Uganda: Bill to force spouses to reveal HIV status

Uganda’s proposed HIV and AIDS Prevention and Control Bill is analysed in this report from the Daily Monitor.

President Museveni has previously said that he supports the death penalty for criminal HIV transmission.

 

Bill to force spouses to reveal HIV status

by Sheila Naturinda

Monitor Online

Dec 12, 2008 – 2:54:15 AM

Kampala

Ugandans who test positive for HIV, the virus that causes Aids, will have their results shared with their spouses and sexual partners with or without their consent, under a new law proposed by the government.

The draft HIV and Aids Prevention and Control Bill 2008 unveiled before a committee of Parliament this week, seeks to criminalise the willful and intentional transmission of HIV to an uninfected person. It also seeks to guarantee access to treatment for those already infected and to protect people living with HIV against discrimination.

The Bill still, undergoing consultations, seeks to get a formal legislation to back up and supplement the fight against the epidemic in the country. HIV/Aids activists have, however, attacked provisions of the draft that seek to peel away the veil of confidentiality that voluntary testing for HIV currently provides.

For instance, the Bill recommends that medical personnel who carry out an HIV test “may notify the sexual partner(s) of the person tested where he or she reasonably believes that the HIV positive person poses a risk of HIV transmission to the partner and the person has been given reasonable opportunity to inform their partner(s) of their HIV positive status and has failed to do so”.

Ms Stella Kentutsi of the National Forum of People Living with HIV/Aids Networks in Uganda told Daily Monitor that the provisions compelling disclosure are insensitive to the people living with HIV. “This criminalisation will automatically affect disclosure which has been encouraged and it will therefore increase the level of silent transmission among the population,” she said.

Mr Robert Ochai, the executive director of The Aids Support Organisation, said the Bill has many contentious clauses including that of disclosure which ought to be deleted or amended.

Dr Chris Baryomunsi, the vice chairperson of the parliamentary committee on HIV/Aids, defended the draft Bill and its provisions and said similar laws criminalising willful transmission of HIV had been passed in South Africa, Kenya, the Philippines and China. He added, however, that the Bill could be amended to address concerns raised by various groups.

The Bill urges individuals, who are aware of their HIV-positive status to inform their sexual partners and observe instructions on prevention and treatment. Although the Bill provides for voluntary counselling and testing for HIV, it prescribes compulsory HIV tests for people convicted of drug abuse or possession of medical instruments associated with drug abuse, people charged with sexual offences such as rape and defilement, as well as sex workers convicted on prostitution charges.

The Bill also prescribes “routine” HIV testing for victims of sexual offences and pregnant women as well as their partners. It also provides for individuals to be subjected to HIV tests under a court order, with or without their consent.

First effort

The Bill is the first formal effort by the government to criminalise behaviour that could lead to HIV and Aids. It comes at a time of growing anxiety among public health specialists over the stagnation of the country’s HIV prevalence rate at around 6.5 per cent and evidence of rising year-on-year infections.

The move towards forceful disclosure appears informed by research findings which show more infections occurring among married couples, as well as a high incidence of discordance where one partner is not infected.

Supporters of the Bill argue that compelled disclosure will help uninfected partners take steps to prevent infection.

Despite the controversial clauses on disclosure, the Bill contains several provisions designed to protect the rights of people living with HIV and Aids.

Apart from providing for pre and post-test counselling, the Bill says every pregnant woman who tests positive for HIV is entitled to safe and appropriate anti-retroviral treatment, which helps postpone the onset of Aids, and medication to prevent the transmission of the virus to her baby. It also provides for HIV testing for babies born to HIV-positive mothers and guarantees treatment, care and support for those found to be infected.

In other provisions, the Bill forbids employers from subjecting employees to compulsory HIV tests. It also notes that “no person shall be compelled to undergo an HIV test or disclose his status for the purposes of gaining access to any credit or loan services, medical, accident or life insurance or extension of continuation of such services”.

The Bill states, “A person shall not be denied access to any employment which he/she is qualified or transferred and denied promotion on such grounds like he has the virus or he is perceived to carry the virus.” It prescribes a five-year jail term to employers who violate this provision.

