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Often these children are smuggled across the border into San Diego and other nearby areas.

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Prostitution of children is a problem in Tijuana's Zona Norte, both in the form of voluntary acts as well as illegal child trafficking. A National Institutes of Health study estimated that at least 9, women worked in the industry, and that number has almost certainly grown as more women have turned to it to become self-sufficient and provide for their families. That social isolation led a small group of sex workers to band together in an effort to protect themselves and exert some political muscle.