Justice Edwin Cameron: ‘Why HIV criminalisation is bad policy and why I’m proud that advocacy against it is being led by people living with HIV’

[This is the foreword to Advancing HIV Justice 2: Buiding momentum in global advocacy against HIV criminalisation, which will be published by the HIV Justice Network and GNP+ tomorrow, Tuesday May 10th.]

 

Since the beginning of the HIV epidemic, 35 long years ago, policymakers and politicians have been tempted to punish those of us with, and at risk of, HIV. Sometimes propelled by public opinion, sometimes themselves noxiously propelling public opinion, they have tried to find in punitive approaches a quick solution to the problem of HIV. One way has been to use HIV criminalisation – criminal laws against people living with HIV who don’t declare they have HIV, or to make potential or perceived exposure, or transmission that occurs when it is not deliberate (without “malice aforethought”), criminal offences.

Most of these laws are appallingly broad. And many of the prosecutions under them have been wickedly unjust. Sometimes scientific evidence about how HIV is transmitted, and how low the risk of transmitting the virus is, is ignored. And critical criminal legal and human rights principles are disregarded. These are enshrined in the International Guidelines on HIV and Human Rights. They are further developed by the UNAIDS guidance note, Ending overly-broad criminalisation of HIV non-disclosure, exposure and transmission: Critical scientific, medical and legal considerations. Important considerations, as these documents show, include foreseeability, intent, causality, proportionality, defence and proof.

The last 20 years have seen a massive shift in the management of HIV which is now a medically manageable disease. I know this myself: 19 years ago, when I was dying of AIDS, my life was given back to me when I was able to start taking antiretroviral medications. But despite the progress in HIV prevention, treatment and care, HIV continues to be treated exceptionally for one over-riding reason: stigma.

The enactment and enforcement of HIV-specific criminal laws – or even the threat of their enforcement – fuels the fires of stigma. It reinforces the idea that HIV is shameful, that it is a disgraceful contamination. And by reinforcing stigma, HIV criminalisation makes it more difficult for those at risk of HIV to access testing and prevention. It also makes it more difficult for those living with the virus to talk openly about it, and to be tested, treated and supported.

For those accused, gossiped about and maligned in the media, investigated, prosecuted and convicted, these laws can have catastrophic consequences. These include enforced disclosures, miscarriages of justice, and ruined lives.

HIV criminalisation is bad, bad policy. There is simply no evidence that it works. Instead, it sends out misleading and stigmatising messages. It undermines the remarkable scientific advances and proven public health strategies that open the path to vanquishing AIDS by 2030.

In 2008, on the final day of the International AIDS Conference in Mexico City, I called for a sustained and vocal campaign against HIV criminalisation. Along with many other activists, I hoped that the conference would result in a major international pushback against misguided criminal laws and prosecutions.

The Advancing HIV Justice 2 report shows how far we have come. It documents how the movement against these laws and prosecutions – burgeoning just a decade ago – is gaining strength. It is achieving some heartening outcomes. Laws have been repealed, modernised or struck down across the globe – from Australia to the United States, Kenya to Switzerland.

For someone like me, who has been living with HIV for over 30 years, it is especially fitting to note that much of the necessary advocacy has been undertaken by civil society led by individuals and networks of people living with HIV.

Advancing HIV Justice 2 highlights many of these courageous and pragmatic ventures by civil society. Not only have they monitored the cruelty of criminal law enforcement, acting as watchdogs, they have also played a key role in securing good sense where it has prevailed in the epidemic. This publication provides hope that lawmakers intending to enact laws propelled by populism and irrational fears can be stopped. Our hope is that outdated laws and rulings can be dispensed with altogether.

Yet this report also reminds us of the complexity of our struggle. Our ultimate goal – to end HIV criminalisation using reason and science – seems clear. But the pathways to attaining that goal are not always straightforward. We must be steadfast. We must be pragmatic. Our response to those who unjustly criminalise us must be evidence-rich and policy-sound. And we can draw strength from history. Other battles appeared “unwinnable” and quixotic. Think of slavery, racism, homophobia, women’s rights. Yet in each case justice and rationality have gained the edge.

