On Zero Discrimination Day:
law reform is not easy, but it’s possible

Today, on On Zero Discrimination Day, HJN was delighted to participate in a webinar — co-hosted with the Global Partnership to end HIV-related Stigma and Discrimination and the Not A Criminal Campaign — that explored how law reform is possible.

You can watch the entire webinar here: https://fb.watch/i-79fP5bYV/

I was asked to provide some closing remarks.  As we were running late, I had to cut some of my prepared remarks, which are included here in square brackets [ ].  Here they are in full.


We all know decriminalisation is possible. But it’s not easy.  Still, it can and does happen. 

It can happen thanks to the strong commitment of the three most important pillars that make change possible:
  • It starts with community leadership
  • It ends with government commitment and political will
  • And it happens with the support of the broader UN family (co-ordinated by UNAIDS) working closely with partners like the Global Fund and PEPFAR. 
This is why the Global Partnership is the ideal mechanism to cement those three pillars together.
 
But what does it actually take to change laws?  Successful strategic litigation or law reform doesn’t happen in a vacuum. That means not only funding the legal or human rights organisations challenging the laws, but also (a non-exhaustive list):
  • Funding the communities impacted by those laws, supporting people to know their rights;
  • Funding the community-based paralegals to help frightened and vulnerable people navigate the harsh realities of criminal legal system;
  • Funding community-based organisations to monitor rights violations, produce shadow reports, and document the evidence of the harms of criminalisation;
  • Funding community-led training and sensitisation of police, prosecutors and judges, and law-and policy-makers;  and
  • Funding the community-based  organisations supporting and co-ordinating the work regionally and globally, creating tools for challenge including working with the media where so much of the stigma created by these harmful laws is perpetuated, but can be also where hearts and minds can be changed.
So it takes a (global) village. 
 
And time – which we don’t have much of if we are to reach those ambitious 10-10-10 targets by 2025, or 2030. 
 
And money – which we never seem to have enough of. 
 
But it is possible, and it can happen. 
 
We’ve heard today about various forms of decriminalisation.  And you all saw the map that Tinashe shared earlier showing that HIV criminalisation laws have been reformed or repealed in 15 countries over the past decade, but there’s still another 129 countries to go!
 
And although we didn’t get to hear today from our colleagues working with people who use drugs, and in drug policy, over 30 countries around the world have adopted legal reforms to remove the criminalisation of certain activities related to drug use.
 
But we also heard about the many challenges that remain.
 
Yesterday was the 2nd ‘HIV is not a crime day‘ in the US. It was fantastic to see so many activities and events raise awareness of an issue that is so close to my heart and which for too long has been underfunded and overlooked. In fact yesterday Funders Concerned About AIDS highlighted that in 2020 only around 0.5% of all philanthropic funding supported HIV decriminalisation work globally.  Today, the HIV Justice Network and the HIV JUSTICE WORLDWIDE coalition is grateful to the Robert Carr Fund for civil society networks, to allow us to ensure that the message that ‘HIV is not a crime’ is heard, understood, and acted upon globally.  But this work, like all decriminalisation work, needs more resources.
 
[This work is sometimes really hard and sometimes doesn’t always lead to success – at least the first time around. Despite the best efforts of our colleagues at KELIN and UGANET, we were disappointed to learn at the end of 2022 that constitutional challenges to Kenya’s and Uganda’s HIV-specific criminal laws were unsuccessful. Nevertheless, both will appeal these retrograde rulings, because they – and we – are on the right side of history. After all, Zimbabwe repealed their HIV-specific criminal law last year following years of advocacy following unsuccessful strategic litigation.
 
We know that HIV criminalisation mostly serves as a proxy for other kinds of discrimination – discrimination based on class, ethnicity, gender identity, migrant status, race, sex, sexual orientation, and other potential markers of social vulnerability.
 
And we know that most aggressive push to criminalise people living with HIV tends to occur at the intersection of several stigmatised or criminalised identities.
 
And so we firmly believe that this work must be intersectional and collaborative.]
 
We also know that decriminalisation alone will not address the full complexity of the intersecting stigmas behind these laws and their enforcement. As with other manifestations of discrimination, the ultimate solution lies in equality and empowerment. This is a marathon, not a sprint, and dismantling systems that have been built over decades and that oppress people living with HIV and key populations takes time.
 
