US: HIV Law reform bill moves forward in Louisiana legislature

Louisiana has one of the harshest HIV exposure laws. Lawmakers advanced a bill to modernize it.

A Louisiana House committee unanimously passed a bill that would increase protections for people living with HIV and align the law with the latest science.

A bill that seeks to tighten and modernize a state law against intentionally exposing another person to HIV is advancing in the Louisiana State Legislature.

The state’s intentional exposure law carries a penalty of up to 11 years in prison for a conviction. Currently, the law prohibits exposure “through any means or contact.” But doctors, public health researchers and advocates for people living with HIV say the broad language allows for people to be prosecuted for contact that can’t transmit the virus, such as biting, spitting or scratching..”

House Bill 808, which cleared the state House Committee on Administration of Criminal Justice on Wednesday (April 8), would maintain much of the existing law, including the penalties, but narrow and define the types of physical contact that could be considered criminal exposure to the virus.

If the bill passes, the law would be amended to prohibit contact that “posed a substantial likelihood of transmission.” That’s defined as contact with blood, semen, or vaginal fluid — the primary vessels for HIV transmission. Typically, HIV is transmitted through sex, sharing needles or from mother to child during pregnancy.

“This bill is about making sure Louisiana’s law is clear, fair, and grounded in current medical science while maintaining strong accountability,” Rep. Wayne McMahen, R-Minden, the bill’s author, told the House Administration of Criminal Justice Committee on Wednesday (April 8).

The bill is the latest effort to update Louisiana’s HIV law and align it with modern science over the past four years. Louisiana is one of a dozen states with laws specific to exposing or transmitting HIV.It’s also among the most punitive. People convicted under the law not only face potential prison time but are required to register as a sex offender for at least 10 years. After a decade, Louisiana allows people to petition to remove their names from the registry.

Public health experts maintain that state laws criminalizing HIV exposure hurt efforts to end the HIV epidemic. The laws further stigmatize and deter people from getting tested and treatment, undermining response to the epidemic, experts say.

Advocates say the broad nature of Louisiana’s current law also creates opportunities for abuse, as the threat of being reported under the law can be used as a coercive tool in relationships. Such threats have kept people in abusive relationships and loomed over child custody battles.

Dietz, the statewide coordinator for the Louisiana Coalition on Criminalization and Health, has helped lead the push to modernize the state’s HIV law.

“ We were asking for far less than we asked for last time,” said Dietz, whose group has put forward modernization bills similar to other states in the past. “ We don’t wanna see more people who are living with HIV severely criminalized for things that we know could never transmit HIV, and we want to protect people.”

In 2024, they worked with Rep. Aimee Freeman on a tabled bill that would have reduced the criminal penalties, added more exceptions and strengthened legal protection for defendants.

House Bill 808 would also explicitly allow people accused under the law to present their medical treatment for HIV as part of their defense.

Modern antiviral medical treatments prescribed to people living with HIV can also reduce the presence of the virus in their blood. With consistent use, the virus can’t be detected in a person’s blood, and therefore can’t be transmitted to anyone else.

The bill received unanimous support from the committee this week, but only after it was amended. The original version of HB 808 would have narrowed the law further to require the accused to have transmitted HIV, rather than simply exposing someone to the virus. The accused would also need to have specifically intended to transmit the virus.

But the Louisiana District Attorneys Association opposed the transmission requirement, McMahen said, so the language requiring intentional transmission was removed.

“At first I was a little disappointed that we went back to exposure,” McMahen said. “Some of the states around us have gone to intent to transmit, but I don’t think that’s where we’re at right now in our state.”

Louisiana District Attorneys Association Executive Director Zach Daniels said his organization was proud to work on updates to the HIV exposure law.

“We believe that this was a narrowly crafted and deliberate change which preserves protections for victims, while also expanding protections for criminal defendants,” Daniels said. “The changes strike a balance between those two interests while updating our language to better include modern medical understandings of HIV.”

Dietz agreed that the amended bill will still offer people living with HIV more protection for their medical condition than they’ve had in the past despite the changes. In the past year, Dietz has met more people living with HIV prosecuted under the law, including someone with HIV who served nine months in prison after giving oral sex. Because the bill does not criminalize sexual contact that carries very low or theoretical risk of transmission, exposure through oral sex would not be considered a crime, Dietz said.

“ HIV could never have been transmitted there,” Dietz said. “So this is a substantive move forward.”

Sweden: People living with HIV will no longer have a duty to disclose their status to partners

People living with HIV may soon no longer have to disclose their status.

This is according to a new legislative proposal set to enter into force on 1 July 2027

“This is truly a long-awaited announcement,” says Felix König, Secretary General of RFSL.

The Government has put forward several proposals to strengthen infection control in Sweden.

Together with Social Affairs Minister Jakob Forssmed, investigator Jan Albert presented new perspectives on the duty to disclose HIV status at a press conference on Thursday morning (2nd April 2026).

“The risk lies with those who do not know they have HIV, not with those who are aware of their diagnosis. The duty to disclose is unique to Sweden and was controversial even when it was introduced 40 years ago.”

“Risks perpetuating stigma”

He believes that the duty to disclose HIV status during sex is not effective and should be abolished, whilst patients continue to be encouraged to be open. The focus should instead be on voluntary disclosure and personalised responsibility through advice and support, according to the proposal.

The proposal means that the duty to inform would be removed in its current form and could only be given as a general guideline – in practice, not in the context of sex.

– There is no longer any reason to retain a system that risks perpetuating stigma and may even hinder diagnosis. The aim of commissioning this inquiry was that the duty to inform should, if possible, be removed, and we now have the evidence to support this. HIV is today a treatable infection and should be managed like any other such condition, says the Minister for Social Affairs.

According to the inquiry, neighbouring countries do not have a duty to inform regarding HIV, yet still have an equally good situation when it comes to domestic transmission.

RFSL: Sweden has faced criticism

Felix König, Secretary General of RFSL, describes the announcement as long-awaited.

– RFSL has been working for over 40 years to reduce the vulnerability of people living with HIV in Sweden.

According to him, current regulations have contributed to discrimination and increased stigma for people living with HIV in Sweden.

– This is also something for which Sweden has faced criticism from UNAIDS and other organisations because we have retained this legislation. What we know is that this legislation contributes to stigma and does not reduce the spread of infection.

He goes on to say that research has progressed to the point where the risk of those being treated for HIV passing the disease on is very small.

