Turkmenistan: UNAIDS launches campaign “Decriminalize” aiming to reduce punitive legal environments affecting key populations

Turkmenistan’s HIV/AIDS Challenges: Silence, Stigma, and Criminalization

UNAIDS launched a campaign “Decriminalize” aimed at raising awareness on issues surrounding HIV/AIDs on institutionalized levels across the world.

UNAIDS is the Joint United Nations Programme on HIV/AIDS. It aims at achieving zero new HIV infections, zero discrimination and zero AIDS-related deaths, working alongside its global and national partners to end the AIDS epidemic by 2030 as part of the SDGs.

The campaign highlights  2021-2026 Global AIDS Strategy, directed towards reforming laws that hinder the HIV response, aiming to reduce punitive legal environments affecting key populations. By 2025, the goal is for less than 10% of countries to criminalize activities such as sex work, drug possession, same-sex activity, and HIV-related behaviors.

The UNAIDS campaign underlines that criminal laws target key populations, among them are people who inject drugs, sex workers, gay men and other men who have sex with men, transgender people, and people living with HIV. Such restrictive laws violate people’s human rights. In addition, criminalizing certain activities pushes people away from the support and services they need, exposing them to harm.

Below are the highlights from the campaign focusing on Turkmenistan and its neighboring countries’ data and laws, as well as major global statistics from 2021-2022 years.

As of today, there is no data on Turkmenistan on UNAIDS website (or other sources) on such aspects as:

  • Rates of HIV among adults and children;
  • New HIV-infections and AIDS-related deaths;
  • Number of AIDS-related orphans;
  • Phases of the HIV epidemic;
  • Rates of testing, Antiretroviral Therapy (ART) coverage, and viral load suppression;
  • Coverage and numbers receiving ART;
  • Elimination of vertical transmission.

Data on combination prevention, such as condom use at last high-risk sex is only available for 2000. The only recent data available is on stigma and discrimination and only based on women’s responses from 2019 MICS.

Laws across countries in Eastern Europe and Central Asia

Source: UNAIDS Laws and Policies Analytics, 2021-2022

  • 94 countries in the world criminalized HIV: Turkmenistan and other Central Asian countries are in this list. In the meantime, the migration crisis in Eastern Europe and Central Asia, spurred by conflicts like the war in Ukraine, has led to an urgent need for HIV services among displaced populations. Central Asian nations have experienced its largest influx since independence. Simultaneously, the HIV epidemic is worsening, with Russia, Ukraine, Uzbekistan, and Kazakhstan collectively responsible for 93% of new infections in the area.
  • The Criminal Code of Turkmenistan, Article 116 on HIV Infection, punishes for knowingly putting someone at risk of HIV infection with imprisonment for up to three years. Deliberately infecting another person with HIV, knowing one has the disease, carries a penalty of up to five years’ imprisonment. These penalties escalate if the acts involve multiple individuals or minors, punishable by up to eight years’ imprisonment. Additionally, medical or pharmaceutical workers who infect someone due to negligence in their duties face imprisonment for up to five years, possibly with the loss of professional privileges for up to three years.
  • 125 countries criminalize drug use or possession for personal use. There is no data for Turkmenistan, and with exception to Tajikistan where drug possession is not an offense, in other Central Asia countries, possession of any or all drugs is a criminal offense. According to the campaign, ​​decriminalizing drug use and possession for personal use leads to substantial reductions in HIV incidence among people who inject drugs. This is facilitated by improved access to harm reduction services, decreased violence, and reduced harassment by law enforcement. Repressive policing of drug use has been linked to increased HIV infection, needle sharing, and avoidance of harm reduction programs. Hence, law reform is essential to achieve the goal of ending AIDS as a public health threat by 2030.
  • 67 countries criminalize same-sex relations. In Turkmenistan and Uzbekistan same-sex relations are penalized with imprisonment for up to 14 years. Article 133 of the Criminal Code of Turkmenistan, defines sexual intercourse between men as sodomy, and punishes with a penalty of up to two years’ imprisonment, with or without residency restrictions. Repeat offenses or causing the victim to contract sexually transmitted diseases (STDs) can lead to imprisonment for five to ten years. Negligence resulting in death, serious harm, or HIV infection incurs a sentence of ten to twenty years in prison, possibly with residency restrictions. In Kazakhstan, Kyrgyzstan, and Tajikistan same-sex relations are decriminalized. The UNAIDS campaign notes that countries that criminalize same-sex sexual activity have a significantly higher HIV prevalence among gay and bisexual men – up to 5 times more. Moreover, recent prosecutions amplify this risk even further, with rates up to 12 times higher.
  • 167 countries criminalize some aspects of sex work and 153 criminalize sex work. In Turkmenistan and Uzbekistan, the law encompasses other punitive and/or administrative regulation of sex work. Yet repeated sex work within a year after an administrative penalty is charged with a fine ranging from twenty to forty times the basic amount, or compulsory labor up to four hundred and eighty hours, or correctional labor up to two years, or imprisonment for up to two years, according to the Article 136 of the Criminal Code, while profiting from organizing and/or managing sexual services is criminalized (in the Criminal Code of Turkmenistan, these are reflected in the articles 137, 138, 139, 140). In Kazakhstan, Tajikistan and Kyrgyzstan, both are applied, however in Kazakhstan and Tajikistan there is partial criminalization of sex work, whereas in Kyrgyzstan sex work is not subject to punitive regulations and is not criminalized.
  • The campaign highlights that criminalizing sex work increases the likelihood of sex workers contracting HIV and exposes them to violence from clients, police, and others. Targeting clients worsens sex workers’ safety and health, diminishing condom access, increasing violence, and deteriorating overall well-being.