We heard today from the South African Deputy Minister of Justice about the Sex Work Decriminalisation Bill.  We, and many others in our global network have written letters of support to the South African government welcoming this change.  This Friday, 3rd March, is International Sex Workers Rights Day. Let’s make sure South Africa knows the world is watching and that South African sex workers  know we have their back.
 
HIV is not a crime, and sex work shouldn’t be a crime, either!
 
Let’s use our collective power across all social media and and on #ZeroDiscrimination Day use the hashtags  #SexWorkIsWork and #HIVIsNotACrime.

Celebrating love and advocacy this Valentine’s Day

February is not only the month of love, it is also the anniversary of the establishment of the HIV Justice Network through our founding document, the Oslo Declaration on HIV Criminalisation.

It’s only appropriate, then, to celebrate both love and advocacy this Valentine’s Day.

Given the difficulty that some people living with HIV can face when it comes to finding love, including negotiating disclosure, as well as sex for pleasure, work, and/or creating a family in the context of HIV criminalisation, it is important to acknowledge that everyone is deserving of love and affirmation.

Love is also about respect for our autonomy, and so this Valentine’s Day we also need to stand up against public health officials taking and sharing data by using our blood without consent.

This year the HIV Justice Network is supporting two Valentine’s Day campaigns for and about people living with HIV, led by women living with HIV.

#LovePositiveWomen Campaign

The Love Positive Women campaign, developed and led by women living with HIV, is a global initiative running every Feb Feb 1st-14th for each of us to express and share our love and support for all women living with HIV.

The campaign uses social media to link local grassroots gestures of love to each other. Using Valentine’s Day as a backdrop, Love Positive Women “creates a platform for individuals and communities to engage in public and private acts of love and caring for women living with HIV.”

Going beyond romantic love to deep community love and social justice, the campaign is also a call to action. The HIV Justice Network has been supporting this campaign since 2017.

Follow the conversation using #LovePositiveWomen on social media.

#EndMHS Campaign

This Valentine’s Day, Positive Women’s Network-USA is spearheading a US-focused campaign tweeting at the US Centers for Disease Control (CDC) with messages full of tough love and snark about ending molecular HIV surveillance (MHS).

Molecular HIV surveillance and cluster detection and response (MHS-CDR) is one of four pillars of the US Ending the Epidemic Initiative. PWN-USA and many other organisations working on the rights of people living with HIV, including the HIV JUSTICE WORLDWIDE coalition, have serious concerns about using personal medical information – including our blood – for surveillance purposes without meaningfully involving people living with HIV, without informed consent, and often even without our knowledge.

HIV surveillance and HIV criminalisation collide to put the human rights of people living with HIV at risk and can be especially dangerous for Black and Brown people, migrants, sex workers, transgender women, and other communities that are hyper-policed and over-surveilled.

Recently, the Presidential Advisory Council on HIV/AIDS (PACHA) unanimously passed an historic resolution that responds to these concerns, and urges the CDC to change their guidance on MHS-CDR activities.

Tell the CDC that they must implement the PACHA resolution by using the social media toolkit and the hashtags #ILoveConsent #MyBodyMyData #CommunitiesNotClusters #EndMHS

 

Watch HIV Justice Live! which explores the history behind, and impact of our founding document, the Oslo Declaration on HIV Criminalisation. Hosted by HJN’s founder and Executive Director, Edwin J Bernard, the show, From Moment to Movement, featured some of the advocates who were behind the Oslo Declaration: Kim Fangen, Patrick Eba, Michaela Clayton, Ralf Jürgens and Susan Timberlake.

 

 

 

2022 in review: A turning point for HIV justice?

Looking back on all that happened in 2022, we are cautiously optimistic that 2022 will be seen as a turning point in the global movement to end HIV criminalisation. We celebrated promising developments in case law, law reform and policy in many countries and jurisdictions over the past year, building on the momentum of 2021. Although there is much more work yet to do, it’s clear that progress is being made — thanks primarily to the leadership of people living with HIV.