The Bill also seeks to eliminate discrimination among school children that have been affected in their schools because some have been denied education on grounds that they are HIV positive. “An education institution shall not deny admission or expel, discipline segregate and deny participation in any event that a person is perceived to be of HIV positive status,” it states. The Bill also seeks to have all persons whether infected or not have a right to vie for public offices.

In work places, the Bill seeks to force all employers to make sure all mechanisms are in place to reduce contraction of the disease by their employees.

In places like hospitals, according to Dr Baryomunsi, all employers will be mandated to ensure that necessities like adequate gloves and immediate medications are available in cases where someone accidentally pricks himself. “This helps in cases where such a person is likely to unknowingly transmit the virus to a patient,” he said.

The Bill states: “Every institution comprising of 20 or more persons will provide HIV/Aids related treatment and the compensation to persons working in such an institution who will be occupationally exposed to the virus,” the Bill reads in part.

Highlights of the Bill

  • Willful and intentional transmission of HIV is criminal.
  • A doctor can notify a partner of an HIV-positive preson their status if the doctor believes the infected person poses a risk of transmission
  • Individuals aware of their HIV-positive status should inform sexual partners and observe instructions on preven tion and treatment.
  • Compulsory HIV tests for people convicted of drug abuse or possession of medical instruments associated with drug abuse, people charged with sexual offences such as rape, defilement, as well as sex workers convicted of prostitution.
  • Routine HIV testing for victims of sexual offences and pregnant women as well as their partners.
  • Every preganant woman who tests HIV-positive is entitled to safe and appropriate anti-retroviral treatment.
  • HIV testing for babies born to HIV-positive mothers and treatment, care for those found infected.
  • Loan/credit/insurance providers should not subject clients to HIV test as a precondition for offering the credit or service.

Africa: PlusNews publishes in-depth analysis of criminalisation throughout the continent

PlusNews, the global online HIV and AIDS news service of the United Nations Integrated Regional Information Networks (IRIN), has published an excellent in-depth analysis of criminalisation in Africa.

A collection of short articles focusing on various aspects of criminalisation in different parts of the continent can be downloaded as a pdf here, or read online here.

They include:

I reproduce here an article providing an overview of the situation alongside a criminalisation map of Africa which they say will be updated once they receive more accurate information from readers in Africa.

 

AFRICA: Will criminalising HIV transmission work?

IRIN/PlusNews

Monday 08 December 2008

Countries in sub-Saharan Africa are looking at a new way of preventing HIV infections: criminal charges. But experts argue that applying criminal law to HIV transmission will achieve neither criminal justice nor curb the spread of the virus; rather, it will increase discrimination against people living with HIV, and undermine public health and human rights.

UNAIDS has urged governments to limit criminalisation to cases “where a person knows his or her HIV-positive status, acts with the intention to transmit HIV, and does in fact transmit HIV”. The reality is that intentional and malevolent acts of HIV transmission are rare, so in most instances criminal prosecutions are not appropriately applied.

In Switzerland, a man was sent to jail earlier in 2008 for infecting his girlfriend with HIV, even though he was unaware of his HIV status, and a Texas court recently sentenced a man living with HIV to 35 years in prison for spitting on a police officer, although the chances of the officer being exposed to the virus were negligible.

Laws making HIV transmission an offence are not new to the developed world, but the trend has been growing in African countries, where higher prevalence levels make such laws all the more attractive to policymakers.

“Africa has burst into this whole frenetic spasm of criminalising HIV,” said South African Justice Edwin Cameron, who is also HIV positive, at the International AIDS Conference in Mexico earlier this year.

In Uganda, proposed HIV legislation is not limited to intentional transmission, but also forces HIV-positive people to reveal their status to their sexual partners, and allows medical personnel to reveal someone’s status to their partner.

Most legislative development has taken place in West Africa, where 12 countries recently passed HIV laws. In 2004 participants from 18 countries met at a regional workshop in N’djamena, Chad, to adopt a model law on HIV/AIDS for West and Central Africa.

The law they came up with was far from “model”, according to Richard Pearshouse, director of research and policy at the Canadian HIV/AIDS Legal Network, who maintains that the model law’s broad definition of “wilful transmission” could be used to prosecute HIV-positive women for transmitting the virus to their babies during pregnancy.