The campaign underlines that criminalization of key populations decreases their access to HIV prevention services. Criminalization also drives discrimination and structural inequalities and robs people of the prospect of healthy and fulfilling lives.

The campaign highlights progress: Belgium and Australia decriminalized sex work; Zimbabwe decriminalized HIV exposure, non-disclosure, and transmission; Central Africa Republic revised its HIV laws; and Antigua & Barbuda, St Kitts & Nevis, Singapore, and Barbados repealed colonial laws against same-sex activity. Kuwait ended laws targeting transgender individuals, and New Zealand lifted HIV-related travel restrictions. However, challenges remain: 134 explicitly countries criminalize HIV exposure; 20 criminalize and/or prosecute transgender persons; 67 criminalize consensual same-sex activity. Additionally, 48 restrict entry for people with HIV, 53 mandate HIV testing, and 106 require parental consent for adolescent HIV testing.

The campaign also provides additional resources on the topic, such as factsheets, maps, and reports, as well as offers a thematic quiz on awareness on the criminalization of key populations with additional information on the relevant subjects.

Photo: © UN Turkmenistan / 2018 / Eyeberdiyeva
Photo caption: The UN Turkmenistan celebrated
World AIDS Day to raise awareness of
the importance of getting tested for HIV

Death penalty for unintentional HIV transmission via same-sex sex struck down by Uganda’s Constitutional Court

The recent (April 3rd) ruling by Uganda’s Constitutional Court declaring that the Anti Homosexuality Act of 2023 complies with the Constitution of Uganda – except in only four aspects – was quite rightly roundly condemned by Amnesty International, the Global Fund, Human Rights Watch, International AIDS Society, and UNAIDS, as well as the US Department of State, amongst many others.

Rather than strike down every section of this heinous, draconian anti-gay law, the Court was unanimous in ruling that most of its dangerous, overly broad, and problematic provisions remain in place. 

However, in its 200+ page ruling, the Court did find that Sections 3(2)(c), 9, 11(2d) and 14 did not “pass constitutional muster” and were struck down.

Sections 9 and 11(2d) refer to landlords allowing homosexuality to take place on their premises, and section 14 refers to a “duty to report acts of homosexuality” to the police.

But section 3(2)(c) was one of the most heinous of all of the Act’s horrendous provisions, proscribing the death penalty for someone living with HIV who engaged in same-sex sex and where HIV is allegedly passed on.

  1. Aggravated homosexuality (1) A person who commits the offence of homosexuality in any of the circumstances specified in subsection (2) commits the offence of aggravated homosexuality and is liable, on conviction, to suffer death. (2) (c) the person against whom the offence is committed contracts a terminal illness as a result of the sexual act.

Read the full text of the law here

Both the Court, several petitioners, and UNAIDS – who provided an amicus brief to the Court – correctly interpreted this section as criminalising unintentional HIV transmission when two people of the same sex had sex.

In paragraphs 510-512, the Court referred to several key documents – including the 2011 Report of the Special Rapporteur on the right of everyone to the enjoyment of the highest attainable standard of physical and mental health and UNAIDS 2013 Guidance Note, Ending overly broad criminalisation of HIV non-disclosure, exposure and transmission: Critical scientific, medical and legal considerations – and were persuaded that the section did not provide for “the element of criminal intent or mens rea, which is a vital component of the concept of crime.”

The Constitutional Court ruling went on to say:

“This indeed is the approach that was adopted in section 43 of the HIV and AIDS Prevention and Control Act, 2015, which criminalizes the intentional transmission of HIV as follows: ‘a person who wilfully and intentionally transmits HIV to another person commits an offence.’

“Finding no justification for the criminalization of the unintentional transmission of HIV under section 3(2)(c) of the Anti-Homosexuality Act we take the view that it compounds the susceptibility of persons that are HIV+ to mental health issues and thus impedes their right to enjoy the highest attainable standard of mental health, with potential ramifications to their physical health as well. This is a violation of the right to health as envisaged under Article 12(1) of the ICESCR and is inconsistent with Articles 45 and 287 of the Uganda Constitution.”

 

However, people living with HIV are already over-criminalised in Uganda by various sections of the HIV and AIDS Prevention and Control Act, as summarised in our Global HIV Criminalisation Database.

What is termed as “wilful and intentional” transmission of HIV is punishable by a fine and/or up to ten years’ imprisonment. Section 43 provides a defence if the accused’s partner was aware of, and accepted, the risk of transmission, or transmission occurred during sexual intercourse and protective measures were used. Attempted transmission is punishable by a fine and/or up to five years’ imprisonment. The scope of section 41 is undefined, but cases demonstrate that the law criminalises perceived HIV ‘exposure’ broadly.

Both Section 41 and 43 are known to have been used in a broad range of circumstances, including prosecution of a man for ‘defilement’ (2013), prosecution of a teacher for alleged transmission to his student (2013), the alleged injection of a toddler/needle stick injury (2014), alleged transmission by a woman to a number of young men (2014), alleged breastfeeding of an employer’s child (2018), the arrest, conviction and acquittal of a nurse wrongfully convicted of injecting a baby with HIV-infected blood (2018), and the alleged defilement of a boy by a woman (2019). An earlier prosecution from 2008 involved a man charged with alleged transmission. In the most recent case in 2023, a woman living with HIV pled guilty to charges under section 43 after injecting her 5-year-old son with her blood and was sentenced to seven years’ imprisonment. Cases have generally not used scientific evidence to prove allegations, with convictions at lower-level courts relying only on testimony.

