJ
T*
[(correspond)-339.2(to)-330.2(the)-335.8(male)-337(sex)-334.6(they)-329(were)-337(assigned)-335.5(at)-336.3(birth.)]TJ
/F8 1 Tf
6.7246 0 0 5.9768 70.9795 70.4126 Tm
({)Tj
/F4 1 Tf
8.9663 0 0 8.9663 74.3811 66.4441 Tm
[(A)-533.9(persons)-537.6(ways)-533.4(of)-537.4(communicating)-541.3(their)-534.2(gender)-535(externally)]TJ
-1.3784 -1.1128 TD
[(through)-335(physical)-336.7(appearance,)-332.7(behavioral)-341.6(patterns,)-334.2(and)-333.4(so)-335.3(on.)]TJ
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46.7832 0 TD
[(LANHAM)-334.7(ET)-338.7(AL.)]TJ
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