Senegal: Following recent arrests, the National AIDS council calls for an approach based on science and human rights

The CNLS warns against judicial and social excesses

The executive secretariat of the National Council for the fight against AIDS (CnLS) published yesterday a technical note warning of the health, legal and social consequences of recent arrests for “unnatural acts” and transmission of HIV.

The executive secretariat of the National Council for the Fight against AIDS (CNLS) published yesterday a technical note warning of the health, legal and social consequences of recent arrests for “unnatural acts” and transmission of HIV. The institution fears a decline in screening, a break in treatments and a rise in stigma, calling on the authorities to favour an approach based on science, public health and respect for human rights.

“Health, legal and social impact of the arrest of people for unnatural acts and voluntary transmission of HIV”. This is the title of the technical note published yesterday by the National Council for the Fight against AIDS (CNLS), which proposes an in-depth analysis of the potentially disastrous consequences of mismanagement of news related to HIV transmission.

According to the CNLS, the country has a concentrated HIV epidemic, characterized by a low prevalence in the general population (0.3%) and a high prevalence within some key groups: 27% in men having sex with men, 6.4% in women sex workers, 5.2% in drug users and 2% in detainees. Faced with this situation, they maintain that the national response is based on equitable access to screening, prevention means and universal antiretroviral treatment.

According to them, these approaches have reduced new infections, improved the quality of life of people living with HIV and limited transmission in the general population. However, the CNLS believes that the high media coverage of the arrests of twelve (12) people has aroused a strong reaction from public opinion and rekindled tensions around sexuality, HIV and human rights, raising major health, legal and social issues.

Blow for early screening and continuity of care

First, in terms of health, the CNLS fears that legal proceedings or the disclosure of serological status will dissuade some people, especially from the most vulnerable groups, from voluntarily using screening. “This reluctance limits the early detection of people living with HIV and their rapid access to treatment, which is essential to interrupt transmission. Nearly 90% of people with HIV are tested to date and under treatment and 92% of them no longer transmit the disease,” reads the technical note published by the CNLS.

Worse, it says, the continuity of care is also threatened. Indeed, it is noted, for fear of stigma or public exposure, some people living with HIV can discontinue their antiretroviral treatment. “These ruptures increase the risk of medical complications, resistance to treatments and transmission of the virus, with a direct impact on national health indicators,” says the CNLS. It is also established that when the possession of condoms, the use of screening or adherence to treatment are perceived as burdens in legal proceedings, it constitutes a major risk to public health.

The CNLS thus draws attention to the fact that this situation discourages prevention behaviour and promotes silent circulation of the virus, increasing the number of people unaware of their serological status and the risks of transmission among the general population.

“Unauthorised disclosure of serological status is penalised by the HIV law of 2010…” 

With regard to the legal issues of arrests for unnatural acts and transmission of HIV, the CNLS recalls at first glance that the voluntary transmission of HIV is a crime under the law. However, he says, its legal qualification, as provided for by the 2010 HIV Act, presupposes the meeting of several constituent elements: proven harm, a direct causal link and a deliberate intention to harm. In practice, he says, the establishment of these elements remains complex. The demonstration of intentionality is particularly difficult and cannot be based on serological status alone. It requires proof that the person knew his status, that he voluntarily exposed others to risk without prior information and that he had the obvious will to transmit the virus,” informs the CNLS, which adds that proof of the causal link and the anteriority of the infection requires specialized medical and biological expertise, rarely available in the context of ordinary judicial proceedings, thus exposing to a risk of judicial errors.

The CNLS also reports that scientific data establish that a person living with HIV on effective antiretroviral treatment, with an undetectable viral load, does not transmit the virus. And that ignorance of these evidences can lead to misinterpretations of the facts. As a result, he argues that excessive or imprecise criminalisation of HIV transmission can produce counterproductive effects by discouraging voluntary screening, as ignorance of status is sometimes perceived as legal protection. The CNLS argues that respect for the presumption of innocence, privacy and confidentiality of medical data remains a fundamental requirement. “The unauthorised disclosure of serological status is penalised by the 2010 HIV law and can engage the responsibility of the State, with regard to Senegal’s international commitments,” he said.

Plea for a circular for judicial actors integrating current scientific data on HIV
Still in the technical note of the CNLS, it is established that on the social level, the arrests and communication that accompany them may increase the stigma and discrimination against people living with HIV. “The amalgam between sexual orientations and serological status reinforces prejudices and further marginalizes already vulnerable groups,” the document points out.

Moreover, the CNLS fears that the people concerned will be subject to social and family exclusion, and will be victims of attacks on their dignity as well as verbal, psychological or even physical violence, weakening social cohesion. Another concern for the CNLS is that community organisations and civil society actors, essential to prevention and awareness, can reduce their activities for fear of stigmatisation or reprisals, leading to a decrease in social mobilisation and a weakening of prevention mechanisms. Faced with this situation, the CNLS believes that a balanced approach, based on public health, respect for human rights and the rule of law, is essential. They also ask the Prime Minister to instruct the Keeper of the Seals to disseminate a circular to judicial actors integrating current scientific data on HIV.

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Le CNLS met en garde contre des dérives judiciaires et sociales

Le secrétariat exécutif du Conseil national de lutte contre le sida (CnLS) a publié hier une note technique alertant sur les conséquences sanitaires, juridiques et sociales des récentes arrestations pour “actes contre nature” et transmission du VIH.