Nevertheless, the recognition of key legal and rights-based arguments against punishing unintentional HIV transmission with the death penalty(!) as part of an otherwise anti-rights, morality-based ruling should be seen as a small but welcome victory. Although this might be seen as similar to the 2022 Lesotho High Court decision on the unconstitutionality of the death penalty in the context of HIV transmission following rape, the difference of course is that that rape is an act of violence that should be criminalised regardless of any other circumstances, whereas consensual sex between two men or two women should never, ever be a crime.

US: Maryland lawmakers sponsor bill aiming to repeal HIV criminalisation law

Commentary: Maryland must stop criminalizing people living with HIV

State lawmakers moving to repeal law that stigmatizes people living with HIV, increases public health risk

Having a virus should not be a crime. Yet, in Maryland, people living with HIV can face prosecution and criminal penalties even when we have disclosed our status, used condoms or are virally suppressed through medication. Maryland has an outdated law from 1989 that makes it a misdemeanor for a person living with HIV who is aware of their HIV-positive status to “knowingly transfer or attempt to transfer” HIV to another person. A conviction under this law can carry a punishment of up to three years in prison, and the law has been used to charge people for behaviors that do not transmit HIV, such as spitting and biting.

As people who have lived with HIV for decades, we know firsthand that Maryland’s HIV criminalization law discourages people from knowing their status, fosters stigma and creates barriers to lifesaving health care. It’s time for lawmakers to repeal this deeply unjust law.

Legislation (HB 485/SB 1165) sponsored by Del. Kris Fair (D) and Sen. Sen. Karen Lewis Young (D), both from Frederick County, aims to repeal this law that punishes people living with HIV. It is a law enforced on deeply racist lines. A recent analysis by the Williams Institute revealed our HIV criminalization law is used disproportionately against Black Marylanders and Black men in particular, driving increased incarceration rates and fostering stigma and shame around HIV and knowing one’s status. People living with HIV need health care, not the threat of prison cells.

This law was passed 35 years ago, when little was known about the virus. If that seems long ago, it was: George H.W. Bush was president, cellphones were the size of bricks, and Janet Jackson and Paula Abdul topped the music charts. At that time, there was little hope for people living with HIV. Thankfully, much has changed since then.

Today, we are just some of the many people with HIV who are living long and fulfilling lives. Those of us living with HIV who achieve and maintain an undetectable viral load — the amount of HIV in our blood — by taking medication as prescribed cannot sexually transmit HIV to our partners. Furthermore, people who don’t have HIV have even more effective prevention tools and can take medications such as PrEP and PEP. All of these advancements were unheard of in 1989, when lawmakers responded with fear by criminalizing HIV.

If you are surprised to learn about the incredible medical advancements in the treatment and prevention of HIV, you are not alone. Stigma and racism around the virus run so deep that many people have an outdated understanding of HIV. In fact, today our goal of ending the epidemic of HIV is achievable in the coming years if we focus on expanding access to testing, prevention and treatment.

All of us should know our HIV status, but stigma, lack of access to health care and fear of criminal penalties under Maryland law are barriers to testing for many. Our state laws and policies should remove barriers to health care and encourage Marylanders to know their status. The compounding tragedy of our HIV criminalization law is it deters people from seeking testing and treatment, thus prolonging the HIV epidemic and its toll on our communities.

Repealing the HIV criminalization law would make it safer for people unknowingly living with HIV to get tested and access needed treatment. Nationally, a recent study showed that approximately 80% of new HIV transmissions were from people who do not know their HIV status or are not receiving regular care. Expanding access to testing could have a profound effect in our state. The Maryland Department of Health estimates over 34% of young people living with HIV in the state remain undiagnosed. It is clear we cannot meet our public health goals without repealing this law.

As community caretakers in the movement, we are committed to doing everything we can to reduce stigma around HIV and increase access to care for all Marylanders. For years, we have joined other people living with HIV to share our personal stories with legislators in support of updating our law. HIV is preventable and treatable, and we hope one day to end the epidemic. However, to achieve that goal, we must first end the criminalization of HIV in the state we call home. Removing harmful, stigmatizing criminal punishments for knowing your HIV status is a commonsense update that is long overdue for the great state of Maryland.

 

UK Parliament Commemorates HIV Is Not A Crime Day

On Tuesday 5th March the HIV Justice Network hosted a reception with the All Party Parliamentary Group for HIV, AIDS and Sexual Health (APPGA) to mark the first global HIV Is Not A Crime Awareness Day.

Baroness Barker, co-chair of the APPGA, Lisa Power former Policy Director at the Terrence Higgins Trust and the first chair of the HIV Justice Network’s Supervisory Board, spoke alongside our Executive Director, Edwin J Bernard. The SERO Project’s, Kerry Thomas, an HIV criminalisation survivor and activist, appeared via video.

The event was attended by MPs and members of the House of Lords, as well as representatives of the UK and US governments, the Global Fund, UNAIDS, HIV philanthropic funders, and UK and international HIV policy organisations.

Edwin presented global and Commonwealth data, based on a briefing paper especially undertaken for the event by our policy analyst, Elliot Hatt, which demonstrated that the Commonwealth is far behind global HIV criminalisation law reform trends.

