Canada: Global Fund Replenishment Conference puts the spotlight on Canada HIV criminalisation laws

Friday and Saturday, Montreal will play host to the Fifth Replenishment Conference of the Global Fund to Fight AIDS, Tuberculosis and Malaria. While much of the discussion will be focused on developing countries (the Global South), where the fund has played a crucial role since is creation in 2002, this is also an appropriate time to take stock of Canadian realities.

At a time when the global effort is suffering from precarious funding, Canada has stepped up to the plate by increasing its contribution by 20 per cent, to a total of $785 million over the next three years. This commitment is to be applauded. It proves that there is a willingness on the part of government to make Canada a leader once again on the international scene. It is also a promising reminder that increased donations will get us closer to beating these diseases once and for all.

But good leadership also puts the spotlight on Canada’s own responsibility to address human-rights issues that are impediments to the improvement of public health and fair access to health services.

In the HIV sector, we know that gender inequality, racism and homophobia are the breeding grounds for the epidemic. Poverty and discrimination are further barriers to access and care. As was recently pointed out by Canada’s Minister of International Development and La Francophonie, Marie-Claude Bibeau, HIV has a particularly heavy impact on young women.

In order to continue to play its part as an international leader, Canada has to make good on commitments to end these epidemics here at home. We have work to do in our own backyard in order to align the fight against HIV/AIDS with human-rights advocacy.

Canada in 2016 is a country that still imposes criminal penalties on people living with HIV: they still risk prison sentences for having sexual relations without disclosing their HIV status to their partners when they have taken the necessary precautions to avoid transmission (use of a condom or undetectable viral load), and when there has been no transmission. This increases stigma, goes against science and UNAIDS recommendations, and should not be the case in a country that otherwise is helping lead the way.

Leadership comes from inspiring the best public policy, especially when it is supported by scientific data. In this regard, Canada must go farther and support the opening of supervised-injection sites. Such harm-reduction approaches are proven to reduce rates of infection.

Furthermore, we must work to create social and legal frameworks that help sex workers, as recommended by such NGOs  as Amnesty International. It is crucial that we repeal Bill C-36, the so-called “Protection of Communities and Exploited Persons Act” that criminalizes sex work in Canada.

This major international event will also be an opportunity to highlight how these epidemics affect migrants. Mandatory testing by immigration authorities contradicts recommendations by Canadian health experts. Rejecting migrants on the basis of their HIV or health status continues to foster prejudice in this regard. Economic arguments for refusing them entry only serve to exacerbate such inequalities. It is high time to look at universal access to treatment and the real cost of its being denied to certain people.

The Global Fund Replenishment Conference is a fitting time to demonstrate Canada’s financial support for countries most affected by HIV, TB, and malaria. Canada’s commitment to international aid is a solid foundation for global action on these issues.

But now is also the time for us to lead by example in our own country. There is much work to be done before we can truly “End it. For Good.” We need concrete measures that show Canadians stand with and support HIV-positive people.

Gabriel Girard is a post-doctoral researcher in sociology at Université de Montréal. Pierre-Henri Minot is executive director of Portail VIH/sida du Québec in Montreal. This article is based on an open letter that has been co-signed by more than 150 others. The full list is available at pvsq.org/globalfunds2016.

Uganda: ABC Radio interviews HIV criminalisation survivor, Rosemary Namubiru, and UGANET’s Dora Kiconco Musinguzi

Listen to Natasha Mitchell compelling interview with HIV criminalisation survivor, Rosemary Namubiru, and UGANET’s Dora Kiconco Musinguzi on the challenge to the problematic HIV criminalisation statutes within Uganda’s HIV/AIDS Prevention and Control Act.

This seven minute audio report from AIDS 2016 in Durban is excerpted from ABC Radio’s longer podcast, The brutal politics of a virus that won’t go away, by reporter Natasha Mitchell for Background Briefing. 

Listen to and/or download the full podcast and read the transcript on ABC Radio’s website.

The transcript of Natasha’s HIV criminalisation-related report is below.

Natasha Mitchell: In Uganda, around 7% of people are infected, and while the country is recognised for taking decisive action against HIV, the government’s harsh attitude and laws is dramatically undermining that progress.

Rosemary Namubiru is a 66-year-old nurse, mother and grandmother. She found out she had the virus just three years ago, and she thinks she got it from a patient.

Rosemary hadn’t yet disclosed her status at work, but when she was wrongly accused of intentionally infecting a patient, before she knew it the full force of the law was thrown at her.

Rosemary Namubiru: I saw the police coming, and they were holding me, ‘You are under arrest for murder.’ Then they called the media, so when I was in that room they called and told me, ‘Come out.’ I came out and I found a crowd of cameramen, media people.

Natasha Mitchell: Outside the police station?

Rosemary Namubiru: Yes.

Natasha Mitchell: Rosemary was charged with attempted murder after she accidentally pricked herself with a needle while treating a child. The mother watching on was worried and reported Rosemary. While the child wasn’t infected, thankfully, all hell broke loose when Rosemary’s HIV positive status was confirmed and made public. Rosemary was arrested and paraded in front of the media, who labelled her a ‘killer’ and a ‘murderer’.

Rosemary Namubiru: They were trying to manhandle me. They were taking photographs of me. They were calling me all sorts of names, ‘Murderer, killer. Look at this woman, a killer, a murderer.’ And it went all over the country in the national newspapers, in the English newspapers. ‘That murderer, the murderer. If we see her we shall beat her, we shall kill her.’ It was the talk of town. Even my village. Initially, they labelled it as ‘murder’. Then it was reduced, ‘attempted murder’, and then it was eventually changed into ‘negligence’.

