As balmy night settles over Djibouti City, the arc lights come on at its growing network of ports as ships are offloaded 24 hours a day and trucks laden with cargo depart westwards into the Horn of Africa interior.
Tears emerge from the slit of 20-year-old Gada’s black niqab face veil. After more than a minute’s silence she still can’t answer the question: How bad was it in Yemen before you left?
Bags of wheat speed down multiple conveyor belts to be heaved onto trucks lined up during the middle of a blisteringly hot afternoon beside the busy docks of Djibouti Port.
At a time when HIV rates have stabilised or declined elsewhere, the epidemic is still advancing in the Arab world, exacerbated by factors such as political unrest, conflict, poverty and lack of awareness due to social taboos.