In the past five years, there were more adoptions of HIV criminalisation laws than there were repeals or reforms in the Commonwealth, whilst globally this was reversed.  Notably, the United States – formerly a world leader and exporter of HIV criminalisation – was now a world leader in ending it.

“It’s time for the UK to do the same, domestically, and throughout the Commonwealth,” he said.

[Show picture list]
UPDATE 22nd March: The Parliamentary event and our Commonwealth analysis led to questions being asked in Parliament by APPGA co-chair, Florence Eshalomi MP. 

To ask the Minister of State, Foreign, Commonwealth and Development Office:

What steps he is taking to help encourage the repeal of HIV specific laws in the 20 jurisdictions in the Commonwealth that still have them.

Whether his Department is providing support to (a) the HIV Justice Network and (b) other organisations working to repeal HIV-specific laws globally.

 

These questions were answered by Andrew Mitchell MP Minister of State for Development and Africa with the same answer for both questions:

Addressing stigma, discrimination and criminalisation is critical to ensuring equality of access to HIV prevention, testing and treatment services and to achieving progress in the global HIV response.

The UK is a champion of human rights around the world and we are committed to the principle of non-discrimination on any grounds, including on the basis of sexual orientation or gender identity. The UK’s network of over 280 Diplomatic Missions monitor human rights in host countries.

At the UN High Level Meeting on HIV in June 2021, the UK worked hard to secure the highest level of commitment from our global partners and garner support for the ambitious, rights-based Global AIDS Strategy 2021-2026, so the world has the best chance of meeting the 2030 goal to end AIDS. We also endorse the Global Fund’s 2023-2028 Strategy, with a focus on addressing inequities and structural drivers of HIV infection and AIDS-related deaths including barriers to services due to stigma, discrimination and criminalisation.

Our funding to the Robert Carr Fund and to UNAIDS helps to support legal and policy reform to combat stigma, discrimination and criminalisation, and to improve access to HIV services for those most at risk, as well as supporting civil society and grassroots organisations to challenge harmful policies and attitudes that exclude minorities and put them at greater risk of HIV infection and increase access to services for these groups.

 

We are grateful to the UK’s leadership, and its support of the Robert Carr Fund – which funds much of our work, and that of the HIV JUSTICE WORLDWIDE coalition – which is currently seeking replenishment for the next funding round, 2025-7, and we hope that the UK will be the first to commit to supporting the Fund once again.

Mexico: Activists call for congress to repeal HIV Criminalisation statute in Tlaxcala

Activists urge the decriminalisation of “danger of contagion” for HIV and other diseases in Tlaxcala

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

Activists and defenders of the human rights of people living with HIV have urged the Congress of Tlaxcala to pass an initiative to eliminate the crime of “danger of contagion” from the local Penal Code as soon as possible.

Antonio Escobar Muñoz, director of the HIV and Human Rights programme of the LGBTTTQI+ collective, argued that it is essential to eliminate any discriminatory treatment based on health status.

According to the activist, cases of discrimination and stigmatisation based on health status persist in Tlaxcala, especially in school, work and governmental environments, mainly in the health sector.

Escobar Muñoz pointed out that people with HIV face criminalisation based on their HIV status, but often choose not to report it for fear of stigma and re-victimisation.

She emphasised that in Tlaxcala more work is needed on awareness raising, sensitisation and education, although the decriminalisation initiative represents an important step towards ensuring safe and discrimination-free environments.

This day, the initiative was presented in the plenary of the Local Congress with a draft decree proposing to repeal the denomination of Chapter I of the Eleventh Title with its respective article 302; section V of article 434, both of the Penal Code for the Free and Sovereign State of Tlaxcala.

This initiative seeks to recognise the need to promote public policies that encourage prevention, education and support for people living with HIV, thus contributing to the fight against stigmatisation and discrimination, as well as highlighting the need to update legislation in Tlaxcala.

Urgen activistas despenalización de “peligro de contagio” por VIH y otras enfermedades en Tlaxcala

Activistas y defensores de los derechos humanos de personas que viven con VIH han urgido al Congreso de Tlaxcala a dictaminar cuanto antes la iniciativa para eliminar del Código Penal local el delito de “peligro de contagio”.

Antonio Escobar Muñoz, director del programa de VIH y Derechos Humanos del colectivo LGBTTTQI+, argumentó que es indispensable eliminar cualquier trato discriminatorio por condición de salud.

Según el activista, en Tlaxcala persisten casos de discriminación y estigmatización por condición de salud, especialmente en entornos escolares, laborales y gubernamentales, principalmente en el sector salud.

Escobar Muñoz señaló que las personas con VIH enfrentan situaciones de criminalización basadas en su estatus serológico, pero muchas veces optan por no denunciar por miedo al estigma y la revictimización.

Enfatizó que en Tlaxcala se necesita más trabajo en concientización, sensibilización y educación, aunque la iniciativa de despenalización representa un paso importante para garantizar entornos seguros y libres de discriminación.

Este día, se presentó en el pleno del Congreso Local la iniciativa con proyecto de decreto por el cual se propone derogar la denominación del Capítulo I del Título Décimo Primero con su respectivo artículo 302; la fracción V del artículo 434, ambos del Código Penal para el Estado Libre y Soberano de Tlaxcala.

