Canada: Two more arrests as Xtra analyses criminalisation laws

In the past few weeks, there have been two further arrests in Canada for sex without condoms and disclosure. In Alberta, a 32 year-old Calgary man faces eleven counts of aggravated sexual assault based on a short-lived relationship he had with a woman over a couple of weeks: he was charged for each time they had sex. And in Ontario, police issued a warning/’fishing expedition’ to women who may have had sex with a 32 year-old Peel man who they arrested and charged with aggravated sexual assault and sexual interference for having sex with someone under-age.

In the first of two articles to be published in Canada’s GLBT paper, Xtra, Dale Smith examines the issues facing HIV-positive Canadians (including those who may be unaware they are infected) as arrests and prosecutions continue unabated.

The Xtra article includes interviews with Alison Symington, senior policy analyst with the Canadian HIV/AIDS Legal Network; Glenn Betteridge, a legal and policy analyst who has done work with the Ontario HIV Treatment Network; Isabel Grant, law professor at the University of British Columbia; and Barry Adam, senior scientist and director of prevention research with the Ontario HIV Treatment Network.

Highlights include these quotes:

“Canada was one of the first countries to start laying charges with respect to HIV exposure or transmission. It was the first Supreme Court in the world that had ever considered the issue.”

Alison Symington on Canada’s role as world leader in criminalisation.

“We’re starting to understand more and more about the likelihood of transmission of HIV, and it’s not as high as I think some people assume that it is. Particularly if there’s anti-retroviral medications, it’s not immediately obvious that one act of sexual intercourse is likely to cause someone’s death. I think it’s a real stretch to make this murder, not only on policy grounds, but also on the narrow interpretation of Section 231.”

Isabel Grant on the lack of relevance between sexual HIV transmission and Section 231, which says that death as a result of aggravated sexual assault becomes first-degree murder.

“My worry is that the courts’ fixation on the issue of disclosure presumes that they’re discouraging transmission, but I don’t think that it works out in real life quite the way they think it does. People who disclose actually have a poorer record of safe sex than those who don’t, and [that] makes a certain amount of sense because disclosure is about trying to figure out if you can sero-sort or not, to find out if the other person is the same sero-status that you are. It becomes an invitation for unsafe sex.”

Barry Adam on why mandating disclosure is harmful.

“The law says that if you are suspicious, and you deliberately close your mind to the possibility of finding out, that’s considered wilful blindness and we treat you the same way as if you know. In this context, let’s say I’m not going to get tested for HIV because I really don’t want to know if I have it, because then nobody can charge me for passing it on. If that suspicion arises in your mind, and you deliberately close your mind to finding out, the law says you’re just as blame worthy.”

Barry Adam on not testing to avoid prosecution.

To read the full article on the Xtra website, click here.

Africa: HIV Laws Do More Harm Than Good by Miriam Mannak (IPS)

I received an email last week from Miriam Mannak, a freelance writer based in Cape Town, South Africa who keeps on blog on AIDS in Africa. She recently contributed this excellent piece on the spectre of criminalisation on her continent to the Inter Press Service News Agency, whose mission is to give voices to the voiceless.

 

AFRICA: HIV Laws Do More Harm Than Good by Miriam Mannak (IPS)

CAPE TOWN, Jul 30 (IPS) – In Sierra Leone, a mother who transmits HIV to her child can be fined, jailed for up to seven years, or both. Human Rights Watch reports that in 2008, several men were arrested in Egypt simply for being HIV positive. New legislation is currently being discussed in Angola that could lead to a three to ten year jail sentence for those who knowingly pass on HIV.

The legislation is inspired by a September 2004 workshop organised by the influential reproductive health organisation Family Health International developed an “African Model Law” intended to protect those who are infected and exposed to HIV.

But various civil society organisations fear that these legislative measures will hurt more than help the fight against HIV/AIDS.

Discourages testing, delays treatment

“If being HIV positive is being regarded as a crime, people will be less likely to get themselves tested,” said Johanna Kehler, director of the Aids Legal Network (ALN) – a South African non-governmental organisation that aims to protect the human rights of people living with and affected by HIV/AIDS.

“This means that they are more likely to spread the disease unknowingly, and will not have access to antiretrovirals that may help to prolong their lives.”

