Activists in Uganda are seeing an opportunity to shoot down the country’s controversial HIV Bill that criminalises transmission of the Aids virus and enforces mandatory testing, after President Yoweri Museveni signed a more liberal one proposed by the East African Community. They want Uganda’s parliament to incorporate into law the EAC HIV and Aids Prevention Bill (EAC HIV Bill) that President Museveni signed last week. More than 30 NGOs in Uganda find the national law that is awaiting a second reading in parliament offensive, saying that it could exacerbate the spread of HIV. Laws passed by the East African Legislative Assembly take precedence over national laws. President Museveni can also prevail upon the Ugandan parliament to drop the bill.
US: Activists highlight problematic HIV criminalisation statutes in Georgia, Louisiana and beyond
Robert Suttle met the man through mutual friends. There was no romantic interest at first, but on a New Year’s Eve after a night of partying in Louisiana, the two decided to spend the night together. One thing led to another. Suttle told the man he was HIV positive.
UK: NAT letter to Guardian highlighting that police fears over occupational HIV exposure are unwarranted
A police officer in your article ( All in a night’s work, G2, 27 March) states getting HIV or hepatitis from uncapped needles as his biggest fear. Of all the risks police officers face, some highlighted elsewhere in the article, the risk of HIV infection is by far the lowest.
US: Well-meaning bill to repeal Maryland's HIV-specific criminal law may do more harm than good, advocates warn
A Maryland lawmaker and a handful of local advocates have started the course to repeal the state’s HIV-specific criminal law, and if other states’ efforts are any indication, Maryland’s path will likely be a long and winding one. Maryland Del. Shirley Nathan-Pulliam (D-Baltimore County) decided last week to withdraw a short-lived bill that would have repealed a state law that makes it a misdemeanor crime – punishable by a fine of up to $2,500 and/or three years in prison – for a person who has HIV to “knowingly transfer or attempt to transfer” the virus to another person. Nathan-Pulliam said she withdrew the bill after hearing from HIV advocates who feared a straight repeal of the state law might do more harm than good.
As Kenya and Uganda assent to East African Community's Regional AIDS Law, the lack of an HIV criminalisation statute apparently holds back Tanzania and Burundi
Having a common regional approach to the HIV and Aids pandemic is an important step for the East African Community, as the five member states get ready for closer integration. The increased trade and labour migration that comes with closer economic ties will invariably create situations where large numbers of foreign nationals travel or relocate freely in their territories.
Mich. HIV data collection violates intent of statute, says lawmaker who helped create law
LANSING, MICH. – Michigan’s health department is violating the legislative intent of an HIV-related statute – and maybe the law itself – by indefinitely collecting information on people who test for HIV at federally funded clinics, says a former state lawmaker, who helped pass sweeping health reforms in the wake of the AIDS epidemic.
Canada: Police training and guidelines in criminal HIV non-disclosure cases urgently required
The Canadian HIV/AIDS Legal Network and HIV & AIDS Legal Clinic Ontario (HALCO) have submitted a paper to the Ontario Association of Chiefs of Police Diversity Committee, informed by their extensive experience in working on the issue.
The paper includes concrete recommendations for police that could be addressed in a general Best Practice Manual, and recommend the development of specific guidelines in relation to non-disclosure of HIV (and possibly other sexually transmitted infections), in consultation with people living with HIV and the Ontario Working Group on Criminal Law and HIV Exposure (CLHE), as well as other relevant stakeholders.
The submission states
The Ontario Association of Chiefs of Police should engage in a dialogue with representatives of the community, including the Ontario Working Group on Criminal Law and HIV Exposure(CLHE) in order to develop:
- training for police about HIV transmission and the realities of living with HIV today; and
- guidelines for police handling matters of alleged HIV (and possibly other sexually transmitted infection) non-disclosure.
Indeed, both training and guidance on HIV-related issues are urgently required in the aftermath of last November’s Supreme Court ruling which has created a great deal of confusion regarding the exact circumstances when alleged HIV non-disclosure may be a crime.
As the submission notes
Guidelines can help ensure that complaints are handled in a fair, non-discriminatory and consistent manner across the province; criminal investigations are informed by current medical and scientific knowledge about HIV and the social contexts of living with HIV; criminal investigations do not reinforce societal prejudices, preconceptions, and irrational fears regarding HIV, or undermine public health efforts to prevent the spread of HIV; unnecessary investigations are not pursued; and the rights of people living with HIV and complainants are fully respected and preserved.
Guidance around confidentiality issues are needed now more than ever. Last month, Toronto police issued a press release stating they were looking for a gay man “who failed to notify his partner that he is HIV positive.” The following day, they withdrew the alert “after police probed the case, [because] investigators found that no criminal offence was committed.” Unusually in this case, however, no name or photo was released.
Specific recommendations from HALCO and the Legal Network on this issue state:
Police should consider the negative impacts of publicly disclosing a person’s HIV-positive status given the high level of stigma experienced by people living with HIV. Police must ensure that the privacy of HIV status and other medical information is respected to the greatest extent possible (applies to accused and complainants). Media releases including the name, picture and/or health information of an accused are extremely prejudicial for people living with HIV and should only be published in exceptional circumstances and under strict conditions. Police should be mindful that even where HIV is not specified on a police and/or media release, members of the general public and/or people associated with the accused may easily understand that the accused is HIV-positive because of general awareness of HIV non-disclosure prosecutions in Canada. Detailed guidance should be developed to assist police in making decisions to publish a police and/or a media release, and to assist police with the content of such releases. Guidance should be developed to assist police in communicating to the media and the public about cases involving HIV non-disclosure.
