Advancing HIV Justice 4: new report highlights more successes, continued challenges

A new report published today (July 22nd 2022) by the HIV Justice Network (HJN) on behalf of HIV JUSTICE WORLDWIDE shows that the global movement to end HIV criminalisation continues to achieve remarkable successes, despite the many challenges that COVID-19 has brought.

Advancing HIV Justice 4: Understanding Commonalities, Seizing Opportunities provides a progress report of achievements and challenges in global advocacy against HIV criminalisation. The report generally covers a three year period ending 31 December 2021 where Advancing HIV Justice 3 ended. However, significant law reform developments that took place in the first quarter of 2022 are also included in report’s maps and analysis.

The successes

During the reporting period, four HIV criminalisation laws were repealed; another HIV criminalisation law was found to be unconstitutional; and six laws were ‘modernised’ (i.e. applied up-to-date science on HIV-related risk or harm and/or legal and human rights principles to limit the application of the law) five of which were in the United States.

In addition, we saw precedent-setting cases in four countries and policy recommendations or improvements in four further countries — all of which have the potential to limit the overly broad application of the law to people living with HIV based on HIV-positive status.

While legislative processes slowed down or stalled in some places due to COVID-19 diminishing capacity for advocacy, more HIV criminalisation laws were modernised or repealed in the United States than during any other time period, the realisation of a maturing PLHIV-led HIV decriminalisation movement that began a decade or more ago.

These outcomes were primarily due to sustained advocacy – most of it led by PLHIV networks working with allies – using a wide range of strategies. These are analysed in the report by HJN’s senior policy analyst, Alison Symington.

The challenges

However, too many HIV criminalisation cases and continued high numbers of HIV-related criminal laws continue to be of great concern, requiring more attention, co-ordinated advocacy, and funding.

Our global audit of HIV-related laws found that a total of 82 countries (111 jurisdictions) have criminal laws that are HIV-specific. Of those, we are aware of 52 jurisdictions in 35 countries that have applied their HIV-specific criminal laws.

Another 89 jurisdictions in 48 countries have applied non-HIV-specific, general criminal laws in an overly broad manner since the first prosecution in 1986.

Our case analysis shows that HIV criminalisation continues to disproportionately impact women, racial and ethnic minorities, migrants, gay men and other men who have sex with men, transgender people, and sex workers.

Although the total number of cases has diminished in some US states as well as in countries that were previously HIV criminalisation hotspots – Canada, Czech Republic, Norway, Sweden, and Zimbabwe – too many unjust prosecutions and convictions continue to be reported.

During the reporting period, we recorded 275 cases in HJN’s Global HIV Criminalisation Database. However, when we include case numbers from several Eastern European and Central Asian countries that provide official data, we estimate almost 700 criminal cases over the reporting period.

Notwithstanding the limitations of tabulating cases globally, the highest number of reported cases during the period covered by this report were in:

The report is available to download in English, French, Russian and Spanish. 

Acknowlegements

Advancing HIV Justice 4 was conceived and edited by HJN’s executive director, Edwin J Bernard, and HJN’s senior policy analyst, Alison Symington. Alison Symington researched and wrote all chapters except for ‘Global Overview’, which was researched and written by Edwin J Bernard, using data collected by Sylvie Beaumont and analysed by Tenesha Myrie.

Additional input was provided by: Gonzalo Aburto (The Sero Project), India Annamanthadoo (HIV Legal Network), Stephen Barris (Ex Aequo), Sophie Brion (International Community of Women Living with HIV), Janet Butler-McPhee (HIV Legal Network), Nyasha Chingore-Munazvo (AIDS and Rights Alliance for Southern Africa), Kenechukwu Esom (United Nations Development Programme), Elie Georges Ballan (The Joint United Nations Programme on HIV/AIDS – UNAIDS), Alfredo González (Hondureños Contra el SIDA), Julian Hows (HIV Justice Network), Deidre Johnson (Ending Criminalization of HIV and Overincarceration in Virginia Coalition), Cécile Kazatchkine (HIV Legal Network), Svitlana Moroz (Eurasian Women’s Network on AIDS), Immaculate Owomugisha Bazare (Uganda Network on Law Ethics and HIV/AIDS), Stephen Page (Nevada HIV Modernization Coalition), Cedric Pulliam (Ending Criminalization of HIV and Overincarceration in Virginia Coalition), Florence Riako Anam (Global Network of People Living with HIV), Mianko Ramaroson (The Joint United Nations Programme on HIV/AIDS – UNAIDS), Demario Richardson (Missouri HIV Justice Coalition), Sean Strub (The Sero Project), and Alexandra Volgina (Global Network of People Living with HIV).

We would especially like to acknowledge the courage and commitment of the growing number of people living with HIV and allies around the world who are challenging laws, policies and practices that inappropriately regulate and punish people living with HIV. Without them, this report — and the victories reported herein — would not have been possible.

We gratefully acknowledge the financial contribution of the Robert Carr Fund to this report.

US: Indiana legislators to meet this autumn to study for the first time the state’s HIV laws

Study committee to review Indiana’s HIV laws

Indiana legislators will meet this fall to study for the first time the state’s laws concerning HIV.

Current scientific knowledge has resulted in existing laws being outdated, critics say.

Human immunodeficiency virus, or HIV, was first officially reported in the United States in the early 1980s. The virus attacks the body’s immune system. If left untreated, HIV can lead to acquired immunodeficiency syndrome, or AIDS.

