AIDS 2016: UNAIDS reports on HIV JUSTICE WORLDWIDE's Beyond Blame pre-conference

On 17 July, some 200 people living with HIV, human rights activists and representatives of key populations gathered for a one-day meeting on challenging HIV criminalization under the title “Beyond blame: challenging HIV criminalization.” The event, a preconference meeting before the 21st International AIDS Conference, being held in Durban, South Africa, was organized by HIV Justice Worldwide, an international partnership of organizations, including the AIDS and Rights Alliance for Southern Africa, the Canadian HIV/AIDS Legal Network, the Global Network of People Living with HIV, the HIV Justice Network, the International Community of Women Living with HIV, the Positive Women’s Network USA and the Sero Project.

The event was an opportunity for people working to end unjust HIV criminalization in all regions of the world to share recent developments, successful approaches and challenges. It also mobilized participants on the urgency to address unjust HIV criminalization as a violation of human rights and serious barrier to efforts to scale up HIV prevention, treatment and care services.

The meeting heard individuals who have face HIV criminalization recount the far-reaching personal, social and legal impacts of unjust prosecution on their lives and that of their families. Lawyers and civil society activists who have led successful efforts against HIV criminalization, including in Australia, Canada, Kenya, Sweden and the United States of America, shared their experiences and approaches. HIV scientists and clinicians were called upon to become more involved in efforts to ensure that the application of the criminal law is consistent with best available evidence relating to risk, harm and proof in the context of HIV. Similarly, members of parliament and the judiciary were highlighted as key stakeholders whose understanding and engagement is central to efforts to end unjust HIV criminalization.

QUOTES

“HIV-RELATED PROSECUTIONS ARE BECOMING INCREASINGLY COMMONPLACE. THE EVIDENCE THAT CRIMINALIZATION AS A PUBLIC HEALTH STRATEGY DOES NOT WORK IS TOO PLAIN TO CONTEST. IT IS OUR RESPONSIBILITY TO END IT.”

PATRICK HERMINIE SPEAKER OF THE NATIONAL ASSEMBLY OF SEYCHELLES

“HIV CRIMINALIZATION IS PROFOUNDLY BAD POLICY. IT IS BASED ON FEAR AND OUTDATED UNDERSTANDING OF HIV RISK AND HARM. CRIMINALIZATION MAGNIFIES STIGMA AND DISCRIMINATION TOWARDS PEOPLE LIVING WITH HIV. PEOPLE LIVING WITH HIV HAVE BEEN AT THE FOREFRONT OF EFFORTS TO END UNJUST CRIMINALIZATION AND SHOULD BE COMMENDED FOR THEIR COURAGE AND COMMITMENT TO JUSTICE.” 

JUSTICE EDWIN CAMERON JUDGE OF THE CONSTITUTIONAL COURT OF SOUTH AFRICA

“MY LIFE WILL NOT BE THE SAME AFTER FACING HIV CRIMINALIZATION. MY 30 YEARS WORKING AS A NURSE AND DEDICATED TO SAVING LIVES HAVE BEEN ERASED. I HAVE SPENT ALMOST A YEAR IN PRISON. I HAVE BEEN BRANDED A CRIMINAL AND A KILLER EVEN THOUGH I HAVE HARMED NO ONE.”

ROSEMARY NAMUBIRU UGANDAN NURSE

Originally published by UNAIDS

Jamaica: Growing calls to make HIV transmission a criminal offense

Legal Loophole – Jamaica Has No Law To Charge Persons Who Wilfully Attempt To Spread HIV

There are growing calls in local legal circles to implement laws to make it a criminal offence for persons to wilfully and knowingly spread the human immunodeficiency virus (HIV).

Although it is reported that Jamaica has an estimated 32,000 persons living with HIV, so far, no person has been charged and convicted of exposing another person to infection by engaging in unsafe sexual conduct.

“There is no clear law which makes it an offence,” said attorney-at-law Chukwuemeka Cameron, as he argued that someone should take a case to court to test the law.

According to Cameron, if someone should be brave enough to take such a case to the courts it may open a floodgate.

“It is a new disease which came about after the enactment of the Offences Against the Person Act, and so this is a perfect example of the need for the law to change with new circumstances,” agreed attorney-at-law Bert Samuels.