Le secrétariat exécutif du Conseil national de lutte contre le sida (CNLS) a publié hier une note technique alertant sur les conséquences sanitaires, juridiques et sociales des récentes arrestations pour “actes contre nature” et transmission du VIH. L’institution redoute un recul du dépistage, une rupture des traitements et une montée de la stigmatisation, appelant les autorités à privilégier une approche fondée sur la science, la santé publique et le respect des droits humains.

«Impact sanitaire, juridique et social de l’arrestation de personnes pour actes contre nature et transmission volontaire du VIH». Tel est l’intitulé de la note technique publiée hier par le Conseil national de lutte contre le sida (CNLS), qui propose une analyse approfondie des conséquences potentiellement désastreuses d’une mauvaise gestion de l’actualité liée à la transmission du VIH.

Selon le CNLS, le pays présente une épidémie de VIH de type concentrée, caractérisée par une faible prévalence dans la population générale (0,3 %) et une prévalence élevée au sein de certains groupes clés : 27% chez les hommes ayant des relations sexuelles avec des hommes, 6,4% chez les femmes travailleuses du sexe, 5,2% chez les consommateurs de drogues et 2%chez les personnes détenues. Face à cette situation, il soutient que la riposte nationale repose sur l’accès équitable au dépistage, aux moyens de prévention et au traitement antirétroviral universel.

A l’en croire, ces approches ont permis de réduire les nouvelles infections, d’améliorer la qualité de vie des personnes vivant avec le VIH et de limiter la transmission dans la population générale. Cependant, le CNLS estime que la forte médiatisation des arrestations de douze (12) personnes a suscité une vive réaction de l’opinion publique et ravivé les tensions autour de la sexualité, du VIH et des droits humains, soulevant des enjeux sanitaires, juridiques et sociaux majeurs.

Coup porté au dépistage précoce et à la continuité des soins 

D’abord, sur le plan sanitaire, le CNLS craint que les poursuites judiciaires ou la divulgation du statut sérologique dissuade certaines personnes, notamment issues des groupes les plus vulnérables, de recourir volontairement au dépistage. “Cette réticence limite le dépistage précoce des personnes vivant avec le VIH et leur accès rapide au traitement, pourtant essentiel pour interrompre la transmission. Près de 90% des personnes atteintes de VIH sont dépistées à ce jour et sous traitement et 92% d’entre elles ne transmettent plus la maladie”, lit-on dans la note technique publiée par le CNLS.

Pis, dit-il, la continuité des soins est également menacée. En effet, note-t-on, par peur de stigmatisation ou d’exposition publique, certaines personnes vivant avec le VIH peuvent interrompre leur traitement antirétroviral. “Ces ruptures augmententles risques de complications médicales, de résistance aux traitements et de transmission du virus, avec un impact direct sur les indicateurs nationaux de santé”, confie le CNLS. Il est également établi que lorsque la possession de préservatifs, le recours au dépistage ou l’adhésion au traitement sont perçus comme des éléments à charge dans des procédures judiciaires, cela constitue un risque majeur pour la santé publique.

Le CNLS attire ainsi l’attention sur le fait que cette situation décourage les comportements de prévention et favorise une circulation silencieuse du virus, augmentant le nombre de personnes ignorant leur statut sérologique et les risques de transmission au sein de la population générale.

«La divulgation non autorisée du statut sérologique est pénalisée par la loi VIH de 2010…» 

En ce qui concerne les enjeux juridiques des arrestations pour actes contre nature et transmission du VIH, le CNLS rappelle de prime abord que la transmission volontaire du VIH constitue un délit au regard de la loi. Toutefois, fait-il savoir, sa qualification juridique, telle que prévue par la loi VIH de 2010, suppose la réunion de plusieurs éléments constitutifs : un préjudice avéré, un lien de causalité direct et une intention délibérée de nuire. Dans la pratique, précise-t-il, l’établissement de ces éléments demeure complexe.“La démonstration de l’intentionnalité est particulièrement difficile et ne saurait reposer sur le seul statut sérologique. Elle nécessite la preuve que la personne connaissait son statut, qu’elle a volontairement exposé autrui au risque sans information préalable et qu’elle avaitla volonté manifeste de transmettre le virus”, renseigne le CNLS qui ajoute que la preuve du lien de causalité et de l’antériorité de l’infection requiert des expertises médicales et biologiques spécialisées, rarement disponibles dans le cadre des procédures judiciaires ordinaires, exposant ainsi à un risque d’erreurs judiciaires.

Le CNLS informe également que les données scientifiques établissent qu’une personne vivant avec le VIH sous traitement antirétroviral efficace, avec une charge virale indétectable, ne transmet pas le virus. Et que la méconnaissance de ces évidences peut conduire à des interprétations erronées des faits. De ce fait, il soutient qu’une criminalisation excessive ou imprécise de la transmission du VIH peut produire des effets contreproductifs en décourageant le dépistage volontaire, l’ignorance du statut étant parfois perçue comme une protection juridique. Le CNLS soutient dans la foulée que le respect de la présomption d’innocence, de la vie privée et de la confidentialité des données médicales demeure une exigence fondamentale. “La divulgation non autorisée du statut sérologique est pénalisée par la loi VIH de 2010 et peut engager la responsabilité de l’État, au regard des engagements internationaux du Sénégal”, a-t-il fait entendre.