People living with HIV have expressed concerns that the growing trend to criminalise HIV infection places legal responsibility for HIV prevention solely on those already living with the virus, and dilutes the message of shared responsibility.

UNAIDS has warned that using criminal law in cases other than intentional transmission could create distrust in relationships with healthcare workers, as people may fear the information will be used against them in a criminal case. Such laws could also “discourage HIV testing, since ignorance of one’s status might be perceived as the best defence in a criminal law suit.”

Some policymakers have called for HIV legislation as a means to protect women from HIV infection, but the irony is that sometimes these laws may result in women being disproportionately prosecuted. Many women find it difficult to negotiate safer sex or to disclose their status to their partner.

What are the alternatives? UNAIDS recommends that instead of applying criminal law to HIV transmission, governments should expand programmes proven to have reduced HIV infection. At the moment, there is no information indicating that using criminal law will work.

Canada: Another Ontario man accused of HIV exposure

A 24 year-old migrant has been arrested in a suburb of Toronto accused of aggravated sexual assault because he did not disclose his HIV status to a 21 year-old woman with whom he had consensual sex earlier in the year.

Although bloggers suggest the man is from Ethiopia, this is not clear in the Canadian reports, of which the one from CityNews is typical, which appear to be based on a police press release ‘fishing’ for more complainants.

Man Accused Of Knowingly Spreading HIV To Woman
Tuesday June 24, 2008
CityNews.ca Staff

A 24-year-old Brampton man is charged in a terrible case of aggravated sexual assault. But it’s what police say Yonatan Gezahegne Mekonnen didn’t tell his alleged 21-year-old victim that has cops worried.

Police contend the couple engaged in consensual sex back in January and February of this year, and that the accused was well aware that he was HIV positive at the time of the encounters – but never told the woman.

They accuse him of exposing her to the disease despite knowing he could easily pass it on to her – and by extension anyone else she may have been seeing. He was arrested on Thursday on two counts of aggravated sexual assault and made a court appearance last Friday.

But now cops are worried that other young women may have fallen under his spell and been exposed to the dangerous virus. They’re looking to speak to anyone who has had contact with Mekonnen in more than a casual way.

If you think you may have crossed his path, call the Peel Police Special Victims Unit at xxx-xxx-xxx or anonymously to Crime Stoppers at xxx-xxx-xxx.

US: Delaware considers mandatory HIV testing for alleged sex offenders

The US state of Delaware is proposing mandatory HIV testing of alleged sex offenders, within 48 hours of their arrest, if the alleged victim, or court, asks for it.

Unlike the existing law, the bill does not require that the state actually show some possibility that the virus may have been transmitted before requiring testing. The bill also authorizes testing around the time of arrest, instead of around the time of arraignment.


It’s not clear if this is primarily for the purposes of ascertaining whether PEP (post-exposure prophylaxis) might be necessary for the alleged victim – which can be the only ethical reason for a change in the law.

Although PEP is thought to be most effective when taken within a few hours of exposure, current guidelines have a recommended maximum window of 72 hours from exposure, so the alleged attacker would have to have been arrested immediately after for that specific purpose.

However, an HIV antibody test would not be accurate enough to detect whether the alleged offender was recently infected with HIV himself (making him much more likely to expose his alleged victim to high enough levels of HIV to transmit the virus).

In any event, PEP should be offered to all alleged victims of sexual assault regardless of the perceived status of their alleged attacker.

One wonders whether the charges would be harsher if the alleged offender did not know his HIV status and transmitted HIV, or did know his HIV status but did not?

However, the story, from the Associated Press, via delmarvanow.com, hints that the change in law is primarily for political, funding reasons.

Supporters say passage of the bill would allow the state to continue to receive up to $500,000 a year in federal grants through the Violence Against Women Act.

DELAWARE: HIV testing eyed for accused sex offenders
June 5, 2008
Associated Press

DOVER — A Delaware House committee has released a bill that would strengthen HIV testing for accused sex offenders.

The bill requires an accused sex offender to submit to HIV testing within 48 hours of arrest, in response to a request from the alleged victim or a court order.

Defendants, including those whose initial tests were negative, also would have to submit to follow-up tests as deemed appropriate.

Unlike the existing law, the bill does not require that the state actually show some possibility that the virus may have been transmitted before requiring testing. The bill also authorizes testing around the time of arrest, instead of around the time of arraignment.