Continuing a trend that began two years ago, overall there seems to have been a decline in the number of HIV-related prosecutions. This year we identified media reports of 49 new HIV criminalisation cases in 16 countries plus seven US states. This compares to 54 new cases in 20 countries last year (which was still fewer than reported in previous years). This year, the highest number of case reports came from Russia, followed by the United States (with multiple cases in the state of Florida), and France

It is possible that we are seeing fewer media reports because there are actually fewer cases, but we must always consider these known cases to be illustrative of what is likely a more widespread, poorly documented use of criminal law against people living with HIV. The media, public health authorities and law enforcement may still be distracted by the global financial crisis precipitated by Russia’s invasion of Ukraine and the impact of COVID-19 — a pandemic that continues to disproportionately impact people living with HIV.

After being near the top in previous years, Belarus has been bumped off the ‘most cases’ list. Last year, the Belarus Investigative Committee reported 34 new HIV-related criminal cases. It’s highly likely that this year there were some (unreported) cases, but it’s also clear that the number of cases has been slowing down since 2020, possibly due to ongoing discussions with the government to limit the use of the criminal law.

Canada used to be a global leader in HIV criminalisation, but no new cases were reported this year. In fact, the only case reports from Canada were about the overturning of a conviction by the Ontario Court of Appeal after it accepted there was no realistic possibility of transmission as the accused woman had an undetectable viral load, and another Ontario Court of Appeal acquittal based on the accused man’s elite controller status. These positive rulings follow many years of sustained advocacy, which has also led to the federal government opening a public consultation on reforming the criminal law. The Canadian Coalition to Reform HIV Criminalization has welcomed this consultation as a first step to concrete action on law reform.

Earlier this year, Taiwan’s Supreme Court also recognised the prevention benefit of treatment by upholding the acquittal of a man with an undetectable viral load who was accused of alleged HIV exposure. But elsewhere in Asia, Singapore continues to unjustly prosecute gay men living with HIV under draconian laws, despite being celebrated for recently repealing their colonial-era law that criminalised sex between men. Singapore is also the world leader in prosecuting gay men for not disclosing a possible HIV risk before donating blood. That’s why we issued our Bad Blood report in September, which concludes that the criminalisation of blood donations by people with HIV is a disproportionate measure — the result of both HIV-related stigma and homophobia, and not supported by science.

In the United States, we continued to see a reduction in the number of states with HIV-specific criminal laws thanks to the ongoing advocacy by networks of people living with HIV supported by human rights and public health organisations. In 2022, Georgia modernised its law and New Jersey became the third US state to fully repeal its HIV-specific criminal law. President Biden again highlighted HIV criminalisation in his World AIDS Day proclamation stating that “outdated laws have no basis in science, and they serve to discourage testing and further marginalize HIV-positive people.” In October, the Presidential Advisory Council on HIV/AIDS unanimously passed an historic resolution on molecular HIV surveillance that will be critical to protecting the human rights and dignity of people living with HIV. But problematic new laws continue to be enacted despite strong opposition from civil society. In November, Pennsylvania’s Governor, Tom Wolf, signed into law an overly broad, unscientific statute that makes it a felony to pass on a communicable disease, including HIV, when someone “should have known” they had the disease.

There was also mixed news from the African continent. In March, Zimbabwe became the second African country to repeal its HIV-specific law (the Democratic Republic of Congo repealed its law in 2018). This victory is testament to the effectiveness of a multi-year, multi-stakeholder campaign that began with civil society advocates sensitising communities and parliamentarians, notably the Honourable Dr Ruth Labode, Chairperson of Parliamentary Portfolio Committee on Health and Child Care. She began pushing for a change in the law in 2018, having previously been in favour of the provision which she thought protected her female constituents. And in October, the Central African Republic also enacted a new HIV law that focused primarily on social protections for people living with HIV, without any criminalising provisions.

Also in October, the Lesotho High Court issued a positive judgment following a constitutional challenge to sections of the Sexual Offences Act that impose a mandatory death sentence on persons convicted of sexual offences if they were living with HIV.  Following interventions from members of the HIV JUSTICE WORLDWIDE coalition and others, the Court ruled that people living with HIV have the same right to life as all others — and commuted the sentence.