Plaidoyer pour une circulaire à l’attention des acteurs judiciaires intégrant les données scientifiques actuelles sur le VIH

Toujours dans la note technique du CNLS, il est établi que sur le plan social, les arrestations et la communication qui les accompagnent, risquent d’accentuer la stigmatisation et la discrimination à l’encontre des personnes vivant avec le VIH. “L’amalgame entre orientations sexuelles et statut sérologique renforce les préjugés et marginalise davantage des groupes déjà vulnérables”, souligne le document.

D’ailleurs, le CNLS craint que les personnes concernées fassent l’objet d’exclusions sociales et familiales, et soient victimes d’atteintes à leur dignité ainsi qu’à des violences verbales, psychologiques, voire physiques, fragilisant la cohésion sociale. Autre préoccupation pour le CNLS, les organisations communautaires et les acteurs de la société civile, essentiels à la prévention et à la sensibilisation, peuvent réduire leurs activités par crainte de stigmatisation ou de représailles, entraînant une baisse de la mobilisation sociale et un affaiblissement des mécanismes de prévention. Face à cette situation, le CNLS pense qu’une approche équilibrée, fondée sur la santé publique, le respect des droits humains et l’État de droit, est indispensable. Il sollicite d’ailleurs le Premier Ministre afin qu’il instruise le Garde des Sceaux de diffuser une circulaire à l’attention des acteurs judiciaires intégrant les données scientifiques actuelles sur le VIH.

US: Ryan White’s mother calls for HIV law reform in Indiana

Decades after Ryan White, Indiana still criminalizes HIV

Nearly 40 years ago, my son Ryan White became the face of HIV stigma in America. Diagnosed with AIDS at 13 after contracting HIV from a blood product used to treat his hemophilia, Ryan faced profound discrimination. He was banned from school, shunned by his community and even threatened because of widespread fear and misinformation about HIV. Despite this, Ryan used his short life to fight stigma and discrimination.

Today, that fight continues as Indiana confronts the urgent need to reform its HIV criminal laws and remove stigma from our statutes.

It’s heartbreaking to realize that even decades after Ryan’s death, stigmatizing HIV laws remain on the books. Indiana’s HIV criminal laws were enacted in the 1980s, when fear overshadowed science. At the time, people believed HIV could be spread through casual contact — beliefs we now know are false. Yet those assumptions continue to shape the law today.

Indiana’s laws punish people living with HIV for actions that do not transmit the virus, including attempting to donate blood, having sex while using proven prevention methods or even spitting. Saliva does not transmit HIV, and the blood supply is safe due to robust screening. These laws defy modern science and undermine public health by reinforcing stigma.

Stigma remains one of the greatest barriers to ending the HIV epidemic. It discourages people from getting tested, seeking treatment, and disclosing their status ― all critical steps to preventing transmission. When stigma drives people away from care, the virus continues to spread.

The good news is that we now have the tools to end HIV. Advances in treatment allow people living with HIV to live long, healthy lives. With proper care, the virus becomes undetectable — and undetectable means untransmittable (U=U). Medications like PrEP (pre-exposure prophylaxis) and PEP (post-exposure prophylaxis) can prevent HIV transmission altogether. Yet outdated HIV criminal laws ignore these advances and fuel the very stigma Ryan worked so hard to fight.

That’s why I’m calling on Indiana lawmakers to modernize the state’s HIV criminal laws and align them with current science. Reform is a necessary step toward reducing stigma, improving public health, and honoring the dignity of people living with HIV.

I can’t help but think about how these laws would have impacted Ryan if he were alive today. Knowing my son — who dedicated his life to education and understanding — could have been criminalized under Indiana law is deeply painful. We owe it to Ryan and to the thousands of Hoosiers living with HIV, to do better.

On Feb. 28, HIV Is Not a Crime Awareness Day, I urge all Hoosiers to contact their elected officials and demand meaningful reform of Indiana’s HIV criminal laws. Together, we can honor Ryan’s legacy by replacing fear with facts, stigma with science and misinformation with compassion. It’s time to end HIV stigma in Indiana once and for all.

Jeanne White-Ginder is an AIDS activist and mother of the Ryan White.

US: New Williams Institute analysis shows HIV criminalization disproportionately targets Black communities

Black Americans are disproportionately criminalized for living with HIV.

Through “heightened surveillance, arrest, and conviction,” Black Americans are more likely to be criminalized for their HIV.

Black people in the U.S. aren’t just more likely to have HIV — they’re more likely to be criminalized for it.

Black Americans accounted for about 38 percent of new HIV diagnoses and 39 percent of people living with HIV in 2023, according to a report from the Williams Institute, despite making up around 12 percent of the population.

Black women had the highest HIV diagnosis rate at 19.6 per 100,000, which is about 11 times the rate for white women at 1.8 per 100,000. Black boys and men ages 13 to 24 accounted for 47 percent of all new diagnoses among youth, while white boys and men made up just three percent.

Even with higher rates of infection, Black Americans are less likely to be on medications that treat HIV, with just 64 percent receiving care and 53 percent virally suppressed. They are also less likely to have health insurance, as 12.3 percent of Black adults ages 19 to 64 did not have health insurance in 2024, compared to 6.8 percent of white adults.

