Mexico: Bill proposes new HIV/STI prevention law in Chihuahua and Criminal Code reform

Proposed Law on Prevention and Care of HIV/AIDS and Sexually Transmitted Infections

Translated with Deepl.com; Scroll down for original article in Spanish.

Congresswoman Argüelles presented a legislative proposal to Congress.

Given the need to raise awareness and treat these diseases in a comprehensive way in the entity, the deputy for Morena, Jael Argüelles Díaz, presented to the State Congress the proposal for the issuance of the Law on Prevention and Care of HIV / AIDS and Sexually Transmitted Infections for the State of Chihuahua.

This law is projected to contemplate at least five chapters through which the objectives are established, the instances that will be involved and the formation of the State Council in order to follow it up.

The purposes included by the deputy in the drafting of this law include the establishment of the principles and criteria that guide public policies in the field of prevention and comprehensive care of HIV/AIDS and other STIs in the state.

It also seeks to establish the necessary conditions for the implementation of strategies on prevention and care for people affected by sexually transmitted infections.

In the same way, he proposed that the Criminal Code of the State eliminate the crime of “danger of contagion” that is established in relation to people who suffer from any of these diseases mentioned.

“Putting an end to AIDS means reaching all those affected by HIV, especially vulnerable populations,” emphasized the legislator in her explanatory statement, who regretted that to date millions of people continue to be left behind, especially those belonging to vulnerable groups.

He recalled in turn that infection with the human immunodeficiency virus (HIV) is a viral disorder that progressively destroys certain white blood cells and is treated with antiretroviral drugs. If not treated, it can cause acquired immunodeficiency syndrome (AIDS) that is no more than terminal stage HIV.

“Prejudices, stigmas and ignorance continue to play a very important role in our society and this has caused that, today, at the time of diagnosis, between 35 and 40 percent of people living with HIV are already in the AIDS stage,” he said, raising aware of the urgency of implementing prevention actions.


Proponen Ley de Prevención y Atención al VIH/SIDA e Infecciones de Transmisión Sexual

La diputada Argüelles presentó una propuesta legislativa ante el Congreso

Ante la necesidad de concientizar y atender estas enfermedades de una manera integral en la entidad, la diputada por Morena, Jael Argüelles Díaz, presentó ante el Congreso del Estado la propuesta para la expedición de la Ley de Prevención y Atención del VIH/SIDA e Infecciones de Transmisión Sexualpara el Estado de Chihuahua.

Esta ley se proyecta que contemple al menos cinco capítulos a través de los cuales se establecen los objetivos, las instancias que estarán involucradas y la conformación del Consejo Estatal a fin de darle seguimiento.

Dentro de los propósitos que incluye la diputada en la redacción de esta ley se incluyen el establecer los principios y criterios que orienten las políticas públicas en materia de prevención y atención integral del VIH/SIDA y otras ITS en el estado.

También se busca establecer las condiciones necesarias para la implementación de estrategias en materia de prevención y atención a las personas afectadas por las infecciones de transmisión sexual.

De la misma manera, propuso que se elimine el Código Penal del Estado el delito de “peligro de contagio” que se establece con relación a las personas que padecen alguna de estas enfermedades mencionadas.

“Poner fin al SIDA significa llegar a todos los afectados por el VIH, especialmente poblaciones en situación de vulnerabilidad”, enfatizó en su exposición de motivos la legisladora quien lamentó que a la fecha se siga dejando a millones de personas atrás, especialmente a las que pertenecen a grupos vulnerables.

Recordó a su vez que la infección por el virus de la inmunodeficiencia humana (VIH) es un trastorno vírico que, progresivamente, destruye ciertos glóbulos blancos y se trata con medicamentos, antirretrovirales. De no tratarse, puede causar síndrome de inmunodeficiencia adquirida (SIDA) que no es más que el VIH en fase terminal.

“Los prejuicios, los estigmas y la ignorancia siguen jugando un papel muy importante en nuestra sociedad y ello ha provocado que, hoy por hoy, al momento del diagnóstico, entre 35 y 40 por ciento de las personas viviendo con VIH ya están en la etapa de SIDA”, externó al concientizar sobre la urgencia de implementar acciones de prevención.

Poland: Health Ministry advocates revising HIV exposure laws to align with modern science

The Ministry of Health wants to remove HIV from the law. It’s about exposure to infectious diseases

Translated with Google translate. For original article in Polish please scroll down

The Ministry of Health wants to change the regulation on exposure to HIV infection. Instead, there would be a general term for infectious diseases. The Ministry of Health turned to the Ministry of Justice in this matter.

The Ministry of Justice is analyzing the proposal, but is currently not working on such a change in the Criminal Code – according to the Polish Press Agency.

Currently art. 161 of the Criminal Code reads: “Anyone who, knowing that he is infected with HIV or is affected by a venereal or infectious disease, a serious incurable disease or a real life-threatening disease, directly exposes another person to infection with this virus or such a disease, is subject to imprisonment from 3 months to 5 years”.

Anna Marzec-Bogusławska, head of the National Center for AIDS, believes that the article should be modified.

There is no reason for HIV infections to be the only ones isolated in this article – it is stigmatizing and harmful. It is enough for them to be subject to general regulation, which speaks of conscious exposure to infection with an infectious disease. The fight against the stigmatization of infected people is a priority for many programs to support people with HIV, also in the international forum – she said at the beginning of December. As she explained, these recommendations were sent to the Ministry of Justice.

It is also about reducing the penalty

The Ministry of Health’s proposal in this matter was sent to the Criminal Law Codification Commission under the Minister of Justice in February this year. It contains a proposal to mitigate the sentence and adapt it to current medical knowledge in the field of HIV/AIDS and legal knowledge.

The Ministry of Health proposed a new content of art. 161: “Whoever, knowing that he is affected by a venereal or infectious disease, a serious incurable disease or a real life-threatening disease, directly exposes another person to infection with this virus or such a disease, is subject to imprisonment from 3 months to 3 years”

This means that in addition to deleting the name of the HIV virus from the provision, the ministry also wants the maximum penalty to be reduced to its original version, i.e. the departure from five in favor of three years. So much was predicted in the 1990s. In the 1960s, when the regulation came into force.

The Ministry of Health explained that initially, with a much lower state of medical knowledge, the maximum penalty was still lower than the current one. “At the same time, medical knowledge, the availability of infection prevention measures, the general public’s knowledge of HIV/AIDS and ways to prevent infection, and the availability, quality and effectiveness of antiretroviral treatment at the end of the 20th century are now incomparable” – it said in a letter to the Ministry of Justice.

“Medical knowledge has changed”

The Ministry proposed to reduce the sentence to five years in the third paragraph of the same article, which currently provides for – in the case of exposure to infection of many people – imprisonment from one to 10 years.

In the justification addressed to the Criminal Law Codification Commission at the Minister of Justice, the Ministry of Health described the changes that have occurred over the years in the treatment possibilities of people infected with the HIV virus.

“There is no doubt that the intentional and effective transmission of HIV to a person in order to destroy his health is a criminal activity. However, cases of intentional and conscious transmission of the virus are extremely rare, as are cases of negligence on the part of health care workers” – it was emphasized.

The document indicates police statistics: the number of crimes found exposure to HIV, infectious or venereal disease (Article 161 para. 1-2) in the years 1999-2020 never exceeded 20 per year, and on average it amounted to 13.

Western Europe model

“Such acts may be prosecuted on the basis of other, general provisions of law, which makes it unnecessary to maintain existing or create additional regulations concerning HIV only,” the Ministry of Law noted in the letter. It was added that modern treatment options for people with HIV give a 96 percent reduction in the risk of infection transmission, and thus treatment allows you to break the epidemiological chain of new infections, improving the safety of the entire population.

According to the HIV Justice Network, an NGO, HIV criminal laws now mention HIV in 75 countries, in three parts of the world: the United States, Eastern Europe/Central Asia and sub-Saharan Africa.

“In the European Union, only a few Member States have introduced legislation specifically on HIV exposure or transmission. Denmark, which was the only country in Western Europe to introduce criminal records in 2001, suspended them 10 years later. Romania and Latvia have also adopted criminal laws on HIV, but the criminalisation rates are at a very low level,” the Ministry of Health said.

Ministry of Justice: we are considering, we are not working on changes

The Codification Commission of Criminal Law under the Minister of Justice issued an opinion on the application of the Ministry of Health. It contains a number of doubts about the proposal, including the lack of consistency. At the same time, however, it was stated that the postulate that the provision should no longer contain the term “HIV virus” – but provided that the current scope of criminalization was maintained – is “undoubtedly worthy of consideration”.

When asked about a possible change in the regulation, the Ministry of Justice replied that “the office does not carry out such work”.

“Nevertheless, on the basis of the demands of the National Center for AIDS, there is an exchange of correspondence and opinions between the Minister of Justice and the Minister of Health, which concerns possible changes to Article 161 paragraph 1 and 3 of the Criminal Code. Only after the completion of these findings will it be possible to determine whether in the described by the National Center for AIDS in the field, the provision will be changed” – added the Press Department of the MS.

HIV and AIDS in Poland and in the world

The first case of HIV infection in Poland was detected in 1985. From that time until the end of 2023, less than 33,000 infections were reported, more than 4 thousand people fell ill with AIDS, 1496 patients died. In 2023, almost 40 million people lived with HIV in the world. 1.3 million new people were banned from the virus, and 630,000 died from AIDS-related diseases.

In 2023, a record number of HIV infections were detected in Poland – 2879. This is more than twice as much as the annual data of a decade ago. According to the National Institute of Public Health, 322 people were banned in Poland in 2023 as a result of homosexual contacts, and 214 people – as a result of heterosexual contacts. In addition, 36 reported infection by taking drugs by injection, and 25 – through vertical infections, i.e. mother-child. Most people who were diagnosed with HIV infection were in the “no data on the source of infection” group.

Currently, thanks to the advancement of medicine, if a person living with HIV regularly takes antiretroviral drugs and has undetectable viremia (a condition defined as the presence of viruses that can multiply in the blood) for half a year, it is non-infectious to sexual partners according to the principle of “n=n”, or “undetectable=non-infectable”.

HIV is the human immunodeficiency virus. The infection can be asymptomatic for many years, which makes diagnosis very difficult. For up to 8-10 years, it may not give any symptoms, but during this time the virus constantly multiplies and destroys the immunity of an infected person. It can cause acquired immunodeficiency syndrome – AIDS.


Ministerstwo Zdrowia chce wykreślić HIV z ustawy. Chodzi o narażenie na choroby zakaźne

Ministerstwo Zdrowia chce zmiany przepisu o narażeniu na zakażenie HIV. Zamiast tego miałoby się pojawić ogólne określenie dotyczące chorób zakaźnych. Resort zdrowia zwrócił się w tej sprawie do Ministerstwa Sprawiedliwości.

Ministerstwo Sprawiedliwości analizuje propozycję, jednak obecnie nie pracuje nad taką zmianą w Kodeksie karnym – podaje Polska Agencja Prasowa.

Obecnie art. 161 Kodeksu karnego brzmi: “Kto, wiedząc, że jest zarażony wirusem HIV lub dotknięty chorobą weneryczną lub zakaźną, ciężką chorobą nieuleczalną lub realnie zagrażającą życiu, naraża bezpośrednio inną osobę na zarażenie tym wirusem lub taką chorobą, podlega karze pozbawienia wolności od 3 miesięcy do lat 5″.

Anna Marzec-Bogusławska, szefowa Krajowego Centrum ds. AIDS, uważa, że przepis powinien zostać zmodyfikowany.

– Nie ma podstaw, żeby zakażenia HIV, jako jedyne, były wyodrębnione w tym artykule – jest to stygmatyzujące i krzywdzące. Wystarczy, by podlegały one pod ogólną regulację mówiącą o świadomym narażeniu na zakażenie chorobą zakaźną. Walka ze stygmatyzacją osób zakażonych jest priorytetem wielu programów wspierania osób z HIV, także na forum międzynarodowym – mówiła na początku grudnia. Jak wyjaśniła, rekomendacje te zostały przesłane do Ministerstwa Sprawiedliwości.

Chodzi też o zmniejszenie kary

Wniosek resortu zdrowia w tej sprawie już w lutym br. został skierowany do Komisji Kodyfikacyjnej Prawa Karnego przy Ministrze Sprawiedliwości. Zawarto w nim propozycję złagodzenia wymiaru kary i jej dostosowania do aktualnej wiedzy medycznej w zakresie HIV/AIDS oraz wiedzy prawnej.