That, we hope and believe, will be so, too, with laws targeting people with HIV for prosecution.

Edwin Cameron, Constitutional Court of South Africa, May 2016.

US: Keynote speakers announced for the HIV Is Not a Crime II National Training Academy

May 6, 2016: In just a little over a week, theHIV Is Not a Crime II National Training Academy will convene at the University of Alabama in Huntsville. There is still time toregister to train alongside committed advocates building an intersectional movement to end HIV criminalization! The Training Academy will take place from May 17 – 20, 2016.

Positive Women’s Network – USA (PWN-USA) and the SERO Project — two networks of people living with HIV — have joined forces to organize the Training Academy. We are thrilled to announce three exciting keynote speakers at the event:

  • HIV community icon Mary Fisher, who spoke about her experiences living with HIV at the Republican National Convention (RNC), back in 1992;
  • Longtime advocate Joel Goldman of the Elizabeth Taylor AIDS Foundation; and
  • Colorado State Senator Pat Steadman, who in March introduced a bill into the state senate that would effectively repeal or significantly amend the three HIV-specific criminal codes, remove sentence enhancements for knowledge of HIV status, and modernize STI statutes to include HIV.

See below for biographical information for our speakers, in addition to highlights from the event’s dynamic program!

The Training Academy will convene in the Deep South — the region most heavily affected by not only HIV, but many other symptoms of a history steeped in injustice and trauma.

Plenary session topics include:

  • What’s Working? Where Are We Struggling? Focus on State Strategies: Successes & Challenges
  • AntiBlackness & HIV Criminalization: Grounding Ourselves in Racial Justice 

Breakout workshop titles include:

  • Activists, Advocates and Lawyers: Collaborating to a Common Goal
  • Joining Forces: Mobilizing Feminists to Challenge Unjust Prosecutions
  • Building Youth Capacity to Effect Policy Change Through an Intergenerational Model

Evening events include:

  • Consent: HIV Non­Disclosure and Sexual Assault Law, Last Men Standing, and more (film screenings)
  • Advocacy, Action and Community Building Through Art
  • TIME IS NOT A LINE: (re)Considering our HIV Herstory for Collective Freedom

View the full program of exciting, thought-provoking, movement-building sessions here.

HIV is a human rights issue; criminalization of people living with HIV is a social justice issue. The Training Academy will unite and train advocates living with HIV and allies from across the country on strategies and best practices for repealing laws criminalizing people living with and vulnerable to HIV. The Training Academy will also center the voices of survivors of HIV-related criminal cases and prosecutions.

Come to Huntsville and learn strategies from advocates opposing these unjust laws!   

Originally published in PWN-USA website

US: The Elton John AIDS Foundation calls upon all federal, state, and local governments to put an end to the criminalisation of HIV

EJAF Chairman David Furnish: “State and Federal Governments Must Stop Criminalizing HIV”

 Elton John AIDS Foundation

HIV Criminalization / Michael Johnson Website Statement

May 3, 2016

Full Statement

The Elton John AIDS Foundation (EJAF) formally calls upon all federal, state, and local governments to put an end to the use of criminal law to target the conduct of people living with HIV and other diseases.  In doing so, we join in consensus with a number of highly respected organizations, medical experts, public health officials, and policy makers in stating that the criminalization of HIV and other diseases institutionalizes and promotes HIV stigma and discourages people from being tested for HIV and knowing and disclosing their HIV status to their partners.

Other organizations supporting this point of view include the Presidential Advisory Council on HIV/AIDS, the U.S. Department of Justice, the American Medical Association, the Association of Nurses in AIDS Care, the American Academy of HIV Medicine, the American Psychological Association, the National Alliance of State and Territorial AIDS Directors, the National Association of County and City Health Officials, the U.S. Conference of Mayors, and the Positive Justice Project (representing more than 1000 organizational and individual endorsements from across the United States).

Recently, EJAF published a web article on the subject of the criminalization of the behavior of HIV-positive people.  The Missouri case of 24-year-old Michael L. Johnson, an HIV-positive Lindenwood University star wrestler, who was sentenced to more than 30 years in prison in July of 2015 for having consensual sex with five other men, illustrates the tremendous injustice inherent in prosecuting people for being HIV positive. The men involved claim Michael did not disclose his HIV status to them, although he says he did; one man has become HIV-positive. If Michael had committed vehicular manslaughter, he would have faced a sentence of only 7 years or less. Instead, he has been given a much longer sentence drastically out of proportion to the actual harm involved.