Black Americans are more likely to be criminalized for their HIV as well, as they are often subjected to “heightened surveillance, arrest, and conviction within the criminal legal system,” according to the report. In 64 percent of states analyzed, they faced higher rates of arrest than their share of people living with HIV. For example, Black people in California were 6 percent of the state population and 18 percent of people living with HIV, but 39 percent of HIV-related arrests.

They’re also more likely to face harsh post-conviction penalties like sex offender registration. In Tennessee, Black people were 17 percent of the state’s population and 55 percent of people living with HIV, but 74 percent of people on the sex offender registry with an HIV-related conviction.

“Most HIV criminal laws were enacted before effective HIV treatment and prevention tools became widely available,” said Nathan Cisneros, director of the HIV Criminalization Project at the Williams Institute. “In recent years, there has been a push to reform or repeal these laws as policymakers and the public increasingly recognize that these laws can discourage testing, increase stigma, and deepen disparities — especially for Black Americans.”

Mexico: Colima Congress calls on federal lawmakers to repeal “danger of contagion” crime

Congress urges to eliminate the crime of “danger of contagion” from the Federal Criminal Code

Translated with AI. Scroll down for original article in Spanish

The State Congress approved by a majority a point of agreement to urge the Federal Chamber of Deputies to repeal the crime of “danger of contagion” of the Federal Criminal Code, considering it a discriminatory, stigmatizing legal figure and contrary to the human right to health.

The proposal was presented in the forum by Deputy Alfredo Álvarez, who argued that this type of crime, originally incorporated in 1949 and expanded in 1991, criminalizes the health condition of people, particularly those living with HIV, without the need to prove real damage or the effective transmission of a disease.

During his speech, the legislator pointed out that this figure violates fundamental principles such as equality before the law, proportionality and non-discrimination, in addition to promoting social stigma and generating barriers to access to health services.

The approved exhortation is based on the position of various national and international organizations, including UNAIDS, which has warned that the criminalization of HIV does not prevent contagion and, on the contrary, discourages diagnosis and timely treatment; as well as the Ministry of Health, which has pointed out that this crime revictimizes people living with HIV.

Pronouncements of Conapred, the National Commission on Human Rights (CNDH) and COPRED are also cited, which agree that the crime of danger of contagion has a stigmatizing character and must be eliminated to guarantee a public health policy based on human rights and scientific evidence.

Álvarez Ramírez recalled that entities such as Mexico City, Colima, Nayarit, San Luis Potosí, Aguascalientes and Baja California have already repealed or do not contemplate that crime in their criminal codes. He also stressed that on February 18, 2025, the Justice Committee of the Chamber of Deputies approved an opinion to eliminate this figure from the federal level.

With this agreement, the Colimense Congress specifically urges to reform articles 60 and 315, as well as to repeal Article 199 Bis of the Federal Criminal Code, moving towards a legal framework that protects health without criminalizing or stigmatizing.

“Legislating from the human rights implies abandoning punishment as a health policy and building laws based on scientific evidence and human dignity,” said Deputy Alfredo Álvarez at the end of his speech.

Exhorta Congreso a eliminar delito de “peligro de contagio” del Código Penal Federal

El Congreso del Estado aprobó por mayoría un punto de acuerdo para exhortar a la Cámara de Diputados federal a derogar el delito de “peligro de contagio” del Código Penal Federal, al considerarlo una figura jurídica discriminatoria, estigmatizante y contraria al derecho humano a la salud.

La propuesta fue presentada en tribuna por el diputado Alfredo Álvarez, quien argumentó que ese tipo de delito, incorporado originalmente en 1949 y ampliado en 1991, criminaliza la condición de salud de las personas, particularmente de quienes viven con VIH, sin que sea necesario demostrar un daño real o la transmisión efectiva de una enfermedad.

Durante su intervención, el legislador señaló que esa figura vulnera principios fundamentales como la igualdad ante la ley, la proporcionalidad y la no discriminación, además de fomentar el estigma social y generar barreras para el acceso a servicios de salud.

El exhorto aprobado se sustenta en la postura de diversos organismos nacionales e internacionales, entre ellos ONUSida, que ha advertido que la criminalización del VIH no previene contagios y, por el contrario, desincentiva el diagnóstico y el tratamiento oportuno; así como la Secretaría de Salud, que ha señalado que ese delito revictimiza a las personas que viven con VIH.

También se citan pronunciamientos de la Conapred, la Comisión Nacional de los Derechos Humanos (CNDH) y COPRED, los cuales coinciden en que el delito de peligro de contagio tiene un carácter estigmatizante y debe ser eliminado para garantizar una política de salud pública basada en derechos humanos y evidencia científica.

Álvarez Ramírez recordó que entidades como Ciudad de México, Colima, Nayarit, San Luis Potosí, Aguascalientes y Baja California ya han derogado o no contemplan ese delito en sus códigos penales. Asimismo, destacó que el 18 de febrero de 2025, la Comisión de Justicia de la Cámara de Diputados aprobó un dictamen para eliminar esta figura del ámbito federal.

Con ese acuerdo, el Congreso colimense exhorta específicamente a reformar los artículos 60 y 315, así como a derogar el Artículo 199 Bis del Código Penal Federal, avanzando hacia un marco jurídico que proteja la salud sin criminalizar ni estigmatizar.

“Legislar desde los derechos humanos implica abandonar el castigo como política de salud y construir leyes basadas en evidencia científica y dignidad humana”, expresó el diputado Alfredo Álvarez al cierre de su intervención.