MZ zaproponowało nową treść art. 161: “Kto, wiedząc, że jest dotknięty chorobą weneryczną lub zakaźną, ciężką chorobą nieuleczalną lub realnie zagrażającą życiu, naraża bezpośrednio inną osobę na zarażenie tym wirusem lub taką chorobą, podlega karze pozbawienia wolności od 3 miesięcy do lat 3”.

Oznacza to, że poza wykreśleniem z przepisu nazwy wirusa HIV, ministerstwo chce też, aby złagodzono maksymalny wymiar kary do jego pierwotnej wersji, czyli odejścia od pięciu na rzecz trzech lat. Tyle przewidywano w latach 90. XX wieku, kiedy przepis wchodził w życie.

Resort zdrowia wyjaśnił, że początkowo, przy znacznie niższym stanie wiedzy medycznej, maksymalny wymiar kary i tak był niższy, niż obecny. “Przy czym wiedza medyczna, dostępność środków zapobiegających zakażeniom, wiedza ogółu społeczeństwa o HIV/AIDS i sposobach zapobiegania zakażeniu oraz dostępność, jakość i skuteczność leczenia antyretrowirusowego końca XX w. i obecnie są nieporównywalne” – podkreślono w piśmie do Ministerstwa Sprawiedliwości.

“Zmieniła się wiedza medyczna”

MZ zaproponowało również, by złagodzić do pięciu lat karę w paragrafie trzecim tego samego artykułu, która obecnie przewiduje – w przypadku narażenia na zakażenie wielu osób – pozbawienie wolności od roku do 10 lat.

W uzasadnieniu skierowanym do Komisji Kodyfikacyjnej Prawa Karnego przy Ministrze Sprawiedliwości resort zdrowia opisał zmiany, jakie zaszły na przestrzeni lat w możliwościach leczenia osób zakażonych wirusem HIV.

“Nie ulega wątpliwości, że celowa i skuteczna transmisja HIV na osobę w celu zniszczenia jej zdrowia stanowi działanie o charakterze przestępczym. Jednakże, przypadki celowej i świadomej transmisji wirusa są niezwykle rzadkie, podobnie jak przypadki zaniedbań ze strony pracowników ochrony zdrowia” – podkreślono.

W dokumencie wskazano na statystyki policji: liczba stwierdzonych przestępstw narażenia na chorobę wywołaną wirusem HIV, zakaźną lub weneryczną (art. 161 par. 1-2) w latach 1999-2020 nigdy nie przekroczyła 20 rocznie, a średnio wyniosła 13.

Europa Zachodnia wzorem

“Tego rodzaju czyny mogą być ścigane na podstawie innych, ogólnych przepisów prawa, co powoduje, że zbędne staje się zachowanie istniejących lub tworzenie dodatkowych przepisów dotyczących wyłącznie HIV” – zaznaczono w piśmie MZ. Dodano, że współczesne możliwości leczenia osób z HIV dają 96 proc. redukcję ryzyka transmisji zakażenia, a tym samym leczenie pozwala na przerwanie łańcucha epidemiologicznego nowych zakażeń, poprawiając bezpieczeństwo całej populacji.

Według danych organizacji pozarządowej HIV Justice Network, obecnie przepisy karne wspominają o HIV w 75 krajach, w trzech częściach świata: Stanach Zjednoczonych, Europie Wschodniej/Azji Środkowej i Afryce Subsaharyjskiej.

“W Unii Europejskiej jedynie kilka państw członkowskich wprowadziło zapisy prawne konkretnie dotyczące narażenia na lub transmisji HIV. Dania, która w 2001 r. wprowadziła jako jedyny kraj w Europie Zachodniej zapisy karne, zawiesiła je już 10 lat później. Rumunia i Łotwa również przyjęły przepisy karne dotyczące HIV, jednakże wskaźniki kryminalizacji kształtują się na bardzo niskim poziomie” – zwrócił uwagę resort zdrowia.

Ministerstwo Sprawiedliwości: rozważamy, nie pracujemy nad zmianami

Komisja Kodyfikacyjna Prawa Karnego przy Ministrze Sprawiedliwości wydała opinię na temat wniosku Ministerstwa Zdrowia. Zawarto w niej szereg wątpliwości dotyczących propozycji, m.in. co do braku spójności. Jednocześnie jednak stwierdzono, że postulat, by przepis nie zawierał już określenia “wirus HIV” – ale pod warunkiem zachowania dotychczasowego zakresu kryminalizacji – jest “niewątpliwie godny rozważenia”.

Na pytanie o ewentualną zmianę przepisu, Ministerstwo Sprawiedliwości odpowiedziało, że “resort nie prowadzi takich prac”.

“Niemniej, na kanwie postulatów Krajowego Centrum ds. AIDS, pomiędzy Ministrem Sprawiedliwości, a Ministrem Zdrowia trwa wymiana korespondencji i opinii, która dotyczy właśnie ewentualnych zmian w art. 161 par. 1 i 3 k.k. Dopiero po zakończeniu tych ustaleń będzie możliwe stwierdzenie, czy w opisywanym przez Krajowe Centrum ds. AIDS zakresie, przepis będzie zmieniany” – dodał Wydział Prasowy MS.

HIV i AIDS w Polsce i na świecie

Pierwszy przypadek zakażenia wirusem HIV w Polsce wykryto w 1985 roku. Od tamtego czasu do końca 2023 r. odnotowano niespełna 33 tys. zakażeń, ponad 4 tys. osób zachorowało na AIDS, 1496 chorych zmarło. Na świecie – w 2023 r. żyło z HIV prawie 40 mln osób. Wirusem zakaziło się 1,3 mln nowych osób, a 630 tys. zmarło na choroby związane z AIDS.

W 2023 r. w Polsce wykryto rekordowo dużo zakażeń HIV – 2879. To ponad dwukrotnie więcej niż dane roczne sprzed dekady. Według Narodowego Instytutu Zdrowia Publicznego 322 osoby zakaziły się w Polsce w 2023 r. w wyniku kontaktów homoseksualnych, a 214 osób – w wyniku kontaktów heteroseksualnych. Dodatkowo 36 zgłosiło zakażenie poprzez przyjmowanie narkotyków w iniekcjach, a 25 – poprzez zakażenia wertykalne, czyli matka-dziecko. Większość osób, u których wykryto zakażenie HIV, znalazła się w grupie “brak danych o źródle zakażenia”.

Obecnie, dzięki postępowi medycyny, jeśli osoba żyjąca z HIV przyjmuje regularnie leki antyretrowirusowe i przez pół roku ma niewykrywalną wiremię (stan definiowany jako obecność we krwi mogących się namnażać wirusów) jest niezakaźna dla partnerów seksualnych zgodnie z zasadą “n=n”, czyli “niewykrywalny=niezakażający”.

HIV to ludzki wirus upośledzenia odporności (ang. human immunodeficiency virus). Zakażenie może przez wiele lat przebiegać bezobjawowo, co bardzo utrudnia diagnozę. Przez nawet 8-10 lat może nie dawać żadnych symptomów, jednak w tym czasie wirus cały czas namnaża się i niszczy odporność zakażonej osoby. Może wywołać zespół nabytego upośledzenia odporności – AIDS.

 

 

Senegal: “The application of criminal law is an injustice against people living with HIV”

A magistrate laments the ‘unfair’ criminalisation of HIV transmission

Translated from French with Deepl.com. Scroll down for the original article.

The deputy director of human rights, Babacar Diouf, deems it unfair to criminalise the transmission of HIV-AIDS, except in cases of intentional transmission.

‘The application of criminal law is an injustice against people living with HIV, unless a person deliberately decides to infect another person’, said the magistrate.

He was hosting a conference on the theme of ‘Following the path of rights to eliminate AIDS in Senegal’, an event organised on Wednesday as part of the celebration of World AIDS Day by the National AIDS Council.

According to the deputy director of human rights at the Ministry of Justice, the right to health in Senegal is not subject to judicial review. ‘What’s not working is criminalisation. This is an obstacle to the fight against AIDS’, he maintained.

‘The criminalisation of HIV is detrimental to rights. It is unfair when it targets a person who cannot disclose his or her status’, he argued.

‘We need to be aware that proclaimed rights that are not effective are of no use’, he said, pointing out that “the law on AIDS is unknown to some judicial actors”.

‘The lack of information among the judiciary is a hindrance to the fight against AIDS. They have no information about certain health data’, he said.

With this in mind, Babacar Diouf called on the National AIDS Council to ‘equip the judiciary’ so that they can play a greater role in the fight against AIDS.

He believes it is imperative to combat stigmatisation and discrimination.

Samba Cor Sarr, Director of Cabinet at the Ministry of Health and Social Action, pointed out that the theme of World AIDS Day, ‘Following the path of rights to eliminate AIDS in Senegal’, revived the issue of human rights in the fight against HIV.

‘The path of the fight against AIDS is strewn with rights-related issues: the right to health, the right to access to care and treatment, the right to a favourable environment, the right to a fairer, more equitable world’, listed the representative of the Minister of Health.

He also spoke of ‘the right to life, to a positive life for all those directly or indirectly affected by HIV’.

He also emphasised that Senegal, like other countries, still faces ‘significant challenges in the fight against HIV/AIDS’, including strengthening the fight against HIV at community level.

These challenges include stepping up the fight against HIV at community level. These challenges include stepping up care for children living with HIV, engaging young people and combating stigma and discrimination. Samba Cor Sarr also cited the fight against inequalities in access to care and the strengthening of support mechanisms.

In the Senegalese context, he added, this year’s theme ‘takes on its full meaning insofar as it enables a more specific and tailored response to the needs of communities affected by HIV/AIDS in order to reduce stigma and discrimination’.


Un magistrat déplore la pénalisation de la transmission du Sida, « une injustice »

Dakar, 12 déc (APS) – Le directeur adjoint des droits humains, Babacar Diouf, juge injuste la pénalisation de la transmission du VIH Sida, sauf dans les cas de contamination intentionnelle.

« L’application du droit pénal est une injustice contre les personnes vivant avec le VIH, sauf si une personne décide délibérément de contaminer une autre personne », a déclaré le magistrat.

Il animait une conférence sur le thème « Suivre le chemin des droits pour l’élimination du Sida au Sénégal », une activité organisée mercredi dans le cadre de la célébration de la Journée mondiale de lutte contre le Sida par le Conseil national de lutte contre le Sida.

Selon le directeur adjoint des droits humains au ministère de la Justice, le droit de la santé n’est pas judiciarisé au Sénégal. « Ce qui ne va pas, c’est la pénalisation. Il s’agit d’un obstacle à la lutte contre le Sida », a-t-il soutenu.

« La pénalisation du VIH nuit au droit. Elle est injuste lorsqu’elle vise une personne qui ne peut pas dévoiler son statut », a-t-il argumenté.

« Nous devons savoir que des droits proclamés qui ne sont pas effectifs n’ont pas d’utilité », a-t-il dit, en faisant observer que « la loi sur le Sida est inconnue de certains acteurs judiciaires ».

« Le manque d’information des acteurs judiciaires est un frein à la lutte. Les acteurs n’ont pas d’information sur certaines données sanitaires », a-t-il indiqué.

Dans ce sens, Babacar Diouf invite le Conseil national de lutte contre le Sida à « outiller les acteurs judiciaires », afin qu’ils puissent mieux participer à la lutte contre le Sida.

Il juge impératif de lutter contre la stigmatisation et la discrimination.

Samba Cor Sarr, directeur de cabinet du ministère de la Santé et de l’Action sociale, a pour sa part relevé que le thème consacré à la Journée mondiale de lutte contre le Sida, à savoir « Suivre le chemin des droits pour l’élimination du Sida au Sénégal », fait renaitre la question des droits humains dans la lutte contre le VIH.

« Le chemin de la lutte contre le Sida est parsemé de problématiques liées aux droits : droit à la santé, droit à l’accès aux soins et aux traitements, droit à un environnement favorable, droit à un monde plus juste, plus équitable », a énuméré le représentant du ministre de la Santé.

Il a également évoqué « le droit à la vie, à une vie positive pour toutes les personnes touchées directement ou indirectement par le VIH ».

Il a par ailleurs souligné que le Sénégal, à l’instar des autres pays, demeure « confronté à des défis significatifs dans la lutte contre le VIH/Sida », parmi lesquels le renforcement de la lutte contre le VIH au niveau communautaire.