En esta iniciativa, se busca reconocer la necesidad de promover políticas públicas que fomenten la prevención, la educación y el apoyo a las personas que viven con VIH, contribuyendo así a la lucha contra la estigmatización y la discriminación, además de destacar la necesidad de actualizar la legislación en Tlaxcala.

US: New report published on the enforcement of HIV criminalisation in Ohio

‘Antiquated’ and unscientific laws enforced against Ohioans living with HIV: Report

Across the country, a growing coalition of advocates is pushing to repeal or update state laws that criminalize people living with HIV or AIDS.

In Ohio, six laws on the books either criminalize certain acts – including sex – for people living with HIV or substantially increase sentences for them compared to people who do not have the virus.

Most of the laws were passed decades ago, fueled by fear, absent scientific understanding about how HIV is transmitted and before advancements in HIV-related treatment were widely introduced. Laws still remain in place in 34 states.

There are no national reporting requirements that track arrests or prosecutions under the laws. Until now, it was unclear how frequently Ohio prosecutors have charged people under the laws, which also apply to people living with hepatitis or tuberculosis.

A report released today by Equality Ohio and the Ohio Health Modernization Movement (OHMM), two groups pushing for legal reform, reveals that more than half of the prosecutions over a six-year period were for acts – such as spitting or throwing bodily fluids – that were unlikely to transmit HIV. It also found a disproportionate number of people charged were Black compared to Ohio’s overall population of Black residents.

“Ohio is unique in that these antiquated laws are actually being utilized and enforced against everyday Ohioans who are living with HIV,” Kate Mozynski, an attorney with Equality Ohio and one of the co-authors of the report told the Buckeye Flame.

In 2022, about 25,000 people in Ohio had an HIV diagnosis. The rate of Black residents diagnosed with HIV was more than six times the rate of white residents.

The groups spent three years gathering information from prosecutors and courts in all 88 Ohio counties and identified 214 cases charged under the six laws. Often, the records lacked or had conflicting information on race or ethnicity, and the gender captured in law enforcement records didn’t always reflect a person’s gender identity.

That prevents researchers from fully understanding the impact that these laws are having on some of the most vulnerable populations in Ohio, including LQBTQ+ people, people experiencing incarceration and people of color, according to the report. The federal Centers for Disease Control and Prevention has warned that laws criminalizing HIV exposure are outdated and may discourage testing, increase stigma and exacerbate disparities in Black and Latino communities.

Cuyahoga County had the highest number of charges

 The report found that:

  • Prosecutions are concentrated in Ohio’s more populous counties, including Cuyahoga, Hamilton, Franklin and Lucas counties.
  • Cuyahoga County charged four times the number of people under the six laws than Franklin County, which has a higher population and more people living with HIV and AIDS. Cuyahoga County accounted for 26% of the cases identified.
  • The largest share of prosecutions involved Black men, based on recorded race and gender included in records.

A separate Marshall Project review of prosecutions under the six laws in Cuyahoga County from 2016 through 2022 examined 36 charges involving 35 defendants. That doesn’t didn’t include charges for solicitation, prostitution or loitering, which are generally misdemeanor crimes.

The cases involved 18 law enforcement agencies, including three hospital police departments and public transit police.

The Cuyahoga County Prosecutor’s office, which decides whether to prosecute felony cases under Ohio’s laws, said these charges are determined on a “case-by-case basis” after considering input from victims, according to Lexi Bauer, communications manager. Bauer noted that the majority of the “harassment by bodily fluid” charges in recent years were related to hepatitis and not HIV.

Ohio penalties among the harshest

Ohio’s laws remain among the harshest when it comes to HIV criminalization, not just based on the conduct that is criminalized but also the penalties, said Jada Hicks, staff attorney for The Center for HIV Law and Policy.

In Ohio, people living with HIV (or viral hepatitis or tuberculosis) can be charged whether or not they:

  • Engaged in sex practices or other acts that could transmit the virus.
  • Transmitted HIV.
  • Used protection, such as condoms and/or dental dams.
  • Had an undetectable level of virus in their blood and were unable to transmit HIV.

Most of the charges examined in the report fall under two Ohio laws.

One law makes it a crime for a person living with HIV (or hepatitis or tuberculosis) to “harass” someone with their bodily fluids. That would include spitting or throwing urine, feces or blood at another person.

Under the other law, a person can be charged with felonious assault if they have sex with another person without telling them that they are living with HIV.

The penalties for failing to disclose HIV status in Ohio are stiff regardless of whether the virus was actually transmitted or whether it was even possible for a person to transmit the virus. Possible sentences for individuals living with HIV can be anywhere from two to 29 times longer than those for Ohioans who are HIV-negative.

Ohio is also one of six states that require individuals convicted under one of these statutes to register as a sex offender.

“Ohio’s HIV laws don’t require actual transmission or even the intent to transmit,” said Nathan Cisneros, a researcher with the Williams Institute, which does legal and public policy research on sexual orientation and gender identity. “Conduct that couldn’t transmit HIV – like spitting and biting, loitering while having a conversation about sex work – can land you in prison.”

The Williams Institute also published a report today that looked at arrests under Ohio’s six laws over two decades and felony prosecutions in Cuyahoga County from 2009 to 2022. Researchers identified at least 530 separate allegations under the six laws since 2000. Having consensual sex without disclosing an HIV-positive status made up nearly half of the total cases. Incidents related to sex work and bodily fluid exposure each accounted for nearly one-fifth of the total.