During the early years of the epidemic, information was scarce and often incomplete, particularly among the general public. And back then, there were no effective treatments for the virus.

In a letter earlier this year to House Speaker Todd Huston, a group of lawmakers wrote that states – including Indiana – “enacted HIV-specific criminal laws based on the perception of HIV at the time.”

The legislators characterized it as “a time of fear and stigma,” and many commonly held beliefs in the latter decades of the 20th century are now known to be inaccurate.

State Rep. Ed Clere, one of 16 legislators who signed the letter, said a group of lawmakers wrote a similar letter last summer, but that effort went nowhere.

That could all change as early as next year after Huston assigned the Interim Study Committee on Corrections and Criminal Code to review the laws governing HIV. The review will include “provisions related to biting, spitting, donating organs and donating blood.”

Existing HIV laws

Dr. Carrie Foote, chairwoman of the state’s HIV Modernization Movement, has long advocated for changes to Indiana’s criminal and public health codes.

The professor of sociology at Indiana University–Purdue University Indianapolis has been living with HIV since 1988 – the same year Indiana first enacted one of the statutes she hopes to see changed.

That 1988 law makes it a felony for a person living with HIV to donate bodily fluids, including blood, semen and plasma.

The Indiana Region of the American Red Cross said the organization carefully follows FDA guidelines for blood collection and testing.

“There is a patchwork of laws in the U.S. concerning disclosure of HIV status when presenting to donate blood. A small number of states criminalize such behavior, but most do not,” the nonprofit said in a statement. “Furthermore, criminalization is not an FDA-required measure. Therefore, the Red Cross does not rely on HIV criminalization statutes to protect the blood supply due to inconsistent laws.”

Some other laws enacted later are similarly outdated, Foote said. Those include HIV-related enhancements in the state’s malicious mischief statute determining punishments for exposing people to bodily fluids.

Another criminal law adds enhancements to previously existing state statute on battery, which makes it a misdemeanor when a person “in a rude, insolent, or angry manner places any bodily fluid or waste on another person” – basically, for spitting on someone.

However, that charge is enhanced to a felony if the perpetrator is living with HIV, hepatitis or tuberculosis. It’s further enhanced if a person living with HIV spits on a public safety official.

In effect, those enhancements can add years to the sentencing range for a person who is living with HIV – even though scientists now know HIV cannot be transmitted through saliva.

Foote believes people living with HIV are punished too harshly solely based on those laws.

Michael Moore, assistant executive director of the Indiana Public Defenders Council, said those sentencing enhancements apply if a person “knew or should have known” their HIV status.

Foote thinks some people living with HIV believe they can avoid such enhancements by remaining unaware of their HIV status. As a result, she said, “take the test and risk arrest” is a common mindset as a lack of knowledge can serve as a defense against Indiana’s HIV laws.

“Stigma keeps people from getting tested, keeps people from getting into care,” Foote said. “These laws that remain on the books from the ’80s and the ’90s in the early years, not one study has shown that they have any kind of prevention benefit.”

Foote also criticized the state’s laws requiring people living with HIV to disclose their status before engaging in sexual activity or sharing needles. The existing statute results in the criminal justice system viewing people as “guilty until proven innocent” when charged under those disclosure laws, she said.

Foote believes the burden is on the defense to prove innocence in HIV disclosure cases.

“Whereas, normally in criminal law,” she said, “you’re innocent until proven guilty.”

Fighting the stigma

Jeff Markley serves as executive director of the Positive Resource Connection, a local service organization which provides case management, prevention and education services for HIV, AIDS, hepatitis and other diseases in northeast Indiana.

He said changes to the state’s HIV laws are “long overdue” and that existing codes “don’t match the current science.”

“If you’re not … able to transmit the virus” through various outlawed acts, Markley said, “then the laws need to be changed to reflect that so that you’re not charged with something that is just not a real threat to anyone.”

Along with newer scientific knowledge about the virus, modern medical advances have significantly changed the outlook for people living with HIV.

“For someone who’s newly diagnosed today, with effective treatment they can live just as long as anybody without HIV. Life expectancy is the same, is normalized with treatment,” Foote said. “We also know that not only does treatment keep us alive and well, treatment is also prevention.”

Foote calls this U=U, or undetectable equals untransmittable. According to the National Institutes of Health, new research shows people with an undetectable viral load cannot sexually transmit HIV.

“Even things that might transmit HIV, like certain sexual behaviors and acts, when we’re treated, we essentially become unable to transmit the virus,” Foote said. “It’s almost like a functional cure in a way.”

Despite scientific advances, Foote said the stigma surrounding HIV still discourages people from getting tested.

“When you know your status, we can get into care, we can get on treatment,” Foote said. “We know that treatment is prevention. We need people to get tested if we want to end the epidemic.”

Markley said people still fear disclosure – even though there is less stigma around HIV than there was 30 years ago.

“People still have a fear about what might happen if they would disclose their status,” Markley said. “From an epidemiological standpoint, with very few (exceptions), there’s really not a need for anybody to disclose their status.”

He said people living with HIV haven’t forgotten the 1980s and 1990s: “the prejudice and the hate and the discrimination that occurred.”

“You’re always going to have some pockets of individuals who are not as informed or can’t quite wrap their head around all of the science and the information,” Markley said. “Sometimes they tend to be pretty loud and vocal and can make things difficult for other individuals.”

