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According to a study released by the World Bank in October, South Korea is the first of several Asian countries with large sex imbalances at birth to reverse the trend, moving toward greater parity between the sexes. Last year, the ratio was 107.4 boys born for every 100 girls, still above what is considered normal, but down from a peak of 116.5 boys born for every 100 girls in 1990.

The most important factor in changing attitudes toward girls was the radical shift in the country’s economy that opened the doors to women in the work force as never before and dismantled long-held traditions, which so devalued daughters that mothers would often apologize for giving birth to a girl.

The government also played a small role starting in the 1970s. After growing alarmed by the rise in sex-preference abortions, leaders mounted campaigns to change people’s attitudes, including one that featured the popular slogan “One daughter raised well is worth 10 sons!”

“If a 5-year-old black kid came into the clinic and said he wanted to be white, would we endorse that?” he told me. “I don’t think so. What we would want to do is say, ‘What’s going on with this kid that’s making him feel that it would be better to be white?’”

Zucker says that in 25 years, not one of the patients who started seeing him by age 6 has switched gender. Adolescents are more fixed in their identity. If a parent brings in, say, a 13-year-old who has never been treated and who has severe gender dysphoria, Zucker will generally recommend hormonal treatment. But he considers that a fraught choice. “One has to think about the long-term developmental path. This kid will go through lifelong hormonal treatment to approximate the phenotype of a male and may require some kind of surgery and then will have to deal with the fact that he doesn’t have a phallus; it’s a tough road, with a lot of pain involved.”

When they reversed course, they dedicated themselves to the project with a thoroughness most parents would find exhausting and off-putting. They boxed up all of John’s girl-toys and videos and replaced them with neutral ones. Whenever John cried for his girl-toys, they would ask him, “Do you think playing with those would make you feel better about being a boy?” and then would distract him with an offer to ride bikes or take a walk. They turned their house into a 1950s kitchen-sink drama, intended to inculcate respect for patriarchy, in the crudest and simplest terms: “Boys don’t wear pink, they wear blue,” they would tell him, or “Daddy is smarter than Mommy—ask him.” If John called for Mommy in the middle of the night, Daddy went, every time. When I visited the family, John was lazing around with his older brother, idly watching TV and playing video games, dressed in a polo shirt and Abercrombie & Fitch shorts. He said he was glad he’d been through the therapy, “because it made me feel happy,” but that’s about all he would say

One in four girls ages 14 to 19 is infected with at least one of four common diseases. Among black girls in the study, almost half were infected.

in 2003-4

By far the most common of the four STDs was the human papillomavirus, or HPV, which infected 18 percent of the girls. Chlamydia infected 4 percent, trichomoniasis - a common parasite - 2.5 percent, and genital herpes 2 percent.

En juist in deze leeftijdsfase, tussen 16 en 22 jaar, krijgen ze te maken met relaties, seksualiteit en huwelijksdwang. Velen voelen een spagaat tussen de westerse wereld en de cultuur van hun ouders.

Van de 38 casussen gaat het om onder meer Turkse (13), Marokkaanse (8) en Pakistaanse (5) families. In 28 verhalen gaat het om een heimelijke of niet-geaccepteerde vriend, bij 15 leerlingen om uithuwelijken. In 10 gevallen werden leerlingen concreet bedreigd, 15 deelnemers kregen te maken met psychisch geweld, vaak van familieleden. Bij 8 jongeren liep het zo uit de hand dat de leerling elders moest gaan wonen.

The document maintained that antiretrovirals were toxic. And it suggested that powerful vested interests — drug companies, governments, scientists — pushed the consensus view of AIDS in a quest for money and power, while peddling centuries-old white racist beliefs that depicted Africans as sexually rapacious.

Jacob Zuma, who is expected to become president after next year's election, himself made a famously questionable remark about AIDS. In his 2006 rape trial, in which he was acquitted of sexually assaulting a family friend, he testified that he sought to reduce his chances of being infected with HIV by taking a shower after sex. Nonetheless, he seems to have more conventional views on the pandemic.

They estimated that by 2005, South Africa could have been helping half those in need but had reached only 23 percent. By comparison, Botswana was already providing treatment to 85 percent of those in need, and Namibia to 71 percent.