– I also believe that we have become a more open society over time, where we can view issues with a little more nuance. Everyone wants us to be able to reduce the spread of HIV, but perhaps we could have discussed a little more how we achieve that. And we believe we do so through support, dialogue and openness – not criminalisation or punishment.

The recording of the press conference is available here
Clarification during Q&A

“The direction of this work is very, very clear… that there are no grounds for maintaining the duty to inform… That is absolutely the ambition.”“Removing the duty to inform does not risk increased transmission… it is not an effective tool to limit transmission.”

Summary
  • Sweden plans a major reform of its infectious disease law, shifting toward:
  • voluntary compliance
  • proportional measures
  • stronger legal safeguards
HIV-specific change (core point):The legal duty to disclose HIV status before sex will be removedIt may only be used exceptionally as an individual order (“förhållningsregel”)
  • In practice, it will no longer apply to sexual activity
Rationale: Effective treatment → no transmission risk (U=U)Transmission mainly occurs from undiagnosed individualsThe law is outdated and not evidence-based
  • It creates stigma and unnecessary intrusion into private life
  • Sweden is an outlier; neighbouring countries do not have such a law
  • Policy shift:Move from coercive legal duties → advice, support, and individual responsibility
  • Align law with modern HIV science and human rights principles

 

Mexico: Proposal to repeal HIV criminalisation article in the State of Yucatan

Translated with Google translation. Scroll down for original article in Spanish.

Morena’s deputy, Clara Rosales Montiel, presented a reform initiative on public health and human rights, with the aim of eliminating discriminatory provisions and ensuring the comprehensive protection of people living with HIV.

The legislative proposal contemplates the repeal of article 189 of the Criminal Code of the State, so that the crime of “danger of contagion” is no longer considered. It also considers reforms and additions to the Law to Prevent and Eliminate Discrimination, in order to eradicate the criminalization of people living with the virus and strengthen an approach based on dignity, equality and human rights.

During her speech in the Tribune of the Plenary of the State Congress, Congresswoman Clara Rosales stressed that the criminalization of HIV in the Criminal Code responds to an obsolete punitive logic that, far from preventing its transmission, deepens the stigma, discourages the appropriate diagnosis and puts people’s lives at risk.

In that sense, he recalled that Yucatan remains among the entities with the highest incidence of HIV in the country, occupying the third place national, hence the importance of comprehensive care.

The initiative also proposes changes to the Law to Prevent and Eliminate Discrimination, modifying language to ensure respect for privacy, sexual orientation and gender identity of people living with HIV, as well as ensuring dignified treatment in all areas, including work and education.

During the session, the deputy was accompanied by representatives of civil society, activists, specialized organizations and people living with HIV, who supported this proposal from its wording to its presentation in the legislative campus.

Among them, the participation of the S3D A.C. Collective, the Digna Ochoa Research Center of the Human Rights Commission of the State of Yucatan (Codhey), members of the State HIV Committee and Dr. Dulce María Cruz, head of the HIV, AIDS, HCV and other STI Program in the entity.

Finally, Clara Rosales reiterated her commitment to promote reforms that guarantee substantive equality and non-discrimination, pointing out that the objective is to move towards a society where dignity is a daily practice and not an exception.

His initiative was joined by Deputy Julián Bustillos, from Morena; Deputy Itzel Falla, of the National Action Party; Deputy Larissa Acostó, of Citizen Movement; and partyless deputy Rossana Couoh Chan, reflecting plural support in favor of fairer and more inclusive legislation.

La diputada de Morena, Clara Rosales Montiel, presentó una iniciativa de reforma en materia de salud pública y derechos humanos, con el objetivo de eliminar disposiciones discriminatorias y garantizar la protección integral de las personas que viven con VIH.

La propuesta legislativa contempla la derogación del artículo 189 del Código Penal del Estado, para que se deje de considerar el delito de “peligro de contagio”. También considera reformas y adiciones a la Ley para Prevenir y Eliminar la Discriminación, con el fin de erradicar la criminalización de las personas que viven con el virus y fortalecer un enfoque basado en la dignidad, la igualdad y los derechos humanos.

Durante su intervención en la Tribuna del Pleno del Congreso del Estado, la diputada Clara Rosales subrayó que la criminalización del VIH en el Código Penal responde a una lógica punitiva obsoleta que, lejos de prevenir su transmisión, profundiza el estigma, desalienta el diagnóstico oportuno y pone en riesgo la vida de las personas.

En ese sentido, recordó que Yucatán se mantiene entre las entidades con mayor incidencia de VIH en el país, ocupando el tercer lugar nacional, de ahí la importancia de una atención integral.

La iniciativa también propone cambios a la Ley para Prevenir y Eliminar la Discriminación, modificando el lenguaje para garantizar el respeto a la privacidad, la orientación sexual y la identidad de género de las personas que viven con VIH, así como asegurar un trato digno en todos los ámbitos, incluidos el laboral y el educativo.

Durante la sesión, la diputada estuvo acompañada por representantes de la sociedad civil, activistas, organizaciones especializadas y personas que viven con VIH, quienes respaldaron esta propuesta desde su redacción hasta la presentación de la misma en el recinto legislativo.

Entre ellos, destacó la participación del Colectivo S3D A.C., el Centro de Investigación Digna Ochoa de la Comisión de Derechos Humanos del Estado de Yucatán (Codhey), integrantes del Comité Estatal de VIH y la Dra. Dulce María Cruz, responsable del Programa de VIH, Sida, VHC y otras ITS en la entidad.

Finalmente, Clara Rosales reiteró su compromiso de impulsar reformas que garanticen la igualdad sustantiva y la no discriminación, señalando que el objetivo es avanzar hacia una sociedad donde la dignidad sea una práctica cotidiana y no una excepción.

A su iniciativa se adhirieron el diputado Julián Bustillos, de Morena; la diputada Itzel Falla, del Partido Acción Nacional; la diputada Larissa Acostó, de Movimiento Ciudadano; y la diputada sin partido Rossana Couoh Chan, reflejando un respaldo plural en favor de una legislación más justa e incluyente.

New Zealand: New research reveals how HIV criminalisation is experienced in Aotearoa

HIV decriminalisation in Aotearoa: Survey findings

For the first time in Aotearoa New Zealand, we have national evidence on how HIV criminalisation is experienced by people living with HIV.

This research captures the voices of 247 people from diverse communities across the country. It documents how criminal law, public health processes, stigma, and modern HIV science intersect in real life. The project was undertaken collaboratively by Positive Women Inc, Burnett Foundation Aotearoa, Body Positive, and Toitū te Ao, reflecting the shared commitment of all four organisations to amplifying community experiences and informing meaningful change.

