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But in Tanzania, people fear the crackdown could be worse.

“This is not the era of Hillary Clinton running State, where she could come in heavy-headed to Uganda,” said Sean Maher, a senior HIV adviser at the Boston-based public health consultant John Snow, Inc., who has done work in Tanzania.

Abdallah wondered whether something bigger, something scarier, was happening.

On Monday, they were taken to Zanzibar’s Mnazi Mmoja public hospital — where a doctor told them to crouch on top of a narrow examination bed and raise their buttocks — and forced to go through anal exams.

Khamis said the exam lasted for about three minutes, and it felt like he had “gone somewhere and gotten raped.”The doctor performed the exam, and a police officer supervised.