Supporters say passage of the bill would allow the state to continue to receive up to $500,000 a year in federal grants through the Violence Against Women Act.

UK: Scottish man accused of criminal HIV transmission; sensationalist reporting

I am incensed and outraged that journalist Charles Lavery (c.lavery@sundaymail.co.uk) has written, and the (Scottish) Sunday Mail has published, the article below.

It features an interview from a complainant in an ongoing criminal HIV transmission investigation which names the man he believes infected him with HIV. As far as I can tell, the man is only under investigation, and this article appears to be libelous (should it not say “allegedly infected”?) and obviously prejudicial.

It is also not clear how the quotes attributed to the accused were obtained (were the recordings legal?), and the language used in the article (“sex predator”, “deadly fullblown AIDS”) is inaccurate and, obviously, stigmatising.

I understand how distressed and angry ‘Alan’ must be to discover he is now HIV-positive, but going to the gutter press as well as the police is so incredibly counterproductive: doesn’t he realise that he is only adding to the stigma of his own HIV infection?

I urge any readers who feel similarly incensed to email Mr Lavery and/or comment on the paper’s website.

My lover didn’t tell me he had HIV
Mar 30 2008
By Charles Lavery
Exclusive: Dad Says Sex Predator Gave Him Disease

A SEXUAL predator who infected a father-of-three with HIV is being investigated by police.

[Full name of man], 40, admits he did not tell his unsuspecting victim he had been diagnosed as HIV positive six years ago.

[Name of man] – who could face five years in jail for his deadly deceit – still trawls gay websites for “one-on-one sex” while police examine his sexual history.

They fear he could have slept with – and potentially infected – dozens of partners.

Police now face the difficult task of trying to track down his conquests, who will be offered HIV tests and counselling.

His victim Alan, whose identity we are protecting, tested negative for HIV two weeks before he met martial arts expert [Name of man].

Alan, 32, said [Name of man] assured him he was also clear of the disease – which can go on to develop into deadly fullblown AIDS.

But after being tipped off that [Name of man], of [town in Scotland], had the virus, Alan arranged another test and was told he too was HIV positive.

He said: “[Name of man] never had the decency to tell me he was a carrier. He has stolen 20 years of my life.”

In a taped confession [Name of man] admits:

“I gave him HIV. I have had a dozen sexual partners since I was diagnosed six years ago and I have told each and every one of them. Why I didn’t tell Alan I don’t know.

“I always meant to and then we had sex. By that time it was too late.”

The pair met on the Chatterbox UK website and struck up a friendship before arranging a date.

Alan says he asked about safe sex but [Name of man] told him he had been given the allclear so there was no need.

[Name of man] is still listed on various online gay exchange networks looking for sex. Alan told the Sunday Mail:

“[Name of man] told me he was clean because I asked him outright.

“He is a fit-looking guy who goes to the gym and has a good body for his age but that’s all to mask his illness.

“I know I was clear before I met him as I take regular health checks because of my lifestyle.”

Alan’s life fell apart when he got an email from one of [Name of man]’s friends asking: “How’s your health?”

He said: “I replied, ‘What do you mean?’ His reply made my heart stop.

“It said, ‘How are your bloods?’

“I called [Name of man] and he said he couldn’t bring himself to tell me because he couldn’t bear to lose me.

“His family and friends all knew too but they told me they assumed I must be HIV positive too.

“I have been at their home eating Sunday dinner and listened to them telling [Name of man] what a nice couple we make.”

Within 24 hours of the bombshell email Alan had been diagnosed as HIV positive. A counsellor broke the news over the phone.

He said: “I spent three weeks in my bed after that phone call. He never had the decency to tellme he was a carrier.”

Last Sunday Alan walked into a police station in Glasgow and made a formal complaint.

But [Name of man]’s profile was still on networking site Gaydar, advertising for one-night stands and claiming he would “discuss” the use of condoms with any sex date.

He describes himself online as “single, fit, honest and looking”.

Alan said: “How many more are there like me? He was always online and always off meeting new people. I can only assume they too are none the wiser.

“I want to stop this man doing this to people. It’s too late for me but not for the people he is planning to meet.