The findings highlight the need for greater clarity, alignment with contemporary science, and thoughtful public conversation.

About the research

This study explores:

  • Awareness and understanding of criminal and public health law
  • Attitudes toward HIV criminalisation
  • The lived impact of legal uncertainty
  • The role of stigma in shaping legal and social outcomes
  • Recommendations informed by participant experience

Participants represented a wide range of ages, genders, sexualities, ethnicities, migration histories, and lengths of time living with HIV.

This research centers lived experience while grounding analysis in contemporary HIV science, including the evidence behind U=U (Undetectable = Untransmittable).

Key findings

1. Preference for public health management

Most participants would prefer public health manage their HIV transmission rather than the police – because HIV is a health issue, not a crime.

2. Attitudes are nuanced

Participants held diverse and layered views about criminalisation. Support was often linked to cases of intentional harm, while broader criminalisation raised concerns about fairness, stigma, and unintended consequences.

3. Impact extends beyond prosecutions

Even where prosecutions are rare, the possibility of criminalisation shapes behaviour, disclosure practices, relationships, and wellbeing.

4. Stigma remains central

Legal frameworks do not exist in isolation. Participants described how stigma around HIV influences both public perception and perceived legal risk.

Why this matters

Effective HIV responses must reflect:

  • Modern treatment science
  • Public health best practice
  • Human rights principles
  • The lived experience of people living with HIV

Clear, evidence-informed discussion is essential to ensuring legal and policy settings support – rather than undermine – public health outcomes.

Recommendations

The report identifies areas for consideration, including:

  • Clearer, accessible legal guidance
  • Greater alignment between law and contemporary HIV science
  • Stigma reduction through public education
  • Meaningful involvement of people living with HIV in future policy conversations

What happens next

Positive Women Inc, Burnett Foundation Aotearoa, Body Positive, and Toitū te Ao will:

  • Share these findings across health, legal, and policy sectors
  • Engage stakeholders in informed discussion
  • Continue centering lived experience in advocacy and education
  • Support accurate public understanding of HIV and the law

This report is a foundation for evidence-based dialogue in Aotearoa.

For media enquiries, contact Kirk Serpes at kirk.serpes@burnettfoundation.org.nz

Read the full report here

Senegal: Same-sex relations, now punishable by five to ten years in prison

Senegal passes law imposing harsher penalties for homosexuality in the name of combating Western influence

Translated with Deep. Scroll down for article in French.

Homophobia has reached such heights in Senegal that it has become a government priority. According to a bill passed on Wednesday, ‘unnatural acts’ will be punishable by prison terms ranging from five to ten years.

‘This is the first bill I have personally sponsored.’ On 24 February, to the applause of MPs, Senegalese Prime Minister Ousmane Sonko took pride in personally initiating a bill to toughen penalties for homosexual relations in the country.

This bill was passed on Wednesday 11 March by the Senegalese National Assembly. The most symbolic measure in the new law is that it provides for ‘unnatural acts’ to be punished with five to ten years in prison, compared to one to five years currently. The maximum sentence will be imposed if the act was committed with a minor, according to the text. The law also provides for criminal penalties for the ‘promotion’ of homosexuality in Senegal.

In a country known for its tolerance in many respects, the repression of homosexuality has become a hot topic. The political calculations of the Sonko camp, which came to power in 2024 on a sovereignist platform, are in line with the concerns of a heated public opinion.

‘The Prime Minister is reacting to current events, which is normal,’ notes Thierno Alassane Sall, an opposition MP who did not vote in favour of the law – not out of concern for the rights of homosexuals, he explains, but because he considers the move to be demagogic. The elected representative refers to two group arrests carried out by the authorities in early February, which have been making headlines ever since. Fourteen people suspected of belonging to a paedophile ring with links to France and targeting young boys were arrested on 8 February. Some of the defendants are accused of knowingly transmitting HIV.

‘It’s a race to the bottom.’

A few days earlier, between 4 and 6 February, twelve other Senegalese nationals, including well-known figures such as a singer and a journalist, were arrested and accused of having homosexual relations. The HIV-positive status of some of the defendants was made public. Between the two cases, which are completely unrelated, confusion continues to reign on social media and in certain media outlets.

‘Confusion between paedophilia, homosexuality and the deliberate or accidental transmission of HIV has arisen and caused a great deal of fear and misunderstanding,’ regrets Dr Khoudia Sow, an anthropologist and specialist in the fight against AIDS. Since these two cases, arrests and attacks on people suspected of having homosexual relationships have been occurring at a steady pace. ‘These cases have led to a resurgence of mobilisation against homosexuality,’ acknowledges Thierno Alassane Sall.

Baba Dieng, a columnist in the Senegalese press, is one of the few public figures to be critical of the crackdown on homosexuality. ‘We can no longer discuss the subject calmly. It’s a race to the bottom,’ he laments. According to him, the prime minister is also acting under pressure from conservative lobbies, Jamra and And Samm Jikko Yi, which have been gaining influence since 2010 by making the fight against homosexuality their battle cry.

‘In recent weeks, even these organisations seem to have been overtaken. Online, voices are becoming even more radical. Everyone is putting forward their own proposals for homosexuals: life imprisonment, death, denial of burial…’, Baba Dieng points out.

‘These movements helped Ousmane Sonko and his party, the African Patriots of Senegal for Work, Ethics and Fraternity [Pastef], win the presidential election in 2024. It makes sense that he would make a gesture towards them,’ says Thierno Alassane Sall.

Playing the sovereignist rhetoric

Ousmane Sonko, who found allies among both progressive and conservative movements when he was in opposition, took advantage of the harsh criticism levelled by Jamra and And Samm Jikko Yi against the former regime of Macky Sall, accused of being lax towards homosexuality.

‘The law criminalising homosexuality will be one of the first I will push through,’ he promised in 2022.

The adoption of new legislation also comes at a complicated time for the government. Senegal is facing a worrying economic situation, with a budget deficit of nearly 14% of gross domestic product (GDP) and public sector debt estimated at 132% of GDP.

Many of the major promises in Pastef’s programme seem distant, such as the abandonment of the CFA franc. Tightening legislation on homosexuality allows the party to appear proactive at little cost, while continuing to play on sovereignist rhetoric.