Le renforcement de la prise en charge des enfants vivant avec le VIH fait partie de ces défis, de même que l’engagement de la jeunesse, la lutte contre la stigmatisation et la discrimination. Samba Cor Sarr a également cité la lutte contre les inégalités en matière d’accès aux soins et le renforcement des mécanismes de soutien.

Dans le contexte sénégalais, ajoute-t-il, le thème retenu cette année « prend tout son sens dans la mesure où il permet une réponse plus spécifique et plus adaptée aux besoins des communautés touchées par le VIH/Sida afin de réduire la stigmatisation et la discrimination »

Mexico: Legislator proposes repeal of HIV criminalisation statute in State of Mexico

They ask to avoid criminalization of people with HIV/AIDS in a legal framework

Translated from Spanish with Deepl.com. Scroll down for original article. 

On behalf of the civil association Fuera del Clóset, in the Mexican Congress, Deputy Luisa Esmeralda Navarro Hernández proposed repealing the rules of the state Criminal Code that are discriminatory and violating the human rights of those living with the human immunodeficiency virus (HIV) or diagnosed with acquired immunodeficiency syndrome (AIDS).

In a deliberative session, accompanied by legislators wearing T-shirts with the message “Undetectable = Untransmissible,” Luisa Esmeralda Navarro assured that currently this regulatory framework criminalizes people with incurable diseases, in articles that presuppose their guilt in cases equivalent to crimes of homicide and aggravated injuries.

In the presence of activists, she explained that the legislation, for example, provides for the punishment as homicide of “whoever knowing that they suffer from a serious, incurable and deadly disease, infects another or causes death.”

In addition to considering as aggravating factors of the crime of injury, with penalties of two to eight years in prison and a fine of 120 to 250 days, when “incurable disease” occurs, in a category equivalent to other consequences, such as mental alienation, permanent loss of a member or any organic function or a permanent incapacity to work.

The State Penal Code also contains a chapter called “Danger of Contagion”, which states that, anyone who knowing that they suffers from a serious illness during an infectious period, puts another in danger of contagion, by any means of transmission, will be subject to a penalty of six months to two years in prison and a fine of 30 to 60 days.

According to the citizen initiative, this presupposes the obligation of a person accused of having transmitted a disease or virus to another, in this case HIV, to carry out a clinical analysis and expose their state of health, which implies a violation of their privacy, placing them in a risk situation in their family, friendship, work, educational and social spaces, which, added to the aforementioned article, implies “a serious risk for people with HIV/AIDS”, in terms of their physical, emotional, psychological and economic integrity.

Additionally, the document states, the result of these accusations can be maximized and become dangerous situations for this sector of the population, when they are combined with the ignorance of the authorities in charge of the procurement and administration of justice.

For this reason, it is proposed to eliminate from Fraction V of Article 238 the aggravating circumstance related to “when injuries produce incurable disease”; repeal the second paragraph of article 241 which establishes that the knowing contagion of the disease will be sanctioned as homicide; as well as article 252 referring to the “danger of contagion”.

The deputy recognised the work of the civil association Fuera del Clóset for the promotion of initiatives to combat discrimination.


Piden evitar criminalización de personas con VIH/SIDA en marco legal

A nombre de la asociación civil Fuera del Clóset, en el Congreso mexiquense, le diputade Luisa Esmeralda Navarro Hernández (morena) planteó derogar las normas del Código Penal estatal que resultan discriminatorias y violatorias de los derechos humanos de quienes viven con el virus de inmunodeficiencia humana (VIH) o con diagnóstico de síndrome de inmunodeficiencia adquirida (SIDA).

En sesión deliberante, acompañada por legisladoras y legisladores portando playeras con el mensaje “Indetectable = Intransmisible”, Luisa Esmeralda Navarro aseguró que actualmente este marco normativo criminaliza a personas con enfermedades incurables, en artículos que presuponen su culpabilidad en casos equivalentes a delitos de homicidio y lesiones agravadas.

En presencia de activistas, explicó que la legislación, por ejemplo, prevé sancionar como homicidio a “quien a sabiendas de que padece una enfermedad grave, incurable y mortal, contagie a otro o le cause la muerte”.

Además de que considera como agravantes del delito de lesiones, con penas de dos a ocho años de prisión y de 120 a 250 días multa, cuando se produzca “enfermedad incurable”, en una categoría equivalente a otras consecuencias, como la enajenación mental, pérdida definitiva de algún miembro o de cualquier función orgánica o una incapacidad permanente para trabajar.

El Código Penal estatal también contiene un capítulo denominado “Peligro de Contagio”, el cual señala que, a quien sabiendo que padece una enfermedad grave en período infectante, ponga en peligro de contagio a otro, por cualquier medio de transmisión, se le aplicará una pena de seis meses a dos años de prisión y de 30 a 60 días multa.

De acuerdo con la iniciativa ciudadana, esto presupone la obligación de una persona acusada de haber transmitido una enfermedad o virus a otra, en este caso VIH, a realizarse un análisis clínico y exponer su estado de salud, lo que implica una violación a su privacidad, colocándole en una situación de riesgo en sus espacios familiares, de amistad, laborales, educativos y sociales, lo que, sumado al articulado antes expuesto, implica “un grave riesgo para las personas con VIH/SIDA”, en cuanto a su integridad física, emocional, psicológica y económica.

Adicionalmente, señala el documento, el resultado de esas acusaciones puede maximizarse y convertirse en situaciones de peligro para dicho sector de la población, cuando se conjuntan con el desconocimiento de las autoridades encargadas en la procuración y administración de justicia.

Por tal motivo, se propone eliminar de la Fracción V del Artículo 238 la agravante relacionada a “cuando las lesiones produzcan enfermedad incurable”; derogar el segundo párrafo del artículo 241 que establece que se sancionará como homicidio el contagio a sabiendas de la enfermedad; al igual que el artículo 252 referente al “peligro de contagio”.

Le diputade reconoció la labor de la asociación civil Fuera del Clóset por el impulso de iniciativas para combatir la discriminación.

Mexico: Senator proposes initiative to repeal HIV criminalisation in Mexico

Reyna Celeste Ascencio proposes to repeal article 199 Bis of the Federal Penal Code

Translated with Deepl.com – For original article in Spanish, please scroll down

The president of the Commission on Human Rights, Reyna Celeste Ascencio Ortega, announced that, together with civil society organizations, she will present an initiative that aims to end the discrimination and criminalization of people living with HIV and other infections or sexually transmitted diseases.

At a press conference, the Senator of Morena explained that her project proposes to repeal article 199 Bis of the Federal Penal Code, which sanctions the danger of contagion, because it establishes up to five years in prison for those who, knowing that they have a venereal disease or another serious illness in an infectious period, endanger the health of another person.

The legislator’s initiative also establishes a new “type of injury”, to sanction those who, based on scientific evidence, maliciously transmit any incurable disease by any means.

He said that these types of measures, in no way prevent contagion or prevent the spread of diseases, but they promote fear, increase misinformation, discrimination and stigma about HIV, which puts access to prevention and detection methods at risk, since, since there is a deprivation of liberty, he said, people do not even dare to get tested.

She considered that the existence of this provision in the criminal codes is unconstitutional, because it violates article 1, which establishes that no person may be discriminated against because of his or her health condition or any other person that violates human dignity and is intended to annul or undermine his rights and freedoms.

Article 199 Bis of the Federal Penal Code, she added, puts at risk the rights of access to justice, health, equality, sexual and reproductive health, as well as non-discrimination, since it establishes that the contagion is implicit and is intentional by people living with HIV or some sexually transmitted infection; without considering the forms of transmission, because what sanctions is the fact of living with this disease.

For his part, Francisco Javier López Lozada, of the KARUNA Organization, Health and Development and the Network of organizations against the criminalization of HIV, revealed that in at least 27 states of the Republic there are punitive laws that generate stigma, discrimination and violence against people suffering from this disease.

Hilda Téllez, a human rights defender, indicated that in the states of Chiapas, Guerrero, Durango, Guanajuato, Nuevo León, Oaxaca, Puebla, Querétaro, Quintana Roo and Sinaloa, they contain provisions in their legislation that prohibit marriage to people who have an infectious disease, which causes prejudices and stigmas.

Abraham Torres Medina, director of the National Network of Diverse Youth, said that, according to the UNAIDS report in Mexico, from 2010 to 2023 19,000 new cases of AIDS were registered in Mexico, and until last year, there were 380,000 people living with HIV, so there is an estimate that 0.4 percent of the population of our country live with this disease.


Reyna Celeste Ascencio propone derogar el artículo 199 Bis del Código Penal Federal

La presidenta de la Comisión de Derechos Humanos, Reyna Celeste Ascencio Ortega, dio a conocer que, de la mano de organizaciones de la sociedad civil, presentará una iniciativa que tiene el propósito de acabar con la discriminación y criminalización de las personas que viven con VIH y otras infecciones o enfermedades de transmisión sexual.

En conferencia de prensa, la senadora de Morena explicó que su proyecto propone derogar el artículo 199 Bis del Código Penal Federal, que sanciona el peligro de contagio, porque establece hasta cinco años de prisión a quien, a sabiendas de que tiene un mal venéreo u otra enfermedad grave en periodo infectante, ponga en peligro la salud de otra persona.

La iniciativa de la legisladora también establece un nuevo “tipo de lesión”, para sancionar a quien con base en evidencia científica trasmita dolosamente por cualquier medio alguna enfermedad incurable.

Precisó que este tipo de medidas, de ninguna manera previenen el contagio ni evitan la propagación de enfermedades, sino que propician el temor, aumentan la desinformación, la discriminación y el estigma sobre el VIH, lo que pone en riesgo el acceso a los métodos de prevención y detección, ya que, al existir una sanción privativa de la libertad, dijo, las personas no se atreven ni siquiera a hacerse la prueba.

Consideró que la existencia de esta disposición en los códigos penales es inconstitucional, porque vulnera el artículo 1o que establece que ninguna persona puede ser discriminada por su condición de salud o cualquiera otra que atente contra la dignidad humana y tenga por objeto anular o menoscabar sus derechos y libertades.

El artículo 199 Bis del Código Penal Federal, agregó, pone en riesgo los derechos de acceso a la justicia, salud, igualdad, salud sexual y reproductiva, así como a la no discriminación, pues establece que el contagio se encuentra implícito y es intencionado por parte de las personas que viven con VIH o alguna infección de trasmisión sexual; sin contemplar las formas de trasmisión, porque lo que sanciona es el hecho de vivir con esta enfermedad.

Por su parte, Francisco Javier López Lozada, de la Organización KARUNA, Salud y Desarrollo y la Red de organizaciones contra la criminalización del VIH, reveló que en al menos 27 estados de la República existen leyes punitivas que generan estigmas, discriminación y violencia contra las personas que padecen esta enfermedad.

Hilda Téllez, defensora de derechos humanos, indicó que en los estados de Chiapas, Guerrero, Durango, Guanajuato, Nuevo León, Oaxaca, Puebla, Querétaro, Quintana Roo y Sinaloa, contienen disposiciones en su legislación que prohíben el matrimonio a las personas que tienen una enfermedad infectocontagiosa, lo que origina prejuicios y estigmas.

Abraham Torres Medina, director de la Red Nacional de Juventudes Diversas, afirmó que, según el reporte de ONUSIDA en México, de 2010 a 2023 se registraron 19 mil nuevos casos de Sida en México, y hasta el año pasado, había 380 mil personas viviendo con VIH, por lo que existe una estimación de que el 0.4 por ciento de la población de nuestro país viven con este mal.

Mexico: Baja California legislator seeks reform of HIV Criminalisation Law

They are seeking to decriminalise the risk of HIV infection in Baja California.

Translated from Spanish with Deepl.com – For original article, please scroll down.

The deputy for the second district of the Baja Californi a State Congress, Jaime Eduardo Cantón Rocha, said he is working on an initiative to decriminalise the risk of HIV infection, considering it discriminatory.

Article 160 of the Baja California Penal Code establishes a penalty of 1 to 4 years in prison for a person who, ‘knowing that he or she is ill with a venereal disease or other serious illness during an infectious period, puts the health of another at risk of contagion, through sexual relations or other transmissible means, or violating a duty of care’.

In addition, an aggravating circumstance of five to nine years’ imprisonment is added if the disease is incurable.

Discrimination

In this regard, Cantón Rocha stated that this article has been used mainly against people with the Human Immunodeficiency Virus (HIV), who in some cases happen to be members of the LGBT+ community, which is why he considered this law to be discriminatory.