“I want the world to know this guy is HIV positive and sleeping around. I hope he goes to jail for a long time. He has robbedme ofmy life – what price do you put on that?”

We tracked [Name of man] down last week to a flat he rents in Paisley.

He said: “I probably gave him it but until it’s proved I don’t want to say anything. He might have had other partners.”

Strathclyde Police said: “A 32-year-old man has made a complaint. Inquiries are continuing.”

‘I hope he goes to jail for a long time ..he has robbed me of my life’ VICTIM ALAN

MAILFILE

HIV (Human Immunodeficiency Virus) attacks the body’s ability to defend against disease. An all-timehigh 73,000 people in the UK are infected. AIDS (Acquired Immune Deficiency Syndrome) is the latter stages of HIV when the sufferer has a life-threatening illness, such as pneumonia. For advice, call the Terrence Higgins Trust on 0845 1221 200 or the National AIDS Helpline on 0800 567123.

SUNDAY EMAIL

c.lavery@sundaymail.co.uk

Senegal: IAS outraged at arrest of gay HIV prevention workers

The International AIDS Society has issued a statement following the arrest of ten individuals some of whom are HIV education and prevention workers.

The full statement is below.

Statement on the Criminalization of Sexual Orientation in Senegal
19 February 2008 (Geneva, Switzerland / Abuja, Nigeria)

As the principal convener of the International AIDS Conference, and as an organizing partner of the International Conference on AIDS and STIs in Africa (ICASA), the International AIDS Society (IAS) is firmly committed to an evidence-based response to the HIV/AIDS epidemic, based on sound science. It is therefore with great concern that we note recent developments in Senegal that led to the arrest of 10 individuals based on their sexual orientation, some of whom are HIV education and prevention workers in Senegal.

The IAS is the world’s leading association of HIV professionals, with more than 10,000 members working at all levels of the global response to HIV/AIDS. Our members represent scientists, clinicians, and public health and community leaders on the frontlines of the epidemic in 171 countries worldwide.

The Society for AIDS in Africa (SAA) is an independent association of HIV professionals in Africa, and the custodian of ICASA, the biennial regional AIDS conference in Africa. The next ICASA is scheduled to be held in Dakar, Senegal, in December 2008. Specifically for this reason, and to echo recent statements made by human rights organizations, IAS and SAA express our deep concern with the recent arrests in Senegal.

Senegal has long been viewed as a model, given its success in controlling HIV/AIDS, which has affected other parts of Africa so severely. The success of the Senegalese response to HIV/AIDS has been the country’s ability to involve all segments of society as part of the national efforts on HIV education, prevention, care and treatment. Senegal is a country with strong faith traditions. And through tolerance and faithful collaboration, public health leaders in Senegal have long been able to work with socially marginalized populations such as commercial sex workers, migrant workers, and men who have sex with men, to create model HIV prevention programs. Central to this success is that Senegalese HIV programs have not discriminated against individuals based on sexual orientation. This approach in Senegal is a model for much of the world, and has proven successful despite concerns of some political and ideological leaders.

From the perspective of science and sound public health policy, the IAS believes that all countries around the world must work respectfully with all segments of their population to stem the tide of inequality and to support disease prevention. Criminalizing sexual orientation has never led to positive results – and has never shown to reduce the transmission of sexually transmitted infections, including HIV/AIDS. Evidence shows us that criminalizing and discriminating against any group of individuals only serves to fuel the HIV/AIDS epidemic by denying services and relevant prevention messages.

“The arrest of these men, based purely on their sexual orientation, is completely unfounded, and represents a major setback for the Senegalese response to HIV, which is widely viewed as a model in Africa,” said IAS President Dr. Pedro Cahn.

The Society for AIDS in Africa, the custodian of ICASA, considers Senegal as a model of best practices for AIDS work in the continent, but opposes any form of discrimination against individuals based on sexual orientation.

IAS would like to continue supporting the upcoming ICASA Conference in Dakar, Senegal, in December 2008. IAS and SAA would be better assured of the appropriateness of their continued support if it were to be made clear that those arrested recently in Dakar, primarily based on their sexual orientation, will not be charged as criminals. It would be further reassuring to know that the individuals who have been arrested, and their peers, are still welcomed to work alongside Senegalese public health officials on all aspects of HIV/AIDS programming in their country.