Many Senegalese people perceive homosexuality as a Western phenomenon. Homophobic movements accuse foreign embassies and international NGOs of wanting to impose laws favourable to homosexuals.

In 2024, Ousmane Sonko himself seemed to make homosexuality a relatively important issue, emphasising that it is ‘not accepted, but tolerated’, but firmly pointing the finger at Western attempts to change Senegalese ways of ‘dealing with this reality’.

Punishing denunciations without proof

In the eyes of many Senegalese, by toughening the law on homosexuality, the Prime Minister, elected on the basis of a patriotic discourse fuelled by anti-colonialism, is standing up to the West and taking on the role of defender of values presented as Senegalese.

‘Ultimately, while homophobia activists in Senegal claim to be motivated by [Muslim] religiosity, the homophobic dynamic is highly political,’ says Baba Dieng.

On 24 February, the Prime Minister nevertheless denounced the public disclosure of people’s HIV status, which has become increasingly common on social media and in certain media outlets. While Jamra leader Mame Mactar Gueye has been threatening for several years to reveal a list of homosexuals he claims to have in his possession, the Prime Minister’s bill also plans to introduce penalties for unsubstantiated denunciations, which are rife on social media.

Ousmane Sonko also took care to emphasise the importance of continuing to allow health organisations to pursue their work against AIDS. ‘The Prime Minister wants to regain control of the issue. The hype is such that, here and there, even Pastef is accused of being close to the gay community,’ says one MP on condition of anonymity. As a result, some find the Prime Minister too timid and regret that his bill does not formally criminalise homosexuality, but merely emphasises its repression.

More than half of African countries prohibit and repress homosexuality. The death penalty is imposed in Uganda, Mauritania and Somalia. A dozen countries and territories impose penalties ranging from ten years’ imprisonment to life imprisonment, including Sudan, Kenya, Tanzania and Sierra Leone.

Le Sénégal adopte une loi réprimant plus sévèrement l’homosexualité au nom de la lutte contre l’influence occidentale

L’homophobie a atteint des sommets au Sénégal, au point de devenir une priorité gouvernementale. Selon un texte adopté mercredi, les « actes contre nature » seront punis de peines allant de cinq à dix ans de prison.

« C’est le premier projet de loi que je porte moi-même. » Le 24 février, sous les applaudissements des députés, le premier ministre sénégalais, Ousmane Sonko, s’enorgueillissait d’être personnellement à l’initiative d’un projet de loi durcissant les peines réprimant les relations homosexuelles dans le pays.

C’est ce texte qui a été adopté, mercredi 11 mars, par l’Assemblée nationale sénégalaise. Mesure la plus emblématique, la nouvelle loi prévoit de punir les « actes contre nature » de cinq à dix ans de prison, contre un à cinq ans actuellement. La peine maximale sera prononcée si l’acte a été commis avec un mineur, selon le texte. La loi prévoit également des sanctions pénales contre la « promotion » de l’homosexualité au Sénégal.

Dans un pays réputé tolérant à beaucoup d’égards, la répression de l’homosexualité s’est imposée comme un thème porteur. Les calculs politiques du camp Sonko, arrivé au pouvoir en 2024 sur un discours souverainiste, rejoignent les préoccupations d’une opinion publique chauffée à blanc.

« Le premier ministre réagit à l’actualité, ce qui est normal », remarque Thierno Alassane Sall, député de l’opposition, qui n’a lui-même pas voté en faveur de la loi – pas par souci de défense des droits des homosexuels, explique-t-il, mais parce qu’il considère que la démarche est démagogique. L’élu fait référence à deux arrestations groupées réalisées par les autorités au début du mois de février, qui défraient depuis la chronique. Quatorze personnes, suspectées d’appartenir à un réseau pédocriminel remontant jusqu’à la France et visant de jeunes garçons, ont été interpellés le 8 février. Certains prévenus sont accusés d’avoir transmis le VIH en connaissance de cause.

« C’est la course à la radicalité »

Quelques jours plus tôt, entre le 4 et le 6 février, douze autres Sénégalais, parmi lesquelles des personnalités, notamment un chanteur et un journaliste, avaient été arrêtées, accusées de leur côté d’avoir eu des relations homosexuelles. La séropositivité de certains des prévenus a été rendue publique. Entre les deux affaires, parfaitement indépendantes l’une de l’autre, l’amalgame est entretenu sur les réseaux sociaux et dans certains médias.

« Une confusion entre pédophilie, homosexualité et transmission volontaire ou involontaire du VIH est apparue et a suscité beaucoup de peur, d’incompréhensions », regrette la docteure et anthropologue Khoudia Sow, spécialiste de la lutte contre le sida. Depuis ces deux affaires, les arrestations, mais aussi les agressions de personnes soupçonnées d’entretenir des relations homosexuelles, s’enchaînent à un rythme soutenu. « Ces affaires ont entraîné un regain de la mobilisation contre l’homosexualité », reconnaît Thierno Alassane Sall.

Baba Dieng, chroniqueur dans la presse sénégalaise, est l’une des rares personnalités à se montrer critiques de la répression de l’homosexualité. « On ne peut plus discuter du sujet de manière apaisée. C’est la course à la radicalité », regrette-t-il. Selon lui, le premier ministre agit aussi sous la pression de lobbys conservateurs, Jamra et And Samm Jikko Yi, qui n’ont cessé de gagner en influence depuis 2010 en faisant de la lutte contre l’homosexualité leur cheval de bataille.

« Depuis quelques semaines, même ces organisations semblent dépassées. En ligne, des voix se font encore plus radicales. Chacun y va de sa proposition pour les homosexuels : enfermer à vie, tuer, priver de sépulture… », souligne Baba Dieng.

« Ces mouvements ont aidé Ousmane Sonko et son parti, les Patriotes africains du Sénégal pour le travail, l’éthique et la fraternité [Pastef], à remporter l’élection présidentielle en 2024. Il est logique qu’il fasse un geste envers eux », souligne Thierno Alassane Sall.

Jouer de la rhétorique souverainiste

Ousmane Sonko, qui a trouvé des alliés tant du côté de mouvements progressistes que conservateurs lorsqu’il était dans l’opposition, a profité des critiques très dures portées par Jamra et And Samm Jikko Yi contre l’ancien régime de Macky Sall, accusé d’être laxiste vis-à-vis de l’homosexualité. « La loi criminalisant l’homosexualité sera l’une des premières que je ferai voter », promettait-il ainsi en 2022.

