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The 12th World AIDS Conference took place June 28 to July 3 in Geneva, Switzerland, and was organized under the theme "Bridging the Gap." Over 12,000 delegates attended the conference to hear about the most recent research and share experiences with colleagues and friends. Since the previous AIDS conference in Vancouver two years ago, dramatic and promising advances have occurred, and for the first time in the history of the epidemic, we assembled at an international conference with AIDS not equated with a death sentence. Yet the optimism and sense of accomplishment many of us felt after Vancouver have given way to a sober realism: The advances we were so proud of then have to date had little impact on the worldwide epidemic, and the gap is…