Looking forward

Since 2018, Rep. Clere has introduced multiple bills addressing HIV and the Indiana code. Some have passed, including House Bill 1340 in 2021.

That bill eliminated “stigmatizing language” from the code, Foote said. The new version uses “people first language” – for example, changing the wording from “carriers” to “people living with” HIV or other communicable diseases.

This year, though, a bill to remove HIV-related sentencing enhancements and repeal laws prohibiting people living with HIV from donating bodily fluids died in the House after making it out of committee.

This year’s study committee could be a turning point, Foote said. The fast-paced and brief regular session at the statehouse often leaves little time for in-depth discussion – particularly about HIV, a topic many legislators don’t have extensive knowledge about.

“There’s very little time to talk to the legislators,” Foote said, “to explain to them, ‘Here’s what we’re doing … Things have changed around HIV; we’re not in the 80s anymore.’ ”

The study committee will provide more of an opportunity to bring in experts and educate lawmakers, she said. Clere said the committee will allow for more extensive testimony on HIV.

“It’s exactly the sort of thing that we should be studying in the interim study process,” he said. “(It) offers an opportunity to take a more measured and thoughtful look at issues.”

Clere hopes the committee will help dispel outdated ideas about HIV.

“I’m optimistic that the study process will help address the fear and stigma, the stereotypes and the misinformation … and really get everyone up to speed on the science,” he said.

The Modernization Movement’s ultimate goal is to repeal and replace the state’s old HIV laws. Foote said any new statutes should not be based on HIV status. Instead, she said, they should incorporate the idea of intent and the possibility of harm.

“We’re not saying anyone that goes out and intentionally tries to harm another person – yeah, they should be tried just like anyone else who attempted to harm somebody in any other way,” Foote said. “But right now, the way these laws are written in Indiana, they don’t take that into account.”

She’s “extremely optimistic” about the possibility of a modernization bill passing during next year’s legislative session. Foote views it as a bipartisan issue. Although some lawmakers might be initially hesitant, she hasn’t seen strong opposition to the changes.

“Going into the next session, particularly because we have this study session, we’re going to make a lot of headway there,” Foote said. “So when we do go in, folks will understand a little bit better, and we’ll have more people (saying), ‘Yeah, we fully support that. Let’s move these forward.’ ”

Argentina: New HIV and STI law approved

Senate signed comprehensive HIV response into law

Automated Google translation – Scroll down for original article in Spanish

The bill was approved with 60 votes in favor and only 1 against. It also includes Viral Hepatitis, other Sexually Transmitted Infections and Tuberculosis. It repeals Law 23,798 that had been sanctioned in 1990.

The Chamber of Senators signed into law this Thursday the Comprehensive Response to HIV, Viral Hepatitis, other Sexually Transmitted Infections and Tuberculosis project that repeals the current rule 23,798 sanctioned in 1990. The initiative obtained 60 votes in favor and only one against the Senator Humberto Schiavoni, head of the Pro bloc.

The new president of the Health Commission, Pablo Yedlin from Tucuman, opened the round of speakers by stating that it is a “very important” issue that “has an old legislative history with a disease that is quite modern and that the HIV law that governs , it was historic because it allowed at a very hard time because we did not have many tools for treatment, to prevent vertical transmission from mothers to children, we did not have tools to cure this disease and many died from it.

Regarding the current law, he pointed out that “after 30 years it has aged well, it is very important, and it allowed patients who live with the virus to have access, from the State, to their treatments and it was a pioneering law in the world and without doubt in the region.

Along these lines, he thanked the civil organizations that “throughout Argentina have been fighting an important battle in search of their rights, to obtain this new law, which sometimes cost them to arrive, such as tests, condoms, over the years.”

“It is estimated that there are 140,000 people who live with the virus, 17% of this number are unaware of the diagnosis, perpetuating the cycle of infections. Unfortunately, 30% of the patients who are diagnosed do so in the late period of the disease and this makes treatment difficult. 65% are treated in the public sector,” described Yedlin and thanked the public health system that “takes care of serious health problems.”

And he continued: “4,500 cases are diagnosed per year with a rate of 11 per 100 inhabitants and the mortality rate from AIDS is getting lower and lower, and today it is declining at 2.8 per 100,000 inhabitants”, but he pointed out that “it is not the same in all the provinces because the AIDS mortality rate shows severe inequities in the country, that is why we must continue working on regulations that allow the country to be more equitable”.

“This law was worked on in consensus with all the political blocs”, highlighted the man from Tucuman and lamented that he lost “three times he lost parliamentary status and had to be represented”. Likewise, he compared the new initiative with the current law: “It is not only a law for HIV, but also for other sexually transmitted diseases that suffer some type of neglect, such as hepatitis B, which are very expensive to treat and are incorporated to have the same right”.

And he continued: “It is a law that, in addition to declaring the treatment in a national public way, the diagnosis is also declared by the development, the research, the medicines. It gives a comprehensive response, new combined methods”.

“We are making a law so that all patients can have access to a special retirement system that will allow those who age prematurely, with 50 years and 20 years of contributions, to access a retirement system. Those patients who have the virus or hepatitis B or C will have access to a non-contributory lifetime pension and are socially vulnerable. This law creates a National Monitoring Commission made up of different ministries and civil society”, explained the man from Tucuman and closed: “ It is a law that tries to overcome political cries and we all agree that patients deserve rights and we are doing justice for the law to materialize ”.