Natasha Mitchell: Rosemary was publicly shamed, and sentenced to three years in prison for negligence.

Lawyer Dora Kiconco Musinguzi is the executive director of Uganda Network on Law, Ethics and HIV/AIDS or UGANET.

Dora Kiconco Musinguzi: Rosemary’s story sent so many chills across the country amongst people living with HIV. She was the headline of the news. ‘Killer nurse’. ‘Monster nurse’. She was treated so cruelly at the police, she was beaten, her hair was pulled, right, left, and centre, and that caused a lot of fear among people living with HIV. So we see discrimination written on walls, written in political statements, discrimination is still real, so that is where we are. That’s Uganda’s story currently.

Natasha Mitchell: Rosemary Namubiru was released at the end of 2014 after her case received international attention.

In the same year, Uganda introduced the HIV Prevention and Control Act. At face value it’s about controlling HIV, promoting testing and treatment, and preventing discrimination. Uganda’s not alone here, HIV specific criminal laws are on the increase worldwide, and also exist in America and Europe.

But Dora Kiconco Musinguzi and colleagues are leading a legal challenge in the Ugandan Constitutional Court against key parts of the law, including certain provisions that demand disclosure of your HIV status, and criminalise those who transmit the virus intentionally.

Dora Kiconco Musinguzi: The question is at what point do you establish intention. In a circumstance where we have so many people that have not yet tested, how do you know that a person infected another? So anybody could blame the other for infecting them, and what should be a human condition, a disease, then becomes a criminal object and lives break, and families break, and you know how the media picks on this, and totally takes it out of context. We believe it’s going to be really dangerous.

Natasha Mitchell: At least half of the Ugandan population still don’t know their HIV status. And Dora Kinconco Musinguzi believes the HIV Prevention and Control Act will exacerbate their reluctance to get tested and treated and so cause the virus to spread.

Dora Kiconco Musinguzi: So if people fear, relate HIV testing with obligation, with imprisonment, with undue power of the law, we believe this is going to create a bigger barrier to testing, and that fails the objective of prevention and control because then we shall have more people left out of the treatment area.

Natasha Mitchell: And because pregnant women have to be tested for HIV, they’re at greater risk under this law.

Dora Kiconco Musinguzi: They are going to be found to be HIV positive fast, and if they don’t disclose then they are in the ambit of attempting to transmit, so that makes the women criminals. So there’s lots of unanswered questions. And yet on the other side science has given us hope that people who test and take their medicines very well, they become less infectious, so they don’t transmit HIV. The law neglects this science. The law does not consider what public health specialists are saying, but the Ugandan government has not put this into consideration.

Natasha Mitchell: The experience of Rosemary Namubiru is a cautionary lesson about why laws that criminalise HIV positive people can be so bad for public health.

Dora Kiconco Musinguzi: You shouldn’t be criminalised. These cases could be handled in another way. We are really asking the Constitutional Court to find out whether this is the law that will present and control HIV, and still afford dignity and non-discrimination for living with HIV.

Natasha Mitchell: Based on your experience, Rosemary, what do you feel about the criminalisation law in Uganda against people with HIV?

Rosemary Namubiru: It hurts. Ignorance kills, but it hurts when people just carry on, and people keep on saying, ‘Oh, that one, that one.’ Me, I didn’t get it sexually. It was during the course of saving lives of human beings, so it is not something to laugh about. I wouldn’t wish anybody to go through what I went through.

Natasha Mitchell: Rosemary Namubiru. She’s now retired from nursing.

HIV Justice Network presents important new HIV criminalisation data today at AIDS 2016

Today, at the International AIDS Conference in Durban, the HIV Justice Network and GNP+ will present important new data on HIV criminalisation based on updated research from our Advancing HIV Justice 2 report.

Global Trends in HIV Criminalisation (Download the pdf here)

HIV criminalisation is a growing, global phenomenon that is seldom given the attention it deserves considering its impact on both public health and human rights, undermining the HIV response.

In many instances, HIV criminalisation laws are exceedingly broad – either in their explicit wording, or in the way they have been interpreted and applied – making people living with HIV (and those perceived by authorities to be at risk of HIV) extremely vulnerable to a wide range of human rights violations.

Seventy-two countries currently have HIV-specific laws, rising to 101 jurisdictions when individual US states are included. Notably, 30 countries in Africa have such laws, including new overly-broad laws in Uganda (2014) and Nigeria (2015).

At least 61 countries have reported HIV-related criminal cases. This total increases to 105 jurisdictions when individual US states and Australian states/territories are counted separately.

However, not all countries have enforced HIV-specific laws and other countries have applied general laws: 32 applied general or public health laws, 26 used HIV-specific laws and 3 (Australia, Denmark and United States) have applied both.

During the 30-month period: April 2013 to October 2015, we found reports of at least 313 arrests, prosecutions and/or convictions in 28 countries.

The highest number of cases during this period were reported in:

• Russia (at least 115);

• United States of America (at least 104);

• Belarus (at least 20);

• Canada (at least 17);

• France (at least 7);

• United Kingdom (at least 6);

• Italy (at least 6);

• Australia (at least 5); and

• Germany (at least 5).

Global trends in HIV criminalisation

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.