L’adoption d’une nouvelle législation intervient aussi dans une période compliquée pour le pouvoir. Le Sénégal est confronté à une situation économique préoccupante, avec un déficit budgétaire de près de 14 % du produit intérieur brut (PIB) et une dette du secteur public estimée à 132 % du PIB.

Beaucoup des grandes promesses du programme du Pastef semblent lointaines, à l’instar de l’abandon du franc CFA. Le durcissement de la législation sur l’homosexualité permet au parti de se montrer volontariste à peu de frais, tout en continuant à jouer de la rhétorique souverainiste.

Beaucoup de Sénégalais perçoivent de fait l’homosexualité comme un phénomène occidental. Les mouvements homophobes accusent les ambassades étrangères et les ONG internationales de vouloir imposer des lois favorables aux personnes homosexuelles.

En 2024, Ousmane Sonko lui-même semblait faire de l’homosexualité un sujet d’importance relative, soulignant qu’elle n’est « pas acceptée, mais tolérée », mais pointait fermement du doigt les volontés occidentales de changer les manières sénégalaises de « gérer cette réalité ».

Punir les dénonciations sans preuve

Aux yeux de nombreux Sénégalais, en durcissant la loi sur l’homosexualité, le premier ministre, élu sur la base d’un discours patriotique nourri d’anticolonialisme, tient ainsi tête à l’Occident et endosse un rôle de défenseur de valeurs présentées comme sénégalaises. « Au final, si les militants de l’homophobie au Sénégal se prévalent de religiosité [musulmane], la dynamique homophobe est très politique », analyse Baba Dieng.

Le premier ministre a tout de même dénoncé, le 24 février, les divulgations publiques des statuts sérologiques de personnes, qui se sont multipliées sur les réseaux sociaux et dans certains médias. Alors que le leader de Jamra, Mame Mactar Gueye, menace depuis plusieurs années de dévoiler une liste d’homosexuels qu’il aurait en sa possession, le projet de loi du premier ministre prévoit aussi d’introduire des punitions pour les dénonciations sans preuve, qui vont bon train sur les réseaux sociaux.

Ousmane Sonko a aussi pris soin de souligner l’importance de continuer à permettre aux organisations de santé de poursuivre leur action contre le sida. « Le premier ministre veut reprendre la main sur le sujet. L’emballement est tel que, çà et là, même le Pastef est accusé de proximité avec la communauté gay », glisse un député sous couvert d’anonymat. Résultat : certains trouvent le premier ministre trop timoré et regrettent que son projet de loi ne criminalise pas l’homosexualité formellement, s’en tenant à accentuer sa répression.

Plus de la moitié des pays africains interdisent et répriment l’homosexualité. La peine de mort est encourue en Ouganda, en Mauritanie ou en Somalie. Une dizaine de pays et territoires prévoient des peines allant de dix ans de prison à la perpétuité, parmi lesquels le Soudan, le Kenya, la Tanzanie et la Sierra Leone.

Senegal: Rising homophobia drives patients away from HIV care and prevention services

Senegal’s LGBTQ+ community lives in fear as fight against AIDS faces setback
The country has regularly seen homophobic protest fueling assaults and public denunciations. Within this climate, organizations working to fight HIV worry that individuals will turn away from vital care and prevention services.
On February 20, Ousmane gathered a few belongings and fled his home. “Since then,” the Senegalese man said, speaking under a pseudonym, “I’ve been living in hiding, in a city I can’t name. I’m petrified. People in my neighborhood found out things about my life. They know I’m gay.” If word spreads, the man in his 30s went on, “I risk being beaten and arrested, or arrested and then beaten. I don’t see any solution other than leaving for another country as soon as I can.”
Denunciations, extortion and assaults: Over the past several weeks, people who are gay or who are suspected of being gay have faced a surge of hostility across Senegal, a country that has already been marked by regular homophobic mobilizations over the past decade.
Violence against LGBTQ+ people has escalated dramatically following the arrests in February of 14 suspected members of a pedocriminal ring targeting young boys; two days earlier, 12 men, including local media figures, were accused of homosexuality. The two cases are entirely unrelated.
Several media outlets, relying on evidence gathered by police, published the HIV status of some defendants in both cases, fueling “the conflation, already present at times in Senegal, between homosexuality and pedophilia, homosexuality and HIV positivity,” said Marane Kane, a French-Senegalese consultant and a specialist in gender issues based in France. “Since then, there has been a surge in reports of assaults, and people are living in hiding,” she stressed.

Calls for hatred

According to Free Sénégal, a support network for LGBTQ+ people, about 30 arrests have taken place since then in Dakar, Touba and Saint-Louis. “I’m afraid of everyone’s gaze. I feel like I could be denounced at any moment. I don’t eat, I don’t sleep,” explained a young man.
Prime Minister Ousmane Sonko responded to the media frenzy and, reiterating a promise made three years ago, announced on Tuesday, February 24, that he had submitted a bill to toughen sentences targeting “acts against nature” – a term that includes same-sex relations – raising the penalty to five to 10 years in prison, up from the current one to five years. The move was hailed by Mame Mactar Gueye, the influential leader of the Islamic NGO Jamra, which campaigns for the criminalization of homosexuality; his supporters, meanwhile, are demanding even harsher repression.
On TikTok and on Facebook, in videos viewed hundreds of thousands of times, influencers, including some based in Europe, have hurled condemnations at both ordinary citizens and public figures. The well-known actor Sanekh, star of the hit series Bété Bété, has been targeted. And Elimane Ndao, the Senegal correspondent for the French television channel France 24, has filed a complaint for similar reasons. To avoid being singled out, some people have even started posting proof of their HIV-negative status on social media.
Encouraged by these calls for hatred, assaults have multiplied, often taking the form of carefully planned ambushes. “He doesn’t want to talk to you, he’s too scared. I’ll tell his story for him,” said a Senegalese man living in France, describing a friend in Senegal. “He was chatting with a man on a dating app. They agreed to meet. It was a trap. He was threatened with a knife and had to hand over money to get away. Things like this happen all the time.”
The situation is alarming human rights advocates. “Gay people have become scapegoats for society. There’s the conflation with pedophilia, conspiracy theories painting them as Trojan horses for Western values, to the detriment of all local knowledge… Everything that goes wrong is blamed on them,” explained Kane. “Meanwhile, real issues like sexual violence against children are forgotten. People think they’ve done enough by cracking down on homosexuality.”