The news elsewhere on the continent, however, wasn’t so positive. After six years of waiting, a constitutional challenge to some of the most problematic, criminalising sections of Uganda’s HIV/AIDS Prevention and Control Act was dismissed outright in November. We are anxiously awaiting the ruling in a similar challenge in neighbouring Kenya. It was filed five years ago and has since been postponed several times. This year, we also lost Ugandan nurse and HIV criminalisation survivor, Rosemary Namubiru, who was a posthumous recipient of the Elizabeth Taylor Legacy Award at this year’s International AIDS Conference.

Women — who were accused in around 25% of all newly reported cases this year — also face criminal prosecution in relation to breastfeeding or comfort nursing, mostly across the African continent. In addition, women living with HIV continue to be threatened with punitive public health processes and child protection interventions for breastfeeding their children in multiple countries. That’s why this year we created the short film, Mwayi’s Story, to highlight the injustice and facilitate discussion about HIV and breastfeeding. We also worked with our HIV JUSTICE WORLDWIDE coalition partners to publish a paper in the peer-reviewed, open access journal Therapeutic Advances in Infectious Diseases to highlight these problematic and unjust approaches to women with HIV who breastfeed or comfort nurse.

This year, we learned from the Eurasian Women’s Network on AIDS, working with the Global Network of People Living with HIV, about how women living with HIV are both disproportionately impacted by HIV criminalisation across the Eastern Europe and Central Asia (EECA) region and also leaders in research, advocacy and activism against it. Their report illustrates how HIV criminalisation and gender inequality are intimately and inextricably linked. Case studies include a woman in Russia who was prosecuted for breastfeeding her baby and several women in Russia who were blackmailed by former partners who threatened to report them for alleged HIV exposure as a way to control, coerce, or abuse them.

The disproportionate impact of HIV criminalisation on women was also the focus of a World AIDS Day statement by the Organization of American States (OAS) calling on Member States to end HIV criminalisation. Earlier in the year, Argentina had enacted a new, comprehensive and non-punitive HIV, STI and TB law

Nevertheless, there is still so much more to do to reach the global target of fewer than 10% of countries with punitive laws and policies that negatively impact the HIV response. To keep up the momentum, we continued to produce reports and analysis — including our flagship Advancing HIV Justice 4: Understanding Commonalities, Seizing Opportunities — as well as contributed to peer-reviewed journal articles, such as So many harms, so little benefit in the Lancet HIV and Punishing vulnerability through HIV criminalization in the American Journal of Public Health. We’re also doing our best to ensure we change the media narrative on HIV criminalisation, including by contributing to The Guardian’s World AIDS Day podcast on HIV criminalisation.

Our greatest achievement this year was the creation of the HIV Justice Academy. We are very proud of this online platform for e-learning and training which we believe will be a catalyst in building the wider movement to end punitive laws and policies that impact people living with HIV in all their diversity. Already available in English and French, we’ll be launching in Spanish and Russian early next year.

Did we turn the corner in 2022? Only time will tell, but if there is one thing we know for sure it is that changing hearts and minds with respect to HIV criminalisation is a long road with many ups and downs along the way. We know that important progress was made in 2022 and that we begin 2023 with fresh analysis, new tools and a renewed spirit of solidarity.

Discussion Guide for Mwayi’s Story now available

Mwayi’s Story is a short film about courage and women standing up for their rights that was released earlier this year.

Watch the film

 

The film is based on the story of a woman in Malawi who was prosecuted for briefly breastfeeding another woman’s baby. After the case, the community campaigned to stop an HIV criminalisation statute from being passed.

Mwayi’s Story can be used as an awareness-raising and educational resource in classes, webinars and workshops.

The new Discussion Guide was created to help facilitators lead conversations before and after viewing the film.

The Guide provides some background and then poses a number of questions to stimulate thought and discussion. Not all questions are suited to all audiences.

 

Download the Discussion Guide

 

The film has already been shown in a number of forums since its release last May, including at AIDS 2022. It has now been subtitled in French, Russian and Spanish, and we are also looking for partners to translate additional subtitles if they think the film can be useful in their own advocacy. If you’re interested you can get in touch with us at breastfeeding@hivjustice.net. We will send you the English subtitle file for translation. After you return the file to us, we will upload it to YouTube.

Mwayi’s Story is part of our ongoing work to end the criminalisation of women living with HIV for breastfeeding and comfort nursing, including our Breastfeeding Defence Action Toolkit – one of six Action Toolkits in the HIV Justice Academy.