Missouri’s law not only makes it a serious felony to have consensual sex while living with HIV, but also it explicitly states that taking measures to protect your partner by using a condom is not a defense, and it treats HIV as the equivalent of a deadly weapon, which is completely irrational.  HIV is a treatable, manageable disease and should never be the basis for a felony prosecution, nor should any felony law ever refuse to take a defendant’s lack of harmful intent into consideration.

The Elton John AIDS Foundation applauds attorneys Lawrence S. Lustberg and Avram Frey of the prominent law firm of Gibbons P.C. for providing pro bono counsel for Michael’s appeal and the following organizations for signing onto an amicus brief on Michael’s behalf:  AIDS Law Project of Pennsylvania, American Academy of HIV Medicine, American Civil Liberties Union of Missouri Foundation, Athlete Ally, Black AIDS Institute, Center for Constitutional Rights, Center for HIV Law and Policy, Counter Narrative Project, Dr. Jeffrey Birnbaum, Empower Missouri, GLBTQ Legal Advocates & Defenders, GLMA: Health Professionals Advancing LGBT Equality, Grace, Human Rights Campaign, Missouri AIDS Task Force, National Alliance of State and Territorial AIDS Directors, National Black Justice Coalition, National Center for Lesbian Rights, National LGBTQ Task Force, One Struggle KC, Treatment Action Group, William Way LGBT Community Center, and Women With a Vision

Originally published on Elton John Foundation Website

US: Teleconference on HIV Criminal Laws on Thursday – May 5, 2016 from 10:30 to 11:30 a.m. ET

CHLP, The American Bar Association AIDS Coordinating Committee and the National Association of Criminal Defense Lawyers present a teleconference on HIV Criminal Laws on Thursday, May 5 from 10:30 to 11:30 am ET on HIV Criminal Law for criminal defense lawyers, service providers in the legal, medical and social work communities and people living with HIV.

Sponsoring organizations: The ABA AIDS Coordinating Committee, The Center for HIV Law and Policy, and The National Association of Criminal Defense Lawyers.

Audience: Criminal defense lawyers, service providers in the legal, medical and social work communities and people living with HIV

Format:  Interactive–speaker presentations followed by audience Q and A

Date and Time:  May 5, 2016 from 10:30 to 11:30 a.m. ET

How to Participate: There is NO COST to participate. The morning of the event simply dial the Conference Call number 1 (877) 317-0419 and enter Access Code 2244415. To be sent the documents that will be referenced during the Teleconference please send your e-mail address toidominguez@nacdl.org or anichol@hivlawandpolicy.org

Summary:  Thirty-four U.S. states and territories have criminal statutes that allow prosecutions for allegations of non-disclosure, exposure and (although not required) transmission of the HIV virus. Prosecutions have occurred in at least 39 states under HIV-specific criminal laws or general criminal laws. Most of these laws treat HIV exposure as a felony, and people convicted under these laws are serving sentences as long as 30 years or more. Learn from experts about these laws and how to defend against them.

Opening Remarks:  Norman L. Reimer, Executive Director of the National Association of Criminal Defense Lawyers (NACDL).

Moderator: Richard A. Wilson, Chair ABA AIDS Coordinating Committee.

Presentation One: Department of Justice Civil Rights Division’s Guide to Reform HIV-Specific Criminal Laws to Align with Scientifically-Supported Factors by Allison Nichol, CHLP Co-Executive Director.

In May 2013 the United States Department of Justice, Civil Rights Division (CRD) issued guidance on how to reform HIV-specific criminal laws to bring them into alignment with current science, from actual routes and risks of transmission to the transformation of HIV treatment and prevention with the development of highly effective antiretroviral therapy (ART).

Presentation Two

Defending Against HIV State Law Prosecutions by Mayo Schreiber, CHLP Deputy Director.

