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Duesberg states that African AIDS cases are " a collection of long-established, indigenous diseases, such as chronic fevers, weight loss, alias “ slim disease ”, diarrhea and tuberculosis " that result from malnutrition and poor sanitation.
African AIDS cases, though, have increased in the last three decades as HIV's prevalence has increased but as malnutrition percentages and poor sanitation have declined in many African regions.
In addition, while HIV and AIDS are more prevalent in urban than in rural settings in Africa, malnutrition and poor sanitation are found more commonly in rural than in urban settings.

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