It is our goal to collaborate with advocates, researchers, service providers, organisations and community members around the world to raise awareness and prevent further unjust prosecutions against women living with HIV who breastfeed or comfort nurse. We are grateful to both the Elizabeth Taylor AIDS Foundation and the Robert Carr Fund for their financial support for this work, and this film.

HIV Justice Academy now available in French
HIV Justice Academy est désormais disponible en français

En français ci-dessous

The HIV Justice Academy is now available in French at academy.hivjustice.net/fr. Launched initially in English, the platform architecture allows for content in multiple languages. Spanish and Russian versions will be announced soon. 

The Academy is a global learning and resource hub designed to support people who want to be part of the movement to end HIV criminalisation. It comprises three sections:

At the heart of the HIV Justice Academy is the HIV Criminalisation Online Course which provides a global overview of HIV criminalisation, useful for anyone who is interested in learning more about HIV criminalisation and how to advocate effectively against it.

With its free and accessible written and video resources, we hope that the HIV Justice Academy will engage a growing community of HIV justice activists and advocates, providing timely and accessible learning, tools and resources, so that progressive change can be achieved in legal and policy environments for people living with HIV at national, regional, and international levels.


HIV Justice Academy est maintenant disponible en français à l’adresse academy.hivjustice.net/fr 

Lancée initialement en anglais, l’architecture de la plateforme permet d’accueillir un contenu en plusieurs langues. Les versions espagnole et russe seront bientôt annoncées. 

L’Académie est un centre mondial d’apprentissage et de ressources conçu pour soutenir les personnes qui souhaitent participer au mouvement visant à mettre fin à la pénalisation du VIH. 

Elle se compose de trois sections :

Au cœur de l’Académie se trouve le cours en ligne sur la pénalisation du VIH, qui présente un aperçu général de la pénalisation du VIH, utile pour toute personne souhaitant approfondir ses connaissances sur la pénalisation du VIH et sur les stratégies de plaidoyer efficaces contre celle-ci.

Grâce à ses ressources documentaires et vidéos gratuites et accessibles, nous espérons que l’Académie mobilisera l’intérêt d’une communauté croissante d’activistes et de militants œuvrant pour la justice en matière de VIH, et que grâce à ses cours opportuns et accessibles, ses outils et ses ressources, des transformations progressives pourront être apportées à l’environnement juridique et politique des personnes vivant avec le VIH sur le plan national, régional et international.

Lesotho high court finds imposition of death sentence solely on the basis of HIV status unconstitutional

Court decision upholds that people living with HIV have the same right to life as all others

Joint news release from the Southern Africa Litigation Centre, AIDS and Rights Alliance for Southern Africa, Lesotho Network of People Living with HIV and AIDS, HIV Legal Network and HIV Justice Network

 

On 25 October 2022, the High Court of Lesotho in the case of MK v Director of Public Prosecutions and Others issued a judgment on a constitutional challenge to certain sections of the Sexual Offences Act that impose mandatory HIV testing on persons accused of sexual offences, and subsequently impose a death sentence on persons convicted of sexual offences solely based on their HIV-positive status.

The case was supported by the Southern Africa Litigation Centre (SALC), AIDS and Rights Alliance for Southern Africa (ARASA), HIV Legal Network – all members of HIV JUSTICE WORLDWIDE (HJWW) Steering Committee coordinated by the HIV Justice Network (HJN) – as well as Kenya Legal & Ethical Issues Network on HIV and AIDS (KELIN). Lesotho Network of People Living with HIV and AIDS (LENEPWHA) was admitted as Amicus Curiae. The petitioner and Amicus Curiae were represented by Advocate Molati, Advocate Mokhathali, Advocate Masaeso, Advocate Mohau (K.C) and Advocate Letuka.

The petitioner challenged the constitutionality of section 32(a)(vii) of the Sexual Offences Act which appeared to impose a mandatory death sentence on people convicted of sexual offences who were HIV-positive and were aware of their status. The petitioner also challenged section 30 of the Act, which requires mandatory HIV testing for persons arrested and charged under the Act. The petitioner argued that the imposition of a mandatory death sentence solely on the grounds of HIV status, and mandatory HIV testing upon arrest, breached the constitutional rights to life, equality and non-discrimination, equal protection of the law, privacy, and dignity and that they contribute to stigma against people living with HIV.