In his turn, the vice president of the Health Commission, Mario Fiad from Jujuy , advanced his positive vote because “this law came to update the current Law that has been in force for many years and that has the addition of including viral hepatitis B and C, other sexually transmitted infections and tuberculosis from a human rights perspective”.

However, he considered that “we are arriving late” because “we do not need these laws to know that the universe of these people who are affected by these pathologies have their enshrined rights.”

“Estamos legislando sobre temas ya legislados y, sobre todo, lo que es indiscutiblemente obligatorio e imperativo del Estado, y por eso nos surgen interrogantes ¿por qué no se logran hacer operativos todos esos derechos? ¿por qué razón los Diputados tenían que considerar necesario incluir un capítulo de sanciones en la Ley de VIH y Hepatitis tuberculosis para que la ley sea vigente y no tenga posibilidades de trabajar, ¿por qué no se cumple con la tarea de fiscalización y monitoreo por parte del Poder Ejecutivo para hacer que se cumpla la norma? por que los pacientes recurren cada vez más a la justicia para que, por vía de amparo, tengan el cumplimiento de las leyes”, explayó con críticas Fiad.

In addition, he questioned that “we have a universe of health laws that are not complied with” and pointed out the time it takes to regulate. “This has to call us to reflection, we have to monitor health regulations to be able to evaluate compliance,” she said.

In her speech, Silvina García Larraburu (FdT) from Rio Negro said: “We will be closing the day with a fairer, more equitable, more egalitarian country, without a doubt all the projects are very important and fundamental for a large number of people who They are militating and working to achieve the best project”

In turn, he said that he has been presenting initiatives since 2016 and mentioned that the project was worked on with more than 50 organizations. “The national AIDS law was a pioneer at the time, but after more than 30 years it needed a change because the health paradigm of human rights, in every sense, needed modernization. It had content that turned out to stigmatize you”, and compared that “the new law has a focus on human rights and a gender perspective. This legislation is going to be a model to imitate and one of the best legislations in the world”.

Tucuman Sandra Mendoza (FdT) described that “this law is a historical reparation to all the people who suffered and continue to suffer discrimination, stigma, fear and ignorance about HIV. It is a law that will dignify and save lives to have a fairer and more supportive Argentina”.

The project

Through the new law, Law 23,798, which had declared the fight against AIDS of national interest, and was sanctioned in 1990, is repealed.

In addition to HIV, the new law incorporates viral hepatitis, tuberculosis and sexually transmitted infections (STIs).

According to the text, “comprehensive and intersectoral response” and universal and free coverage of comprehensive assistance -medicines, supplies, vaccines, treatments, etc- are foreseen.

The rule prohibits the performance of the diagnostic test in pre-employment medical examinations, as well as during the course and as part of the employment relationship.

Nor can any educational institution, public or private, request it as a requirement for entry, permanence, promotion or for access to scholarships.

The diagnostic test will be voluntary, only with the consent of the person; free in all health subsystems; confidential; universal; and carried out with due individual advice before and after the test.

On the other hand, an exceptional early retirement is established for people with HIV and/or hepatitis B and/or C, which can be accessed from the age of 50, with proof of 20 years of contributions and 10 years after the diagnosis has elapsed. Retirement will be incompatible with those who have a job in a dependency relationship.

Likewise, a non-contributory lifetime pension is created for those who are in a situation of social vulnerability.

Among other points, the law states that every woman and/or person with the capacity to gestate must receive the necessary health information, related to their health, as well as that of their child, both during pregnancy and postpartum.

Also, every child born to a woman or person with the ability to gestate with HIV and/or Hepatitis B or C will have the right to free access to formula milk during the first 18 months.

The new law can be viewed here

 

US: New study from the Williams Institute analyses data on HIV criminalization in Tennessee

Enforcement of HIV Criminalization in Tennessee

Tennessee’s two primary HIV criminalization laws—aggravated prostitution and criminal exposure—are considered a “violent sexual offense” and require a person convicted to register as a sex offender for life. Using data obtained from Tennessee’s sex offender registry, this study examines the enforcement of HIV criminalization laws in Tennessee from 1991 to 2022.

To read the full report, please go to: https://williamsinstitute.law.ucla.edu/publications/hiv-criminalization-tennessee/

Uganda: Final arguments in landmark case challenging HIV criminalisation law to be made within a week

Uganda Constitutional Court gives activists seven days to file final arguments in HIV criminalization suit

The Constitutional Court of Uganda gave plaintiffs seven days from June 7 to file their final arguments in a landmark case challenging sections of the HIV/AIDS Prevention and Control Act 2014 that criminalize HIV transmission and require disclosure of one’s serostatus to sex partners.

The Uganda Network on Law Ethics and HIV/AIDS (UGANET), leading a coalition of more than 50 civil society organisations, is challenging the HIV/AIDS Prevention and Control Act 2014 which they allege is discriminatory and an impediment to the fight against AIDS. Their petition was originally filed in 2016 and has been stalled in the court system for close to seven years.

Francis Onyango, lawyer for the petitioners, told RightsAfrica Tuesday in Kampala that the parties will have to wait further the ruling after final arguments are made.

Among the controversial provisions in the Act are mandatory HIV testing for pregnant women and their partners, and allowing medical providers to disclose a patient’s HIV status to others without consent.

