El Salvador: New law for the prevention and control of HIV includes duty to disclose HIV-status to all sexual partners

English translation ((Para artículo en español, desplácese hacia abajo)

People who are HIV positive and who want to maintain a permanent or eventual relationship with their partner, should inform them of their status as a carrier of the virus, as established by a new law in the country.

The Legislative Assembly approved in the plenary session, Wednesday of this week, the new Law on Prevention and Control of Infection caused by the Human Immunodeficiency Virus.

The regulations were described by the Atlacatl Vivo Positivo Association as “a setback” in defending the human rights of HIV positive people. In the section that refers to the duty to communicate, article 15, third paragraph of the law states that “any person who has been notified of his / her serological condition is obliged to communicate this situation to his / her partner, whether permanent or casual,”

The director of the Atlacatl Association, Odir Miranda, said that the law is criminalizing people who HIV positive “because it is forcing us to reveal that we are HIV positive; The other is that I can accuse a person and say that she infected me and I have no way to prove whether it was her or someone else “Miranda said.

He added that another disadvantage to which the new regulations exposes them is that by forcing them to say they have the virus, they are not likely to obtain housing, life insurance and hardly likely to get jobs, he explained

That aspect of the law is very serious, says Miranda, because they can not be exposed to regulations that, instead of helping to defend the human rights of HIV-positive people, will criminalize them, he said.

The Atlacatl Association criticized the fact that the body governing the regulation is the Ministry of Health, as embodied by article 3 of the new law. Miranda questions this because, according to him, The Ministry of Health is judge and part with its functions.

He added that the state portfolio, as the lead agency, will not be impartial when imposing sanctions for complaints against discrimination in the hospitals of the public network and the Salvadoran Institute of Social Security.

“There are many complaints of discrimination that we have put against hospitals and so far nothing has been done,” Miranda said.

In practice the law is nothing new, what’s more, it would better if it was repealed because it rights woudd be better, he said.

The only thing that the Public Health Commission of the Legislative Assembly did with the new legislation, then approved by the plenary, was to empower the Ministry of Health and change the name of the National Commission against AIDS (Conasida) to the National Commission Against HIV (Conavih).

According to him, the law has wanted to sell itself as a human rights approach, but it does not have it because they have left out the Ministry of Labor and Education, who are part of the main bodies in the national response to HIV.

The National HIV Commission is made up of the Ministry of Health, the Higher Public Health Council (CSSP), the Ministry of Foreign Affairs, the Office of the Procurator for the Defense of Human Rights (PDDH), the Associations and Foundations whose objective is prevention of The Medical School, the Ministry of Social Inclusion and the National Institute of Youth.

When discussing the draft law that was approved on Wednesday, the Atlacatl Association proposed that the governing body be an institution detached from the Ministry of Health because the approach they sought was a multisectoral participation with the Attorney General’s Office, and the Supreme Court, among others.

With this framework of disadvantage, according to Miranda, they will ask the President of the Republic, Salvador Sánchez Cerén, to veto the new law because it gives a negative message to the country in response to HIV.

Miranda called the regulations a delay to what has been achieved in terms of fighting and responding to the disease. “We will target activities towards the Presidential House so that it does not sanction it,” he said. He even said that they could go to the Inter-American Court of Human Rights to denounce the law.

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Portadores de VIH obligados a decir su condición a su pareja sexual

La Asamblea legislativa aprobó la nueva Ley de Prevención y Control de la Infección provocada por el Virus de Inmunodeficiencia. La ley aún debe ser sancionada por el presidente de la República, Salvador Sánchez Cerén.

Por Roberto Alas

Las personas que se encuentren con el Virus de Inmunodeficiencia Humana (VIH) y que quieran mantener una relación permanente o eventual con su pareja, deberá informarle su condición de portador del virus, según ha quedado establecido en una nueva ley del país.

La Asamblea Legislativa aprobó en la sesión plenaria, del miércoles de esta semana, la nueva Ley de Prevención y Control de la Infección provocada por el Virus de Inmunodeficiencia Humana.

