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There are also situational users, which are users who do not actively seek out children but for whom the actual act is opportunistic; there may be a lack of concern to check the age of a prostitute before engaging in sexual activity.Pedophiles use the Internet to plan their trips by seeking out and trading information about opportunities for child sex tourism and where the most vulnerable children can be found, generally in areas of low income.Seven girls sit on stools in the back corner, smoking cigarettes and looking bored.Six more are off the to the left, just beyond the casino, in the lobby of the Hotel Del Rey. Not much to choose from this early—not for them, not for the men.Although pedophiles are popularly associated with child sex tourism, they are not the majority of users.There are preferential abusers who prefer children because they perceive the risk of sexually transmitted infections to be lower.Child sex tourism results in both mental and physical consequences for the exploited children, which may include sexually transmitted infections (including HIV/AIDS), "drug addiction, pregnancy, malnutrition, social ostracism, and possibly death", according to the State Department of the United States.Child sex tourism, part of the multibillion-dollar global sex tourism industry, is a form of child prostitution within the wider issue of commercial sexual exploitation of children.

It’s “very dangerous because you’ve got to go home with that fresh wound. Neighbors sometimes report suspicious activity and the authorities investigate. When they find out who the doctor is, they question everyone, everyone who got implants, and they imprison the doctor.” In 2012, the BBC reported that the director of a Havana hospital and dozens of employees had been arrested for providing breast implants, liposuction and other procedures after hours. “In any other country in the world, if I wanted electrolysis to get rid of the hair on the face, my arms, my underarms, I would have done it. She credits Mariela Castro, daughter of Cuban President Raul Castro and head of Cuba’s National Center for Sex Education.It’s late, and he’s drinking gin.“Now look at the guys.“ Another sweep with the glass. “Guys like them, to get a girl like one of these in the States, they’ve gotta have three things. “All these guys,“ he says, “they’ve probably got one of those things. But I guarantee you, none of them have all three.“When you’re not drunk and the place is almost empty, this is what it looks like: There are tables just inside the door to the right, three rows of them between the windows fronting the street and the wooden rail that keeps people from tumbling off the raised platform that holds the main bar, which is huge, two peninsulas poking out in the shape of an upside-down U.There are TVs bolted to the walls and tuned to sports channels, because this is ostensibly a sports bar, and there are fish—stuffed fish, carved fish, and sculpted fish—mounted above the liquor shelves and dangling from the ceiling, because the “World Famous“ Blue Marlin is also ostensibly a fisherman’s bar, even though it’s hours away from any place where you might actually catch a fish.Her concrete block home sits along an unpaved road near the bottom of a hill.“It will take me more than an hour to get home,” she says. She spots a friend with a bottle of rum, grabs it from his hands and takes a few swigs. Waves ripple along the Malecón, Havana’s famed seawall, just 400 feet away. “She looks divine.” Castro says she’d love to have a pair of breast implants herself, but the operation can be risky.

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