The law also criminalizes HIV transmission, attempted transmission, and behavior that might result in transmission by those who know their HIV status. Ugandan LGBTQI+ rights activists filed petitions to the Ugandan Parliament when the the bill was being considered.

Female sex workers also see the law as a hinderance to the fight against HIV because they are wrongly believed to harbor intentions to spread HIV to their clients. Sex work is illegal in Uganda, despite a spirited fight by activists for decriminalization.

Mandatory HIV testing and the disclosure of medical information without consent are contrary to international best practices and violate fundamental human rights, the petitioners say. They also argue that criminalization of HIV transmission is overly broad and difficult to enforce.

They argue that the act is being used by state agencies as a tool of discrimination and humiliation. LGBT people have complained of forced anal examinations in recent arrests as part of mandatory HIV tests when they are in police custody. Many human rights organisations have called the law flawed and deeply troubling, and in contradiction of science and human rights.

Uganda is currently bidding to host the Society for AIDS in Africa’s (SAA) 2023 International Conference on HIV/AIDS and STIs in Africa (ICASA 2023).

Among the requirements for potential ICASA host countries, SAA demands that host countries have no discriminatory government policies based on gender, HIV status and religion.

 

Uganda: Legal Environment Assessment recommends changes to the penal code to address HIV and sex work criminalisation, stigma, discrimination and gender-based violence

Ugandan Laws Constraining Fight against HIV/AIDS – Report

 

A report titled “Legal Environment Assessment (LEA) for HIV/AIDS in Uganda” released by the Uganda AIDS Commission on Friday has revealed that some Ugandan laws, regulations and policies constrain effective HIV response in the country.

The Report is based on data collected during the period of July 2021 to February 2022.

The main objective of the Report was to assess the extent to which existing laws, regulations, and policies enable or constrain key protections for people affected by HIV in Uganda.

The Report also aimed to identify all relevant laws, policies, and strategies that affect, positively or adversely, the successful, effective, and equitable delivery of HIV prevention, treatment, care, and support services to people living with HIV and HIV-affected persons; to assess the key human rights issues affecting people living with HIV; to assess the availability, accessibility, and affordability of interventions that promote rights of people living with HIV and other people affected by or at risk of HIV in Uganda.

The Report also aimed to analyse the extent to which people living with HIV and those affected by or at risk of HIV in Uganda are aware of existing legal frameworks and support systems to access services; and to provide recommendations for the creation of an enabling legal, social, and policy framework to eliminate HIV-related stigma, discrimination, and violence against people living with, affected by or at risk of HIV in Uganda.

KEY FINDINGS

HIV Prevention and Control Act; Sections 41 and 43 criminalises attempted transmission of HIV, and intentional transmission of HIV respectively, thus discouraging HIV testing and the disclosure of positive test results. Intention to transmit HIV is difficult to prove in situations where people may not know their HIV status.

HIV Prevention and Control Act; Section 18 (2) allows a health worker to disclose HIV test results to a third party without the consent of the affected person, thus violating their right to privacy and potentially discouraging people from testing for HIV if they think their results may be disclosed to third parties without their consent.

Releasing HIV test results to another person without the consent of the client may also result in stigma or violence against the client.

HIV Prevention and Control Act Section 13 (b) provides for routine HIV testing of a pregnant woman, and Section 13 (c) provides for routine HIV testing of a partner of a pregnant woman.

However, health workers routinely make it appear mandatory for pregnant women and their partners to be tested for HIV, with or without their consent. This has the effect of violating their right to privacy and autonomy and discourages people from visiting health facilities.

Uganda’s Penal Code Act (PCA) Sections 136-139 criminalise sex work and other activities associated with prostitution with the effect of unfairly targeting key and vulnerable populations and exposing them to arbitrary arrest and mistreatment by law enforcement, while male clients rarely receive the same treatment.

The harassment of sex workers has the effect of increasing societal stigma towards them, denying them the livelihood, which is their only source of income, driving them and keeping them away from health and justice support services.

The Director General of the Uganda AIDS Commission, Dr Nelson Musoba, said that while the Government of Uganda is committed to the goal of ending AIDS as a public health threat by 2030, there is also increasing recognition that this goal cannot be achieved unless the country addresses structural barriers such as legal impediments, and issues such as human rights, stigma, discrimination, gender inequality and gender-based violence.

The President of the Uganda Law Society, Pheona Nabasa Wall said that although Uganda has HIV Prevention and Control Act (2014) and other regulations, prosecution under this law has been challenging partly due to its discriminative nature and challenges associated with proving most of the provisions under it.

Persons charged with HIV related offences are instead often subjected to public humiliation and bail applications, mandatory tests upon arrests, and in cases of defilement of children, maximum penalties are pleaded and recommended by prosecutors even in the absence of scientific evidence of transmission of HIV she said.

She added that HIV victims have a number of issues which include among others; stigma nutritional needs, denial of justice and palliative care, forced HIV testing, discrimination in gaining access to medical care, education, employment, and violation of right to medical privacy.

RECOMMENDATIONS

Review and repeal sections 136 & 139 of the Penal Code Act to decriminalise sex work.

Harmonise the legal provisions on abortion and decriminalise abortion in order to give women access to safe abortion services, guarantee autonomy and decision-making power over their reproductive lives (Provisions in Sections 142 and 143 of the Penal Code Act and Article 22 of the Constitution of Uganda present contradictions on the issue of abortion. Ministry of Health guidelines on abortion were suspended).

