The National AIDS Programme (NAP) in the Bahamas has had some success at lowering the number of AIDS cases, but HIV prevention efforts have not been as effective, The Tribune reports.

According to the article, 57 more people were added to the list of those living with HIV on the island nation during January to April 2009.

Perry Gomez, MD, NAP’s director, said that stigma and discrimination are responsible for keeping people from care.

Currently, 7,400 people are known to be living with the virus in the Bahamas, but the actual number is likely higher because of those who are unaware of their status.