“(The law) is very focused on this disease (HIV). And the truth is that in the statistics, people of sexual diversity have a higher rate of infection than heterosexual people,’ he said.

Because of this, he considered that changing this article is important both for the LGBT+ community and for people living with HIV.

“This is obviously discriminatory because you cannot criminalise a person for carrying a disease. Especially because a person will never ask to be in a situation of any disease or contagion,’ he said.

Human Rights

In this sense, the also president of the Diversity Commission in Congress, indicated that they will harmonise this law in accordance with respect for human rights.

Although he did not specify whether there are any people being prosecuted under this law, he pointed out that it is a violation of human rights simply because this type of condition is classified as a criminal offence.

On HIV, he pointed out that there are important studies published recently that reveal substantial advances in reducing the virus in the body. He also assured that public health institutions are now effectively dealing with such cases.

Article 160 also stipulates that both the accused and the complainant must be compulsorily required to undergo curative treatment for the disease in question in an appropriate institution.


Buscan despenalizar riesgo de contagio de VIH en Baja California

El diputado por el segundo distrito del Congreso del Estado de Baja California, Jaime Eduardo Cantón Rocha, dijo trabajar en una iniciativa para despenalizar el riesgo de contagio de VIH por considerarlo discriminatorio.

El artículo 160 del Código Penal de Baja California establece sancionar de 1 a 4 años en prisión a la persona que, “ha sabiendas de que está enfermo de un mal venéreo u otra enfermedad grave en periodo infectante, ponga en peligro de contagio la salud de otro, por relaciones sexuales u otro medio transmisible, o violando un deber de cuidado”.

Además, se agrega un agravante con pena de cinco a nueve años en prisión en caso de que la enfermedad padecida resulte incurable.

Discriminación

Al respecto, Cantón Rocha aseveró que dicho artículo ha sido usado principalmente en contra de personas portadoras del Virus de Inmunodeficiencia Humana (VIH), que en algunos casos resultan ser integrantes de la comunidad LGBT+, por lo que consideró esta ley como discriminatoria.

“(La ley) está muy enfocada hacia esa enfermedad (VIH). Y la verdad es que en la estadística las personas de la diversidad sexual registran un mayor índice de contagios que las personas heterosexuales”, expresó.

Debido a esto, consideró que cambiar este artículo resulta importante tanto para la Comunidad LGBT+, como para las personas portadoras del VIH.

“Esto es evidentemente discriminatorio porque no puedes criminalizar a una persona por portar una enfermedad. Sobre todo porque una persona nunca va pedir estar en una situación de alguna enfermedad o contagio”, expresó.

Derechos humanos

En ese sentido, el también presidente de la Comisión de la Diversidad en el Congreso, indicó que armonizarán dicha ley conforme al respeto a los derechos humanos.

Aunque no precisó si existen personas procesadas por esta ley, señaló que es violatorio de derechos humanos por el simple hecho de que este tipo de condiciones se cataloguen delitos penales.

Sobre el VIH, destacó que existen estudios importantes publicados recientemente que revelan avances sustanciales para la disminución del virus en el cuerpo. Asimismo, aseguró que las instituciones de salud pública atienden efectivamente dichos casos en la actualidad.

El artículo 160 también establece que, tanto al denunciado como al denunciante, deberá imponerse obligatoriamente un tratamiento curativo de la enfermedad en cuestión en una institución adecuada.

Canada: Calls for action grow as political calculations leave HIV law reform in limbo

Government abandons efforts to decriminalise people living with HIV

Translated from French with Deepl.com – For original article, please scroll down.

In the run-up to World AIDS Day on 1 December and the federal election of 2025, the Government of Canada has informed the Canadian Coalition to Reform HIV Criminalisation (CCRCV) of its decision to abandon any plans for legislative reform concerning the criminalisation of HIV. People living with HIV are left with no explanation, knowing only that their rights are being set aside once again. Anger and disappointment at this abandonment.

A critical moment

This decision could not have come at a worse time. Canada currently ranks last among G7 countries when it comes to reducing new HIV infections. The number of reported cases has been rising steadily in Canada since 2020, taking us further and further away from our targets. The criminalization of HIV and the resulting stigma contribute to this alarming trend, in addition to placing Canada at odds with science and outside the global consensus on how best to reduce HIV transmission and respect the rights and dignity of people living with HIV. In a press release issued on November 26, UNAIDS pointed out that ‘the criminalization and stigmatization of marginalized communities hinders access to life-saving HIV services’.

The current situation

Currently, people living with HIV in Canada are subject to criminal prosecution under sexual assault laws, resulting in convictions, imprisonment and inclusion on the sex offender registry even in cases where there is little or no risk of transmission. Legal and medical experts around the world agree that this is not in line with current scientific knowledge about transmission and can deter people from getting tested and accessing treatment and support. In Canada, it is well documented that the harms of HIV criminalisation are uniquely, disproportionately and often insidiously experienced by black and aboriginal people.

A call to action

‘We’ve had enough of the lives of people living with HIV being used to play political games,’ says Alex McClelland of the CCRVC. ‘Good intentions and scrapped action plans don’t change the reality of life for people in Canada who are persecuted because of their health status. Law reform requires a concrete effort, a real commitment and the political will to do the right thing. Unfortunately, the Canadian government seems to be putting people living with HIV on the back burner in favour of political calculations for an election’.

A history of broken commitments

Members of the CCRCV have been working with the current federal government to reform the criminalisation of HIV since it was elected in 2015. The CCRCV had hoped that change would come soon, following national consultations launched by the government in December 2022. These consultations followed numerous acknowledgements by the government that the status quo is harmful:

  • In 2016, Canada’s Minister of Justice acknowledged for the first time that the criminalisation of HIV non-disclosure in this country is excessive.
  • In 2018, the Minister implemented a directive to limit charges related to HIV non-disclosure from federal jurisdictions (which is limited to the three territories), ending the use of sexual assault laws in this context. This recommendation was reiterated in a 2019 government report following its own review of HIV criminalisation.
  • In 2022, Canada launched a Federal 2ELGBTQI+ Action Plan promising to hold consultations on reforming the Criminal Code. These consultations, announced on the world stage on the eve of the 2023 International AIDS Conference, concluded in January 2023. The report of the consultations reaffirmed that the use of sexual assault laws was inappropriate.
  • Then the Prime Minister of Canada, Justin Trudeau, reiterated in his statement on World AIDS Day last year: ‘The current criminal law regarding non-disclosure punishes people living with HIV and AIDS too harshly and stigmatises them, discouraging them from seeking treatment and testing.’

Members of the CRCVC met with the Minister of Justice on several occasions after the consultations ended (in early 2023) and were promised concrete reform measures. To date, the Government of Canada has still not publicly informed people living with HIV why the promises made to them will not be kept, and why it is abandoning the path of law reform.

A new call to action

On World AIDS Day, the CCRCV is once again calling on the federal government to show good faith, leadership and concrete action to end the excessive criminalisation of people living with HIV in this country. The community has been fighting this battle for a long time, and what is lacking today is the government’s will to adopt a reform that is consistent with human rights and scientific consensus. The Canadian Coalition to Reform HIV Criminalization remains committed to this long-overdue change – and the power of the community’s collective voice will not be silenced.

The Canadian Coalition to Reform HIV Criminalization is a national coalition of people living with HIV, community organizations, advocates, researchers and others. It was formed in October 2016. To find out more, click here.

The Community Consensus Statement 2022, which details the community’s demands for law and policy reform, following consultation, is online here.

What is HIV criminalisation?

HIV criminalisation describes the unfair application of criminal law against people living with HIV solely on the basis of their HIV status. This includes the application of specific criminal law provisions or the application of general criminal law to prosecute people living with HIV for unintentional transmission of HIV, perceived or potential exposure to HIV and/or non-disclosure of HIV by a person who knows their status.

The criminalisation of HIV is a growing global phenomenon that undermines public health and human rights, thereby weakening the response to HIV.

What behaviours are targeted by these laws?

The criminalisation of HIV exists through the application of specific criminal law provisions or through the application of general criminal law exclusively or disproportionately against HIV-positive people.

In many cases, laws relating to the criminalisation of HIV are overly broad, either in their explicit wording, or in the way they have been interpreted and applied, leaving people living with HIV (and those perceived by the authorities to be at risk of HIV) extremely vulnerable to numerous human rights violations.

In general, these laws are used to prosecute individuals who are aware of their HIV status, who are presumed not to have disclosed their HIV status prior to having sex (HIV non-disclosure), or who are perceived to have potentially exposed others to HIV (HIV exposure), or who are perceived to have transmitted HIV (HIV transmission).

In many countries, a person living with HIV convicted of other ‘crimes’, including, but not limited to, sex work, or a person who spits or bites a member of law enforcement at the time of arrest or during incarceration, often faces harsher sentences, even when HIV exposure or transmission was not possible, or at most represented a very small risk.

How widespread is the criminalisation of HIV?

As of March 2023, 91 countries (114 jurisdictions) have some form of HIV-specific criminal law, and a further 41 countries (61 jurisdictions) are known to have applied general criminal provisions to prosecute people living with HIV for presumed non-disclosure of HIV, perceived or potential exposure to HIV, and/or unintentional transmission.

What impact does the criminalisation of HIV have on the HIV response?

The criminalisation of HIV compromises public health objectives in many ways.

Prosecutions, and the media attention that follows, isolate and dramatise HIV in a highly stigmatising way, presenting the HIV diagnosis as a catastrophe and HIV-positive people as an inherent threat to society. Suggesting criminal prosecution as a first or appropriate response to perceived or potential exposure to HIV is not an appropriate approach. This type of stigma makes it even more difficult to disclose HIV to intimate partners. Some evidence suggests that the criminalisation of HIV may discourage individuals from getting tested, particularly among communities most vulnerable to HIV infection. Encouraging HIV testing is an essential element of an effective response: a positive diagnosis is the first step towards access to health-enhancing antiretroviral treatment, and a negative result is the first step towards access to pre-exposure prophylaxis, two essential tools in HIV prevention.

The criminalisation of HIV can also undermine the therapeutic relationship between a person living with HIV and healthcare staff, and thus reduce the ability of carers to offer frank support and advice on risk reduction strategies. Indeed, some healthcare providers have been forced to testify in court about their exchanges with their patients.

The criminalisation of HIV also undermines research into HIV prevention, treatment and care because researchers and participants fear that data normally kept confidential will be seized by law enforcement agencies and used in a criminal case. It also reinforces concerns about the use of new technologies to monitor the epidemic, such as HIV molecular surveillance.

What impact does the criminalisation of HIV have on human rights?

The criminalisation of HIV undermines the rights of people living with HIV, many of whom also belong to marginalised or criminalised communities. Threats of denunciation to the police for non-disclosure of HIV have been used as a form of abuse or reprisal against current or former HIV-positive partners. The criminalisation of HIV exposes people living with HIV – particularly women (but not only) – to increased risks of violence and abuse and ignores the fact that some people are unable to safely disclose their status or ask their partner to use a condom.

Stigmatising statements by law enforcement or public health agencies, and media coverage, including the publication of full names and photos of people being prosecuted – even if they are only allegations – can have dramatic consequences for people living with HIV whose HIV status is publicly revealed in this way and who are portrayed as criminals. Such revelations can lead to loss of employment or housing, social ostracism or even physical violence. Investigations and prosecutions often have a disproportionate impact on racial and sexual minorities, migrants and women. Defendants with few resources do not necessarily have access to adequate legal representation.

In some cases, the most serious offences under a country’s criminal law (e.g. aggravated assault, sexual assault and attempted murder) are used to prosecute alleged HIV non-disclosure prior to consensual sex. Penalties are often disproportionate to the harm caused, such as long prison sentences and/or registration as a sex offender. People who do not have the nationality of their country of residence also risk deportation if found guilty, which for some may mean the end of their treatment or access to care.


À l’approche de la Journée mondiale du sida, 1er décembre, et des élections fédérales de 2025, le Gouvernement du Canada a communiqué à la Coalition canadienne pour réformer la criminalisation du VIH (CCRCV) sa décision d’abandonner tout projet de réforme législative concernant la criminalisation du VIH. Les personnes vivant avec le VIH sont laissées sans explication, sachant seulement que leurs droits sont mis de côté une fois de plus. Colère et déception devant cet abandon.