“We have kept abreast of the changes of computer technology to enhance commerce but we have failed to look at a problem that touches and concerns our health. Our Parliament is entrusted to pass laws for peace, order and good governance of the country, and must, as a matter of urgency, pass laws to punish those who knowingly pass a deadly disease,” added Samuels.

The debate on the wilful and knowing spread of HIV was sparked recently as the Supreme Court had to decide, in an extradition case, whether the transmission of HIV by sexual relations is an offence in Jamaica.

The court ruled that charges could only be brought in cases where the victim was infected with the virus. But attorney-at-law Peter Champagnie has a different view.

Champagnie argues that there should be specific legislation to deal with offences committed knowingly by HIV-infected persons, as he disagreed with the court’s ruling.

CULPABILITY

“Although a victim may not be infected by HIV from unprotected sex, I cannot understand why it could not be categorised as an attempt,” said Champagnie.

According to Champagnie, the fact that a victim is not infected does not absolve the infected person of culpability.

“To my mind, he would have known of his status and was reckless as to whether or not the persons contracted the disease,” said Champagnie.

Attorney-at-law Don Foote, who represented 47-year-old Jamaican, Alfred Flowers, had argued that he should not be extradited to Canada to face charges of aggravated sexual assault because there was no corresponding offence in Jamaica.

Flowers knew, since June 1996, that he was HIV-positive but he had unprotected sex with four women, including his wife who he married in 2002 without informing them of his status.

The women said if they knew he was HIV-positive, they would not have been intimate with him. Three of the women are now HIV-positive while the fourth is currently HIV-negative.

Director of state proceedings Althea Jarrett and senior deputy director of public prosecutions Jeremy Taylor could find no local case to use as a precedent, and had to rely on authorities from other jurisdictions to support their interpretation of the Offences Against the Person Act.

They relied on Section 22 of the act to oppose Flowers’ contention that there was no corresponding offence in Jamaica.

“Whosoever shall unlawfully and maliciously wound or inflict grievous bodily harm upon any other person with or without any weapon or instrument, shall be guilty of a misdemeanour, and being convicted thereof, shall be liable to be imprisoned for a term not exceeding three years,” the section reads.

EXTRADITION TO CANADA

The court comprising Justice Christine McDonald, Justice Sarah Thompson James, and Justice Kissock Laing, in agreeing that Flowers should be extradited to stand trial in respect of the three women who are now HIV-positive, said it was open for the court to find that a person who knows that he is infected with HIV and recklessly infects another may be guilty of inflicting grievous bodily harm contrary to Section 22 of the Offences Against the Person Act.

But the court made it clear that if the victim of unprotected sex with an HIV-positive person is not infected, then that person cannot bring any criminal charges.

The court found that there was a grave lacuna in the Jamaican law, and said further that it was unfair that Flowers would only have to answer to charges in respect of three of the four complainants.

In explaining why Flowers cannot be tried in relation to the complainant who is not infected, the court said, “The infection would be a necessary ingredient were the accused to be charged in Jamaica for the offence under Section 22 of the Offences Against the Person Act.”

Canadian Groups Say No To HIV Criminalisation

The Canadian HIV/AIDS Legal Network that has been opposing HIV criminalisation for some time. It argues that:

– Canada is no model when it comes to HIV criminalisation where it has become out of control. With more than 180 people charged to date, Canada has become one of the world leaders in criminalising people living with HIV, with serious implications for human rights and public health.

– UNAIDS, the Global Commission on HIV and the Law, and the UN Special Rapporteur on the right to health have all urged to limit HIV criminalisation to intentional transmission – which is far from being the case in Canada, where people can be convicted of extremely serious offence even if they had no intent to harm their partner, took precautions (used a condom or were on effective treatment) and did not transmit HIV.

“Countries may legitimately prosecute HIV transmission that was both actual and intentional, using general criminal law, but such prosecutions should be pursued with care and require a high standard of evidence and proof.”

Uganda: Civil society coalition file a constitutional petition against controversial HIV and AIDS Prevention and Control Act, 2015

KAMPALA – A network of civil society organisations has dragged the Attorney General to the Constitutional Court, querying the packaging of the HIV and AIDS Prevention and Control Act, 2015.

Representatives of the CSOs filed a constitutional petition on Thursday, lamenting that the law is undermining efforts to fight the scourge.

“I believe the law will have the overall effect of undermining public health objectives of HIV prevention and control,” the petition reads in part. –

The petitioners are Uganda Network on Law, Ethics and HIV/AIDS (UGANET), Makerere law don Prof Ben Twinomugisha, and the International Community of Women Living with HIV in Eastern Africa (ICWEA).