Repeal sections 167 to 169 of the Penal Code Act because they are archaic, out-dated, and no longer serve the purpose for which they were created. Uganda Police Force and the DPP should desist from charging and prosecuting individuals with these provisions.

Prosecute HIV-related cases such as those relating to intentional transmission of HIV under general criminal law, not HIV. specific laws.

Reform the law to make it explicit that pregnant mothers should be tested upon giving consent, after receiving full information from health care providers.

Reform the law to remove the provision for a health worker to disclose results to a third party without the consent of the client; instead support the process of disclosure by the client himself/herself.

The Report was launched by the Acting Minister of Justice and Constitution Affairs, Muluri Mukasa who applauded Uganda AIDS Commission and development partners for conducting the assessment.

The Report, he said, shades light on the impact of Ugandan laws in response to HIV/AIDS

Minister Muluri added that the Report findings will provide policy makers with evidence to carryout good legislation and develop policies and laws that will ensure that government does not default on its commitment to end HIV as a public health threat by 2030.

The full report can be downloaded here

US: Indiana to undertake a review of its criminal code for laws concerning HIV

Laws criminalizing HIV to be reviewed by legislative interim study committee

Heeding a call from a bipartisan group of legislators, Indiana will undertake a review of its criminal code for laws concerning HIV, with the focus on modernizing state statutes and helping to end the HIV epidemic.

Ten Republicans and six Democrats sent a letter in late March to Speaker Todd Huston, highlighting the bills that had been passed in previous sessions that updated and revamped Indiana’s laws as more became known about HIV. However, the legislators noted, the state’s criminal code still needs to be amended to reflect the research and biomedical advancement regarding the disease.

“During the early years of the epidemic, states enacted HIV-specific criminal laws based on the perception of HIV at that time — a time of fear and stigma when much less was known about HIV and there were no effective treatments,” the legislators wrote in their letter. “Many of these laws, including Indiana’s, criminalize behaviors that cannot transmit HIV — such as biting or spitting — and apply regardless of intent or whether HIV was actually transmitted.”

The Indiana General Assembly’s Legislative Council approved the review of HIV laws Tuesday morning as part of Resolution 22-06, which assigned study topics to legislative interim study committees.

The HIV study proposal was among the more than 110 topics suggested, according to George Angelone, executive director of the Legislative Services Agency. However, the list was narrowed to 32 topics spread across 11 interim study committees, one subcommittee and five special committees.

The Interim Study Committee on Corrections and Criminal Code will conduct the review of HIV laws.

Also, the group will take a look at efforts and programs to ensure patients and offenders released from Indiana’s psychiatric hospital and the Indiana Department of Correction are connected to the appropriate care. Sixteen Representatives, mostly Democratic, sent a letter to the Legislative Council leaders asking for this review.

Both letters are available online.

In addition, Indiana will again take a look at marijuana-related products.

The Interim Study Committee on Public Health, Behavioral Health, and Human Services has been charged with examining Delta 8, Delta 9 and other THC products regarding potential health benefits, possible decriminalization and other consequences.

After the Legislative Council hearing, Senate President Pro Tem Rodric Bray downplayed the possibility that Indiana would make any dramatic changes to prohibitions on marijuana. Still, he said the study would be helpful because many in the General Assembly are likely not familiar with the pros and cons of the products.

“We in Indiana have been slower to go in that direction than states surrounding us,” Bray said. “… I think this is going to be an important conversation to have this summer for where Indiana moves in the coming years.”

Senate Minority Leader Greg Taylor, D-Indianapolis, said he was glad to see his colleagues on the other side of the aisle looking at THC. However, he also said he was disappointed that an examination of veterans’ issues was not included as a study topic.

“We could make sure that our veterans are having adequate access to all the benefits that are available to them,” Taylor said. “It’s our responsibility to actually provide that pathway for people to get their benefits that they deserve.”

 

US: Georgia’s Governor signs Senate Bill 164 to modernize state’s HIV laws

Press Release: Georgia makes strides in modernizing HIV disclosure law

May 11, 2022 (ATLANTA, GA.) — After more than five years of work by the Georgia HIV Justice Coalition, Georgia Equality, and advocates living with HIV, Georgia’s HIV disclosure law has been modernized with the signing of SB 164 this week. This legislation was introduced by State Senator Chuck Hufsteler and supported in the House by Rep. Sharon Cooper leading to almost unanimous support in both chambers.

Previously, a person living with HIV (PLHIV) could face a felony and up to 10 years in prison for not disclosing their HIV status prior to any type of sexual act. The degree of risk of HIV transmission was not a factor in the statute; including circumstances where there was no HIV transmission, nor even any risk of HIV transmission.

Under the revised law, a PLHIV who knows their status but fails to disclose it only commits this felony if they engage in a sexual act where there is “a significant risk based on scientifically supported levels of risk of transmission” and they have the specific intent to transmit the disease. Any person with a “specific intent” to transmit HIV to another person also remains subject to prosecution.

“The Georgia HIV Justice Coalition salutes and applauds Sen. Hufstetler’s and Rep. Cooper’s efforts to modernize a decades-old law and thanks our partners in the coalition for their hard-work” states Eric Paulk, Coalition Co-Chair and Deputy Director of Georgia Equality. “Today we affirm that no one should be singled out for punishment solely on the basis of their HIV status and the Coalition will continue to advance efforts to dismantle a culture that seeks to utilize the criminal legal system to address public health issues instead of addressing social determinants of health.”