2025 in review: more reported cases, uneven reform

In 2025, HIV criminalisation remained a persistent, global human rights and public health failure – visible both in the rise in reported prosecutions and in the continued mismatch between HIV science and legal practice. Despite significant law reform momentum in several jurisdictions, we found evidence of unjust arrests, charges, and convictions reported in 27 countries. However, while the number of reported HIV criminalisation cases increased in 2025, this rise was driven largely by intensified enforcement and reporting in a limited number of countries, rather than a widening of criminalisation across new jurisdictions.

Rising case numbers concentrated in fewer countries

Our Global HIV Criminalisation Database included 112 reported cases between January 1st and December 31st, 2025. This represents the highest annual total recorded in the database in recent years – almost double the number documented in 2024, and more than twice the annual totals seen between 2021 and 2023.

A defining feature of 2025 was how strongly case reports clustered in specific countries. However, unless cases are systematically reported either in official, public-facing court databases, relying on media and/or civil society reported cases means we are only seeing the most visible portion of a much larger reality.

Nevertheless, one country – Uzbekistan – accounted for more than half of all reported cases. This is partly because Uzbek courts publish all HIV criminalisation cases online, but mainly due to an exceptionally broad and punitive legal framework combined with extensive mandatory HIV testing. Article 113 of the Criminal Code criminalises mere awareness of HIV status, with no distinction between exposure and transmission and no defences for condoms, viral suppression, or informed consent, creating a very low threshold for prosecution. Mandatory testing laws targeting key populations and returning migrants further increase detection without any link to alleged criminal conduct, resulting in more people being identified and prosecuted than anywhere else.

Alongside this, Russia and the United States continue to feature prominently in HIV criminalisation case reports, with the United Kingdom, France, South Korea and Canada represented by at least two reported cases in 2025.

Same harms, familiar forms

Across the 2025 cases list, several recurring patterns stood out:

  • Non-disclosure and “exposure” prosecutions remained the default legal response, with multiple non-disclosure prosecutions in the United States proceeding without allegations of transmission, and exposure-only cases continuing in Russia despite no demonstrated risk of harm.
  • Criminal cases disproportionately arose from contact between law enforcement and marginalised people – including gay men, sex workers, trans people, and people already in detention – illustrating how HIV criminalisation disproportionately arises in contexts shaped by stigma, surveillance, and law enforcement contact with marginalised communities.
  • Criminalisation extended beyond sexual contexts, with no-risk conduct framed as intentional harm, including spitting prosecutions in Canada and the United States, and prosecutions linked to needle or blood incidents in the United Kingdom and Brazil.
  • Cross-border consequences persisted even after legal “wins”, illustrated by Ireland’s deportation of a man whose conviction had been overturned by the Supreme Court, and by the persistent risk of immigration and residency consequences in Canada and the United States, where HIV-related prosecutions can have lasting effects beyond the criminal process itself.
  • Legacy criminalisation continued to create procedural chaos, as seen in Zimbabwe where prosecutions and litigation persisted despite the HIV criminalisation law having previously been repealed, and in countries such as Russia where outdated HIV-specific provisions continue to be applied alongside general criminal law, producing inconsistent charging practices.

Legal reform: progress alongside persistent risk

Despite a challenging political environment, 2025 saw several concrete legal and policy developments that signalled continued momentum toward reform, particularly at the sub-national level.

In the United States, state-level action remained the primary driver of change. In Maryland, the governor signed legislation repealing the state’s HIV-specific criminal statute, removing a law long criticised for its incompatibility with current scientific evidence. North Dakota also enacted legislation addressing outdated HIV criminalisation provisions, narrowing their scope and reducing the reach of HIV-specific penalties.

In Mexico, reform efforts continued across multiple jurisdictions. Baja California eliminated “danger of contagion” language from its criminal code, and advocacy to repeal or amend similar provisions continued in other states, alongside renewed engagement at the federal level.

In Ukraine, parliament approved the first reading of legislation to remove HIV criminalisation from the Criminal Code. While the law reform process has stalled in the context of ongoing conflict, the move towards repeal represents a significant legislative step and an important signal of political commitment under difficult circumstances.

Alongside these gains, 2025 also highlighted the fragility of reform and the persistence of resistance in several settings.

In Canada, frustration grew over the continued absence of comprehensive federal reform of HIV non-disclosure criminalisation. Despite longstanding commitments and extensive advocacy, progress remained stalled, reinforcing concerns about the ongoing misuse of the criminal law.

In Australia, debate intensified in South Australia and New South Wales around the use of mandatory or forced HIV testing powers. Public health experts and community advocates raised concerns about the scientific basis, proportionality, and potential harms of these approaches.

And the United States faced a renewed and deeply troubling risk of regression under the shadow of the Trump administration’s domestic and global anti-rights agenda. Proposals to expand sexually transmitted infection criminalisation – including legislative initiatives in Louisiana – signalled how rapidly decades of hard-won progress can be dismantled when punishment, surveillance, and moral regulation are reasserted as policy priorities. In this climate, HIV criminalisation once again becomes a ready tool of control, underscoring how fragile reform remains and how urgently sustained resistance is required.