Egypt: More HIV-positive men arrested

The BBC NEWS website is reporting that four more men suspected of being HIV-positive have been arrested in Egypt, bringing the total to twelve. For more on this appalling human rights violation, see this post.

“These cases show Egyptian police acting on the dangerous belief that HIV is not a condition to be treated but a crime to be punished.”
Gasser Abdel-Razek
Human Rights Watch

Egypt police ‘widen HIV arrests’
 Published: 2008/02/15 16:28:10 GMT

Egyptian police have arrested four men suspected of being HIV positive, bringing the total detained in a recent crackdown to 12, rights groups say.

Human Rights Watch (HRW) said last week that HIV-positive Egyptian men had been chained to hospital beds and forced to undergo tests for the virus.

The latest arrests took place after police followed up information coerced from men already detained, HRW said.

The Egyptian interior ministry has not responded to the allegations.

In a joint press release, Amnesty International and HRW warned that Egypt’s efforts to prevent the spread of the deadly virus could be seriously damaged by the arrests.

“This not only violates the most basic rights of people living with HIV. It also threatens public health, by making it dangerous for anyone to seek information about HIV prevention or treatment,” said Rebecca Schleifer, who works on HIV/Aids issues at HRW.

Two of the newly-detained men tested positive for HIV, and are awaiting further hearings, HRW said.

Homosexuality ‘tests’

The rights organisations say a wave of arrests began in October 2007, when two men were arrested after a scuffle in central Cairo.

When one said he was HIV-positive they were taken to the police branch which deals with issues of public morality, HRW said.

Both men said they had been beaten for refusing to sign statements written by the police and subjected to anal examinations to “prove” that they had engaged in homosexual conduct, the group said.

Two more men were arrested when police found their photographs and contact numbers in the wallets of those detained, HRW said.

All four men, who have not been identified, remain in custody pending a prosecutor’s decision on possible charges.

Four further arrests were made in November when police raided the flat of one of those being held, which had been placed under surveillance, HRW reports.

Those four men were sentenced to one year in jail in January having been convicted of “habitual debauchery”, which Human Rights Watch says is a euphemism used to penalise consensual homosexual acts.

Their lawyers claimed the prosecution had produced no evidence against the defendants, who pleaded not guilty.

All those who have tested positive have been held, chained to their beds, in Cairo hospitals, the rights groups said.

While not explicitly referred to in Egypt’s legal code, homosexuality can be punished under several different laws covering obscenity, prostitution and debauchery.

Egypt has come under repeated criticism by both human rights groups and the international community for its treatment of homosexual people.

“These cases show Egyptian police acting on the dangerous belief that HIV is not a condition to be treated but a crime to be punished,” Gasser Abdel-Razek, HRW’s acting director of regional relations in the Middle East, told the BBC.

Singapore: Government plans to criminalise ‘risky sex’ without prior disclosure

An interesting article from Bloomberg (which is usually more associated with business news than with HIV policy) on Singapore’s worrying plans to criminalise people who do not disclose they have previously had “unsafe” sex, and have “reason to believe” they may be HIV-positive, previously reported here last September.

Offenders would face as much as 10 years in prison and a S$50,000 fine. Penalties for those who know they’re HIV-positive and don’t inform their partners, already a crime under legislation that took effect in 1992, would be increased to the same level. No one has been prosecuted under the existing law.

Enforcement would depend on an aggrieved partner filing a complaint and prosecutors proving that a defendant had a history of high-risk sexual behavior.

HIV Ignorance Is No Defense in Singapore Plan to Curb Risky Sex

By Simeon Bennett

Feb. 12 (Bloomberg) — Every weekend, men from Singapore take a one-hour ferry ride to Indonesia’s Batam Island for cheap golf, beer and sex.

About S$70 ($49) hires an island prostitute for the day, compared to just an hour with a Singapore hooker. The trade has contributed to a doubling of Singapore’s HIV infection rate in the past 10 years, the government says.

The city-state proposes to curb infections by making it a crime for those who engage in such unsafe practices, and thus have “reason to believe” they may be HIV-positive, to have sex without informing their partners of the risks. United Nations groups and AIDS activists say that would violate human rights and increase infection rates by encouraging anonymous sex.