“As a person living with HIV, I’m encouraged that the legislature understands the advances in HIV science. Ending the stigma around HIV is a necessity to ending the HIV epidemic and I look forward to continuing efforts that support PLWH,” states Malcolm Reid, Coalition Co-chair and Federal Policy Chair for the People Living With HIV Caucus.

The new law reflects the significant advances in HIV science and will bolster the efforts to end the HIV epidemic in Georgia. “This historic legislation is the product of years of work from community members, movement advocates, and elected officials. I am inspired and grateful for the tireless efforts of my colleagues and peers. Though I recognize there is still much work left to  be done, I am pleased with what we have achieved, ” said Charles Stephens, Executive Director of the Counter Narrative Project.

Kamaria Laffrey, Project Director at the Sero Project, states that, “this effort is the  product of the power of the people; the PLHIV whose lives will have a lessened layer of stigma. The mobilization and centering of the voices that are most impacted by these laws in partnership with the strategic relationship building with legislative champions is the key piece to how people living in Georgia have made this amazing achievement possible.”

Today we affirm that no one should be singled out for punishment solely on the basis of their HIV status and the Coalition will continue to advance efforts to dismantle a culture that seeks to utilize the criminal legal system to address public health issues instead of addressing social determinants of health.

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Founded in 1995, Georgia Equality is the state’s largest advocacy organization working to advance fairness, safety, and opportunity for Georgia’s LGBTQ communities and our allies. 

Argentina: New HIV law seeking to provide comprehensive response to HIV approved

The Chamber of Deputies gave half sanction to the new HIV law with a large majority

Automated Google translation. For article in Spanish, please scroll down.

The initiative was approved with 241 affirmative votes; the project seeks -among other issues- to guarantee universal and free access to treatment for HIV, viral hepatitis, tuberculosis and sexually transmitted infections (STIs)

With a large majority, the Chamber of Deputies today approved the bill that seeks to provide a comprehensive response to HIV , viral hepatitis, tuberculosis and sexually transmitted infections (STIs) . The initiative proposes, as a central axis, universal and free access to the treatment of these diseases, guaranteed by the public health system, social works and private health throughout the country.

The average sanction was achieved with 241 affirmative votes and 8 negative ones. The initiative – the result of the work of different civil society organizations – was promoted by the pro-government deputy Carolina Gaillard and had the support of the entire political spectrum.

The bill, in addition to guaranteeing universal and free access to treatment for HIV, viral hepatitis, tuberculosis and sexually transmitted infections (STIs), proposes that all tests to detect these pathologies should be voluntary, free, confidential and universal. In addition, it promotes the creation of a special retirement regime, of an exceptional nature for those who experience HIV and hepatitis B or C diseases, as well as a non-contributory pension for life, for those who are in a situation of social vulnerability. In this way, those who prove at least ten years since the diagnosis of the disease and twenty years of retirement contributions, can request retirement from the age of 50.

The pro-government parliamentarian Mara Brawer celebrated the half sanction with social organizations. “With the organizations in the street celebrating the half-sanction of the new #HIV , tuberculosis and viral hepatitis law,” she wrote.

For her part, the libertarian deputy Victoria Villaruel was one of the eight people who rejected the initiative . “With Javier Milei we voted not to hold lobbying” , he justified on Twitter, and continued: “Instead of guaranteeing rights, privileges increase, an HIV observatory is created within INADI, that is, we continue with the spending party, payment to the militancy and public office to people like [Victoria] Donda. With my NO vote.

The eight parliamentarians who voted against the project were: José Luis Espert (Liberty Advances), Carolina Píparo (Liberty Advances), Javier Milei (Liberty Advances), Victoria Villarruel (Liberty Advances), Ricardo López Murphy (Together for Change ), Pablo Torello (Together for Change), Paula Omodeo (Together for Change) and Francisco Sánchez (Together for Change).

The project that now awaits its session in the Senate of the Nation also promotes training, research, the dissemination of massive campaigns, and the formation of a National Commission for HIV, Viral Hepatitis, other STIs and Tuberculosis , integrated interministerially and intersectoral by representatives of state agencies, scientific societies, civil society organizations working on these pathologies, whose integration must be determined by regulation, guaranteeing federal and gender representation; and a National Observatory on Stigma and Discrimination, in order to make visible, document, dissuade and eradicate the violations of the human rights of the affected people.


La Cámara de Diputados le dio media sanción a la nueva ley de VIH con amplia mayoría

El Salvador: Proposal to treat HIV and STI exposure as aggravating circumstance in cases of sexual assault

Automatic Google translation. For original article in Spanish, please scroll down.

Consciously transmitting diseases and drugging the victims should be an aggravating circumstance in crimes of rape, the Criminal Magistrate recommends to deputies

Judge Sandra Luz Chicas arrived this Friday at the Women’s Commission of the Assembly, to give her contributions for the amendment to Articles 158 and 162 of the Penal Code, proposed by the ruling party.

On March 8, within the framework of International Women’s Day, the New Ideas caucus presented a piece of correspondence containing a proposal to reform articles 158 and 162 of the Penal Code.

The objective of the initiative is to increase the sentence from 8 to 12 years in prison for rapists. Currently, the Penal Code punishes this crime with imprisonment from 6 to 10 years.