The campaign for police training and guidelines in Ontario runs in parallel with a similar campaign for prosecutorial guidelines. A recent article in Lawyers Weekly highlights how advocates have been pushing for such guidelines for several years, and are hopeful that some movement may now take place
That hope springs from two sources. First, Canadian provinces would not be the first to put such guidelines in place. England, Wales and Scotland already have related prosecutorial requirements. Second, Ontario’s justice ministry had previously indicated a willingness to do this before the recent SCC decisions were handed down.
The full submission can be read below or downloaded here.
The criminalization of HIV non-disclosure: Recommendations for police
Germany: National AIDS Council releases powerful policy statement on HIV criminalisation
The German National AIDS Council – an independent advisory body of the Ministry of Health consisting of experts from the fields of research, medical care, public health services, ethics, law, social sciences, as well as people from the civil society – has produced a consensus statement on HIV criminalisation during consensual sex.
A press release issued yesterday by the Federal Ministry of Health states (unnofficial translation from German)
HIV infection has become a treatable chronic disease. In Germany, life expectancy with appropriate medical care is nearly normal. However, people with HIV still experience limitations, especially in everyday social life. They are often stigmatised and discriminated against in both the workplace and in the home environment. Criminal court judgments and their public perception play in a crucial role in this context.
- The National AIDS Council points out that the following medical factors should be assessed in criminal proceedings: HIV is difficult infection to transmit compared to other sexually transmitted diseases. The transmissibility of HIV is primarily related to viral load. In the first weeks after infection this is particularly high, and can amount to several million viral copies per milliliter of blood. After a few weeks or months, however, the immune system, usually controls the infection. Once viral load drops the body can keep viral load low for months or years before medication needs to be taken. During this time, the risk of infection is much lower than in the early phase of infection. Once the immune system weakens, generally antiretroviral therapy commences. With effective treatment, the viral load falls below the detection limit (viral load less than 50 viral copies / ml blood). If viral replication is permanently suppressed completely, according to current medical knowledge, HIV is not sexually transmitted. The risk reduction of successful antiretroviral therapy is at least comparable to the correct use of condoms. It is assumed that a large proportion of HIV transmission takes place during the early stages of HIV infection, i.e. at a time, when those who are infected are not aware of their infection, because an HIV antibody test can only show infection after a few weeks.
- Against this background, the National AIDS Council emphasises: A criminal examination of HIV exposure or transmission related to consensual sexual intercourse must be consistent with the medical facts. The decision whether or not the criminal liability of onward transmission can be assigned to the person with HIV cannot be made as a matter of routine. In fact, the determining factor are the circumstances of each individual case, especially the legitimate expectations of both sexual partners. In any case, in a short-term, consensual sexual encounter both partners are responsible for the application of protective measures, regardless of the knowledge or the acceptance of one’s own status and the status of the other person. Attributing either partner as perpetrator or victim is not appropriate.
Criminal proceedings regarding the transmission of HIV from consensual sexual intercourse do not contribute to HIV prevention. They can even be counterproductive in terms of the willingness of an individual to take an HIV test and in terms of open communication of sexual partners. In contrast, it is in the interest of the individual and society to increase willingness to take an HIV test.”
The full text of the statement (in German) can be found here.
US: New toolkit for lawyers defending HIV-related prosecutions now available
A new toolkit from the Center for HIV Law and Policy / Positive Justice Project, released earlier this month, provides a wealth of information for lawyers representing people living with HIV who are facing criminal prosecution based on HIV status.
The toolkit includes charts, articles, guidances, case law, legal analysis, scientific data and empirical citations, as well as quick-reference resources and links to longer reference materials.
The toolkit includes the following resources :
- HIV Criminalization Fact Sheet
- Guidance for a Legal Advocate Representing an HIV-Positive Client in a Criminal Exposure Case
- Guidance for People Living with HIV Who Are Threatened with, or Are Facing, Criminal Prosecution for HIV Nondisclosure or Exposure
- Case Law Index
- Legal Drafting Resources (featuring sample amicus briefs)
- Secondary Resources
- Sample Medical Expert Affidavit on HIV Transmission
- Chart: Comparative Sentencing on HIV Criminalization in the United States
- Chart: HIV, STIs and Relative Risks in the United States
- Chart: HIV and Chronic Disease in the United States
Although created primarily as a resource for lawyers, other advocates, as well as people living with HIV in the United States, are likely to find the toolkit useful.
Download ‘Ending and Defending Against HIV Criminalization: A Manual For Advocates Volume 2: A Legal Toolkit: Resources for Attorneys Handling HIV-Related Prosecutions’ from the Center for HIV Law and Policy here.
Visual AIDS Blog reports on New York screening of two powerful anti-criminalisation documentaries
A vivacious roar of 200 voices from around the world could be heard spilling out of the SVA theater last night on West 23 rd Street. Representatives from the ICW: International Community of Women living with HIV (in town for UN meetings), people from the neighborhood, and others from across the 5 boroughs, gathered to watch HIV IS NOT A CRIME and POSITIVE WOMEN: EXPOSING INJUSTICE.