Government’s chief legal representative and advisor the Attorney General is listed as the respondent.

Parliament passed the bill on May 13, 2014. President Yoweri Museveni assented to the bill in August of the same year. –

HIV JUSTICE WORLDWIDE partners, SERO Project and PWN-USA, bring together advocates from U.S. & 4 countries to 2nd National HIV Is Not a Crime Training Academy at University of Alabama-Huntsville

Advocates from 34 states & 4 other countries convene at University of Alabama-Huntsville to strategize Addressing Discriminatory HIV Laws at 2nd National HIV Is Not a Crime Training Academy.

Even as a bill repealing Colorado’s HIV criminalization laws awaits the governor’s pen, much work remains to be done to bring laws up to date with current science in at least 33 states.

Eleven states have laws on the books that can send people living with HIV to prison for behaviors (such as biting and spitting) that carry virtually no risk of transmitting HIV. Forty-four states have prosecuted people living with HIV for perceived exposure or transmission; most states permit prosecution even when no transmission has occurred, and actual risk is negligible.

In Texas, a man living with HIV is currently serving a 35-year sentence for spitting. In Idaho, Kerry Thomas is serving 30 years for allegedly not disclosing his HIV status to a partner – despite the fact that he took measures to prevent transmission, including using a condom and taking medications to maintain an undetectable viral load. Kerry Thomas’ accuser never acquired HIV. Yet his appeal was recently denied, demonstrating that current science continues not to matter to the courts.

“These laws make disclosure harder. Because we so fear the punishment, we just keep things bottled up inside,” says Monique Howell-Moree, who was prosecuted under a US military non-disclosure law and would have faced 8-12 years if convicted. “I didn’t know the best way to disclose … Had I had the support and knowledge that I have now back then, I would most definitely have done things differently.”

In her HIV/AIDS platform and in a recent meeting with activists, U.S. presidential candidate Hillary Clinton called for “reform[ing] outdated and stigmatizing HIV criminalization laws.” Sen. Bernie Sanders’ campaign has said the candidate is also “absolutely opposed” to these laws, according to the Washington Blade. The confluence of outdated laws, unjust prosecutions and profound disparities is bringing advocates and activists from 34 states and 4 countries together for the second national convening dedicated exclusively to strategizing to fight back in the name of human rights and public health.

WHAT: HIV Is Not a Crime II National Training Academy

WHERE: University of Alabama, Huntsville

WHEN: May 17-20, 2016

The Training Academy is co-organized by SERO Project and Positive Women’s Network-USA, two national networks of people living with HIV. It comes on the heels of a major victory in Colorado, where through the dedicated efforts of a group known as the “CO Mod Squad” (“mod” refers to “modernization” of the law), led by Positive Women’s Network-USA (PWN-USA) Colorado, a bill was passed last week that updates laws to take account of current science and eliminates HIV criminalization language.

“With people living with HIV leading the way and our allies supporting us, we were able to do something many thought we couldn’t,” said Barb Cardell, co-chair of PWN-USA Colorado and one of the leaders of the successful efforts. “The law now focuses on proven methods of protecting public health — like education and counseling — while discarding the language of criminalization, which actually discourages testing, treatment and disclosure.”

“This law represents real progress for Coloradans, regardless of their HIV status,” she added. At the Training Academy this week, Cardell will share some highlights and lessons learned from the CO Mod Squad’s experience.

Keynote speakers at the Training Academy include Mary Fisher, who stunned the audience at the 1992 Republican National Convention with a speech about her experience as a woman living with HIV; Joel Goldman, longtime advocate and managing director of the Elizabeth Taylor AIDS Foundation; and Colorado state senator Pat Steadman, the senate sponsor of the bill just passed repealing HIV criminalization in his state. Session topics will explore best practices for changing policy, and will consider the intersections of HIV criminalization with issues ranging from institutional racism to transphobia, criminalization of sex work, mental illness and substance use, and overpolicing of marginalized communities.

“The goals of the Training Academy go beyond giving advocates the tools and know-how they need to change policy, to deepening our collective understanding of the impact of these laws and why they are enforced the way they are,” said Naina Khanna, executive director of PWN-USA. “We hope participants will leave better prepared to effect change by thinking differently, forging new partnerships and ensuring communities most heavily impacted by criminalization are in leadership in this movement.”