Un moment critique

Cette décision ne pourrait pas tomber à un pire moment. Le Canada se classe actuellement dernier parmi les pays du G7 en ce qui concerne la réduction des nouvelles infections à VIH. Le nombre de cas déclarés est en hausse constante au Canada depuis 2020, nous éloignant de plus en plus de nos objectifs. La criminalisation du VIH et la stigmatisation qui en résulte contribuent à cette tendance alarmante, en plus de placer le Canada en contradiction avec la science et hors du consensus mondial sur la meilleure façon de réduire la transmission du VIH et de respecter les droits et la dignité des personnes vivant avec le VIH. L’ONUSIDA a souligné dans son communiqué de presse, le 26 novembre dernier, que « [l]a criminalisation et la stigmatisation des communautés marginalisées entravent l’accès aux services de lutte contre le VIH qui peuvent sauver des vies ».

La situation actuelle

Actuellement, les personnes vivant avec le VIH au Canada sont passibles de poursuites pénales en vertu des lois sur les agressions sexuelles, entraînant des condamnations, l’emprisonnement et l’inscription au registre des délinquants sexuels même dans des cas où le risque de transmission est faible ou nul. Des expert-es juridiques et de la médecine, aux quatre coins du monde, s’accordent pour dire que cela ne correspond pas aux connaissances scientifiques d’aujourd’hui sur la transmission et peut dissuader des personnes de se faire dépister et d’accéder aux traitements et à du soutien. Au Canada, il est bien documenté que les préjudices de la criminalisation du VIH sont vécus de manière unique, disproportionnée et souvent insidieuse par les personnes noires et les autochtones.

Un appel à l’action

« Nous en avons assez de voir la vie des personnes vivant avec le VIH servir à des jeux politiques! », déclare Alex McClelland, de la CCRVC. « Les belles intentions et les plans d’action mis au rancart ne changent pas la réalité de la vie pour les personnes au Canada que l’on persécute en raison de leur état de santé. La réforme du droit exige un effort concret, un véritable engagement et une volonté politique de faire ce qui est juste. Malheureusement, le gouvernement canadien semble mettre de côté les personnes vivant avec le VIH au profit d’un calcul politique en vue d’une élection. »

Un historique d’engagements non respectés

Des membres de la CCRCV travaillent avec le gouvernement fédéral actuel pour réformer la criminalisation du VIH depuis son élection en 2015. La CCRCV espérait que le changement ne tarde plus, après les consultations nationales lancées par le gouvernement en décembre 2022. Ces consultations faisaient suite à de nombreuses reconnaissances, par le gouvernement, que le statu quo est néfaste :

  • En 2016, la ministre de la Justice du Canada a reconnu pour la première fois que la criminalisation de la non-divulgation du VIH au pays est excessive.
  • En 2018, la ministre a mis en œuvre une directive visant à limiter les accusations liées à la non-divulgation du VIH, de la part des instances fédérales (ce qui se limite aux trois territoires), mettant fin à l’utilisation des lois sur les agressions sexuelles dans ce contexte. Cette recommandation a été réitérée dans un rapport gouvernemental de 2019 à l’issue de sa propre étude de la criminalisation du VIH.
  • En 2022, le Canada a lancé un Plan d’action fédéral 2ELGBTQI+ promettant de tenir des consultations sur la réforme du Code criminel. Ces consultations, annoncées sur la scène mondiale à la veille du Congrès international sur le sida de 2023, se sont conclues en janvier 2023. Le rapport des consultations a réaffirmé que le recours aux lois sur l’agression sexuelle était inapproprié.
  • Puis le premier ministre du Canada, Justin Trudeau, a réitéré dans sa déclaration à l’occasion de la Journée mondiale du sida de l’an dernier : « Le droit pénal actuel en ce qui a trait à la non-divulgation réprime trop durement les personnes vivant avec le VIH et le sida et les stigmatise, ce qui les décourage de se faire soigner et dépister.»

Des membres de la CCRVC ont rencontré le ministre de la Justice à plusieurs reprises après la fin des consultations (début 2023) et se sont vu promettre des mesures de réforme concrètes. À ce jour, le Gouvernement du Canada n’a toujours pas informé publiquement les personnes vivant avec le VIH des raisons pour lesquelles les promesses qu’on leur a faites ne seront pas tenues, et des raisons pour lesquelles il abandonne la voie de la réforme du droit.

Un nouvel appel à l’action

Dans le cadre de la Journée mondiale du sida, la CCRCV appelle une fois de plus le gouvernement fédéral à démontrer sa bonne foi, à faire preuve de leadership et à agir concrètement pour mettre fin à la criminalisation excessive des personnes vivant avec le VIH dans ce pays. La communauté mène depuis longtemps cette bataille, et ce qui manque aujourd’hui est la volonté du gouvernement d’adopter une réforme en accord avec les droits humains et le consensus scientifique. La Coalition canadienne pour réformer la criminalisation du VIH reste engagée en faveur de ce changement qui est dû depuis longtemps – et le pouvoir de la voix collective de la communauté ne sera pas réduit au silence.

Rappelons que la Coalition canadienne pour réformer la criminalisation du VIH est une coalition nationale de personnes vivant avec le VIH, d’organismes communautaires, d’avocat-es, de chercheur(-euse)s et d’autres intéressé-es. Elle a été formée en octobre 2016. Pour en savoir plus, cliquez ici.

La Déclaration de consensus communautaire 2022, qui décrit en détail les demandes de la communauté pour réformer le droit et les politiques, après des consultations, est en ligne ici.

Qu’est ce que la pénalisation du VIH?

La criminalisation du VIH décrit l’application injuste du droit pénal contre les personnes vivant avec le VIH sur la seule base de leur statut sérologique. Ceci comprend l’application de dispositions pénales spécifiques ou l’application du droit pénal général pour poursuivre des personnes vivant avec le VIH pour transmission involontaire du VIH, exposition perçue ou éventuelle au VIH et/ou non-divulgation du VIH par une personne qui connaît son statut.

La criminalisation du VIH est un phénomène mondial croissant qui nuit à la santé publique et aux droits humains, affaiblissant ainsi la riposte au VIH.

Quels sont les comportements visés par ces lois?

La pénalisation du VIH existe avec l’application de dispositions pénales spécifiques ou par l’application du droit pénal généralexclusivement ou disproportionnellement contre les personnes séropositives

Dans de nombreux cas, les lois se rapportant à la pénalisation du VIH sont trop générales, que ce soit dans leurs formulations explicites, ou dans la façon dont elles ont été interprétées et appliquées, ce qui rend les personnes vivant avec le VIH (et les personnes perçues par les autorités comme exposées aux risques de VIH) extrêmement vulnérables à de nombreuses violations des droits de l’homme.

En général, ces lois sont utilisées pour poursuivre les individus conscients de leur VIH, qui sont présumés ne pas avoir divulgué leur statut sérologique avant d’avoir des rapports sexuels (non-divulgation du VIH), ou qui sont perçus comme ayant potentiellement exposé autrui au VIH (exposition au VIH), ou perçus comme ayant transmis le VIH (transmission du VIH).

Dans de nombreux pays, une personne vivant avec le VIH reconnue coupable d’autres “crimes”, notamment, mais pas exclusivement, pour le travail du sexe, ou une personne qui crache ou qui mord un membre des forces de l’ordre au moment de son arrestation ou pendant son incarcération, fait souvent face à des condamnations plus sévères, même lorsque l’exposition ou la transmission du VIH n’était pas possible, ou qu’elle représentait au plus, un risque très petit.

Quelle est l’étendue de la pénalisation du VIH?

En mars 2023, 91 pays (114 juridictions) disposent d’une forme de droit pénal spécifique au VIH, et on sait que 41 autres pays (61 juridictions) ont appliqué des dispositions pénales générales pour poursuivre des personnes vivant avec le VIH pour non-divulgation présumée du VIH, exposition perçue ou potentielle au VIH, et/ou transmission non intentionnelle.

Quelles sont les conséquences de la pénalisation du VIH sur la riposte au VIH?

La pénalisation du VIH compromet les objectifs de santé publique à bien des égards.

Les poursuites, et l’attraction médiatique qui s’ensuit, isole et dramatise le VIH de façon fortement stigmatisante, en présentant le diagnostic de VIH comme une catastrophe et les personnes séropositives comme une menace inhérente pour la société. Suggérer des poursuites pénales comme une première réponse ou une réponse adaptée en cas d’exposition perçue ou éventuelle au VIH n’est pas une approche appropriée. Ce type de stigmatisation rend encore plus difficile la divulgation du VIH aux partenaires intimes. Certaines données suggèrent que la pénalisation du VIH pourrait dissuader les individus à faire le test de dépistage, particulièrement parmi les communautés les plus vulnérables à l’infection au VIH. Encourager le dépistage du VIH est un élément essentiel pour une riposte efficace: un diagnostic positif est la première étape vers l’accès au traitement antirétroviral bénéfique à la santé, et un résultat négatif, la première étape vers l’accès à la prophylaxie pré-exposition, deux outils essentiels de la prévention du VIH.

La pénalisation du VIH peut également nuire à la relation thérapeutique entre une personne vivant avec le VIH et le personnel de santé, et ainsi réduire la capacité des soignants à offrir un soutien et des conseils francs sur les stratégies de réduction des risques. En effet, certains prestataires de santé ont été obligés de témoigner devant les tribunaux au sujet de leurs échanges avec leurs patients.

La pénalisation du VIH porte également atteinte à la recherche dans les domaines de la prévention, du traitement et des soins du VIH en raison de la crainte des chercheurs et des participants de voir des données normalement tenues confidentielles saisies par les forces de l’ordre et utilisées dans une affaire criminelle.  Elle renforce également les inquiétudes quant à l’utilisation de nouvelles technologies pour suivre l’évolution de l’épidémie, comme par exemple la surveillance moléculaire du VIH.

Quel est l’impact de la pénalisation du VIH sur les droits de l’homme?

La pénalisation du VIH porte atteinte aux droits des personnes vivant avec le VIH, dont beaucoup appartiennent aussi à des communautés marginalisées ou criminalisées. Des menaces de dénonciation à la police pour non-divulgation du VIH ont été utilisées comme forme d’abus ou de représailles à l’encontre de partenaires séropositifs présents ou passés. La pénalisation du VIH expose les personnes vivant avec le VIH – et plus particulièrement les femmes (mais pas uniquement) – à des risques accrus de violence et de maltraitance et ignore le fait que certaines personnes ne sont pas en mesure de divulguer leur statut sans danger ou de demander à leur partenaire d’utiliser un préservatif.

Les déclarations stigmatisantes des forces de l’ordre ou des agences de santé publique, et la couverture médiatique, y compris la publication des noms complets et de photos de personnes poursuivies– même s’il ne s’agit que d’allégations – peuvent avoir des conséquences dramatiques pour les personnes vivant avec le VIH dont le statut sérologique est ainsi révélé publiquement et qui sont présentés comme des criminels. De telles révélations peuvent entrainer une perte d’emploi, de logement, l’ostracisme social ou même à la violence physique. Les enquêtes et les poursuites ont souvent un impact disproportionné sur les minorités raciales et sexuelles, les migrants et les femmes. Les accusés disposant de peu de ressources n’ont pas forcément accès à une représentation juridique adéquate.

Dans certains cas, les infractions les plus graves du droit pénal d’un pays (par exemple voies de fait graves, agression sexuelle et tentative de meurtre) sont utilisées pour poursuivre la non-divulgation du VIH alléguée avant des relations sexuelles consensuelles. Les sanctions sont souvent disproportionnées par rapport au préjudice causé, comme de longues peines d’emprisonnement et / ou l’enregistrement en tant que délinquant sexuel. Les personnes qui n’ont pas la nationalité de leur pays de résidence risquent aussi d’être expulsées s’ils sont reconnus coupable, ce qui peut signifier, pour certains, la fin de leur traitement ou et de l’accès aux soins.

Uganda: Controversial proposals on HIV transmission and the death penalty rejected

The following is an extract from an article on the inaugural consideration of the Sexual Offences Bill, 2024, a comprehensive piece of legislation aimed at reforming laws around sexual violence and exploitation

The proposal to include the deliberate transmission of HIV to minors as an aggravating factor in cases of sexual violence was debated during the inaugural consideration of the Sexual Offences Bill by the Joint Committee of Legal and Gender Affairs.

Anna Adeke, the Member of Parliament for Soroti District Woman Representative, who had tabled the Sexual Offences Bill had suggested that spreading HIV to a minor during a sexual assault should elevate the crime to aggravated rape, carrying heavier penalties.