La normativa fue calificada por la Asociación Atlacatl Vivo Positivo como “un retroceso” en la defensa de los derechos humanos de estas personas. En el apartado que se refiere al Deber de comunicar, el artículo 15 inciso tercero de la normativa establece que “toda persona que haya sido notificada de su condición serológica, está obligada a comunicarle tal situación a su pareja, ya sea permanente o eventual”, expone.

El director de la Asociación Atlacatl, Odir Miranda, aseguró que la ley está criminalizando a las personas con VIH positivo “porque nos está obligando a revelar que somos VIH positivo; lo otro es que yo puedo acusar a una persona y decir que me infectó y no tengo la manera de probar si fue ella u otra”, expuso Miranda.

Agregó que otra de las desventajas en la que los expone la nueva normativa es que al obligarlos a decir que tienen el virus, no son sujetos a obtener viviendas, un seguro de vida y difícilmente les dan empleo, explicó

Ese aspecto dentro de la ley es muy grave, dice Miranda, porque no pueden exponerse a tener una normativa que, en vez de ayudar a la defensa de los Derechos Humanos de las personas VIH positiva, va a criminalizarlos, aseguró.

La Asociación Atlacatl criticó que el ente rector de la normativa sea el Ministerio de Salud, tal como quedó plasmado en el artículo 3 de la nueva ley. Mirando cuestiona ese hecho porque, según él, el Salud es juez y parte dentro de sus funciones.

Agregó que la cartera estatal, como organismo rector, no será imparcial al momento de imponer sanciones por denuncias contra discriminación en los hospitales de la red pública y del Instituto Salvadoreño del Seguro Social.

“Existen muchas denuncias de discriminación que hemos puesto contra los hospitales y hasta ahora no se ha hecho nada”, lamentó Miranda.

Pare él, prácticamente la ley no tiene nada nuevo, es más, estaba mejor la que fue derogada porque les garantizaba mejor sus derechos, dijo.

Lo único que hizo la Comisión de Salud Pública de la Asamblea Legislativa con la nueva normativa, y aprobada por el pleno, fue darle facultades al Ministerio de Salud y cambiar el nombre de la Comisión Nacional contra el Sida (Conasida) por el de Comisión Nacional Contra el VIH (Conavih).

Según él, la ley la han querido vender con un enfoque de derechos humanos, pero no lo tiene porque han dejado afuera al Ministerio de Trabajo y al de Educación, quienes son parte de los entes principales en la respuesta nacional contra el VIH.

La Comisión Nacional contra el VIH está conformada por el Ministerio de Salud, Consejo Superior de Salud Pública (CSSP), Ministerio de Relaciones Exteriores, Procuraduría para la Defensa de los Derechos Humanos (PDDH), las Asociaciones y Fundaciones cuyo objetivo sea la prevención de la enfermedad, Colegio Médico, la Secretaría de Inclusión Social y el Instituto Nacional de la Juventud.

Cuando se discutió el anteproyecto de la ley que se aprobó el miércoles, la Asociación Atlacatl propuso que en ente rector fuese una institución desligada del Ministerio de Salud porque el enfoque que buscaban era una participación multisectorial en donde estuviese la Fiscalía General de la República, Corte Suprema de Justicia, entre otros.

Con ese marco de desventaja, según Miranda, pedirán al presidente de la República, Salvador Sánchez Cerén, que vete la nueva ley porque da un mensaje negativo del país en la respuesta al VIH.

Miranda tildó la normativa como un retraso a lo que se había logrado en cuanto a la lucha y respuesta a la enfermedad. “Vamos hacer acciones hacia Casa Presidencial para que no la sancione”, aseguró. Incluso, dijo que podrían acudir a la Corte Interamericana de Derechos Humanos para denunciar la normativa.

Canada: HIV and Human Rights Organisations welcome Canadian Minister of Justice statement recognising the unjust Criminalisation of people with HIV

HIV AND HUMAN RIGHTS ORGANIZATIONS WELCOME FEDERAL GOVERNMENT’S INTEREST IN ENDING UNJUST HIV CRIMINALIZATION

By AIDSLAW | Published: DECEMBER 1, 2016

TORONTO, December 1, 2016 — The Canadian HIV/AIDS Legal Network and the HIV & AIDS Legal Clinic Ontario (HALCO) welcome today’s statement by Canadian Minister of Justice Jody Wilson-Raybould recognizing the ongoing problem of overly-broad, unjust criminalization of people living with HIV. Today, fittingly for World AIDS Day, the federal government has signaled its intent to address a critical issue that has long been of concern to people living with HIV and human rights advocates across Canada, and that has also attracted international criticism. Minister of Health Dr. Jane Philpott has also met with us on this very issue, and has noted that HIV criminalization in Canada is both a problem and a priority for the government to address.