At SADC-PF parliamentarians meeting in South Africa, Patrick Eba of UNAIDS says HIV criminalization is a setback to regional AIDS efforts

The criminalisation of HIV simply undermines the remarkable global scientific advances and proven public health strategies that could open the path to vanquishing AIDS by 2030, Patrick Eba from the human rights and law division of UNAIDS told SADC-PF parliamentarians meeting in South Africa.

Restating a remark made by Justice Edwin Cameron of the Constitutional Court of South Africa, Eba said: “HIV criminalisation makes it more difficult for those at risk of HIV to access testing and prevention. There is simply no evidence that it works. It undermines the remarkable scientific advances and proven public health strategies that open the path to vanquishing AIDS by 2030.”

SADC-PF has undertaken, as part of its commitment to advocacy for sexual reproductive health rights, an ambitious 90-90-90 initiative in east and southern Africa, with the help of the media, to ensure that all people living with HIV should know their status by 2020; that by 2020 90 percent of all people diagonised with HIV will receive sustained antiretroviral therapy; and that by 2020 90 percent of all people living with HIV and receiving antiretroviral therapy will have viral suppression.

He implored parliamentarians from SADC-PF member states to advocate for laws that would decriminalise HIV after he noted several African countries had HIV-specific criminal laws that resulted in arrests and prosecutions of those convicted of spreading HIV intentionally.

Eba said calls for the criminalisation of intentional or wilful spreading of HIV stem from the fact there are high rates of rape and sexual violence, and most notably in post-conflict countries such as the DRC there exist promises of retribution, incapacitation, deterrence and rehabilitation.

He gave an example of one case of miscarriage of justice involving a woman in Gabon who was wrongfully arrested after a man accused her of having infected him with HIV, but after spending several months in detention she was actually found to be HIV-negative after she went for testing.

Eba appealed to SADC-PF parliamentarians to consider decriminalisation of HIV on the basis that antiretroviral treatment (ART) has a 96 percent rate in reducing the risk of HIV transmission.

“End criminalisation to end AIDS,” he implored SADC-PF parliamentarians who included Agnes Limbo of the RDP, Ida Hoffmann of Swapo and Ignatius Shixwameni of APP, all delegated by Namibia to the conference.

Eba also referred to the motion unanimously adopted in November 2015 that was moved by Duma Boko of Botswana and that was seconded by Ahmed Shaik Imam of South Africa who reaffirmed SADC member states’ obligation to respect, fulfil and promote human rights in all endevours undertaken for the prevention and treatment of HIV.

That motion had also called on SADC member states to consider rescinding and reviewing punitive laws specific to the prosecution of HIV transmission, exposure and non-disclosure. It also reiterated the role by parliamentarians to enact laws that support evidence-based HIV prevention and treatment interventions that conform with regional and international human rights frameworks.

Eba said since HIV infection is now a chronic treatable health condition, no charges of “murder” or “manslaughter” should arise and that HIV non-disclosure and exposure should not be criminalised in the absence of transmission, and that significant risk of transmission should be based on best available scientific and medical evidence.

On the other hand, he said, there is no significant risk in cases of consistent condom use practice or other forms of safer sex and effective HIV treatment.

The SADC-PF joint sessions also addressed the issues of criminalisation of termination of pregnancy. The joint sessions ended on Thursday with a raft of recommendations for the ministerial meetings.

Originally published in New Era.

Bangladesh: Communicable Disease Prevention, Control and Elimination Act, 2016 which includes jail time and a fine for not being screened and/or treated for many communicable diseases, including HIV, is approved by cabinet

The cabinet yesterday approved a proposed law aiming at preventing and controlling communicable diseases in the country.

The proposed law titled Communicable Disease Prevention, Control and Elimination Act, 2016 has a provision of jail term and fine for a person who is affected with such a disease but does not undergo medical tests for detection.

Briefing reporters after a cabinet meeting at the Secretariat, Cabinet Secretary M Shafiul Alam said the affected persons concerned would also have to be examined in related and specified institutes to detect the types of their diseases.

If a patient avoids medical tests to detect presence of diseases considered as transmittable, they would face one-year imprisonment or Tk 2 lakh fine, he added.

Alam said one of the goals of the draft law is to protect people from communicable diseases as well as taking proper measures to create mass awareness about germs related diseases like Kala-Azar, HIV, Influenza, Nipah, Ebola and Typhoid.