Looking ahead to 2026

Legal reform is both possible and underway, yet unjust prosecutions persist – and in some settings appear to be accelerating – even as HIV science has never been clearer about the effectiveness of treatment and the realities of transmission risk. The 112 reported cases are not merely a statistic; they reflect the continued, routine embedding of stigma within criminal legal systems, where outdated assumptions are enforced despite overwhelming evidence to the contrary.

In 2026, the HIV Justice Network will prioritise consolidating reform gains while confronting jurisdictions where criminalisation remains entrenched or is intensifying. This will include targeted advocacy and capacity-building in high-volume prosecution settings; strengthened documentation and analysis of enforcement patterns to support evidence-based reform; and deeper engagement with prosecutors, judges, and policymakers to bring law and practice into line with contemporary HIV science.

Central to this work will be two UNAIDS-supported initiatives: the completion and dissemination of Good Practices in HIV Decriminalisation, providing practical, jurisdiction-tested guidance for lawmakers and advocates; and the expansion of the Expert Consensus Statement on the Science of HIV in the Context of Criminal Law to explicitly address breastfeeding, ensuring that evolving evidence is accurately reflected in legal and policy frameworks.

Together, these efforts aim to prevent new prosecutions, reduce harm, and accelerate a coordinated, science-based push to end HIV criminalisation worldwide.

Mexico: Advocates demand end to HIV criminalisation in Tabasco and Tamaulipas

Activists in two southern Mexican states are calling for the decriminalisation of HIV, warning that outdated laws continue to fuel stigma, discrimination and human rights violations against people living with the virus.

In Tabasco, José Cruz Guzmán Matías, president of the civil association Tabasqueños Unidos por la Diversidad y la Salud Sexual (TUDYSSEX), has urged the local Congress to prioritise legislative reforms in 2026. Among the key demands are the adoption of an Identity Law to legally recognise sexual orientation, gender identity and gender expression, and the repeal of the offence known as “danger of contagion”. This provision criminalises people who are aware they have a serious infectious disease and are deemed to have exposed others to risk, and has long been used to prosecute people living with HIV. Activists argue that the law institutionalises serophobia by legitimising stigma, discrimination and fear, while violating fundamental rights. Guzmán Matías also called for stalled proposals banning so-called “conversion therapies” to be advanced, stressing the need for inclusion and respect for diversity.

Similar demands are being voiced in Tamaulipas, where activists have raised the alarm over a rise in HIV cases in the southern part of the state during 2025. Ana Karen López Quintana, president of Tamaulipas Diversity Vihda Trans, emphasised that the response to HIV must go beyond medical care and address social and human dimensions. Working alongside public institutions and civil society organisations, activists are pushing for the repeal of Article 203 of the state Criminal Code, which also criminalises the “danger of contagion”, as well as reforms to the Civil Code to ensure that people living with HIV can fully exercise their right to form a family.

Across both states, advocates stress that HIV is a preventable and treatable condition, and that criminalisation undermines public health by reinforcing fear and discouraging testing and care. They are calling for a shift toward a more humane model of health and justice—one grounded in human rights, accurate information and the elimination of stigma.

DRC: New study offers in-depth analysis of the legal framework governing HIV criminalisation in the DRC

Criminalization of HIV transmission in the Democratic Republic of Congo: lack of evidence, repressive abuses and human rights issues – Critical analysis and prospects for reform in light of the S.M. case

A new research paper from Jean Bedel Kaniki Tata, a judge in the Democratic Republic of Congo, offers a critical and in-depth analysis of the legal framework governing the criminalisation of HIV transmission in the DRC, using the well known S. M. case as a starting point for broader reflection.

This emblematic case highlights the excesses of a justice system that is still too often influenced by fear, prejudice, and stigmatization of people living with HIV, to the detriment of the required standards of scientific evidence. Through a rigorous examination of this decision, the article reveals the systemic flaws and repressive excesses that still characterize the Congolese justice system, where HIV-positive status is often wrongly equated with automatic proof of guilt, particularly when invoked in proceedings related to sexual violence.

Far from limiting itself to denunciation, this study takes a resolutely constructive perspective by calling for a thorough reform of the legal treatment of cases of alleged HIV transmission. It highlights the urgent need to develop clear guidelines for use by magistrates, to strengthen the training of justice professionals on the biomedical realities of HIV, and to promote a coherent approach that reconciles the fight against sexual violence, respect for human rights, and public health requirements.

This article was originally published French. A machine translated version in English is available here

USA: New Williams Institute report analyses three decades of HIV criminalisation prosecutions in Michigan

Enforcement of HIV Criminalization in Michigan

Using data obtained from the Criminal History Record database maintained by the Michigan State Police Criminal Justice Information Center, this study examines the enforcement of HIV nondisclosure laws from 1991 to 2024.

Executive Summary

Michigan’s HIV criminal laws date back to the 1980s, and it is the state with the first known conviction under an HIV criminalization law. The Williams Institute analyzed data from 1991 to 2024 from the state of Michigan regarding individuals with criminal cases alleging HIV nondisclosure under Michigan Compiled Laws § 333.5210 in the state’s penal code. Records were obtained from the state’s Criminal History Record database maintained by the Michigan State Police Criminal Justice Information Center. These records contained information on 90 cases that resulted in misdemeanor or felony convictions or were pending outcomes for a felony charge at the time of the data request and contained at least one HIV-related nondisclosure charge.