However, Fox Odoi, the MP for West Budama North East, and several other MPs rejected this idea, arguing that it could further stigmatize people living with HIV and be difficult to prove.

“There are many people living with HIV who are not aware of their status, and others who are on ARV treatment but still test positive,” Odoi explained.

“The Director of Public Prosecutions (DPP) herself has expressed concerns about the difficulty of prosecuting these cases, as proving knowledge of an HIV-positive status is virtually impossible.”

The debate also extended to the issue of the death penalty for rapists. Adeke had proposed that the death penalty be imposed on individuals convicted of rape, particularly in cases where the victim is a minor. Odoi, a staunch opponent of the death penalty, questioned the fairness and necessity of such a harsh punishment.

“Why are we introducing the death penalty for rape when other more egregious crimes like mass murder and genocide do not carry such a penalty?” Odoi asked.

He further criticised the proposal, stating, “In principle, I don’t support the death penalty for any offense. I thought we had moved away from this position as a country.”

While Adeke expressed disappointment over the rejection of her proposals, she acknowledged the challenges in achieving consensus on the Bill.

The Joint Committee of Legal and Gender Affairs is expected to continue its review of the Sexual Offences Bill, 2024, with further consultations and amendments.

The Bill, which aims to tackle issues of sexual violence, exploitation, and human trafficking, has sparked heated debates on the appropriate legal framework for addressing these sensitive issues.

As MPs grapple with the complexities of regulating sex work, preventing the spread of HIV, and ensuring justice for sexual violence victims, the discussions on the Bill are likely to remain contentious.

The Committee will be under pressure to strike a balance between protecting vulnerable groups and adopting practical policies that reflect the realities of Ugandan society.

 

Australia: Migration policies for People with HIV perpetuate criminalisation and expose them to harm

David Carter Delivers Keynote at the Australasian HIV&AIDS Conference

Health+Law’s research lead David Carter, delivered a keynote address at the recent ASHM HIV Conference in Sydney, exploring the controversial past and present of HIV criminalisation in Australia. His urgent, provocative address challenged us to consider how current legal and policy processes in migration law recreate conditions of criminalisation, producing serious health and other harms for people living with HIV. 

Talking to Health+Law researchers in an interview about legal issues, Sergio*, a man in his thirties originally from South America and living with HIV, described the experience of migration to Australia:

I didn’t have to face any court, but I [did] have to prove that I wasn’t a bad person just because I have HIV […] I [had] to prove myself to someone else, who probably is not living with HIV, that I was not a bad person, and I was a good citizen and I deserve to be here.

The migration process is a complex one – and this complexity is amplified for people living with HIV.  Sergio’s reflections express a particularly grim aspect of this process for migrants, especially those living with HIV.

Indeed, as Scientia Associate Professor David Carter, Health+Law’s research lead, argued in an invited keynote at the 2024 Australasian HIV&AIDS Conference hosted by ASHM Health in September this year, the experience of people living with HIV seeking to migrate to Australia is part of Australia’s long history of the criminalisation of HIV.  Speaking to delegates from Australia, New Zealand, Asia and the Pacific at Sydney’s International Convention Centre on Gadigal Country, David reminded the audience that criminalisation is a policy approach, that doesn’t just use the criminal law. To show this he set out five stages of criminalisation that are also evident in the migration process for those living with HIV.

First, as he explained, criminalisation characterises specific behaviour as harmful or carrying a risk of harm to the community. In this case the harm presented is, to quote Australian migration law, that a person’s HIV care represents a ‘significant cost to the Australian community or prejudice [to] the access of Australian citizens or permanent residents to health care or community services’.

Second, criminalisation creates a suspect population, made up of people thought to warrant suspicion because they come to be associated with the potential harm.

Third and fourth, this suspect population attracts surveillance from the state, with a hierarchy created within the suspect population whereby some members are subject to further and intensified surveillance.

Fifth, and finally, some members of this suspect population are subjected ‘to the most severe forms of the state’s coercive and punitive authority’, including investigation, more intensive supervision, detention or arrest, and in some cases, criminal or civil proceedings.

The criminalisation of HIV has a long and storied history, going back to the very early days of the AIDS crisis. Vocal members of HIV-affected communities, legal and human rights advocates and many others have argued strongly against criminalisation, viewing it as draconian and as an approach to public (health) policy with very negative consequences for HIV epidemics.

In Australia, arguments against HIV-specific criminal offences have been broadly successful, and yet the ‘temptation’ to criminalise – as the very first Australian National HIV Strategy described it – continues to emerge in some policy responses to HIV and other communicable diseases.

In 1987, when the authors of the first national HIV strategy were writing, they were warning against measures including compulsory universal HIV testing, the closure of gay venues, criminal penalties for HIV transmission, and limitations on the movement of HIV positive people, including forced quarantine. Today, HIV criminalisation is operating in Australian migration policy and law.

‘This contemporary criminalisation of HIV begins’, David argued, ‘like all criminalisation, with the characterisation of behaviour in terms of harm and risk of harm’. He continued, arguing that:

This characterisation of migrating while HIV positive as harmful establishes, and in-turn enlivens, the suspect population management and criminalising processes of our medical border […] This criminalising logic establishes an adversarial relationship between the person living with HIV and the state, and between them and members of the Australian community, whose access to health care it is alleged may be prejudiced by providing care for a person living with HIV who wishes to migrate.

Among the many negative effects of this process is that it can discourage migrants living with HIV from engaging in testing, treatment and HIV care. Interviews conducted by Health+Law as part of our national legal needs (LeNS) study confirm that this is happening. They show that many migrants living with HIV in jurisdictions across Australia experienced an alienating and hostile environment: a ‘threat environment so elevated’, as David described it in his keynote, that they frequently described withdrawing from HIV care and community life as a coping mechanism.

Unfolding the history of ‘unjust and unhelpful’ HIV criminalisation in Australia, David outlined how the current legal and policy conditions that prospective migrants living with HIV face in Australia today work to recreate conditions of criminalisation and expose both individuals and the community to multiple health harms.

You can read more about David’s keynote in The Medical Republic’s coverage of the conference.

Uzbekistan: Successful advocacy is reshaping HIV legislation and profession bans

“‘A woman came to us, she asked for help with the legal process’” – Interview with Evgenia Korotkova

Translated from Russian with Google translate. Scroll down for the original article. 

Do you want to know how an activist living with HIV went from a public defender in cases under Article 113 of the Criminal Code to a community expert who, after speaking at a feminist forum, is influencing the humanisation of legislation on people living with HIV in Uzbekistan?

Read about it in Svetlana Moroz’s interview with Yevgeniya Korotkova on the significant reduction of the list of prohibited professions for people living with HIV in Uzbekistan.

S.M.: Zhenya, let’s start from the beginning. In 2020, a woman who faced criminal prosecution for working as a hairdresser came to your organisation for help. Tell us about this woman, why did she come to you specifically?

E.K.: I remember very well when we first started to focus on the issue of HIV criminalisation under Article 113 of the Criminal Code. At that time, we were actively collecting cases of people who had been prosecuted under this article. At some point we came across an article on the website of the Ministry of Internal Affairs. It said that an orphaned teenager living with HIV had sexual relations with a teenage girl and she became pregnant. The main message of the article was directed at parents – they should keep an eye on their children and have preventive conversations with them.

However, the article was full of stigmatising, incorrect and distorted information. Amidst the outrage, we decided to write a post on our organisation’s page, where I gave my comments. This post also included an appeal to people living with HIV who were affected by Part 4 of Article 113 of the Criminal Code of the Republic of Uzbekistan. We informed that they could contact us for legal assistance and counselling.

The response to the post did not take long. One of the first to appeal was a woman who worked as a hairdresser. She told us that her case had already been taken to court and at the time of the investigation she didn’t even have money for a lawyer. We started looking for ways to help and were able to find money to pay for a lawyer. The lawyer took on her case and filed a request to review the materials.

In the process of discussions with the woman, we came to the conclusion that I would participate in the court as a public defender from our organisation. It was the first such experience for me. We did not know that we even had the opportunity to represent someone’s interests in this way. So we prepared a motion in which we indicated that in addition to the lawyer, the interests of the woman would be represented by a public defender – that is me.

This case was a serious test for me. We discovered a new form of assistance that we had not even realised existed before.Now we know that the involvement of a public defender can be key in such cases and really helps people.

S.M.: How did this case get to court? Who sued this woman? How did they find out about her HIV status?

E.K.: How exactly this case ended up in court, we learnt only during the trial. It turned out that a police officer came to the woman’s workplace with some list. He showed her that she was on the list and said that it included people who violated the law. In particular, it was about those who were HIV-positive and worked in a hairdresser’s shop, which was allegedly against the law.

In fact, it meant the transfer of health data to law enforcement agencies without the consent of the patient. And at the trial they did not even tried to hide this fact. During the trial, the prosecutor who was in charge of the case directly stated that the information about her HIV status had been obtained from the AIDS Centre.

S.M.: How was the trial? What was the verdict?

E.K.: The trial was held in closed mode, because the case concerned doctor-patient confidentiality and confidentiality of the diagnosis. We were very lucky that we managed to attract doctors who supported our side and defended the woman.She was strictly following the ARV regimen, so she had an undetectable viral load. In court, a doctor acted as an expert who clearly explained that under such conditions, infection was impossible. He also emphasised that there were no casualties at the time of trial.

Even the investigator pointed out in the case file that the woman did not use scissors or razors in her work – only a haircutting machine. She did not use cutting or stabbing objects that could theoretically create a threat of infection. It is important to note that the witnesses who were called from her work did not testify negatively. They confirmed that the woman performed her duties professionally and without impropriety.

In my arguments, I relied on this evidence to argue that our defendant could not have transmitted HIV infection while working as a hairdresser. During the hearing, the judge asked me, ‘As a public defender, would you, yourself,  have gone to this woman to cut your hair?’ I explained that HIV transmission would have required a number of unlikely conditions: she would have had to be off therapy, and she would have cut herself and me badly. Only then could there be a theoretical threat of infection. But even then, the probability of transmission would be extremely low.

I would like to note separately that the Makhali committee gave our defendant serious support. They filed many petitions in her defence, despite knowing her HIV status. The women’s committee also got involved in the process and filed additional motions in favour of our client.

However, the woman was still given a suspended sentence of two and a half years. This decision was taken because of the existence of Article 113, under which she was tried. The court took into account that she had a minor child, and this influenced the mitigation of the sentence.

I still remember how the judge, while announcing the verdict, emphasised the importance of our advocacy work. He said that our organisation should work on changing the list of prohibited professions because it contradicts modern legislation. These words were the starting point for a great advocacy process that took us three years. This case not only showed us the need to protect people in specific situations, but also gave a start to changes at the systemic level.

S.M.: How does this woman live now? How does she feel?

E.K.: You can imagine, she worked in her favourite profession for more than 30 years. It was a terrible blow for her – to lose the job on which she had built her whole life. Given that she had a minor child and was a single mother and the sole breadwinner in the family, all the responsibility fell on her shoulders. After the trial, it was very difficult for her to find a suitable job. She did everything she could: she cleaned houses, worked as a governess, tried a lot of professions.

It was not easy for her to recover from the trial. She underwent a long psychological rehabilitation, and we, on our part, also supported her by providing the services of a psychologist. This period was very difficult for her. When the legislation was finally changed, I was the first to send her the amended document. But unfortunately, she never returned to the profession. Instead, she started her own small business, determined to start her life with a clean slate.

We continued and still maintain a relationship with her. After the trial, she took part in the Judges’ Forum where she spoke openly and told her story. She shared how an unfair piece of legislation had affected her life and it was an act of courage and hope for change. She was motivated by the desire to help others who are HIV-positive so that they would no longer have to face the hardships and humiliation that she went through.

We realised that this case was not only about criminal law issues, but also touched on socio-economic rights. It showed how much stigma and restrictive laws can affect a person’s life, depriving them of a source of income and the ability to work in a profession. Nevertheless, her story has become an important part of our advocacy work and has helped draw attention to the need for change in the law.

S.M.: We have another milestone in this story – in 2022, Uzbekistan, the third country in Central Asia (after Tajikistan and Kyrgyzstan) to receive, among other things, a recommendation to decriminalise HIV transmission from the UN CEDAW committee. Your country received this recommendation, largely due to your participation and our joint shadow report from the community. Can we assume that the recommendations received have influenced the advocacy process in the context of HIV decriminalisation, namely the revision of the list of prohibited professions?