Two recent cases in which CHLP participated, one in Missouri and one in Ohio, will be discussed, along with the HIV criminal statutes in those states. These cases and statutes are illustrative of the fundamental injustice of the statutes as drafted and the punishments provided for violating them. Defense trial and sentencing strategy will be analyzed, including identification of experts and supporting resources, and current thinking on legal challenges to these laws.

A Q&A Session Will Follow.

For more info, go to: http://www.hivlawandpolicy.org/fine-print-blog-news/when-sex-a-crime-and-spit-a-dangerous-weapon-a-teleconference-hiv-criminal-laws

PA: Report analyses laws used in HIV criminalisation cases in Pennsylvania and makes recommendations for improvement

AIDS Law Project of Pennsylvania, SERO Project, PWN-USA-Philadelphia. All Pain, No Gain: HIV Criminalization in Pennsylvania. AIDS Law Project of Pennsylvania, April 2016.

Download here: ALL PAIN NO GAIN: HIV CRIMINALIZATION IN PA

US: The HIV is Not a Crime II Training Academy will take place May 17 – 20, in Huntsville, Alabama

US/Canada: Elton John AIDS Foundation on why they support civil society organisations working to end HIV criminalisation

Australia: Queensland people living with HIV organisation, QPP, issues position statement on HIV criminalisation (press release)

Queensland Positive People (QPP) is a peer-based advocacy organisation which is committed to actively promoting self-determination and empowerment for all people living with HIV (PLHIV) throughout Queensland.

Below is their press release issued on 6 April 2016 in the light of the recent High Court ruling related to intent in HIV transmission cases.

Position Statement

The criminal law is an ineffective and inappropriate tool to address HIV non-disclosure, exposure or transmission. International best practice acknowledges that public health frameworks are best placed to encourage a shared responsibility for HIV transmission, and public health interventions seek to effect change in risk-taking behaviour among those who have difficulty taking appropriate precautions to prevent the transmission of HIV.

Urgent legal review of State and National guidelines for determining if an individual poses a reckless risk of HIV transmission is required following the scientific acceptance that PLHIV on treatment with an undetectable viral load pose a negligible risk of transmitting HIV via sexual intercourse. Despite scientific consensus on this issue, Australian criminal law has failed to acknowledge the contemporary science of HIV transmission and instead relies on incorrect, out of date and stigmatising perspectives of HIV that do not acknowledge that with proper adherence to HIV medication, it is a manageable chronic illness with a full life expectancy.

To explain why Australian criminal law lags behind United Nation recommendations and criminalises HIV transmission, Cipri Martinez, President of the National Association of People with HIV Australia (NAPWHA) states “stigma, fear and discriminatory perceptions of HIV influence the decision to proceed with criminal charges– a statement clearly evidenced by a lack of criminal prosecution or media attention regarding the transmission of other notifiable conditions such as syphilis or hepatitis.” HIV is treatable, but criminal charges perpetuate the inaccurate position that HIV is still a death sentence and therefore deserving of a severe punishment.

Current Status

A decision has been handed down in the High Court regarding a Queensland criminal HIV transmission case.

Whilst inappropriate to comment on the specifics of the case, the NAPWHA and Queensland Positive People (QPP) highlight that the trying of HIV transmission through the courts is a complex and fraught issue.

The overly broad use of the criminal law has far reaching negative impacts upon the HIV response. In line with UNAIDS guidance, NAPWHA and QPP urge that any application of the criminal law in the context of HIV must not undermine public health objectives.

Cipri Martinez states that “The use of the criminal law in responding to HIV transmission has been widely regarded as a blunt and ineffective tool with adverse implications for public health. In line with the recommendations of the UN Global Commission on HIV and the Law, the criminal law should only be reserved for cases where an individual exhibits clear malicious intent to transmit HIV with the purpose of causing harm.”

“There are alternatives to the criminal justice system to address HIV transmission or allegations that a person living with HIV is placing other people at risk of HIV, such as public health legislation” Martinez said.

Public health interventions are intended to prioritise education; support behaviour change; provide management as required; and actively utilise affected communities as a far more effective alternative to punitive and stigmatising legal sanctions.

NAPWHA and QPP support HIV prevention strategies being driven by an evidence-based, best practice model of public health interventions.