‘There’s nothing left to do but flee’

This pressure has organizations that work to fight AIDS worried that people will turn away from care and prevention services. Senegal has managed to keep HIV prevalence low (0.5% of the population in 2020). “We’re already seeing a drop in consultations. Many patients are skipping appointments, and the few who dare to come hide their identities,” said Safiatou Thiam, the executive secretary of the National Council for the Fight Against AIDS in Senegal.
After the disclosure of some citizens’ HIV status, panicked patients have asked health centers to erase their records. As for the network of community outreach workers serving at-risk populations, it has collapsed; outreach staff no longer dare ask about people’s health or try to promote prevention among a group facing such intense stigma.
In his address, Sonko insisted on the ban on sharing people’s health status. He also emphasized that the prison sentences in his bill for “promoting” so-called “acts against nature” – a provision targeting NGOs and advocacy groups that might defend the rights of gay people – should not prevent the health system from continuing its work on AIDS prevention. According to health professionals, they discreetly reached out to the government as soon as rumors emerged of a possible bill imposing harsher penalties for homosexuality.
“We can’t live in our country anymore. It’s too dangerous, there’s nothing left to do but flee,” said a young man in his 30s, his voice breaking with sobs, who spent all his savings to escape Senegal for Europe five months ago. “I can’t imagine a gay person seeking medical care in this climate.”
As for Gueye, he is showing no sign of ending his campaign. After thanking “all the TikTokers, valiant defenders of our cause,” he recently announced his intention to “tackle the scourge of lesbianism.”

Senegal: Right to defence tested in Senegal’s high-profile homosexuality and HIV criminalisation cases

The Senegalese bar facing the “file of shame”
A case involving defendants prosecuted, among other charges, for “unnatural acts” and the alleged intentional transmission of HIV has placed Senegalese lawyers in an unprecedented ethical dilemma. According to Les Échos, although the case involves nearly 40 defendants, only eight lawyers — mostly younger practitioners — have agreed to take it on.The newspaper’s investigation suggests that this reluctance, despite reportedly attractive fees, reflects a combination of social pressure, religious beliefs, and fear of stigma.Several lawyers interviewed acknowledged that public perception is a major deterrent. One of those already involved in the defence, speaking anonymously, said:

“I don’t even want people to know I’m working on this case. It’s extremely sensitive. You hesitate more than once before taking it on, and you even feel the need to consult your family first.”

In a context where lawyers are often associated with the clients they represent, some fear being labelled “the lawyer of goordjiguenes” (a derogatory term referring to homosexuals), potentially damaging both their personal reputation and that of their firm. This concern is particularly acute for those with political ambitions. As one young lawyer put it:

“There is something seen as shameful about this case that makes many lawyers reluctant to have their names linked to it.”

Religious considerations also weigh heavily for some. One lawyer who declined to join the defence explained:

“I cannot take this case. Never. When I read passages in the Qur’an describing this as among the worst of abominations, I cannot accept it.”

For him, financial incentives are irrelevant:

“I don’t want that money to benefit my family. It’s not money I could accept in good conscience.”

Others within the legal profession, however, stress that the right to a defence is a fundamental principle. A senior member of the bar, with more than thirty years’ experience, was unequivocal:

“Even the worst criminal has the right to a lawyer. I took an oath to defend those in need. If someone hires me and pays me, I defend them. That is my duty.”

Another lawyer drew a comparison with the medical profession:

“A lawyer defends a case, not a ‘goordjiguène’. It’s like a doctor treating a patient — you don’t refuse care because of who they are.”

Some lawyers have agreed to act on principle, in certain cases without charging fees. One explained:

“I stepped in because I was troubled by what happened at the police station that day. But I did not ask to be paid.”

Even so, the pressures surrounding the case remain intense. As one lawyer observed:

“In Senegal, people tend to equate the lawyer with the cause they defend.”

Senegal: National Assembly to examine new bill that increases penalties for same-sex relations

“We find ourselves in prison alongside criminals”, a bill provides for doubling the penalties against homosexuality

The National Assembly of Senegal must examine on Wednesday, March 11, a bill to toughen the repression of homosexuality, with penalties of up to ten years in prison. This initiative comes in a climate of tension marked by arrests and criticism from human rights organizations.

The deputies of the National Assembly of Senegal will meet in plenary session on Wednesday, March 11, 2026 to examine a bill aimed at strengthening sanctions against same-sex relations. According to a document from the single chamber of Parliament received by AFP, the text provides for doubling the penalties incurred, which could reach up to ten years in prison.

The bill was made public last month by Prime Minister Ousmane Sonko. In addition to the tightening of sentences for homosexual relations, it also plans to punish anyone who “apology” homosexuality with three to seven years in prison.

A wave of arrests in recent weeks

The parliamentary debate comes in a context of increased repression against people suspected of homosexuality. In early February, 12 men, including two local celebrities, were arrested and charged with “unnatural acts”, an expression used to refer to same-sex relationships.

According to the local press, this operation was followed by a series of almost daily arrests of at least 30 people. Some would have been identified as a result of complaints or searches of their phones.

In several cases, the media published the names of the arrested persons. A practice that led the Council for the Observance of the Rules of Ethics and Deontology in the Media (CORED) to remind editorial offices of the importance of respecting “human dignity” and the “privacy of individuals”.

On the spot, the gay community lives in fear. At RTL’s microphone, El Hadj confides that he no longer dares to leave his small apartment in Dakar except to go to work. “You wake up one fine day and you hear that we have caught five people, the next day you hear that we have caught two, that’s what happens. Because of your sexual orientation you are in danger, and that should not be the case in 2026”.

A feeling he shares with his friend now living in France, who was arrested in 2021 for homosexuality. “I’ve been in prison for three months, we don’t hurt anyone. We find ourselves in prison alongside criminals,” he said on RTL’s microphone.

A sensitive subject in a very religious country

Mostly Muslim and deeply religious, Senegal widely considers homosexuality as a deviance. In some recent cases, arrested people have also been accused of deliberately transmitting HIV, which has fueled virulent anti-homosexual rhetoric.

The tightening of legislation is also an old promise of the ruling camp, politically promising in the country. For several years, very influential religious associations have been calling for more severe criminalization of homosexuality, regularly calling on the authorities to strengthen sanctions.

Outdated HIV criminal laws under scrutiny in Central Asia

Not only disease: how HIV turns into a criminal case

When Aziza (name changed) came to work in a beauty salon in Tashkent that morning, she did not expect that she would soon become a defendant in a criminal case. Her HIV status, which had previously remained part of a medical secret, became known and turned out to be not just personal information, but a legal fact.