Changing legal landscape

Thirteen states have either repealed or modernized their HIV laws, according to the Center for HIV Law and Policy, including Illinois in 2021 and New Jersey in 2022.

Ohio advocates have been at the forefront of efforts to challenge the laws as discriminatory. In 2022, the Center for HIV Law and Policy filed a complaint with the Department of Justice on behalf of people living with HIV in Ohio and Tennessee.

In December, the DOJ notified Tennessee it was violating the Americans with Disabilities Act (ADA) by enforcing the state law that increases penalties for people convicted of prostitution if they also have HIV. On Feb. 15, the Justice Department filed charges against the state in federal court..

Combing state records for HIV-related charges

OHMM researchers gathered information from county-level online court records and local county clerk and prosecutors’ offices in Ohio’s 88 counties for a six-year period ending in 2020. The project identified 214 cases prosecuted under the six laws.

Behind each one of the cases, there is a “real, everyday Ohioan who happens to have a medical condition,” Mozynski said.

Where in Ohio are people being charged?

The highest concentration of charges are in the state’s larger metropolitan areas.

  • 26% in Cuyahoga County (Cleveland)
  • 12% in Hamilton County (Cincinnati)
  • 7% in Lucas County (Toledo)
  • 7% in Franklin County (Columbus)
  • Montgomery (Dayton) and Warren (Lebanon) counties, about 5% each.

What charges are most common?

More than half of the cases identified were for the charge of “harassment with a bodily substance,” which carries with it a penalty of up to 5 years in prison and a $10,000 fine. Cases with this charge are often related to acts against law enforcement or corrections officers or healthcare workers.

Charges don’t distinguish between bodily fluids that can transmit HIV, such as blood, and those that do not, such as saliva, urine or feces. People can also be charged if they are living with hepatitis, regardless of whether it is transmitted.

Prosecutors also don’t have to prove whether a person is capable of transmitting the virus or determine whether it is scientifically impossible to transmit the virusdue to prescription-drug treatments that have reduced the presence of the virus in a person’s blood – called a viral load – to undetectable levels.

A third of the cases were for “felonious assault,” which carries the most severe penalty of any HIV-related charge – up to eight years of incarceration and a $15,000 fine. Each sexual act can be charged separately. It also doesn’t require that the virus be transmitted.

OHMM found no cases where people were charged with “selling or donating contaminated blood.” The Williams Institute found six arrests over a 20 year period related to blood donation.

Read the OHMM (“Enforcement of HIV Criminalization in Ohio: Analysis of Court Cases from 2014 to 2020”) report here.

Read the Williams report (“Enforcement of HIV Criminalization in Ohio HIV-related criminal incidents from 2000 to 2022”) here.

Global Statement on HIV Is Not A Crime Awareness Day

Download this statement as a pdf

This year, on February 28th, the HIV JUSTICE WORLDWIDE coalition commemorate HIV is Not A Crime Awareness Day as a Global Awareness Day for the first time, under the theme: “You care about ending HIV criminalisation, you just don’t know it yet”. We invite you to stand with us in solidarity and action as we strive to eliminate the unjust criminalisation of people based on their HIV-positive status.

HIV Is Not A Crime Awareness Day was launched in the United States two years ago by HIVJUSTICE WORLDWIDE founding partner, the SERO Project, in collaboration with the Elizabeth Taylor AIDS Foundation, and has grown in size and prominence ever since.

HIV criminalisation laws and prosecutions persist in many parts of the world* perpetuating stigma, discrimination, and human rights violations against people living with HIV. These laws reinforce misconceptions, fuel fear and prejudice instead of fostering empathy and understanding. They undermine public health efforts by deterring people living with HIV from seeking testing, treatment, and support, ultimately hindering progress in HIV prevention and care and reaching targets set to end AIDS by 2030.

The impact of HIV criminalisation extends beyond legal consequences, affecting the social, economic, and emotional well-being of those affected. It breeds shame and secrecy, hindering open communication about HIV and perpetuating a cycle of silence and isolation.HIV criminalisation disproportionately impacts marginalized communities most affected by HIV,exacerbating existing inequalities and injustices as seen in recent years.

We believe that everyone has a role to play in ending HIV criminalisation, marked by our theme this year: “You care about ending HIV criminalisation, you just don’t know it yet,”

We as the HIV JUSTICE WORLDWIDE coalition partners are raising awareness, challenging stigma, and advocating for policy reform and HIV decriminalisation. We want to create a more just and compassionate society for all. It begins with education, empathy, and a commitment to upholding the rights and dignity of every individual, regardless of their HIV status. It’s time for change. It’s time to dismantle the legal barriers that perpetuate stigma and discrimination against people living with HIV. It’s time to shift the narrative from fear and punishment to compassion and support. It’s time to recognise that HIV criminalisation not only affects individuals but also our communities, as it undermines public health efforts and human rights principles.

On this HIV Is Not A Crime Awareness Day, we call upon governments, policymakers, advocates, healthcare providers, and communities worldwide to take action:

  • Reform Legal Frameworks: Advocate for the repeal or reform of laws and policies that
    criminalise HIV non-disclosure, exposure or non-intentional transmission. Replace
    punitive measures with evidence-based approaches grounded in public health and
    human rights.
  • Promote Education and Awareness: Raise awareness about the impact of HIV
    criminalisation on individuals, families, and communities. Foster empathy,
    understanding, and support for people living with HIV.
  • Ensure Access to Justice: Ensure that individuals living with HIV have access to legal
    support and representation to challenge unjust prosecutions and discriminatory
    practices.
  • Foster Inclusive Policies: Advocate for policies that promote inclusivity, dignity, and
    respect for the rights of people living with HIV, including access to comprehensive
    healthcare, prevention, and support services.
  • Empower Communities: Empower communities affected by HIV to advocate for their
    rights, including for HIV decriminalisation, challenge criminal laws and policies and
    demand accountability from policymakers and institutions.

