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During the 1980s and 90s, the AIDS epidemic decimated gay communities. While cisgender gay men organized to demand research and treatment, trans people—particularly trans women who often engaged in survival sex work—died in even greater silence. Their exclusion from early HIV trials and medical literature remains a dark chapter. Yet, trans activists were on the front lines as caregivers, syringe-access advocates, and safe-sex educators, further cementing their role as essential pillars of LGBTQ resilience.
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