Under the proposed law, a patient or the affected persons would have to be screened and isolated to protect common people from being affected, he observed.

Experts have termed the proposed law a “landmark and a milestone.”

“It’s a landmark decision of the government. With enactment of the law, Bangladesh’s health sector will move one step forward,” said Prof Dr AKM Shamsuzzaman, director of Communicable Disease Control of the Directorate General of Health Services (DGHS).

He told The Daily Star that communicable diseases would be eliminated more quickly with the implementation of the law.

Communicable diseases like malaria, dengue, Filariasis, Kala-azar, all types of influenza, Nipah, HIV, viral hepatitis, among others, would be brought under the legal framework of the law, he added.

Prof Shamsuzzaman further said, “We used to face difficulties in dealing with diseases which appear suddenly on any part of the country. With the enactment of the law, the health department will be able to involve other government bodies concerned including the law-enforcement agencies for controlling such outbreaks.”

Emerging threats of diseases like Zika and communicable diseases which transmit frequently on bordering areas would be dealt under legal framework, he said, thanking the government for approving the proposed law.

The health ministry moved to enact the law in 2014 but couldn’t do so due to various bureaucratic tangles, according to insiders.

The draft law was prepared in line with and replacing the Bangladesh Malaria Eradication (Repeal) Ordinance, 1977 and the Prevention of Malaria (Special Provisions) Ordinance, they said.

As per the proposed law, the authorities concerned will create quarantine facilities for affected persons. The law also creates a scope for the government to take all kinds of assistance from other countries to prevent communicable diseases.

Australia: Southern Australia new legislation to soon enforce mandatory blood testing of offenders for spitting at, or biting police officers

MORE than 100 police officers are being spat at each year, exposing them to infectious diseases and raising the concerns of their union.

Police figures show 111 officers were spat at in 2013 and that total has remained steady each year since, although they refused to release new figures.

South Australian Police Association president Mark Carroll said he hoped new legislation, which is expected to soon become law, enforcing mandatory blood testing of offenders who assault police would protect his members.

“When, in the course of duty, officers are spat on, bitten or otherwise assaulted in a way involving an exchange of bodily fluids, it’s essential that these officers have access to blood samples from the assailant that can be tested,” he said.

The comments come after the sentencing of Brandon William Peter Humes who spat on an officer during an arrest him and told him ‘I don’t give a f — k … I have HIV AIDS and now you’ve got it too’.

In sentencing Humes, 27, this month District Court Judge Rauf Soulio said the officer had to restrain Humes which left him unable to immediately “decontaminate himself”.

“Your comments about HIV caused him great distress,” Judge Soulio said.

 “He felt unable to hold his infant daughter, who was born prematurely, for fear of passing on a communicable disease.

“He had to deal with the fear of waiting for blood results, which were, fortunately, negative.”

Humes was sentenced to four years and six months jail with a non-parole period of two years for armed robbery and the spitting offence in June last year.

Also, Senior Sergeant Alison Coad contracted oral herpes after being spat on by a criminal.

SAPOL would not comment on the medical history of officers but said “this type of incident (spitting) is always of concern.”

“This type of behaviour is totally inappropriate and can result in offenders facing very serious charges,” a spokeswoman said.

The WA Police Union has recently requested officers be equipped with spit hoods because of a spike in incidents there.

Orginally published in The Advertiser

Turkmenistan: New law provides free HIV treatment but mandates HIV testing prior to marriage, and for people who use drugs, prisoners, blood donors and foreigners seeking work visas.

Turkmenistan has passed a law under which all people seeking a marriage license must be tested for HIV.

The law implies that anyone found to be infected with the virus that is the precursor to AIDS would be denied a marriage license.

Reports in state-controlled media on April 6 said the law was enacted “in order to create conditions for forming healthy families and avert the birth of HIV-infected children.”

Authoritarian Turkmenistan has given little public information about the extent of HIV infection in the country.

The new law also requires HIV tests for anyone suspected of using narcotics, foreigners seeking work visas, prisoners, and blood donors.

Under the legislation signed by President Gurbanguly Berdymukhammedov, the government will guarantee free treatment to people infected with AIDS.

In 2002, Turkmenistan’s Health Ministry claimed the country had only two cases of HIV and that both patients had been infected outside the Central Asian state.

Based on reporting by AP and AFP