In a judgment written by Justice Makara, the High Court, sitting as a Constitutional Court, declared that section 32(a)(vii) of the Sexual Offences Act was unconstitutional to the extent that it imposes a death sentence solely on the basis of a person’s HIV status, as this was discriminatory and amounted to inhumane treatment. The Court said that people convicted of sexual offences should be sentenced according to the mitigating or aggravating circumstances rather than HIV status alone, and that the law should be interpreted so as not to require a mandatory death sentence for a person living with HIV.

“People living with HIV have the right to life, as all people do. Imposing the death penalty based on a person’s HIV-positive status is the most extreme form of discrimination possible. We welcome the Lesotho High Court’s decision to end this terrible human rights violation.” Edwin J Bernard, HIV Justice Network, global coordinator, HIV JUSTICE WORLDWIDE.

“While recognizing the serious impact of sexual violence, the judgment is an acknowledgment that the over-broad use of criminal laws and sanctions solely based on HIV status is unjust and not justified by a scientific and human-rights based approach” Maketekete Alfred Thotolo, Executive Director, LENEPWHA.

 

Download the pdf of the news release here

 

Prepare for action!
with the new
HIV Justice Academy

The HIV Justice Academy (academy.hivjustice.net) is a brand new global learning and resource hub designed to support people who want to be part of the movement to end HIV criminalisation.

It comprises three sections that address three different needs:

The HIV Justice Academy was created to allow for training, organising and advocacy to continue regardless of the travel and in-person meeting limitations we might face in the future. We want to ensure that we continue to build and galvanise the global movement to end punitive laws and policies that impact people living with HIV in all their diversity, with a specific focus on the criminalisation of HIV non-disclosure, exposure and/or transmission (HIV criminalisation).

With its accessible written and video resources, we hope that the HIV Justice Academy will engage a growing community of HIV justice activists and advocates, providing timely and accessible learning, tools and resources, so that progressive change in legal and policy environments for people living with HIV at national, regional, and international levels can be achieved.

Launched initially in English, the platform architecture allows for content in multiple languages. We will be launching French, Spanish and Russian versions very soon. We will be relying on user feedback via surveys and our HIV Justice Academy multilingual chat function to ensure that the Academy will become ever more tailored to the needs of our growing network of individuals and organisations working to end HIV criminalisation.

At the heart of the HIV Justice Academy is the HIV Criminalisation Online Course which provides a global overview of HIV criminalisation, useful for anyone who is interested in learning more about HIV criminalisation and how to advocate effectively against it.

The HIV Justice Academy was developed by the HIV Justice Network (HJN), with guidance and expertise from our HIV JUSTICE WORLDWIDE (HJWW) Steering Committee partners, members of our Global Advisory Panel (GAP) and other friends and allies in our global network. It is aimed at anyone interested in learning about HIV criminalisation, as well as specific groups of stakeholders, such as community-based HIV and human rights activists, paralegals, defence lawyers and expert witnesses. We hope the Academy will also inspire the creation of communities of practice for ongoing mutual support.

The HIV Justice Academy is supported by a grant from the Robert Carr Fund provided to the HIV Justice Global Consortium. The financial contribution of UNAIDS towards this work is gratefully acknowledged. However, its content and ideas expressed therein do not necessarily reflect the views and opinions of UNAIDS or engage the responsibility of UNAIDS.

When law and science part ways: the criminalization of breastfeeding by women living with HIV

The HIV Justice Network (HJN) has been monitoring a disturbing phenomenon — at least 12 women living with HIV have faced criminal prosecution in relation to breastfeeding or comfort nursing.  

In addition, women living with HIV have been threatened with punitive public health processes and child protection interventions for breastfeeding their children in multiple countries.

To bring this important issue to the attention of women’s health experts and advocates, HJN worked with our HIV JUSTICE WORLDWIDE partners to write a paper for a Special Collection on Women’s Health and HIV for the peer-reviewed, open access journal Therapeutic Advances in Infectious Diseases.     

