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“Meth moms are having baby after baby after baby,” she says.(See “Ice, Ice, Baby” for more details about meth moms.) As reports of HIV infections increase in Maricopa County, local health officials say widespread meth use is to blame.

The meth problem in the Valley’s gay community, where most of Arizona’s HIV-positive cases have been reported, has been pervasive for years.

Yet even with more than 40 percent of local HIV patients reporting that they are also meth users — significant because tweakers are much less likely to use protection, HIV-positive or not — there’s been no significant public health campaign in Maricopa County warning of the dangers of having sex while tweaking.

The physician’s statement must include the physician’s license number and be presented within three months of the date it was signed.

In order to update name and gender on an Arizona ID, the applicant must first change their name with the Social Security Administration and then submit (1) a certified copy of the court order for name change and (2) a signed statement from a licensed physician attesting that the applicant is irrevocably committed to the gender-change process.

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