Together, we can create a future where no one faces criminal legal system discrimination or prosecution simply because they are living with HIV. Join us in saying no to HIV criminalisation and yes to justice, compassion, and solidarity. #HINACDay 2024.

* The HIV Justice Network’s Global HIV Criminalisation Database counts 109 jurisdictions in 80 countries with HIV-specific criminal laws, including 23 jurisdictions in the United States, two in Mexico, and three in Nigeria, together with a federal HIV law in each country. The Database includes individual case reports of HIV criminalisation in 161 jurisdictions in 90 countries since we began monitoring HIV cases. These include cases in all eight Australian states, eight provinces and territories in Canada, seven Mexican states, two Nigerian states, 42 jurisdictions in the United States, and all four nations of the United Kingdom. We consider 89 jurisdictions in 52 countries to be ‘active’ – those which have enforced relevant laws in the past five years. A total of 39 of these jurisdictions have HIV-specific laws in place, while 50 jurisdictions applied general criminal laws, such as communicable disease or general harm provisions, to instances of alleged HIV non-disclosure, potential or perceived exposure, or non-intentional transmission.

About us

We are global coalition of community-led global and regional networks and human rights defenders working to shape the discourse on HIV criminalisation, as well as share information and resources, network, build capacity, mobilise advocacy, and cultivate a community of transparency and collaboration.

The coalition is comprised of fourteen networks and organizations. It was founded in 2016 by: the AIDS and Rights Alliance for Southern Africa (ARASA), The Global Network of People Living with HIV (GNP+), HIV Justice Network (HJN), The HIV Legal Network (Legal Network), International Community of Women Living with HIV (ICW Global), Positive Women’s Network (PWN-USA), and the Sero Project (Sero).

A further seven partners have since joined the coalition: AIDS Action Europe (AAE), Eurasian Women’s Network on AIDS (EWNA), Harm Reduction International (HRI), MENA Community, Global Action for Gay Men’s Health and Rights (MPact), Southern Africa Litigation Centre (SALC) and the Global Network of Young People Living with HIV (Y+ Global). To learn more about the HIV JUSTICE WORLDWIDE coalition please visit: www.hivjusticeworldwide.org

HIV Is Not A Crime Awareness Day goes global!

Next Wednesday 28th February is HIV Is Not A Crime Awareness Day.

For the first time, HIV Is Not A Crime Awareness Day – which began two years ago in the United States – has gone global! This year’s theme is: “You care about ending HIV criminalisation – you just don’t know it yet!”

That’s why we’ll be producing a very special episode of our webshow, HIV Justice Live! on this important new date for global HIV decriminalisation activism, where I’ll be joined on my ‘virtual sofa’ by an inspiring group of community-based expert activists – Florence Riako Anam (GNP+); HIV and human rights consultant, Michaela Clayton; Mikhail Golichenko (HIV Legal Network); and Andy Tapia and Kerry Thomas (SERO Project) – to explain why HIV criminalisation impacts us all, and what you can do about it.

We’ll be streaming live to YouTube and Facebook, so you’ll be able to interact with us during our Q&A session. By March 1st, Zero Discrimination Day, the show will also be available on our YouTube channel where it will be subtitled in English, allowing for automatic translation into any language.

HIV Is Not A Crime Awareness Day was the brainchild of our long-time HIV JUSTICE WORLDWIDE partner, the SERO Project’s co-Executive Director, Kamaria Laffrey. HIV Is Not A Crime Awareness Day was launched two years ago in collaboration with the Elizabeth Taylor AIDS Foundation, community activists and public policy organisations across the United States and grown in size and prominence ever since.

HIV Is Not A Crime Awareness Day takes place on 28th February for several reasons. It’s a date that bridges two major US awareness months – Black History Month in February and Women’s History Month in March. And it’s also a symbolic nod to the legacy of the late Hollywood icon and early AIDS activist, Elizabeth Taylor, who was born on 27th February.

HIV Is Not A Crime Awareness Day is an opportunity to amplify the voices of those who have been criminalised based on their HIV status; to remind people of the negative impacts of HIV criminalisation on health and rights; to celebrate the work of many individuals who are part of the growing global movement to end HIV criminalisation; and to recognise that there’s still much to do to achieve HIV JUSTICE WORLDWIDE.

You can find out what other events are taking place on and around HIV Is Not A Crime Awareness Day by visiting a dedicated Facebook page or by following the hashtag #HINACDay.

US: Report by the Williams Institute examines the enforcement of HIV criminalisation laws in Mississippi

HIV criminal laws lopsided impact on Black men in Mississippi

A new report by the Williams Institute at UCLA School of Law finds that at least 43 people in Mississippi were arrested for HIV-related crimes between 2004 and 2021. Half of all arrests in the state happened between 2017 and 2021.

The HIV epidemic and Mississippi’s HIV-related criminal laws disproportionately impact men, and Black men in particular. Men make up 49% of Mississippi’s population, 71% of people living with HIV (PLWH), and 72% of HIV-related arrests. Black men comprise 18% of the state’s population and 50% of PLWH. However, they make up 47% of HIV-related arrests.

