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Visible symptoms heightened the discrimination they faced, which in turn created further barriers to obtaining treatment.
People suffering from visible HIV-related symptoms were sometimes denied passage on public and private transportation, making it difficult to obtain any medical care at facilities beyond walking distance.
Violent acts against men who have sex with men are commonplace in Jamaica.
Verbal and physical violence, ranging from beatings to brutal armed attacks to murder, are widespread. Men who have sex with men and women who have sex with women reported being driven from their homes and their towns by neighbors who threatened to kill them if they remained, forcing them to abandon their possessions and leaving many homeless. If you don't leave, we'll kill you.'" Victims of violence are often too scared to appeal to the police for protection.
In some cases, homophobic police violence is a catalyst for violence and serious – sometimes lethal – abuse by others.
Police also actively support homophobic violence, fail to investigate complaints of abuse, and arrest and detain them based on their alleged homosexual conduct.
Both state and private actors join violent threats against gay men with threats against HIV/AIDS educators and people living with HIV/AIDS.