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In clinical care, anal examinations are routinely preformed for specific indications and to answer carefully formulated diagnostic questions. This controversial decision and the larger ongoing government crackdown on lesbian, gay, bisexual, and transgender LGBT communities in Tanzania have garnered the attention of public health officials and international journalists, who have expressed concerns about their health ramifications and associated human rights violations [ 2 — 4 ].

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Due to the possibility of coercion, individual physicians may face challenges resisting requests to perform such procedures, although they are abusive, medically unindicated, and yield no helpful information.

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