Miami in 2016 was in first place on the list that ranks U.S. cities by new HIV diagnoses. And three other cities in Florida were also on the list. Florida also has more cases of AIDS than any state. The problem is complex, and it differs in the cities and rural areas. Miami has a terrifically diverse community with many immigrants from other countries that cannot be reached with a one-size-fits-all message or outreach efforts. Rural Florida is in the heart of the conservative Bible Belt in the deep South, which is famously homophobic and looks askance at sexual education. New efforts are underway to try to improve the situation in Florida by squarely looking its shortcomings in the eye and confronting them one by one.

中文翻译：

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阳光之州的乌云

2016 年，迈阿密在新的艾滋病毒诊断美国城市排名中名列第一。佛罗里达州的另外三个城市也在名单上。佛罗里达州的艾滋病病例也比任何州都多。问题复杂，城市和农村不同。迈阿密有一个极其多样化的社区，其中有许多来自其他国家的移民，而这些国家的移民无法通过一刀切的信息或外展工作联系到。佛罗里达州农村位于南部偏远地区保守的圣经地带的中心地带，该地带以仇视同性恋而闻名，对性教育持怀疑态度。新的努力正在进行中，试图通过正视它的缺点并一一面对它们来改善佛罗里达的情况。