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|Text=It is my opinion that because the maof men from Central Africa and Haiti are not [[circumcised]], they constantly develop [[balanitis ]] as a result of the heat and other problems, leading to breakage of the [[skin]]. This leads to chronic infections such as [[phimosis ]] and [[paraphimosis]]. ln this setting, there is frequent mini-ulceration of the [[foreskin ]] of the [[penis]]. This represents an easy portal of entry for the virus during coitus with, let us say, an infected prostitute. Another possibility arises because the women in that part of the world do not shave the pubis. Thus there is the possibility of mini-lacerations occurring during coitus as the foreskin comes into contact with pubic hair. This is another possible portal of entry for the virus. This, to me, seems a more plausible explanation for female-to-male transmission in Central Africa and Haiti.