Press release can be downloaded here

US: Broad coalition takes on Missouri's outdated and stigmatizing HIV criminal laws

JEFFERSON CITY — December 1st was World Aids Day and Missouri activists want legislators to change a law concerning those living with HIV.

Right now, in the state of Missouri, any person who exposes someone to HIV could go to prison. If a person contracts HIV the person who gave it to them could go to prison for life. This law has put 82 people in prison since 1997. Activists explain this law is discriminatory and based on outdated science.

Activists on November 30th launched the Missouri HIV Justice Coalition. The group plans to lobby policy makers to repeal the law.

Empower Missouri Executive Director Jeanette Mott Oxford said the laws should be based on accurate science.

She said the current law makes assumptions about HIV transmission that we now know are incorrect.

“We hope that Missouri will modernize their law making it medically accurate and taking away the stigma of people with HIV by taking the HIV specific part out of our criminal code… certainly there should be laws about doing things such as biting people, but you shouldn’t have a higher penalty for being a person with HIV.”

“About 2/3rds of the United States have “HIV-specific” statues that result in prosecutions of those living with HIV for having sexual contact without being able to prove they disclosed their HIV positive status in advance,” according to activist group The Sero Project.

Senator Rob Schaaf, R-St. Joseph, said he could see the laws changing in the future.

“The law is based upon a false premise,” Sen. Schaaf said. “I doubt that there’s a big urgency in changing it, but I think it would eventually be changed to fit our understanding of the true situation.”

Mott Oxford said the Missouri HIV Justice Coalition plans to hold upcoming events to educate more people about the current law. If you are interested in joining the group, you can contact Mott Oxford at Empower Missouri at (573)-634-2901.

Currently there is no legislation to repeal this law.

Published on KCRG TV on Dec 1, 2016

Uganda: 5 months after filing their initial petition, activists renew their call to amend HIV law

Activists renew call for HIV law amendment

By Noah Jagwe

They argue that the law contains clauses that could deter all the benefits in the fight against the scourge.

According to this group, the law instead instills fear in communities about HIV disclosure and also fuels stigmatization.

Earlier this year, some 60 civil society organizations across the country challenged the criminalization of HIVin Uganda as well as other ‘harmful’ provisions in the Act.

Dora Kichoncho Musinguzi, the executive director Uganda Network on Law and Ethics, said the salient features that are scanned out in the law which they consider discriminatory are: Clauses 21, 41 and 43 of the Act that seek to criminalize HIV, particularly intentional transmission.

The Act would require mandatory disclosure of one’s HIV status, failure of which would be regarded as “criminal”, and attempting to or, intentionally transmitting the virus.

Failure to use a condom where one knows their HIV status would constitute a criminal offence, making them liable for prosecution.

The provisions in the HIV Act, according to Kichonco, do not only stigmatize and discriminate against people living with HIV, but also deter communities from seeking HIV services such as HIV testing and subsequently HIV treatment.

“It is five months since we filed the petition. The government has not responded to our case. This is procedurally wrong and negates justice,” she said.

Kichoncho said if the law continues “as we could see”, it would heighten stigmatization of people living with HIV and that many of the targets such as 90% of people knowing their status, 90% of those who with HIV are on treatment and 90% with suppressed viral load set by the country might not be achieved.

“The law has been counterproductive to all the achievements Uganda has made.”

She said the legal environment in Uganda is not conducive and human rights have not been respected. “Laws that criminalize and stigmatize people with HIV must be repealed.”

Meanwhile, Dorothy Nassolo, communications officer of Forum of People Living with HIV/Aids Networks in Uganda said there is a crisis the country might not stand.

