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Recent studies have brought to light a series of interacting and complex relationships, many with negative feedback loops, between HIV/AIDS and the environment. A comprehensive examination of these relationships and analyses of the quality and breadth of the evidence are lacking. This publication intends to fill this gap by reviewing the published literature regarding the potential links between HIV/AIDS and the environment to assess the evidence for these connections and to provide guidance for possible next steps in addressing them through basic or operations research and intervention.