At that time, Uzbekistan had a list of professions prohibited for people living with HIV. Today it has been significantly reduced and it mainly concerns medical specialties, but then the restrictions were wider. Work in the field of beauty was prohibited.

In itself, employment in the salon was qualified as “deliberingly placing another person at risk of HIV infection”. In other words, the risk was assumed automatically – without the need to prove the real threat of virus transmission. There were no scientific grounds for this approach: HIV is not transmitted through household contacts, and if standard sanitary standards are observed, work in the salon does not pose an epidemiological danger.

Nevertheless, a criminal case was opened against the woman under Article 113 of the Criminal Code – “Spreation of venereal disease or HIV/AIDS infection”. The court found her guilty, despite the absence of facts of infection transmission or actions that create a real risk.

A similar article is present in the Criminal Code of Tajikistan – 125 – “HIV infection”.

Later, Aziza, trying to earn a living, faced problems again. The employee of the internal affairs bodies actually disclosed her diagnosis publicly, despite the fact that information about the state of health is classified as confidential and is subject to protection. Employees who work with such cases are required to undergo special training and take into account both medical and legal aspects, including the requirement to maintain medical confidentiality. However, in practice, these norms are not always observed – including due to a lack of understanding of confidentiality responsibilities.

Aziza was convicted under the norm, which was later revised. The restrictions were recognized as unjustified, and the list of prohibited professions was significantly reduced.

As of December 1, 2025, according to the Republican AIDS Center of Uzbekistan, 52 thousand people with HIV live in the country. As of September 30, 2025, 13,045 people living with HIV were registered in Tajikistan.

In 2023, 20 cases were recorded in Uzbekistan when people living with HIV became suspects, interrogated and brought to justice under Article 113 of the Criminal Code. According to the HIV Justice Network, from 2008 to 2026, 442 cases related to the criminalization of HIV were registered in the country.

In Tajikistan, according to specialized studies, 64% of people living with HIV report cases of discrimination, including from medical workers. At the same time, there are virtually no mechanisms for reviewing such cases, rehabilitation or compensation for damage. Even after the change in legislation, the consequences for convicts remain – legal, social and professional. The system adjusts the norms, but does not restore fate.

The criminal article automatically reveals the diagnosis

A person living with HIV, who leads a full life, builds relationships and does not violate medical prescriptions, under certain legal conditions may find himself in the status of a potential accused. And this despite the fact that other norms of legislation are directly enshrined: HIV status cannot serve as a basis for discrimination.

“The problem is that the criminal article itself automatically discloses the diagnosis: if a person is tried under the article on the spread of HIV, his status becomes obvious. This violates the confidentiality of the diagnosis and, accordingly, the right to privacy. Thus, a person not only gets a criminal record, but also faces the disclosure of his diagnosis,” says Timur Abdullayev, a consultant on law and public health.

There are also problems with employment. As a rule, these are episodic cases, information about which reaches public figures. Many cases remain unknown because people are afraid to take any steps not to reveal their diagnosis.

“If the law itself creates discrimination, it cannot be called good. The paradox is that the HIV prevention law explicitly states the inadmissibility of discrimination in the field of labor and education. But at the same time, there are norms according to which a person can be brought to justice simply for the fact that he continues to work. As a result, there is a contradiction: discrimination is formally prohibited, but in fact it is possible”.

According to Zebo Kassymova, a lawyer representing the interests of women living with HIV within the framework of the Global Fund project in Tajikistan, under Article 125, as in Uzbekistan, the majority of applicants are women.

“Article 125 of the Criminal Code of the Republic of Tatarstan is discriminatory against people living with HIV in terms of respect and observance of human rights,” she says.

The article provides for a composition not only for intentional transmission of HIV, but also for endangering HIV infection. According to the lawyer, almost all PLWH who have sexual contact fall under this article, and thus this norm deprives PLWH of the right to sexual health as an element of the right to physical and mental health.

“And this disposition does not take into account the informed consent of the other partner, does not take into account such moments as the use of condoms as a means of safety during sexual contact or the unidentified viral load, in which HIV is not transmitted according to the latest scientific research, the “window period” during which HIV is detected (from 3 to 6 months),” she says.

The legislation does not define the ways of HIV transmission. Meanwhile, until recently, the courts issued convictions only if there was HIV status, regardless of whether there was a risk of infection or not, says Zebo Kassymova.

Depression and lack of rehabilitation

Aziza, whose HIV status was revealed, was in a serious psychological state for a long time. At the same time, she had a small child who needed to be supported.

“She was deprived of her last source of income. Moreover, this was done by the state, which convicted it under an article that would actually no longer be applied today – her profession is no longer on the list of prohibited,” says Timur Abdullayev, a consultant on law and public health.

Aziza’s criminal record has already been extinguished, but rehabilitation has not been carried out. At the same time, the very fact of the investigation, trial and sentence still affects her life.

Almost all Central Asian countries have retained the criminalizing articles inherited from the Soviet period, although they were partially revised and edited over time.

“The problem is that the very concept of “knowness”, which is used in such articles, is legally blurred. The Criminal Code does not explain what exactly “knowingly” means. Knowledge is not an element of the crime – such an element is intent,” Abdullayev notes.

This article appeared back in the 1980s, when it was believed that criminal prosecution would help stop the epidemic. Forty years have passed – the article remained, the epidemic has not disappeared anywhere, says the expert.

There are cases of discrimination on the basis of HIV, but the problem is that there is no system that would record them. There are no studies and regular monitoring. As a result, we get a paradoxical situation: there is no monitoring system – it means that there are no problems, says the expert.

Timur Abdullayev says that in Uzbekistan it would be possible to study what discrimination people with HIV face, but there was not enough money and specialists for this. They wanted to include this item in the international application for funding, but it was not approved – and in the end the study was not conducted.

The expert notes that the full picture of the situation is not visible, and reports of violations appear regularly, especially when the diagnosis is disclosed.

“For example, a person is tested for HIV, he receives a call from a medical institution, and if he is not there, they can tell relatives that they need to come to the center. It used to happen regularly, but even now such cases pop up periodically.”

The UN Committee on the Elimination of All Forms of Discrimination against Women recommended that Uzbekistan repeal the article criminalizing the transmission of HIV, especially its part on “at risk of infection”. The logic is simple: women suffer disproportionately from this norm, so it is considered discriminatory by the Committee. “But there was no reaction. The article was and remained,” Abdullayev says.