She said a number of patients have been hacked to death because they have been discovered by their spouses for taking ARVs covertly.

National Forum of People Living with HIV/AIDS officer Milly Katana said the most affected group by the law are women through gender-based violence at home.

Katana said it’s better for Uganda to look at other alternatives for instance biomedical tools, medical male circumcision and condoms. –

Published in New Vision on Dec 1, 2016

Canada: Ministry of Justice recognises the negative impact of the over-criminalization of HIV non-disclosure

Minister Wilson-Raybould Issues Statement on World AIDS Day

December 01, 2016 (Ottawa, ON) – Department of Justice Canada

The Honourable Jody Wilson-Raybould, Minister of Justice and Attorney General of Canada, today issued the following statement:

World AIDS Day is a time to reflect on the impact that HIV/AIDS has had on Canadians, and to give thanks to the many dedicated people who work to prevent this disease and help people get the care and support they need.

It is also a time to recognize the tremendous medical advances that have been made since the first World AIDS Day was held in 1988. HIV treatment has slowed disease progression to the point that, for many, HIV infection can now be regarded as a chronic, manageable condition.

Still, the over-criminalization of HIV non-disclosure discourages many individuals from being tested and seeking treatment, and further stigmatizes those living with HIV or AIDS. Just as treatment has progressed, the criminal justice system must adapt to better reflect the current scientific evidence on the realities of this disease.

Over the coming months, I intend to work with my provincial and territorial counterparts, affected communities and medical professionals to examine the criminal justice system’s response to non-disclosure of HIV status. This could include a review of existing charging and prosecution practices, as well as the possible development of prosecutorial guidelines. I also look forward to working with Member of Parliament Randy Boissonnault, Special Advisor to the Prime Minister on LGBTQ2 issues, in his continued efforts to engage Canadians on important issues such as this one.

On World AIDS Day, we should all share in the commitment to reduce stigma and discrimination against those living with HIV or AIDS.

Contacts

Valérie Gervais

Press Secretary

Office of the Minister of Justice

613-992-4621

Media Relations

Department of Justice Canada

613-957-4207

media@justice.gc.ca

Canada: UN experts recommends that Canada review its criminal laws to prevent unjust prosecutions of people living with HIV

UN experts make historic recommendations to Canada: End unjust HIV criminalization, repeal law restricting supervised consumption services, and implement needle and syringe programmes in prison

By AIDSLAW | Published: NOVEMBER 18, 2016

GENEVA, November 18, 2016 — The United Nations Committee on the Elimination of Discrimination against Women issued its Concluding Observations today following its review of Canada’s compliance with the Convention on the Elimination of All Forms of Discrimination against Women. This is the first time the Committee reviewed women’s rights in Canada since 2008.

Documents can be downloaded here

Canada: HIV activists form national coalition to lobby for an end to the criminalisation of people living with HIV

HIV activists form Canadian coalition to fight criminalization

Aggravated sexual assault convictions for HIV non-disclosure are unjust, members say.

A group of HIV activists, lawyers, and service providers from across Canada have formed a national coalition to call for an end to the criminalization of people living with HIV.

The Canadian Coalition to Reform HIV Criminalization, years in the making, will lobby nationally for people who have been charged for not disclosing their HIV status. Up until now, this work was only done locally and provincially, and mostly by lawyers rather than people most affected by the law.

“We have an amazing expert community of lawyers working on this issue,” says Alexander McClelland, a Montreal-based HIV criminalization researcher and member of the coalition. “But lawyers talk to other lawyers and haven’t been engaged more broadly. So hopefully we can shift things with the way the coalition is organized. We’re really centrally placing lived experience of people on our steering committee.”

Under Canadian law, a person living with HIV must disclose their status to anal and vaginal sexual partners or face the charge of aggravated sexual assault, which carries a maximum lifetime sentence and registry as a sex offender. This standard was most recently upheld in a 2012 Supreme Court of Canada ruling based on outdated science. The court ruled that to be considered safe enough not to disclose, HIV carriers must have very low viral load and wear condoms. Research now shows, however, that low viral load itself is enough to be nearly perfectly safe.