E.K.: I had only three minutes to address the CEDAW Committee and I remember very well how we prepared my oral statement. Every second mattered. It seems to me that all our efforts were interconnected, especially considering how seriously the state takes the recommendations of international structures. In recent years, the country has really seen progress in supporting women.

From 2019, laws have started to be adopted to ensure equal rights for men and women and to combat discrimination and violence against women. I see that the country is emphasising women’s economic independence and expanding our educational and professional opportunities. Special attention is being paid to women’s access to leadership positions, which opens up new perspectives for us.

I believe that the final recommendations of the CEDAW Committee may have played a role in the state’s attention to the list of prohibited professions. This list has long been in need of revision, as it restricted women’s rights and hindered their professional development. The work in this direction is ongoing, and I hope that our efforts will help more women to avoid such restrictions and achieve justice.

S.M.: So, the year is 2024. Something has happened that probably you and we ourselves did not expect – the list of prohibited professions for people living with HIV in Uzbekistan has been changed (reduced) by the order of the Minister of Health. How did this become possible?

E.K.: According to the new order, HIV-positive people can now work as dentists, as long as they are not involved in surgical interventions. This move was a significant change, especially for us, as we had a case where a man working as a dental technician was prosecuted just because of his HIV status.

In November 2023, there was a big feminist forum where I gave a speech that was well received. One of the newspapers wrote about me as a leader living with HIV. After this publication, the presidential administration became interested in my story. I was invited to a meeting to discuss the most pressing issues facing women and people living with HIV.

At the meeting, I tried to use this opportunity to draw attention to the list of prohibited professions. I explained that this piece of legislation is not only of no public benefit, but also destroys people’s lives by restricting their ability to work in their profession. My arguments resonated. I had the impression that I was able to convince them that this order had long ago lost its relevance.

In the course of the discussion, it became clear that the officials with whom I spoke had a progressive approach and were ready to support the initiative to review and amend the list of prohibited professions. Their readiness for dialogue and understanding of the importance of the issue inspired me and gave me hope for further positive changes.

S.M.: Do I understand correctly that officials of the Ministry of Health had no resistance to this initiative? Before that, doctors used to hand over data on people with HIV to the police. I can’t forget the case when a woman (nurse) was simply summoned to the district department in the middle of the working day, checked the list of her contacts in the phone book, asked who she was sleeping with, threatened with an article, etc. – such ‘preventive’ humiliating methods.

E.K.: After the adoption of the new, shortened list of prohibited professions, we started to conduct trainings for medical workers. In the process, we encountered some resistance – among the participants there were epidemiologists who did not support the changes. They argued that the risk of HIV transmission still existed despite the new data and international standards. Such statements rather demonstrated their lack of awareness of the issue. Later, their colleagues, doctors with more experience, even advised them to refrain from making such statements in order not to mislead other participants.

Particularly important for us was the participation of the chief epidemiologist of the Republican AIDS Centre in these trainings. He presented information about the changes in the list of professions in the most professional and accessible way possible, which helped to reduce mistrust and resistance among health workers. His presentations played an important role in disseminating correct knowledge.

We also held meetings with the staff of the Ministry of Internal Affairs, in particular with representatives of the moral department, which supervised cases related to Article 113 of the Criminal Code. They were the ones who had previously initiated cases against HIV-positive hairdressers, leading to their criminal prosecution. These discussions were important for us because they allowed us to convey to law enforcement officials that the old norms no longer meet modern realities and only contribute to the stigmatisation of people living with HIV.

S.M.: We know that you worked on the bill that has already been submitted from your NGO Ishonch va Haet to the parliament. You have also received a response, thankfully. How do you assess the prospect of amending the Criminal Code with regard to Article 113?

E.K.: I am an optimist and I am sure that the changes will definitely happen, it is only a matter of time. It is already evident that people involved in legislative reforms realise that some laws are outdated and need to be revised. It is good to see that the country is actively aiming to update the legislative systems and bring them in line with modern realities.

I believe that our voice will be heard. Especially since these changes are being called for not only by civil society, but also by the scientific and medical community, as well as international organisations. These are not just recommendations invented in a narrow circle of activists/v – they are a global agenda, reflecting progress and the realisation that HIV infection is now a chronic disease that can be lived with thanks to affordable and effective treatment.

Importantly, positive developments are already taking place in the country. Progressive initiatives on gender equality, protection of the rights of women and people living with HIV demonstrate the state’s commitment to improving the quality of life of its citizens. These changes give me confidence that the reform will also affect the legislative acts that still restrict people in their rights and freedom of choice of profession.

I believe in my state and its rational approach. I see that there is a dialogue going on and it is bearing fruit. We are moving towards change, and I am convinced that it will be positive for everyone.

S.M.: One last question. Looking back at your path from a public defender to a community expert who submits a draft of legislative changes to the parliament, tell us how you came to this? Who/what is behind it?

E.K.: Behind all our efforts there are always people – people who need help and support. I myself am a woman living with HIV, and although I have not experienced criminalisation directly, I have had many examples of stigma and discrimination in my life. One of the people I defended in court is now an employee of our organisation. It is stories like these that give me the strength and inspiration to keep going.

Deep down, I dream of a perfect world. No one can stop me from at least trying to make it so. My main motivation has always been to ensure that people living with HIV no longer face discrimination and stigma, that their rights are respected and not violated just because of their diagnosis.

I am convinced that the state should work in the interests of those who live in it. And today we really have good prospects.We see the existence of political will and civil society, which is actively involved in promoting change and has real weight.This is a favourable time for change.

The state is showing a desire to hear us and understand our problems. Moreover, we are not just talking about problems, we are helping to find solutions, and this process becomes an additional motivation for me. When we are listened to and really heard, it is inspiring. It means that our efforts matter and lead to change.

Order of the Minister of Health of the Republic of Uzbekistan

On approval of the List of types of professional activities prohibited for persons infected with the human immunodeficiency virus

[Registered by the Ministry of Justice of the Republic of Uzbekistan on May 07, 2014. Registration № 2581]

Order of the Minister of Health of the Republic of Uzbekistan

On approval of the List of types of professional activities prohibited for persons infected with the human immunodeficiency virus

[Registered by the Ministry of Justice of the Republic of Uzbekistan on February 19, 2024. Registration № 3497]

Types of professional activities prohibited for persons infected with the human immunodeficiency virus

List:

1. Professions related to the procurement and processing of blood and its components.

2. Professions related to the production of blood and its components, sperm and breast milk.

3. Professions related to blood transfusion.

4. Professions related to the following medical procedures: injections; dialysis; venesection;, catheterization.

5. Professions related to cosmetic and plastic surgery.

6. Professions related to dental procedures.

7. Professions related to childbirth.

8. Professions related to abortions and other gynecological operations.

9. Professions related to hair and shaving, piercing, manicure, pedicure and tattooing.

Types of professional activities prohibited for persons infected with the human immunodeficiency virus

List:

1. Professions related to the procurement, processing and transfusion of human blood and/or its components.

2. Professions related to all types of surgery.

3. Professions related to childbirth.

4. Professions related to the following medical procedures: dialysis; venesection; catheterization.


«К нам пришла женщина, она просила помощи с судебным процессом»

Интервью с Евгенией Коротковой

Хотите узнать, как активистка, живущая с ВИЧ, прошла путь от общественной защитницы по делам по 113-й статье Уголовного Кодекса до экспертки сообщества, которая после выступления на феминистском форуме влияет на гуманизацию законодательства в отношении людей, живущих с ВИЧ, в Узбекистане?

Читайте об этом в интервью Светланы Мороз с Евгенией Коротковой, посвященном существенному сокращению списка запрещенных профессий для людей, живучих с ВИЧ, в Узбекистане.

С.М.: Женя, давай начнем с начала. В 2020 году к вам в организацию за помощью обратилась женщина, которая столкнулась с уголовным преследованием за то, что она работала парикмахером. Расскажи про эту женщину, почему она пришла именно к вам?

Е.К.: Я хорошо помню, как мы только начали уделять внимание проблеме криминализации ВИЧ в рамках статьи 113 Уголовного кодекса. Мы тогда активно собирали кейсы людей, которые были привлечены по этой статье. В какой-то момент наткнулись на статью на сайте МВД. В ней говорилось о том, что подросток-сирота, живущий с ВИЧ, вступил в половую связь с подростком девочкой, и она забеременела. Основной посыл статьи был направлен на родителей — мол, следите за детьми и проводите с ними профилактические беседы.

Однако статья была переполнена стигматизирующей, некорректной и искаженной информацией. На фоне возмущения мы решили написать пост на странице нашей организации, где я дала свои комментарии. В этом посте также было обращение к людям, живущим с ВИЧ, которые пострадали по части 4-й статьи 113 УК РУз. Мы сообщали, что они могут обратиться к нам за юридической помощью и консультациями.

Реакция на пост не заставила себя долго ждать. Одной из первых обратилась женщина, работавшая парикмахером. Она рассказала, что ее дело уже передано в суд, а на момент расследования у нее даже не было средств на адвоката. Мы начали искать возможности помочь и смогли найти деньги на оплату адвокатских услуг. Адвокатка взялась за ее дело и подал запрос на ознакомление с материалами.

В процессе обсуждений с этой женщиной мы пришли к выводу, что я буду участвовать в суде как общественная защитница от нашей организации. Это был для меня первый такой опыт. Мы не знали, что у нас вообще есть возможность представлять чьи-то интересы таким образом. И мы подготовили ходатайство, в котором указали, что помимо адвоката интересы женщины будет представлять общественная защитница — то есть я.

Этот случай стал для меня серьезным испытанием. Мы открыли для себя новую форму помощи, о существовании которой раньше даже не догадывались. Теперь мы знаем, что участие общественного(ой) защитника/цы может оказаться ключевым в подобных делах и реально помогает людям.

С.М.: Как это дело попало в суд? Кто подал в суд на эту женщину? Как они узнали о ее ВИЧ статусе?

Е.К.: То, как именно это дело оказалось в суде, мы узнали только в ходе судебного процесса. Оказалось, что к женщине на работу пришел сотрудник милиции с каким-то списком. Он показал ей, что она числится в этом списке, и заявил, что туда включены люди, нарушающие закон. В частности, речь шла о тех, кто имеет ВИЧ-положительный статус и работает в парикмахерской, что якобы противоречит закону.

Фактически это означало передачу данных о состоянии здоровья правоохранительным органам без согласия пациентки. И на суде этот факт даже не пытались скрыть. В ходе разбирательства прокурор, который вел дело, прямо заявил, что сведения о ее ВИЧ-статусе были получены из Центра СПИДа.

С.М.: Как проходил суд? Какой был приговор?

Е.К.: Судебное разбирательство проходило в закрытом режиме, поскольку дело касалось врачебной тайны и конфиденциальности диагноза. Нам очень повезло, что удалось привлечь врачей, которые поддержали нашу сторону и встали на защиту женщины. Она строго следовала режиму приёма АРВ-терапии, благодаря чему у нее была неопределяемая вирусная нагрузка. В суде в качестве эксперта выступил врач, который ясно объяснил, что при таких условиях инфицирование было невозможно. Он также подчеркнул, что на момент разбирательства не было ни одного пострадавшего.

Даже следователь указал в материалах дела, что женщина не пользовалась в работе ножницами или бритвами — только машинкой для стрижки. Она не применяла режущие и колющие предметы, которые могли бы теоретически создать угрозу заражения. Важно отметить, что свидетели, которых вызывали с ее работы, не давали негативных показаний. Они подтверждали, что женщина выполняла свои обязанности профессионально и без нарушений.

В своих прениях я опиралась на эти доказательства, утверждая, что наша подзащитная не могла передать ВИЧ-инфекцию, работая парикмахером. Во время заседания судья задал мне вопрос: «Вы, как общественная защитница, сами бы пошли стричься к этой женщине?» Я объяснила, что для передачи ВИЧ потребовался бы целый ряд маловероятных условий: она должна была бы не принимать терапию, при этом и себя, и меня сильно порезать. Только в таком случае могла бы возникнуть теоретическая угроза заражения. Но даже тогда вероятность передачи была бы крайне низкой.

Отдельно хочу отметить, что махалинский комитет оказал нашей подзащитной серьезную поддержку. Они подали множество ходатайств в ее защиту, несмотря на знание ее ВИЧ-статуса. К этому процессу также подключился комитет женщин, который внес дополнительные ходатайства в пользу нашей клиентки.

