I first met Otisha, a tall Afro-Guyanese transvestite prostitute in 2003 when I reported on HIV and Aids in Guyana and Barbados.Back then, the Caribbean had the second highest rate of infection in the world.
The prevalence among female sex workers in Guyana was 27% and 21% for men who have sex with men.
Five years later, Otisha is still a commercial sex worker and business is booming for him.
"I go with lots of clients," said Otisha, who has himself managed to avoid contracting HIV.
When I last visited, men were paying extra money to have unprotected sex.
"You do have some men who pay that type of money to have sex but I'm not going to have unprotected sex," said Otisha.
Read the rest on BBC News.
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