Criminalising HIV transmission sends unbalanced messages about the shared responsibility for prevention, creates disincentives for people to get tested and does, in fact, discourage disclosure of HIV status. These outcomes undermine prevention efforts and actually increase the risk of further HIV transmission.

Criminalising transmission does not acknowledge the complex factors that may impact an individual’s ability to disclose status or take the necessary precautions to prevent HIV transmission.

QPP President, Mark Counter agrees with NAPWHA’s position, saying “Public health interventions acknowledge the complex factors unique to each case, such as power imbalances, impairment, discrimination or other social determinants of health that may confuse or limit an individual’s ability to prevent transmission.”

National and State HIV strategies have identified the shared goals of achieving virtual elimination of HIV transmission in Australia by 2020.

“We are all working towards the shared goal of reducing HIV transmissions. The only way we are going to achieve this goal is by continuing to implement evidence-based human rights responses to HIV. These responses include educating the public about HIV and empowering people to avoid transmission or live successfully with HIV. The broad use of the criminal law does not help us achieve these goals” Counter says.

We need to be expanding programs which have been proven to reduce HIV transmission whilst protecting the human rights of people living with HIV and those who are HIV negative. Further, we need to encourage and empower people living with an unknown status to get tested and to ensure HIV prevention services are available to all that need them.

One of the unfortunate side effects of criminal prosecutions is the misinformed and stigmatising media that can accompany the reporting of these cases.

“We call on media outlets to appropriately report on HIV transmission cases with facts and not fear. Inaccurate statements not only undermine our efforts to educate the public about HIV, but also create an environment of fear for people living with HIV or people thinking about testing. It is vital that we encourage people to test – not discourage or frighten them from testing” Counter said.

For assistance in reporting appropriately on HIV, journalists should refer to the Australian Federation of AIDS Organisations HIV Media Guide.

HIV JUSTICE WORLDWIDE
Launch video

(6 min, HJN, UK, 2016)

In April 2016, thanks to generous funding for 2016-18 from the Robert Carr civil society Networks Fund, seven global, regional and national civil society organisations that have worked closely, but informally, together on HIV criminalisation for a number of years, announced a brand new initiative, HIV JUSTICE WORLDWIDE.

HIV JUSTICE WORLDWIDE will enhance and build on contributions its founding partners have previously made: monitoring, informing, connecting and engaging with People Living with HIV networks, civil society organisations and others who advocate against HIV criminalisation, and engaging policy-makers in pursuit of protecting against HIV criminalisation.

The initiative allows us to:

  • Avoid duplication by bringing together the many existing resources on this issue, sharing information and coordinating advocacy efforts.
  • Build broader consensus amongst People Living with HIV networks, civil society, policymakers, key scientists/clinicians, criminal justice actors and funders that ‘ending AIDS’ will not happen unless we put an end to HIV criminalisation.
  • Create new energy and action, ‘riding the wave’ of recent advocacy successes, pushing for commitment to change at the highest level.
  • Develop and strengthen much-needed civil society capacity to ensure continued advocacy against HIV criminalisation, and to sustain this capacity in order to further advocate against related punitive laws, policies and practices aimed at people living with HIV and which impede the HIV response.

US: Public radio interview with HIV scholar and activist, Trevor Hoppe, on the #freecorey case and Michigan’s problematic HIV law

A recent legal case in Cass County is raising questions about HIV disclosure laws in Michigan.

Trevor Hoppe is a sociologist who specializes in sexuality, HIV and the law. His research studies are titled Punishing Disease and he is co-editor of The War on Sex, a forthcoming collection of essays that examines the criminal regulation of sex.

Hoppe wrote a piece in the Huffington Post about an HIV-positive man in Cassopolis, MI, named Corey Rangel.

It all started when police pulled Rangel over for a having a loud muffler. Rangel, on probation for drug-related charges, was cited for not wearing corrective lenses and driving without proof of insurance.

“He had to report that to his probation officer,” Hoppe says, “which he did, and his probation officer originally said basically, ‘Not a big deal, you’ve been great in the drug court program, you’re a model sort of participant, we don’t want this to interrupt your progress.’”