In “When law and science part ways: the criminalization of breastfeeding by women living with HIV,” published last week, Alison Symington (HJN’s Senior Policy Analyst), Nyasha Chingore-Munazvo (Programmes Lead, AIDS and Rights Alliance of Southern Africa) and Svitlana Moroz (Chair of the Eurasian Women’s Network on AIDS) place the criminalisation of women with HIV for breastfeeding within the context of current medical recommendations and cultural views of breastfeeding. They review the criminal cases against women living with HIV for breastfeeding around the globe, examine the injustice of these prosecutions, and provide recommendations for decriminalisation.

This Special Collection includes papers addressing a wide range of health issues impacting women with HIV. According to lead author Alison Symington, “We felt it was important to submit a paper on breastfeeding and HIV criminalisation because so few people are aware of these horrible cases. Healthcare providers have an important role to play in protecting women from punitive actions and providing them with information and support so that they can make the best decisions for themselves and their children.”

To make the paper even more widely accessible, HJN has provided translations into French, Russian and Spanish.

It is HJN’s aim to collaborate with advocates, researchers, service providers, organisations and community members around the world to raise awareness and prevent further unjust prosecutions against women living with HIV who breastfeed or comfort nurse. We are therefore grateful to both the Elizabeth Taylor AIDS Foundation and the Robert Carr Fund for their financial support for this work.

Further resources

Mwayi’s Story is a short film about courage, and about women standing up for their rights. The film is based on a real case in Malawi and the subsequent successful advocacy to prevent an HIV criminalisation statute being passed. The full story of the woman who was prosecuted for briefly breastfeeding another woman’s baby is told in an HJN feature, It Takes More Than A Village to End HIV Criminalisation, by Sally Cameron, based on a report by Peter Gwazayani, Edna Tembo and Charity Mkona.

 

 

Why people living with HIV should not be criminalised for donating blood

Preventing the transmission of blood-borne infection by imposing limitations on the donation of blood is an important and legitimate public health objective.

Since the beginning of the HIV epidemic, certain groups – including, but not limited to, gay men and other men who have sex with men – have been subjected to restrictions on their ability to give blood.

Sustained advocacy by gay rights organisations in many high-income countries has focused on the discriminatory nature of these so-called ‘gay blood bans’, highlighting significant advances in blood screening capabilities. This has led to a general softening of restrictions on blood donations for gay men in many of these countries – allowing donations with ‘deferral periods’, or allowing donations based on individual risk assessments.

However, this advocacy has generally not translated into the removal of HIV-specific criminal laws for donating blood, nor has there been a call for a moratorium on singling out people living with HIV for donating blood using non-HIV-specific general criminal laws – even though many of the same public health and human rights arguments apply to both the so-called ‘gay blood bans’ and to HIV criminalisation more generally.

That is why today, the HIV Justice Network has published Bad Blood: Criminalisation of Blood Donations by People Living with HIV. The report was written by Elliot Hatt and edited by Edwin J Bernard, based on research undertaken by Sylvie Beaumont, with additional input provided by Sarai Chisala-Tempelhoff and Paul Kidd (HIV Justice Network’s Supervisory Board); Sean Strub (Sero Project) and Robert James (University of Sussex).

We found that 37 jurisdictions in 22 countries maintain laws that criminalise people with HIV for donating blood. Notably, 15 jurisdictions in the United States (US) have laws which specifically criminalise blood donations by people living with HIV, while four US states – California, Illinois, Iowa, and Virginia – have repealed laws which previously criminalised this conduct.

Although prosecutions are relatively rare, we are aware of at least 20 cases relating to blood donation since 1987. Half of these cases have been reported in Singapore, including two as recently as 2021.

We argue that the criminalisation of blood donations by people with HIV is a disproportionate measure – even if the aim of protecting public health through the prevention of transfusion-transmitted infection is legitimate – and is the result of both HIV-related stigma and homophobia. It is not supported by science.

There is no good reason for any country or jurisdiction to have HIV-specific criminal laws – whether they focus on blood donation or on sexual exposure or transmission. HIV-specific criminal laws are discriminatory and stigmatising, especially since people with other serious blood borne infections – including hepatitis B and C and syphilis – are not singled out with specific laws, nor for prosecution under general criminal laws.

Blood donation criminal laws focused on HIV should be repealed, prosecutions based on general laws should end, and instead science-informed measures – such as individual donor risk assessments and universal blood screening – should be relied on to protect the public against transfusion-transmitted infection.

Read the report at: https://www.hivjustice.net/publication/badblood