General Findings

  • Between 1991 and 2024, there were at least 90 cases involving 79 people and 116 HIV-related criminal charges involving HIV nondisclosure in Michigan.
    • In all, 74 cases resulted in conviction on an HIV-related offense. These cases involved 68 people and 109 separate HIV-related charges.
    • Nine people are awaiting a decision for a current HIV-related felony charge.
  • While enforcement of the HIV nondisclosure law occurred across Michigan, prosecutions were primarily concentrated in four counties.
    • Cases were concentrated in four counties in the Southeast Lower Peninsula region around the Metro Detroit area. Wayne County—home to Detroit—accounted for 16% of all HIV-related criminal cases, followed by Macomb County (7%), Washtenaw County (7%), and Oakland County (4%). Together they comprised one-third (34%) of all HIV-related cases in the state, but two-thirds (67%) of people living with HIV (PLWH) in the state.
      • While Wayne County was home to 42% of the state’s PLWH, it recorded only 16% of the state’s HIV nondisclosure cases.
  • Men were overwhelmingly represented among individuals in the HIV-related cases analyzed, accounting for 85% of people with HIV-related cases in Michigan. Men were about 77% of PLWH in Michigan.
  • When looking across race categories, Black (46%) and white (53%) Michiganders made up roughly equal shares of people criminalized.
    • However, Black people in Michigan accounted for 14% of the state’s population and 53% of PLWH in the state. White Michiganders, by contrast, made up 78% of the population and 34% of PLWH in the state.
    • As a result, Black people in Michigan are overrepresented when compared to their share of the state’s overall population, while white people in Michigan are overrepresented compared to their share of the state’s population of PLWH.
      • Black men made up only 7% of Michigan’s population, yet 40% of PLWH, and they account for 43% of individuals convicted or with pending HIV-related cases.
      • White men comprised 41% and white women 13% of those convicted or with pending cases, despite representing only 29% and 4% of PLWH, respectively.
      • Although Black women make up 8% of Michigan’s population and 13% of PLWH, they account for only 1% of convictions or pending cases.

2019 Legislative Reform

  • In 2019, Michigan reformed its HIV-related nondisclosure law. Before the reform, nondisclosure of HIV status before any form of “sexual penetration,” including oral sex, was criminalized. The reform narrowed the scope of criminalized behaviors to anal and vaginal intercourse. It required either 1) intent to transmit HIV to an intimate partner, 2) actual HIV transmission, or 3) reckless disregard for transmission risk to sustain a conviction.
    • Prosecutions continued post-reform: since enactment of the 2019 legal change, there have been at least 11 HIV-related nondisclosure cases involving 30 individual HIV-related nondisclosure charges.
      • However, there appears to be a recent decline in enforcement. There were nine HIV-related cases between 2020 and 2024 (the five years after the law was reformed) compared to 23 HIV-related cases between 2014 and 2018 (the five years before the law was reformed).
    • Ten charges under the reformed law have resulted in a conviction. All but two were for reckless disregard (a misdemeanor offense); one was for felony intent to transmit, and one appeared to be under the pre-reform statute, although the final court disposition came after the law went into effect.
      • There have been no convictions of actual transmission of HIV (a felony) under the new law.
    • Another 10 charges are awaiting a final disposition under the new law: nine for alleged intent to transmit and one for alleged misdemeanor reckless disregard.

Other Findings

  • Between 1991 and 2024, the Michigan State Police Criminal Justice Information Center, which maintains the state’s Criminal History Record database, did not identify any records in response to our data request documenting convictions under Michigan’s law that criminalizes PLWH for donating blood.
  • Further, between 1991 and 2024, the data provided by the Michigan State Police Criminal Justice Information Center included no mandatory testing charges that resulted in a conviction for that charge, and no convictions stemming from a mandatory testing charge have occurred since 2008.

Download the full report

Canada: Advocates urge Liberals to honour the Trudeau government’s commitment to reform HIV disclosure laws

Words aren’t enough: Canada must deliver on HIV criminal reform

HIV criminalization is not a new concern. For decades, people living with HIV in Canada have faced the reality that they can still face public outing by authorities, prosecution by the “justice” system, and imprisonment for allegedly not disclosing their HIV status to a sexual partner. This continues to be the case today, even in situations where there was no realistic possibility of transmission, no intent to transmit, and no transmission actually happened.

And for decades, people living with HIV, activists and community advocates, legal minds, and public health and medical experts have shown again and again that Canada’s terribly punitive approach is discriminatory, scientifically outdated, and harmful to public health. It reinforces and codifies systemic injustices and inequalities based on race, migration status, sexual orientation, and gender. It contradicts current science on HIV transmission, and it entrenches HIV stigma, further cementing barriers that people living with HIV face to accessing care and treatment, not to mention housing, employment, and personal safety. How can we expect people to feel safe getting tested and learning their HIV status when it could later be vindictively used against them?

That’s why it really mattered when, on December 1st, 2017, the Government of Canada acknowledged these very concerns and highlighted the problematic state of HIV criminalization on World AIDS Day in their report Criminal Justice System’s Response to Non-Disclosure of HIV. The problem is that since 2017, the government’s actions have not caught up to words and there has been little progress from Canada to right these wrongs. People living with HIV in this country continue to be forced to live in fear.