“Stigma and discrimination are major drivers of the HIV epidemic,” Dr. Roy Chan, president of the Singapore advocacy group Action for AIDS, said in written comments on the legislation, which may be considered by parliament this month. “The net effect will be poorer control of HIV infection.”

The government disagrees, saying the bill would encourage people to get tested and avoid risky behavior such as having unprotected gay sex or frequenting prostitutes. Violators may be prosecuted even if they don’t test positive for HIV.

“We’re trying to find a way essentially to ask them to be responsible for their own actions,” said Koh Peng Keng, the Health Ministry’s senior director of operations. “There is a greater impetus to get more people to come forward for testing.”

No ‘Witch Hunt’

Offenders would face as much as 10 years in prison and a S$50,000 fine. Penalties for those who know they’re HIV-positive and don’t inform their partners, already a crime under legislation that took effect in 1992, would be increased to the same level. No one has been prosecuted under the existing law.

Enforcement would depend on an aggrieved partner filing a complaint and prosecutors proving that a defendant had a history of high-risk sexual behavior.

“It’s never the intention to go on a witch hunt,” Koh said. “It’s going to help in public education.”

The government also plans to double spending on AIDS prevention programs to S$8 million annually for the next three years, he said.

Zack, a self-employed electrical engineer who suspects he contracted HIV from a prostitute, isn’t convinced of the government’s motives, especially considering that gay sex is illegal in Singapore.

“People are going to hide,” said Zack, 36, who spoke on condition his real name not be used for fear of losing his business.

Infected for Years

Singapore’s HIV infection rate has doubled in the past 10 years. About 1 in 10,000 people were newly infected in 2006, compared with fewer than 0.5 in 1996, according to government statistics. More than half of those diagnosed in 2006 also had AIDS, indicating they’d been infected for years without knowing it, Koh said.

In total, about 7 of every 10,000 people in Singapore have HIV, the government says.

UNAIDS estimates the rate may be as high as 30 once undiagnosed cases are included. That’s higher than estimated infection rates in other developed Asian nations such as Japan and South Korea. Singapore’s rate is lower than in neighboring nations, including Malaysia and Thailand.

The UN agency calculated its figure from government data for high-risk groups — including prostitutes and their customers, gay and bisexual men, and intravenous drug users — and statistics provided by HIV and pregnancy clinics.

UN Opposition

Seema Paul, chief policy coordinator for Geneva-based UNAIDS, said the Singapore bill would force people to get HIV tests, putting them at risk of discrimination and violence if others learned they were HIV-positive.

“We have consistently advocated that HIV testing should be voluntary,” she said in an e-mail.

Stuart Koe, chief executive officer of media company Fridae Ltd., said those who contract HIV won’t disclose the names of their partners to doctors for fear of being prosecuted, and that will contribute to spreading the disease.

“There’ll be a lot of unexpected negative effects,” said Koe, who works with AIDS support groups in Singapore and whose company runs a gay Web site.

The groups primarily responsible for spreading HIV in Singapore are men who visit prostitutes, and gay and bisexual men, the government says.

Refusing Condoms

In Batam, brothels occupy storefronts scattered among homes, shops and bars like the PP Banana Laptop Lounge. Pimps ply their trade wherever foreigners are found.

The AIDS rate in the province including Batam is the third- highest in Indonesia after Papua and Jakarta, the national AIDS commission said on its Web site.

Ayu, a 28-year-old prostitute, said most of her clients are married Singaporean men and not all practice safe sex.

“Sometimes the customer does not want a condom,” she said, her purple eye shadow sparkling under neon lights. “I cannot force.”

Like many Indonesians, Ayu uses only one name.

Koh said the government works with activist groups to educate men before they get on the Batam ferry. Those efforts include handing out condoms and HIV prevention information.

“There’s this huge reservoir of people who are HIV-positive and may not know,” he said. “Once someone knows they’re positive, typically they change behavior.”

Australia: HIV-positive sex worker pleads guilty; NAPWA comments on stigmatising handling of case

The HIV-positive male sex worker named and shamed by Canberra health officials last week has pleaded guilty to providing a commercial sexual service while knowing he was infected with a sexually-transmitted infection (i.e. HIV) and failing to register as a sex worker.

The story is widely reported in the Australasian press, primarily via a report from the AAP.

