▁fact ▁that ▁about ▁ 4 5 % ▁of ▁all ▁sex ▁acts ▁sold ▁are ▁by ▁either ▁male ▁or ▁trans gender ▁sex ▁workers ▁( H IV / A ID S ▁Sur ve ill ance ▁Project ▁ 2 0 0 7 ). ▁These ▁factors ▁may ▁have ▁led ▁to ▁a ▁high ▁rate ▁of ▁H IV ▁transmission ▁among ▁MS M / MS W ▁networks ▁but ▁may ▁( tem por arily ) ▁slow ▁down ▁the ▁transmission ▁of ▁H IV ▁to ▁the ▁rest ▁of ▁the ▁population . ▁ ▁The ▁low ▁pre val ence ▁rate ▁overall ▁may ▁be ▁taken ▁as ▁a ▁window ▁of ▁opportunity , ▁still ▁available ▁and ▁actions ▁to ▁cur b ▁any ▁further ▁disease ▁spread ▁should ▁be ▁rob oust . ▁However , ▁it ▁is ▁worth ▁mention ing ▁that ▁data ▁is ▁reported ▁mainly ▁from ▁the ▁public ▁sector ▁health ▁facilities . ▁While , ▁the ▁current ▁health ▁seeking ▁behav i ours ▁and ▁health ▁system ▁forces ▁majority ▁of ▁the ▁population ▁to ▁the ▁private ▁sector . ▁ ▁The ▁table ▁above ▁shows ▁the ▁sample ▁distribution ▁of ▁high ▁risk ▁group ▁done ▁by ▁the ▁N AC P . ▁ ▁D ise ase ▁transmission ▁by ▁in app ropri ate ▁use ▁of ▁th era pe ut ic ▁in jections ▁A ▁major ▁factor ▁that ▁must ▁be ▁account ed ▁for ▁in ▁the ▁overall ▁H IV ▁transmission ▁scenario ▁is ▁the ▁r amp ant ▁use ▁of ▁th era pe ut ic ▁in jections , ▁often ▁with ▁non - ster ile ▁injection ▁equipment . ▁There ▁are ▁an ▁estimated ▁ 8 0 0 ▁million ▁th era pe ut ic ▁in jections ▁given ▁ann ually ▁in ▁Pakistan