Coalition members met in October after many attended the HIV Is Not A Crime 2 Training Academy in Huntsville Alabama. Realizing the national level of organization in the United States led by people who have been charged and convicted, the attendees realized Canada needed something similar.

The coalition wants to limit prosecutions to intentional transmissions of HIV. Of over 180 known HIV prosecutions in Canada since the discovery of the virus as the cause of AIDS, there have been just two known intentional transmissions, according to Cecile Kazatchkine, senior policy analyst with the Canadian HIV/AIDS Legal Network.

The large percentage of unjust prosecutions in Canada, she says, has a chilling effect on people living with the virus.

“Many [HIV positive] people fear being prosecuted, of that happening to them at some point, like an old partner coming back to them and saying things that may not be true but it’s one word against another.”

The law is constructed to protect the sexual autonomy of women, Kazatchkine says, but it can often have the opposite effect on many HIV-positive women living in abusive relationships who fear their partners could use their status against them if they tried to leave.

“There’s a climate of fear and uncertainty that guides everything that we do and so it would be great to intervene in that and change the current situation,” adds McClelland, who lives with HIV.

Though still in its early stages, the coalition is concentrating on three areas: involving the lived experiences of those who live with the virus and have been criminally charged, lobbying provincial and federal politicians to change the Criminal Code and how it is enforced, and publicizing unjust prosecutions.

The group is also working on specific demands for the federal government, which writes the criminal law, and for provincial governments, which administer the law through the courts.

McClelland says coalition members have spoken to Minister of Justice Jody Wilson-Raybould, which he finds promising, since no such meeting took place under the previous Conservative government.

“It’s also really, really hard to get the Criminal Code reformed,” he notes, “but if we can appeal to members of parliament that it’s being applied so unjustly, then potentially there’s an option for that.”

Published in DailyXtra on Nov 14, 2016

US: Idaho activists are looking to reform Idaho's HIV Criminalisation laws

Local activists are looking to reform and modernize Idaho’s code on the transfer of bodily fluid containing HIV or AIDS virus. The law was created in the 1980’s, a time when HIV and AIDS was a rising issue in the country. In the last 10 years, 32 people have been charged under the law. Activists and health officials say scientifically its outdated.

In 1988 Idaho created a law to punish anyone HIV positive, who transferred their body fluids with intentions to expose or infect someone else. Ian Troesoyer a Registered Nurse and Epidemiologist at Southeast Idaho Public Health says,”Singling out HIV from a biological perspective it doesn’t make perfect sense. But in the 1980s when the law was created there was a lot more fear and greater lack of knowledge regarding the transmission.”

Under the code body fluids are: Semen, blood saliva, vaginal secretion, breast milk and urine. But 28 years later health experts say, “So saliva and urine, saliva in particular, they are not known to transmit HIV.” Which is why local activists in Pocatello want to modernize Idaho Code 39-608. Kevin Lish the Board Chair of All Under One Roof says, “These laws come down a lot of times to a ‘He said, she said’ situation.”

The crime carries a maximum of 15 years in prison. In the last decade 12 people across the state have been convicted including a man named Kerry Thomas. He’s serving 30 years for not telling his partner. He says in a video posted on SEROProject.com, “I’m glad that she, three years down the road… she’s not positive.”

Health experts and activists say with an outdated law, there’s a stigma associated with the disease that could increase people’s risks. Lish says, “We have the tools to get to an HIV free generation. One of the things we need to do is update laws like this so people feel good about being tested and are getting tested when they need to.”

Activists say speaking to legislators about changing the law will take years. Educating the public is their first mission before heading to the capitol steps in Boise. On National AIDS Awareness Day, All Under One Roof will host an event on December 1^st at 234 North Main Street at 7 p.m. There they will educate the public on the statue, and how they’d like to change it.

On Friday November 11, representatives will speak with Elizabeth Taylor’s granddaughter in Boise about how the Elizabeth Taylor’s AIDS Foundation can help their cause.

Published on KPVI on Nov 10, 2016

US: Movement to reform Michigan's HIV-specific law is gaining momentum

A movement to reform Michigan’s HIV-specific law is gaining momentum in the state House. Activists report a lobby day last month has garnered eight co-sponsors for the legislation, proposed by Rep. Jon Hoadley, D-Kalamazoo.