The motion of the Nuevas Ideas party contemplates aggravating circumstances that increase the penalty detailed in article 162 of the aforementioned regulations.

The pro-government deputies propose adding an aggravating circumstance when the violations are against older adults.

The modifications began to be studied within the Women’s Commission of the Assembly. In order to know her point of view, this Friday the presiding magistrate of the Criminal Chamber, Sandra Luz Chicas de Fuentes, was summoned.

At this point, the magistrate observed that the ruling party’s proposal does not take into account as a qualified aggravating circumstance, when the active subject of the crime, knowing that they have a contagious sexually transmitted disease or that they are carriers of AIDS or HIV, sexually assault a his victim.

“We have had many cases that at the time of the rape they have transmitted a venereal disease or AIDS or HIV, I do not see this as a qualified aggravating circumstance and many countries have it,” recommended Chicas de Fuentes.

Likewise, it specified that it has not been considered an aggravating circumstance when the aggressor intoxicates the person or the drug to facilitate the rape.

In addition, the magistrate observed that the typical behavior itself is not being touched. In this aspect, Chicas de Fuentes explained that there is rape if there is vice in consent, for example, she mentioned that there are cultural patterns that in some circumstances “re-victimize” the victim, wanting to make it appear that she was guilty of the rape.

“A person can be a sex worker, but if that person at the time of carnal access says no, and the (other) person continues, there is rape, care must be taken that there is no vice in consent,” he clarified.

Even, he said, someone can agree to have sex with another person, but suddenly regrets it and says no, they could even be naked, but if the other person continues, it is also rape.

Rape is also considered when the forced penetration occurs in one of the two cavities, be it the vagina or the anus, it is enough for it to be in one of them to constitute the crime, he added and said that in other countries a third is opened possibility, and it is the oral route.

He also spoke of other cases in which more than one person could participate in the act of rape.

“A person may be having carnal access with a woman, another holding her lower limbs and another the upper ones, even if they do not have carnal access, they are co-authors of the crime of rape,” he exemplified.

The magistrate was in favor of reforming the Penal Code, as she pointed out that sexual crimes occupy one of the first places in statistical data.

The president of the commission, Alexia Rivas, stated that within the aggravating circumstances, the fact that the victim becomes pregnant as a result of sexual assault could also be contemplated.

The magistrate gave a favorable opinion, because not only would the legal right of sexual freedom be violated, but it is “multi-offensive”, including the violation of other rights by forcing the victim to become a mother, a consequence that must be carried by all his life.

Despite the reforms, when looking at comparative law, according to information that Justice Chicas de Fuentes revealed in the commission, El Salvador would be one of the countries in the region with fewer years in prison for crimes of rape, only above from Guatemala.

Costa Rica applies a sentence of 10 to 16 years; in its article 156 of the Penal Code; Honduras between 9 to 13 years according to article 240 of the Penal Code; in Guatemala the sentence is from 5 to 8 years, stipulated in article 173 bis of the Penal Code; and in Mexico, there is a prison of 8 to 20 years, according to article 265 of the Federal Penal Code.

“In principle, I do support the reform proposal, but always inviting the issue of proportionality to be studied,” advocated the magistrate.


Transmitir enfermedades conscientemente y drogar a las víctimas debe ser agravante en delitos de violación, recomienda a diputados magistrada de lo Penal

La magistrada Sandra Luz Chicas llegó este viernes a la comisión de la Mujer de la Asamblea, a dar sus aportes para la enmienda a los Artículos 158 y 162 del Código Penal, propuesto por la  bancada oficialista.

El pasado 8 de marzo en el marco del Día Internacional de la Mujer, la bancada de Nuevas Ideas presentó una pieza de correspondencia conteniendo una propuesta para reformar los artículos 158 y 162 del Código Penal.

El objetivo de la iniciativa es incrementar la pena de entre 8 a 12 años de cárcel para los violadores. Actualmente, el Código Penal sanciona ese delito con prisión de 6 a 10 años.

La moción del partido Nuevas Ideas contempla agravantes que aumentan la pena detalladas en el artículo 162 de la normativa en mención.

Los diputados oficialistas proponen que se agregue una agravante cuando las violaciones sean en contra de personas adultas mayores.

Las modificaciones comenzaron a ser estudiadas en el seno de la Comisión de la Mujer de la Asamblea. Con el objetivo de conocer su punto de vista, este viernes fue citada la magistrada presidenta de la Sala de lo Penal, Sandra Luz Chicas de Fuentes.

En este punto, la magistrada observó que la propuesta del oficialismo no toma en cuenta como agravante cualificada, cuando el sujeto activo del delito, a sabiendas de que tiene una enfermedad contagiosa de transmisión sexual o que son portadores del SIDA o del VIH agreden sexualmente a su víctima.

“Hemos tenido muchos casos que al momento de la violación le han transmitido una enfermedad venérea o el SIDA o VIH, esta no la veo como una agravante cualificada y muchos países lo tienen”, recomendó Chicas de Fuentes.

Asimismo, especificó que no se ha considerado como agravante cuando el agresor embriaga a la persona o la droga para facilitar la violación sexual.

Además, la magistrada observó que no se está tocando la conducta típica en sí. En este aspecto Chicas de Fuentes detalló que hay violación si hay vicio en el consentimiento, por ejemplo, mencionó que hay patrones culturales que en algunas circunstancias “revictimizan” a la víctima, queriendo hacer ver que la culpable de la violación fue ella.