According to the article, you are better off living in Costa Rica or in some South American country than in Durham, North Carolina because of HIV infections.
Between 2001 to 2003 (Hint: Bush Administration), 36 percent rises in the state of North Carolina.
Among the high rates of HIV infections are Louisiana, Georgia, Alabama, Mississippi, South Carolina and North Carolina because it lacked the means to reach men who do not think they are gay but have sex with men anyway. They are often called as "Down Low" -- most men claimed that they do fuck but do not kiss, that automically made them not gay or bisexual at all. Why? Fear. From whom? The society that viewed homosexuality in a negative manner.
So these occurred in where? Red states. Think about it. The Republicans! The Xians! The Conservatives -- who claimed to have the best solutions in many things -- but guess what? Their solutions failed miserably.
I stopped caring about the Southerners' problems since they favored conservatives, Republicans and Bush policies -- do I care? Let them rot under the banner of Jesse Helms country.