The report says that it is illegal, under Australian Capital Territory (ACT) laws, to provide or receive commercial sexual services if the person knows, or could reasonably be expected to know, that he or she is infected with an STI. It is also illegal to work as a prostitute in the ACT without being part of a brothel or escort agency which is registered with the Office of Regulatory Services.

The man is expected to be sentenced on March 20th.

Australia’s National Association of People Living with HIV/AIDS (NAPWA) have strongly criticised the way Canberra’s public health officials handled the case, according to a report in Australia’s national gay and lesbian paper, SX, reports:

“The appropriate public health approach has not been followed in the case of Mr Hector Scott; instead he’s been subjected to trial by media … It appears ACT Health has panicked and bypassed the significant public health interventions at its disposal, choosing instead to refer this case to the police. This is not helpful … it perpetuates stigma against people with HIV, and it discourages people at risk of HIV from testing and treatment.”

NAPWA also slammed the decision by the ACT chief health officer to release personal details about the accused to the media. “For a government agency to release personal and confidential information in this way has been a great shock and affront to many of us … It is dangerous to the individual, dangerous to those who are by implication connected to his alleged activities, and dangerous for anyone living with HIV to see human rights and personal dignities trampled over in this way.”

Azerbaijan: 18 year-old girl accused of HIV transmission; UNICEF ‘alarmed’

Two reports from Azerbaijan news agencies are highlighting the case of 18-year-old Elnara Ahmadova, who faces sentencing tomorrow for ‘deliberate’ HIV transmission. The reports are somewhat confusing, but suggest that Elnara was diagnosed five years ago, and is/was a sex worker from an early age.

UNICEF has issued a statement which says it is “alarmed by the fact that the girl who is a victim of human trafficking, prostitution and pornography is being treated as a criminal.”

This report is from the Azeri-Press Agency.

Court to deliver sentence on case of Elnara Ahmadova accused of deliberately infecting 200 people with HIV in Azerbaijan

05 Feb 2008 17:30

On 6 February Nasimi district court will deliver a sentence on the case of an 18-year-old HIV-infected girl Elnara Ahmadova, facing criminal charges of deliberately infecting 200 people with the HIV. The court told APA that the trial will be held in the second half of the day.

Elnara Ahmadova faced charges under Article 140.1 (deliberately infecting a person with the HIV) of the Criminal Code. The person facing these charges may be punished by correctional labour up to two years, restriction of freedom up to two years, or imprisonment up to one year.

UNICEF Azerbaijan Country Office issued a statement concerning the trial of Elnara Ahmadova. “UNICEF is concerned that the girl child affected by the situations of sale, prostitution and pornography continued to be treated not as a victim, but as a perpetrator without any special protection. It is also regretful that the circumstances in which the minor girl was involved in prostitution could not be clarified,” the statement says.

UNICEF believes that children alleged to have committed crimes while they were children should be considered primarily as victims of adults who have broken international law by recruiting and using children in sexual exploitation in the first place, and that these children must be provided with assistance for their social reintegration.

“If in contact with a justice system, persons under 18 at the time of the alleged offense must be treated in accordance with international juvenile justice standards which provide them with special protection. UNICEF calls for making all efforts to ensure the human rights and dignity of the girl victim and provide her with every opportunity available for rehabilitation and protection against all kinds of discrimination and stigmatization,” the statement says.

This shorter report is from Trend News Agency.

UNICEF Alarmed by Conviction of Azerbaijani AIDS Carrier Girl
05.02.08 18:14

Azerbaijan, Baku, 5 February / Т corr F. Rzayev / The International organization UNICEF expressed its concern over the conviction of an Azerbaijani girl Elnara Ahmadova, 18, who is accused of deliberating spreading the HIV/AIDS infection.

“UNICEF is alarmed by the fact that the girl who is a victim of human trafficking, prostitution and pornography is being treated as a criminal,” the organization reported on 5 February.

On 6 February, the Nasimi District Court in Baku will voice a verdict on the case of Ahmadova, who is accused of contravening Article 140.1 of the Criminal Code of Azerbaijan (deliberately endangering others through HIV infection).

In 2003, Ahmadova was registered at the AIDS Centre. She was detained in July and accused of infecting over 100 men, mainly between 20-25 years old.