Yes, indeed. I would not disagree with those assertions.

I just still wonder why you cannot sign up to the unabridged views and recommendations of all the experts.

"as no one knowingly at risk would be likely to refuse

That is the most important issue here. People are in denial, people do refuse. Because they don't self-identify as being at risk because they fear prejudice and judgement. Both for *being* at risk and then for *being* HIV+.

So some prefer to live in ignorance and hope for the best.

Everyone has the same tendency. Example: the mass-media campaigns to get folks to face up to the other STI's.

If there were less stigma, less fear, more understanding and acceptance of lifestyles and of HIV status, then the epidemic can be managed better. It is the same message for Africa, America, Germany, UK...

Any attitudes or social pressures that keep people underground or on the margins, makes them hard to reach and keeps them from taking the support and treatment they need.

Do you understand that? It is the expert view, not just something that Liberal Royston dreamed up. Prejudice and stigma is killing people. Not just in Africa, in Europe as well. Those statements by the EU and UNAIDS and other bodies are not aimed at any one country or demographic, they are universal statements.