Researchers analyzed data obtained from the Mississippi Department of Public Safety. Findings show that the enforcement of HIV criminal laws is concentrated around the state’s capital and most populous city, Jackson, and near the Gulf Coast. Almost 20% of arrests occurred in three counties: Harrison (15%), Hinds (13%), and Lamar (11%).

HIV criminalization is a term used to describe laws that either criminalize otherwise legal conduct or increase the penalties for illegal conduct based on a person’s HIV-positive status. Nearly two-thirds of U.S. states and territories currently have laws that criminalize people living with HIV.

Mississippi has two HIV criminal laws. The knowing exposure law makes it a felony to knowingly expose another person to HIV, hepatitis B, or hepatitis C and is punishable by up to 10 years in prison and/or a $10,000 fine. Mississippi’s endangerment by bodily substance law makes it a misdemeanor to attempt to expose or expose anyone at a correctional facility to bodily fluids. However, if someone knows their HIV or hepatitis status, the crime is upgraded to a felony punishable by 3 to 10 years in prison and/or a $10,000 fine.

“Mississippi’s criminal laws do not require the actual transmission of HIV, the intent to transmit, or even conduct that can lead to the transmission of HIV,” said lead study author Nathan Cisneros, HIV Criminalization Project Director at the Williams Institute. “We now have medical treatments that wholly eliminate the risk of transmitting HIV through sex, yet these advances are not reflected in Mississippi’s laws.”

Mississippi’s 2021 Ending the HIV Epidemic Plan called for reform of the state’s HIV criminal laws to align with modern HIV medicine.

“HIV criminal laws perpetuate stigma and can discourage testing and treatment,” said co-author Brad Sears, Founding Executive Director at the Williams Institute. “That’s why many national and state organizations, including the American Medical Association, have called for a repeal of these laws.”

This report is part of a series of reports examining the ongoing impact of state HIV criminalization laws on people living with HIV.

Read the report

US: Updated CDC guidelines on Molecular HIV Surveillance do not go far enough, believe HIV advocates

CDC updates privacy guidelines for HIV sample tracking

Guidelines relating to a controversial practice used by American state and local health departments to curb HIV infections were updated last week by the US Centres for Disease Control and Prevention – but have not gone far enough, believe some experts.

The guidelines track the genetic signatures of viruses collected from people newly diagnosed with HIV, and the updated policy encourages health officials to be more transparent about the process, one of many changes sought by HIV advocacy organisations concerned about how so-called molecular surveillance could violate patients’ privacy and civil rights.

The New York Times reports that the agency stopped short of adopting more significant changes some had been pushing for, like allowing health agencies to opt out in states where people can be prosecuted for transmitting HIV.

“We’re in a period where health data are increasingly used in criminal prosecutions, as seen in prosecutions of people seeking abortion care or who might have miscarried,” said Carmel Shachar, a professor at Harvard Law School who specialises in healthcare. The revised policy did not go far enough, she said, to protect people with HIV.

Dr Alexandra Oster, who leads the CDC’s molecular surveillance team, said the benefits of the programme far exceed the risks. “We need to do it well,” she said. “But we need to keep doing it.”

HIV has a distinctive genetic signature in each person that helps doctors decide which drugs are likely to thwart it. But the information can also be used to track its spread through a population – including identifying clusters of people who carry closely-related viruses.

The CDC has, for decades, used molecular surveillance to track flu, salmonella and, more recently, Covid.
In 2018, it began requiring health departments that received federal funding for HIV programmes to share such data gleaned from people with the virus. Patients do not have to be informed that their viral samples are tracked.

Molecular surveillance has identified more than 500 HIV clusters in the country since 2016, the CDC said.

Health officials can then interview people in the clusters to identify their sexual or drug-use partners and connect them to testing, needle exchanges and medications that block transmission.

But many HIV activists have long argued that such tracking could violate people’s rights and discourage testing and treatment.

Before the information is reported to the CDC, health departments strip it of information that could readily identify the patient. But personal data are held by state and local health departments.

In some states, people have been prosecuted for transmitting HIV or for not telling their partners that they carry it. No criminal prosecution in the United States has been known to involve molecular surveillance data, but activists remain wary of the possibility.

They also fear that advances in technology might eventually be able to determine who infected a specific person.

In October, 110 HIV and human-rights groups sent a letter to the CDC expressing “serious concerns” that molecular surveillance was carried out without the informed consent of people with HIV.

The CDC said that it had a meeting with the activist coalitions’ representatives last year and incorporated their input in the revised policy.

A similar conflict arose in the late 1990s, when the CDC pushed for states to collect names of diagnosed people in state-run databases, which the agency said would help combat a disease that by then had killed hundreds of thousands of Americans. But many activists protested the policy, delaying its rollout for a decade.

Since 2008, all states have collected the names of people diagnosed with HIV.

The CDC said the information is secure, and that it knew of only one names-related data breach – in Florida in 1996. It said it knew of no such privacy violations related to molecular surveillance data.

The new policy did not allow waivers for opting out of molecular surveillance in places where such data could be used in criminal proceedings, a change that had been recommended by the National Alliance of State and Territorial Aids Directors, a non-profit representing public health officers.

Representatives from more than 40 state or county health departments that the federal government prioritises for HIV prevention told The New York Times that the molecular surveillance policy had been generally useful in their efforts to prevent transmission. None knew of any data breaches.

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