Decision

International organizations such as the UN, UNAIDS and the World Health Organization (WHO) are actively opposing the criminalization of HIV. According to their recommendations, criminal liability for HIV should be limited only to cases of intentional transmission of HIV infection, when a person knowingly and intentionally infects another.

In Armenia, the provision on “leavement in danger” was excluded, retaining responsibility for the actual transmission of infection – intentional or negligent.

In the United States, some states still criminalize HIV transmission, while others have abandoned such norms. At the same time, studies show that the presence or absence of such articles does not have a statistically significant impact on the level of infection spread.

There are two problems here. The first is the automatic disclosure of the diagnosis: if the article directly mentions HIV, the very fact of criminal prosecution makes the diagnosis public. The second is a wide space for abuse. There are situations when after the conflict one partner writes an application for the other, although both of them knew about the diagnosis for a long time.

In many countries – Belarus, Kazakhstan, Moldova, Russia, Kyrgyzstan – the legislation has been amended, according to which responsibility does not come if the partner was aware of the HIV status and voluntarily took a possible risk. Similar changes are currently being discussed in Tajikistan.

The situation in Tajikistan

On December 26, 2023, Tajikistan began the process of decriminalizing responsibility for endangering HIV infection and transmission in order to ensure justice for people living with HIV.

The new resolution of the Plenum of the Supreme Court of the Republic of Tatarstan “On judicial practice in criminal cases related to human immunodeficiency virus infection” offers the courts to consider issues related to criminal liability under Article 125 of the Criminal Code more objectively. The resolution obliges judicial practice to be based on new norms that take into account international standards and recommendations.

“The Plenum Resolution is encouraging because it allows for a more fair interpretation of existing laws, but it does not establish new laws and does not change the Criminal Code, which still criminalizes HIV transmission. This step towards a fairer legal framework was the result of joint efforts of the Supreme Court and civil society organizations, as well as long-term advocacy of UNAIDS, UNDP and the Global Fund to Fight AIDS, Tuberculosis and Malaria, which reflects a holistic and inclusive approach to solving complex legal issues related to HIV,” says Zebo Kassymova, a lawyer from Dushanbe.

The article duplicates the norms

Timur Abdullayev believes that the need for a separate article on HIV in criminal legislation raises serious doubts. According to him, when it is proposed to cancel a special norm, most often there is an objection: “But then how to qualify the harm?”.

However, he notes, most criminal codes already provide for articles on causing harm to health – mild, moderate and severe, and the regulations explicitly indicate that biological impact can also be considered harm to health. In this sense, a separate article on HIV actually duplicates the existing norms. “In fact, the coordinated work of several departments and explanations is enough – and the need for a separate article disappears,” he emphasizes.

Abdullayev also draws attention to the widespread argument of law enforcement agencies that without a special article, people will allegedly begin to infect others en masse. He calls it a myth, emphasizing: “This norm has never stopped the spread of infection”. In his opinion, the price of her existence is too high – people get criminal records without committed actions that would really deserve criminal punishment.

The expert reminds that in case of cancellation of the special article, general norms on causing harm to health may be applied. According to him, in the practice of Uzbekistan, HIV transmission is often actually equated to serious bodily harm, which creates a disproportion to the punishment. As a result, several problems arise at once: there is a separate article, the application of which causes difficulties, and there is no sufficient judicial explanations, which increases legal uncertainty.

The organization “Ishonch va hayot” proposes to limit criminal liability in Uzbekistan only to cases of intentional transmission of HIV – when it is proven that a person knew about his HIV-positive status, acted with the direct intention of transmitting the virus and the infection really occurred.

Aziza’s story is not an isolated case, but an example of how legal norms can survive their time and continue to break lives. Until the legislation is brought into line with modern medicine and the principles of confidentiality, people with HIV will live not only with a diagnosis, but also with a constant risk of being accused.

Senegal: Arrests and breach of medical confidentiality trigger drop in HIV testing and treatment attendance

“Violation of medical confidentiality”: in Senegal, caregivers worried about allegations against homosexuals with HIV

In Senegal, people have been incriminated for their homosexuality and accused of HIV transmission. These arrests follow the announcement by Prime Minister Ousmane Sonko of the tightening of the law penalizing “unnatural acts”. Since these arrests, the actors in the fight against AIDS have seen a decrease in attendance at screening centers.

“Arrest for homosexuality: serious cases of unnatural acts with voluntary transmission of HIV/AIDS,” headlined the Senegalese daily Les Échos, on February 9. About thirty people have been accused of transmitting HIV and incriminated for their homosexuality, which is prohibited by law. The Senegalese government has just toughened this legislation on February 24. These arrests frighten patients with the virus, who no longer go to the Dakar screening center.

“Patients are afraid of being arrested and stigmatized,” explains Dr. Rassoul Diouf, at Fane Hospital, one of Senegal’s main health centers. Usually, this facility welcomes dozens of patients daily for HIV testing and monitoring. But in recent weeks, Dr. Rassoul Diouf has seen a significant drop in consultations.”The convocations for appointments are difficult to happen. We call them but there is reluctance,” he explains to TV5MONDE.

Breach of medical confidentiality

For the actors in the fight against AIDS, this disclosure constitutes a “violation of medical confidentiality“. The National AIDS Council recalls that a law in Senegal protects the identity of people with HIV.

“On an ethical level, this is not normal, but even less on a legal level,” says Dr. Safiatou Thiam, executive secretary of the National Council for the fight against AIDS. “HIV has the particularity of being framed by a law that prohibits the disclosure of people’s status. We do not know how or by what process medical results ended up in the public square,” she explains to TV5MONDE.

Misinformation and confusion about HIV transmission

Actors in the fight against AIDS also deplore confusion about the modes of transmission of the virus. However, Senegal has long been cited as an example for the means put in place to fight HIV. Since the end of the 1990s, the country made treatments accessible. “At the beginning of the epidemic [of HIV, ed.], many countries refused to recognize its existence. But Senegal said: not only does HIV exist, but I will treat it,” explains Dr. Khoudia Sow, doctor and anthropologist.

“When a person follows his treatment properly, he becomes undetectable and can no longer transmit the virus. On the other hand, if these people interrupt their treatment for fear of stigmatization, the risk is that in the short term new transmissions will appear,” she confides. Currently, the HIV prevalence rate in Senegal is estimated at 0.3%, one of the lowest in the region. However, if patients stop taking their treatment, for fear of stigma, this rate could increase in Senegal.