But several hours later, Rangel got a call that would change that. He was told he needed to report to jail immediately and to bring his phone with him.

“They’re treating him differently than they would have an HIV-negative person on probation.”

When he handed over his phone, Hoppe tells us police demanded Rangel give them the password to unlock the device. He was also expelled from the drug court program upon being taken into custody.

“[Rangel] didn’t understand exactly what was going on, but he did not feel that he had anything to hide from the police,” Hoppe says. So he gave them the password.

Later, he found out that the police had gone through his contacts list, “making calls to people in his contacts and asking them if they had had intimate contact with Corey and whether they were aware of his HIV status.”

Hoppe tells us it’s unclear how the police even knew about Rangel’s HIV status in the first place.

“The court has so far been unwilling or unable to turn over the records that would explain why he was expelled from the drug court program and why now he’s at risk of going to prison.”

The full extend of Rangel’s sentence was deferred when he entered the drug court program, but Hoppe tell us he could now face the full original sentence.

“The judge could effectively sentence him to many years in prison, and it seems like the only thing guiding their investigation here is Corey’s HIV status,” he says.

Michigan passed a law in 1989 that made it a felony for HIV-positive people to engage in sexual penetration without disclosing their status to their partner. But according to Hoppe, the police have stated that they found no evidence that Rangel has committed any criminal wrongdoing and no charges have been filed against him.

“What’s at stake in Corey’s case is just the notion that they investigated him for criminal wrongdoing when the only impetus for doing so was his HIV-positive status. So they’re treating him differently than they would have an HIV-negative person on probation.”

Hoppe tells us that Rangel will now be entitled to an “open and fair” hearing, in which the rationale for expelling Rangel will have to be made clear.

The HIV disclosure law in Michigan was designed to protect people from contracting HIV, but Hoppe’s research suggests it has had a different effect.

“These laws, unfortunately, reinforce the idea that we can protect people from disease using the criminal law,” he says.

“Punishment is not the best approach to controlling disease.”

“But moreover they target HIV singularly. We don’t have these laws for other communicable diseases, and I think that exposes the fact that really what’s underlying here is that we have a disease that’s especially stigmatized because of the populations it affects.”

He explains that if the intent of such a law were truly to protect people from communicable disease, HIV would not be singled out in this way. But even if the law was concerned with communicable diseases more broadly, Hoppe says it would still be “inappropriate, merely because punishment is not the best approach to controlling disease. That’s why we have public health and medical institutions. Those are the institutions we have in our society to respond to and manage epidemics and communicable diseases.”

Hoppe has looked at cases like Rangel’s across the country. He says if you wanted to argue that these laws were protecting people, “you would expect to find many cases that resemble the kind of boogeyman many people talk about,” referring to a person who seeks to intentionally infect other people.

“You just don’t see that to be true,” he says. “The case law instead is full of people who either use protection and protected their partner from infection, or had an undetectable viral load and could not actually transmit the disease to their partner, or were in a relationship and … were scared, they didn’t know how to disclose their status to their partners. That’s the typical defendant in these cases, not the kind of malicious infector that people have in mind.”

Hoppe emphasizes that if we’re going to go after that “boogeyman,” the laws specifically requiring the disclosure of one’s HIV status are not the way to go about it. He argues that there are other laws, “assault laws, for example,” that could adequately handle a case of malicious infection.

Hoppe tells us that Michigan’s HIV disclosure law is fairly typical in that it does not require proof that there was a risk of transmission or that transmission even occurred. He says that actual transmission is an exceedingly rare outcome, occurring in fewer than 5% of cases in Michigan.

For a standout example of how to do things differently, Hoppe looks to California, where the law requires proof of a risk of transmission.

“It doesn’t make sense to punish people who have put no one in harm’s way, and I think California’s law tried to accomplish that by also requiring to show that there was intent to harm someone,” Hoppe says. “To my knowledge, you could count on one hand the number of felony cases in California brought under that statute, which I think reflects the real rarity of cases that are truly deserving of punishment.”

For Rangel, Hoppe tells us the ultimate goal is to get him back in the drug court.

“That’s where he should be,” Hoppe says. “He should not be facing years in prison just because he’s HIV-positive.”