The legislation is being promoted by the grassroots organization Michigan Coalition for HIV Health and Safety.

“The coalition is excited to have the support and sponsorship of our modernization bill from eight of our Michigan state representatives, but we have a long way to go,” said Kelly Doyle, Coalition Manager. “We need activists and volunteers willing to talk to elected officials about the harm and threat to public health these laws are creating.”

In addition to Rep. Jon Hoadley, D-Kalamazoo, the bill’s author and lead sponsor, state representatives who have all agreed to sign on as co-sponsors include: Reps. Andy Schor, D-Lansing; Tom Cochran, D-Lansing; Jeremy Moss, D-Southfield; David LaGrand, D-Grand Rapids; George Darany, D-Dearborn; LaTanya Garrett, D-Detroit; and Robert Wittenberg, D-Oak Park. Advocates will be gathering at least five more co-sponsors before Hoadley introduces the legislation.

The legislation would change Michigan’s HIV-specific law from a felony to a misdemeanor and provide legal structure around prosecutions which would require prosecutors to prove beyond a reasonable doubt that the accused intended to transmit the virus and took actions which had a significant likelihood of transmission. Those who are proven to have intended to transmit the infection and actually did would face up to one year in jail; those who intended to transmit the infection but didn’t would face up to 93 days in jail.

Key to the modernization is a requirement that prosecutors and courts take into account current science about HIV transmission. Studies have shown that a person who is HIV-positive but successfully treating their infection with antiretroviral drugs so the virus is not detectable in their blood are extremely unlikely to transmit the infection. However, Michigan’s law currently does not allow this information as a defense.

Michigan’s law, passed in 1988, requires those who know they are infected with HIV to disclose that status prior to any sexual penetration, “however slight.” The law came out of a Republican House Task Force Report on AIDS in 1987 which wanted to stop those persons “who would deliberately or recklessly expose others to the infection.” Studies of the impact of Michigan’s law have found that behavior that is unlikely to transmit the infection has resulted in prosecutions. In addition, there appears to be a racial disparity in prosecutions focusing on black men who have sex with women. And finally, there is evidence that the law has become a weapon for domestic abusers as a way to control their intimate partners. Additional studies have found a small, but significant, minority of people at high risk for HIV infection are less likely to be tested for or discuss their risk for infection with medical providers because of such laws.

“This is an important modernization and is needed to protect the health and safety of everyone in Michigan,” said Hoadley. “Our laws are out of date. This effort would align our laws with modern HIV science, keep our communities safe and recognize the lived experiences of people living with HIV.”

Activists will lobby lawmakers again on Nov. 10 and Dec. 6 in Lansing from 9 a.m. to 4 p.m. each day. They will start the day at the ninth floor conference room of the House Office Building, 124 North Capital Ave., Lansing. For more information email Todd@MCHHS.info or visit MCHHS.info.

Mexico: Civil association in San Luis Potosi State urges parliament to rethink proposition to criminalise HIV transmission

English translation (Para artículo en español, desplácese hacia abajo)

Civil association urges a rethink of the criminalisation of HIV transmission as such an amendment to the penal code would promote higher levels of stigma and discrimination.

San Luis Potosi, SLP.- With regard to the initiative presented during the Ordinary Session No. 44, on October 27, 2016 in the State Congress by the State Governor Juan Manuel Carreras Lopez and Erika Velasquez Gutiérrez, the president of the Women Institute in San Luis Potosi, the civil association Amigos Potosinosen Lucha Contra el Sida condemned the initiative which they say, stigmatize people living with the Human Immunodeficiency Virus (HIV), and have therefore called for reconsideration of the initiative put forward, conveying the following position:

1. It is important to promote actions that recognise the human rights of women through the varied international tools signed and ratified in this matter by the Mexican State, and which have been become mandatories following the constitutional reform of 2011 in the field of Human Rights.

2. It is not advisable to seek to punish conducts that are perceived to be fraudulent with regard to HIV and other sexually transmitted infections, as the evidence tell us that HIV prevention is not achieved through punitive measures, but by public health policies which promote changes at the structural level, to facilitate equal access to services that guarantee the sexual and reproductive health of women, and also strengthen programmes and activities that promote equality between women and men.