Over the last eight years, activists, led by people living with HIV themselves, have continued to move the needle on HIV criminalization. Thanks to their efforts, the federal government announced national consultations on HIV criminalization at the 2022 International AIDS Conference, which was held in Montreal. “Our government recognizes that the criminalization of people living with HIV can lead to stigmatization and significant hardships,” stated then-Minister of Justice David Lametti. “This is why we are consulting Canadians on the best approach to reform the criminal law regarding HIV non-disclosure. It will help us find solutions, and will lead to better outcomes for affected populations.”

Those consultations concluded in early 2023 and since that time, no law reform has been introduced. Productive meetings with advocates aimed at making meaningful change continued for a time, until the Government of Canada quietly informed us last year that it had put any plans for real justice on the backburner.

While other jurisdictions, including various American states, such as Nevada, Virginia, Maryland, and Illinois, narrow or eliminate misguided prosecutions, the threat of criminalization continues to hang over the heads of people living with HIV here in Canada. In parallel, at a time when fewer people are being diagnosed with HIV around the world, HIV cases rose a staggering 35.2% in Canada between 2022 and 2023. While preliminary data from 2024 indicate a slight decrease in new cases in Canada, only time will tell whether this represents a reversal from recent worrying trends. What remains clear is that Canada must do more – both in its legal and policy responses – to get back on track toward the goal of eliminating HIV as a public health threat by 2030.

And so, every World AIDS Day, advocates find themselves writing yet another op-ed urging Canada to act. The headlines over the past few years alone tell the story: “Unjust HIV Criminalization is a National Disgrace”; “The Government of Canada Must Act to End the Harms of HIV Criminalization”; “We Need to Stop Criminalizing People with HIV”; “Let’s Stop Criminalizing HIV Status.” How long until these headlines are finally replaced with news that Canada has followed through on its promises to end the harms of HIV criminalization?

With a new government in place, we are feeling more hopeful than we were last World AIDS Day. But this government still needs to take firm and decisive action to bring Canada’s laws in line with science and human rights, and remove the stigma and discrimination against people living with HIV that is currently entrenched in our justice system. In so doing, we could envision a very different headline for next year’s World AIDS Day op-ed, and a very different reality for people living with HIV in Canada.

Muluba Habanyama is the Chair of the Canadian Coalition to Reform HIV Criminalization

Colin Hastings is an Assistant Professor at the University of Waterloo

André Capretti is a Policy Analyst at the HIV Legal Network

Uganda: Uganda faces a choice between scientific progress and harmful criminalisation

Uganda’s HIV future needs laws advancing progress, not repeating past

OPINION

By Belinda Agnes Namutebi

Imagine a truck arriving at your warehouse with goods you know you desperately need. They align with the future you have projected. They represent freedom, protection, and progress. They carry value that will transform your operations for years to come. But as you stand there receiving these goods, grateful for their arrival, you remain wary of a roadblock just outside your gate. A hindrance with the power to undo everything you have procured. An obstacle that does not care how far the goods have travelled or how important they are for your future.

That roadblock is Uganda’s outdated HIV & AIDS Prevention and Control Act.

Despite the funding disruptions that have threatened Uganda’s health system this year, we have been listed among the countries to receive support from the Global Fund and the United States government for the rollout of long-acting Lenacapavir, the twice-yearly injection that offers six months of protection against HIV.

Science has delivered an HIV prevention tool that complements the options Uganda already has, such as the ABC approach, oral PrEP, the dapivirine ring, and long-acting Cabotegravir. Lenacapavir offers six months of protection, which means that people at risk of HIV no longer need to take a daily pill. This convenience reduces the pill burden, which may in turn improve adherence, strengthen continuity of prevention, and ultimately lower new HIV infections, contributing to a better quality of life.

Lenacapavir is also discreet and offers genuine choice. Young women and girls who are exposed to HIV can now select a method that fits their realities. That freedom of choice is empowering, and it naturally reduces stigma because prevention becomes a private, dignified, and self-directed decision.

The economic benefit of Lenacapavir for Uganda’s health budget is significant. Every infection prevented is a treatment avoided. The more people who remain HIV-free because of long-acting prevention, the fewer resources the country will spend on lifelong HIV treatment.

Now this science arrives in Uganda and meets a law that criminalises having HIV. A law like this creates fear, which means people avoid testing because they do not want to be labelled criminals. When the law makes testing feel dangerous, people stay away from the very services that are meant to help them. If they do not test, they will not know their status. And if they do not know their status, they cannot make informed decisions about whether to start HIV treatment or whether to use HIV prevention tools, especially if they are at risk.

Science has already provided these tools: treatment that suppresses the virus, and prevention options that protect people before exposure. But without testing, none of this reaches the people who need it. Lack of testing also reduces disclosure, breaks trust, and eventually affects adherence because people operate in secrecy instead of safety.

The result is that the law ends up keeping people away from the systems that could protect them. Instead of slowing HIV transmission, it drives it underground. Instead of supporting prevention, it actively undermines it. The law creates the very silence that science is trying to break.

Uganda now stands at a moment when science is offering us a new beginning. Long-acting prevention is here. Global partners are ready. Communities are ready. Young women are ready. The only part of the system still living in 2014 is the law. If we want the goods at our warehouse to reach the people they are intended for, we must clear the road ahead.

As Uganda moves toward the polls to choose a new Parliament, this cannot be a forgotten issue. The HIV legislation must be at the top of the legislative agenda. Our next Parliament must decide whether Uganda will move forward with science or remain anchored to a past that no longer protects us.