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First introduced in 1987, anti-retroviral drugs—ARVs for short—block H.I.V.'s assault on the body's

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First introduced in 1987, anti-retroviral drugs—ARVs for short—block H.I.V.'s assault on the body's immune system. 

Silvia Ng'andwe, 28, in late March 2007, Zambia.

Silvia Ng'andwe, 28, in late March 2007, Zambia. Below, Silvia after just 40 days on anti-retroviral drugs. Photographs by Antonin Kratochvil.

on a hilltop on the outskirts of Rwanda's capital, Kigali, where some 7 percent of the population is infected with H.I.V., the human retrovirus that causes aids.