3. Criminalisation promotes stigma and discrimination against people with HIV, including girls, children, adolescents and women, contradictorily promoting actions that violate the dignity of these vulnerable groups.

4. It is very difficult to determine causality, fraud and intention and other varied factors involved in HIV transmission such as: the possibility of transmission, the type of exposure, the use of condoms or not, at what stage of infection the person is, whether the person is on antiretroviral treatment, if their viral load is undetectable, if there is any concomitant infection, the health status of the receiving partner and the agreements between spouses or casual partners, among others.

5. It is important to emphasize that punitive measures such as those intended to legislate through this initiative, could hinder and affect various multisectoral actions in prevention, detection and HIV care in our state.

6. It might influence people who perceive themselves as having risk factors for HIV, to not undergo testing in order not to know their status and avoid any potential criminal proceedings made possible by testing. Such legislation may affect the continuous detection, prevention and care of HIV in Mexico [1], which seeks to facilitate the early diagnosis of people who perceived themselves to at risk so they can receive timely treatment to improve their quality of life and also help to curb the transmission chain.

7. Scientific evidence indicates that to stop the chain of transmission of HIV from one person to another, it is essential to combine prevention strategies, which include biomedical, behavioural and structural change, the latter emphasizing the need for actions that contribute to the eradication of stigma and discrimination associated with HIV-AIDS, and a punitive law does not contribute to these strategies.

8. The specific content of this initiative “Risk of contagion” could result in the legal responsibility for HIV prevention to fall only on those living with HIV, and could conceal the public health message that sexual partners have shared responsibility for their sexual health. People may mistakenly assume that their partners are HIV-negative because they are unaware of their status or do not disclose it, and they would therefore stop taking preventive measures.

9. Such amendments to the penal code will promote higher levels of stigma and discrimination against diverse HIV populations and their families.

Amigos Potosinos en lucha contra el Sida urges the State governor Juan Manuel Carreras Lopez and Erika Velázquez Gutiérrez president of the Women Institute in San Luis Potosi (sic), to reconsider the criminalization of HIV, as to do so would place people with HIV under a status of being possible criminals, which is contrary to their dignity as persons, violating their human rights and stigmatising them for their health condition.

Better yet, we encourage you to promote the creation of the State Council for the control of HIV, AIDS and STIs in San Luis Potosi, and to increase resources to prevent, detect and address HIV in a timely manner; to improve the quality and comprehensiveness of care services in the State that are provided by CAPASITS and by hospitals in the health system; to generate and strengthen empowerment programs for women and actions that seek to promote equal opportunities between women and men; finally to reduce stigma and discrimination against key populations affected by HIV and other STIs incorporating the MIPA principle [3] which speaks of greater involvement of people living with HIV as part of the solution and response, thereby contributing to a democratic, inclusive and non-discriminatory Mexico.

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Asociación Civil pide reconsiderar tipificar como delito trasmisión del VIH. Este tipo de adecuaciones al código penal promoverán mayores niveles de estigma y discriminación.

San Luis Potosí, SLP.- En relación a la iniciativa presentada, en la Sesión Ordinaria No. 44, día 27 de octubre del 2016 al Congreso del Estado, por el gobernador del Estado Juan Manuel Carreras López y Erika Velázquez Gutiérrez presidenta del Instituto de las Mujeres en San Luis Potosí la asociación civil Amigos Potosinos en Lucha Contra el Sida condenaron la iniciativa que a decir de ellos, estigmatiza a las personas con contagiadas con el Virus de Inmunodeficiencia Humana (VIH), por lo que llaman a reconsiderar la iniciativa formulada, difundiendo el siguiente posicionamiento:

1.- Es importante impulsar acciones a favor del reconocimiento de los derechos humanos de las mujeres en el orden internacional de los diversos instrumentos que en esta materia ha suscrito y ratificado Estado Mexicano, lo cual se convierte en obligatorio a partir de la reforma Constitucional del año 2011 en materia de Derechos Humanos.