Однако женщине все же назначили условный срок — два с половиной года. Это решение было принято из-за существования статьи 113, по которой ее судили. Суд учел, что у нее есть несовершеннолетний ребенок, и это повлияло на смягчение приговора.

До сих пор помню, как судья, оглашая приговор, подчеркнул важность нашего адвокационного направления. Он сказал, что наша организация должна работать над изменением списка запрещенных профессий, потому что он противоречит современному законодательству. Эти слова стали отправной точкой для большого адвокационного процесса, который занял у нас три года. Это дело не просто показало нам необходимость защиты людей в конкретных ситуациях, но и дало старт изменениям на системном уровне.

С.М.: Как сейчас живет эта женщина? Как она себя чувствует?

Е.К.: Представляешь, она проработала в своей любимой профессии более 30 лет. Для нее это было страшным ударом — лишиться работы, на которой она строила всю свою жизнь. Учитывая, что у нее был несовершеннолетний ребенок, а она — мать-одиночка и единственная кормилица в семье, вся ответственность легла на ее плечи. После суда ей было очень тяжело найти подходящую работу. Она бралась за все, что могла: убирала дома, работала гувернанткой, перепробовала массу профессий.

Восстановиться после судебного процесса ей было нелегко. Она проходила длительную психологическую реабилитацию, и мы со своей стороны также оказывали ей поддержку, предоставив услуги психолога. Этот период был очень непростым для нее. Когда наконец изменили законодательство, я первой отправила ей документ с поправками. Но, к сожалению, она так и не вернулась в профессию. Вместо этого она открыла свой маленький бизнес, решив начать жизнь с чистого листа.

Мы продолжали и до сих пор поддерживаем с ней отношения. После суда она приняла участие в Форуме судей, где выступила с открытым лицом и рассказала свою историю. Она поделилась тем, как несправедливая законодательная норма отразилась на ее жизни, и это стало для нее своего рода актом мужества и надеждой на перемены. Её мотивацией было желание помочь другим людям с ВИЧ-положительным статусом, чтобы они больше не сталкивались с теми трудностями и унижениями, через которые прошла она.

Мы понимали, что этот случай касался не только вопросов уголовного права, но и затрагивал социально-экономические права. Он показал, как сильно стигматизация и ограничительные законы могут повлиять на жизнь человека, лишив его источника дохода и возможности работать по профессии. Тем не менее, ее история стала важной частью нашей адвокационной работы и помогла привлечь внимание к необходимости изменений в законодательстве.

С.М.: У нас есть еще одна веха в этой истории — в 2022 году, Узбекистан, третья страна в ЦА (после Таджикистана и Кыргызстана), которая среди прочего получила рекомендацию декриминализировать передачу ВИЧ от комитета ООН CEDAW. Твоя страна получила эту рекомендацию, во многом, благодаря твоему участию и нашему совместному теневому отчету от сообщества. Можем ли мы считать, что полученные рекомендации повлияли на адвокационные процесс в контексте декриминализации ВИЧ, а именно пересмотр списка запрещенных профессий?

Е.К.: У меня было всего три минуты на выступление перед членами Комитета CEDAW, и я прекрасно помню, как мы готовили мое устное заявление. Каждая секунда имела значение. Мне кажется, что все наши усилия были взаимосвязаны, особенно с учетом того, насколько серьезно государство относится к рекомендациям международных структур. В последние годы в стране действительно заметен прогресс в вопросах поддержки женщин.

С 2019 года начали приниматься законы, направленные на обеспечение равноправия мужчин и женщин и борьбу с дискриминацией и насилием в отношении женщин. Я вижу, что в стране делается акцент на экономическую независимость женщин и расширение наших возможностей в образовании и профессиональной деятельности. Особое внимание уделяется доступу женщин к руководящим должностям, что открывает новые перспективы для нас.

Я верю, что заключительные рекомендации Комитета CEDAW могли сыграть свою роль в том, что государство обратило внимание на перечень запрещенных профессий. Этот список давно нуждался в пересмотре, так как он ограничивал права женщин и препятствовал их профессиональному развитию. Работа в этом направлении продолжается, и я надеюсь, что наши усилия помогут еще большему числу женщин избежать подобных ограничений и добиться справедливости.

С.М.: Итак, 2024 год. Случилось то, что, наверное, вы и мы сами не ожидали – приказом министра здравоохранения изменен (сокращен) список запрещенных профессий для людей, живущих с ВИЧ, в Узбекистане. Как это стало возможным?

Е.К.: Согласно новому приказу, ВИЧ-положительные люди теперь могут работать стоматологами, если они не занимаются хирургическими вмешательствами. Этот шаг стал значимым изменением, особенно для нас, поскольку у нас был случай, когда мужчину, работающего зубным техником, привлекли к уголовной ответственности только из-за его ВИЧ-статуса.

В ноябре 2023 года прошел большой феминистский форум, на котором я выступила с речью, вызвавшей широкий отклик. В одной из газет обо мне написали как о лидерке, живущей с ВИЧ. После этой публикации моей историей заинтересовались в администрации президента. Меня пригласили на встречу, чтобы обсудить наиболее острые проблемы, с которыми сталкиваются женщины и люди, живущие с ВИЧ.

На встрече я постаралась использовать этот шанс, чтобы привлечь внимание к списку запрещенных профессий. Я объяснила, что этот законодательный акт не только не приносит общественной пользы, но и разрушает жизни людей, ограничивая их возможности работать по профессии. Мои доводы нашли отклик. У меня сложилось впечатление, что я смогла убедить их в том, что этот приказ давно утратил свою актуальность.

В процессе обсуждения стало очевидно, что чиновники, с которыми я общалась, проявили прогрессивный подход и готовы поддержать инициативу по пересмотру и изменению списка запрещенных профессий. Их готовность к диалогу и понимание важности вопроса вдохновили меня и дали надежду на дальнейшие позитивные изменения.

С.М.: Я правильно понимаю, что у чиновников Минздрава не было сопротивления этой инициативе? До этого врачи передавали милиции данные о людях с ВИЧ. Не могу забыть случай, когда женщину (медсестру) просто посредине рабочего дня вызвали в райотдел, проверяли список ее контактов в телефонной книге, спрашивали с кем она спит, угрожали статьей, и т.д. — такие «профилактические» унизительные методы.

Е.К.: После принятия нового, сокращенного списка запрещенных профессий мы начали проводить тренинги для медицинских работников. В процессе мы столкнулись с определенным сопротивлением — среди участников встречались эпидемиологи, которые не поддерживали изменения. Они утверждали, что риск передачи ВИЧ все равно существует, несмотря на новые данные и международные стандарты. Такие заявления, скорее, демонстрировали их недостаточную осведомленность в вопросе. Позже их коллеги, врачи с большим опытом, даже советовали им воздержаться от таких высказываний, чтобы не вводить в заблуждение других участников.

Особенно важным для нас стало участие главного эпидемиолога Республиканского центра СПИД в этих тренингах. Он представил информацию об изменениях списка профессий максимально профессионально и доступно, что помогло снизить уровень недоверия и сопротивления среди медработников. Его выступления сыграли важную роль в распространении правильных знаний.

Мы также проводили встречи с сотрудниками МВД, в частности с представителями нравственного отдела, который курировал дела, связанные со статьей 113 УК. Именно они ранее инициировали дела против ВИЧ-положительных парикмахеров, приводя к их уголовному преследованию. Эти обсуждения были для нас важны, поскольку позволили донести до сотрудников правоохранительных органов, что старые нормы больше не отвечают современным реалиям и только способствуют стигматизации людей, живущих с ВИЧ.

С.М.: Мы знаем, что ты работала над законопроектом, который уже подан от вашей неправительственной организации «Ишонч ва Хает» в парламент. Вы еще ответ получили, с благодарностью. Как ты оцениваешь перспективу внесения изменений в УК в отношении 113-й статьи?

Е.К.: Я — оптимистка и уверена, что изменения непременно произойдут, это лишь вопрос времени. Уже сейчас видно, что люди, занимающиеся реформами в области законодательства, осознают, что некоторые законы устарели и требуют пересмотра. Приятно видеть, что страна активно нацелена на обновление законодательных систем и приведение их в соответствие с современными реалиями.

Я верю, что наш голос будет услышан. Тем более, что к этим изменениям призывает не только гражданское общество, но и научное и медицинское сообщество, а также международные организации. Это не просто рекомендации, придуманные в узком кругу активисток/в — это глобальная повестка, отражающая прогресс и понимание того, что ВИЧ-инфекция сегодня является хроническим заболеванием, с которым можно жить благодаря доступному и эффективному лечению.

Важно, что в стране уже происходят позитивные сдвиги. Прогрессивные инициативы в области гендерного равенства, защиты прав женщин и людей, живущих с ВИЧ, демонстрируют стремление государства к улучшению качества жизни своих граждан. Эти перемены дают мне уверенность, что реформа затронет и законодательные акты, которые до сих пор ограничивают людей в их правах и свободе выбора профессии.

Я верю в свое государство и его рациональный подход. Вижу, что идет диалог, и он приносит плоды. Мы движемся в сторону перемен, и я убеждена, что они будут положительными для всех.

С.М.: Последний вопрос. Оглядываясь на твой путь от общественной защитницы до экспертки сообщества, которая подает в парламент проект законодательных изменений, расскажи, как ты к такому пришла? Кто/что за этим стоит?

Е.К.: За всеми нашими усилиями всегда стоят люди — люди, которые нуждаются в помощи и поддержке. Я сама женщина, живущая с ВИЧ, и, хотя напрямую не сталкивалась с криминализацией, в моей жизни было немало примеров стигмы и дискриминации. Один из тех, кого я защищала в суде, теперь стал сотрудником нашей организации. И такие истории дают мне силы и вдохновение двигаться дальше.

В глубине души я мечтаю об идеальном мире. Никто не может запретить мне хотя бы пытаться сделать его таким. Моя главная мотивация всегда была в том, чтобы люди, живущие с ВИЧ, больше не сталкивались с дискриминацией и стигмой, чтобы их права уважались и не нарушались только из-за их диагноза.

Я убеждена, что государство должно работать в интересах тех, кто в нем живет. И сегодня у нас действительно есть хорошие перспективы. Мы видим наличие политической воли и гражданского общества, которое активно участвует в продвижении изменений и имеет реальный вес. Это благоприятное время для перемен.

Государство проявляет желание услышать нас и понять наши проблемы. Более того, мы не просто говорим о проблемах, мы помогаем находить решения, и этот процесс становится для меня дополнительной мотивацией. Когда нас слушают и действительно слышат — это вдохновляет. Это значит, что наши усилия имеют значение и ведут к изменениям.

Приказ Министра здравоохранения Республики Узбекистан

Об утверждении Перечня видов профессиональной деятельности, запрещенных для лиц, зараженных вирусом иммунодефицита человека

[Зарегистрирован Министерством юстиции Республики Узбекистан 07 мая 2014 года. Регистрационный № 2581]

Приказ Министра здравоохранения Республики Узбекистан

Об утверждении Перечня видов профессиональной деятельности, запрещенных для лиц, зараженных вирусом иммунодефицита человека

[Зарегистрирован Министерством юстиции Республики Узбекистан 19 февраля 2024 года. Регистрационный № 3497]

Виды профессиональной деятельности, запрещенные лицам, инфицированным вирусом иммунодефицита человека

СПИСОК

1. Профессии, связанные с заготовкой и переработкой крови и ее компонентов.

2. Профессии, связанные с получением крови и ее компонентов, спермы и грудного молока.

3. Профессии, связанные с переливанием крови.

4. Профессии, связанные со следующими медицинскими процедурами: инъекции; диализ; венесекция; катетеризация.

5. Профессии, связанные с косметическими и пластическими операциями.

6. Профессии, связанные со стоматологическими процедурами.

7. Профессии, связанные с родами.

8. Профессии, связанные с абортами и другими гинекологическими операциями.

9. Профессии, связанные с прической и бритьем, пирсингом, маникюром, педикюром и татуировкой.

Виды профессиональной деятельности, запрещенные лицам, инфицированным вирусом иммунодефицита человека

СПИСОК

1. Профессии, связанные с заготовкой, переработкой и переливанием крови человека и (или) ее компонентов.

2. Профессии, связанные со всеми видами хирургии.

3. Профессии, связанные с родами.

4. Профессии, связанные со следующими медицинскими процедурами: диализ; венесекция; катетеризация.