2.-No es recomendable buscar castigar las conductas que se perciben como dolosas en relación al VIH y otras infecciones sexuales, ya que la evidencia científica nos señala que la prevención del VIH no se logra con medidas punitivas, sino con políticas en salud pública que faciliten acciones que promuevan cambios a nivel estructural que faciliten la igualdad en el acceso a servicios que garanticen la salud sexual y reproductiva de las mujeres, así también fortalecer los programas y acciones que promuevan la igualdad entre mujeres y hombres

3.- La penalización favorece el estigma y la discriminación hacia personas con VIH, incluyendo a las niñas, niños, adolescentes y mujeres, por lo que resulta contradictorio impulsar acciones que contravienen a la dignidad de estos grupos vulnerables.

4.- Es muy difícil determinar la causalidad, el dolo, la intencionalidad ya que intervienen diversos factores en la trasmisión del VIH, como son: la posibilidad de la trasmisión, el tipo de exposición, el uso o no de condón, la etapa de la infección en la que se encuentra la persona, si lleva tratamiento antirretroviral, si tiene carga viral detectable o indetectable, si existen enfermedades concomitantes, el estado de salud de la pareja receptora y los acuerdos establecidos entre cónyuges o parejas ocasionales, entre otros.

5.- Es importante enfatizar que medidas punitivas como las que se pretende legislar a través de esta iniciativa, podrían obstaculizar y afectar las diversas acciones multisectoriales en materia de prevención, detección y atención del VIH en nuestro Estado.

6.- Podría influir a que las personas que se perciban con factores de riesgo ante el VIH, omitan realizarse una detección temprana a fin de no conocer su estado serológico en virtud de prevenir un posible proceso penal. Este tipo de legislaciones pueden afectar al Continuo de la detección, prevención y atención en VIH en México[1], el cual busca que las personas que se perciban en riesgo se realicen un diagnóstico temprano, puedan recibir un tratamiento oportuno que mejore su calidad de vida y además contribuya a frenar la cadena de transmisión.

7. La evidencia científica señala que para detener la cadena de trasmisión del VIH de una persona a otra es indispensable realizar estrategias de prevención combinada, entre las cuales, destacan las biomédicas, las comportamentales y las de cambio estructural, estas últimas enfatizan las acciones que contribuyen a erradicar el estigma y la discriminación asociado al VIH-sida, y una ley con acciones punitivas no contribuye con estas estrategias.

8.- El contenido en específico de esta iniciativa de “Peligro de contagio” podría provocar que la responsabilidad jurídica de la prevención del VIH recaiga solamente en quienes viven con VIH, y podría invisibilizar el mensaje de salud pública de que las parejas sexuales tienen responsabilidad compartida sobre su salud sexual. Las personas podrían suponer erróneamente que sus parejas son VIH-negativas porque desconocen o no revelan su estado serológico, por tal dejarían de incorporar medidas de prevención.

9.-Este tipo de adecuaciones al código penal promoverán mayores niveles de estigma y discriminación hacia las diversas poblaciones con VIH y sus familias.

Amigos Potosinos en lucha contra el Sida exhorta al gobernador del estado Juan Manuel Carreras López y a Erika Velázquez Gutiérrez presidenta del Instituto de las Mujeres en San Luis Potosí (sic), a reconsiderar la penalización del VIH, de hacerlo colocarían a las personas con VIH bajo un estatus de posibles criminales, contraviniendo a su dignidad como personas, atentando a sus derechos humanos y estigmatizándoles por su condición de salud.

Mejor aún, le exhortamos a impulsar la creación del Consejo Estatal Para el control del VIH, Sida e ITS en San Luis Potosí, además incrementar los recursos para prevenir, detectar y atender oportunamente el VIH; mejorar la calidad e integralidad de los servicios de atención en el Estado que son otorgados desde los CAPASITS y hospitales del sector salud; generar y fortalecer programas de empoderamiento para las mujeres y acciones que busquen promover la igual de oportunidades entre mujeres y hombres; por último a disminuir el estigma y la discriminación hacia las poblaciones clave y personas afectadas por el VIH y otras ITS incorporando el principio MIPA[3] que habla del mayor involucramiento de las personas con VIH como parte de la solución y respuesta, con ello contribuir a un México democrático, incluyente y sin discriminación.