Jennifer Gatsi Mallet – coordinator of the Namibian branch of the International Community of Women Living with HIV/AIDS (ICW), a global network run for and by HIV positive women – agrees with Kehler’s statements.

“The criminalisation of HIV will be yet another reason why people will stay away from testing facilities and clinics,” she said.

The International Planned Parenthood Federation, a global organisation that advocates sexual and reproductive health and rights, counts 58 countries around the world with laws in place to prosecute HIV transmission and 33 others that are considering passing such legislation. Of these, twenty are in Africa.

Women lose more

“Women will be the first ones in line to be prosecuted, as they are more likely to know their status compared to men, simply because they visit clinics more often, for instance during and after their pregnancy,” Kehler explained.

Gatsi Mallet added that in “many parts of Africa, clinics and men are like water in fire. While some accuse health facilities of being unfriendly to men because most of the health care workers are female, others consider visiting as unmanly, especially when it comes to HIV and other sexual related transmitted diseases,” she added.

“They therefore rather prefer to go to traditional healers, whom are in general more male orientated.”

Because women are more likely to discover they are HIV positive, their male partners often blame them for bringing the virus home – regardless of the fact that the infection may well have travelled the other way.

“Women across the world, including in Africa, experience difficulties negotiating safe sex,” Kehler said. “If a man does not want to use a condom, they often are left with no choice.”

Angela from Cape Town, who requested anonymity – contracted the virus a few years ago. “I never had sex with anyone else but my husband, but I suspected that he was sleeping around. I just knew. So sometimes I asked him to use a condom, but he always blatantly refused,” she explained.

“He said that a wife is supposed to trust her husband. When I went for prenatal care two years ago, I was told I was HIV-positive. After confronting my husband, he accused me of sleeping around and of infecting him. He threw me out of the house.”

In countries like Egypt, such an accusation could lead to prosecution. The same is true in Togo, where HIV-positive people are prohibited by law from having unprotected sex, regardless of whether they have disclosed their status to their partner.

“In case of prosecution, women are left in a terribly vulnerable position, as many do not have the resources to, for instance, prove that they were HIV negative before intercourse,” Kehler noted. “Neither can they prove if they did not do it deliberately.”

Laws against mother to child transmission (MTCT) should also be banned, the ALN argues.

An HIV-positive mother can pass the virus to her child during pregnancy, whilst giving birth, or through breast feeding. Of the 370,000 cases of MTCT each year, about 90 percent occur in Africa, according to UNAIDS.

In countries like Guinea, Guinea-Bissau, Mali and Niger, a mother can be criminally charged if she does not take steps to prevent HIV transmission to baby, including taking antiretrovirals during the pregnancy.

MTCT is almost entirely preventable, by taking antiretrovirals and giving birth in a sterile environment. Breast feeding poses certain risks: WHO studies indicate that a mother who is HIV positive risks passing the virus on to her child. But in certain situations – for example where a mother does not have access to clean water to mix formula and sterilise bottles, but is on antiretrovirals – exclusive breastfeeding is recommended.

Formula-fed babies in developing countries are six times more likely to die from diseases like diarrhoea and respiratory infections than breast-fed babies, according to WHO.

“The problem is that many African women do not have access to proper health care facilities and cannot afford formula,” Kehler said. “These are things governments should provide. If they fail, they should be the ones that are to be held accountable for MTCT.”

SIDEBAR: Who’s responsible for MTCT?Chantelle Heunis* from Overcome Heights – an informal settlement near Cape Town – was infected by her now ex-husband with the disease in 1999. At the time she was pregnant with her second daughter.

“I only found out after my baby was three months old, after I went for a check-up as she was ill due to lactose intolerance. The nurse offered to test me for HIV – which was not a routine procedure back in the days. The results came back positive.”

The next step was to test the baby. “It was dreadful, but thank god she was found HIV negative,” Heunis said. “She is ten years old now, and as healthy as can be.”

According to Heunis, it should not be allowed for women to be punished for MTCT. “I was lucky because I was in good hands, but many women do not have this privilege. They transmit the virus through unhygienic birthing practices, for instance, or because they do not have access to ARVs to prevent MTCT.”

She also rejects the notion that HIV positive women should not be allowed to have children. “It is within our rights to have children. Besides, if a mother is HIV positive, that does not mean the baby is also.”

* not her real name.

New Zealand: ‘HIV predator’ case increases testing and stigma

Following the intense media reporting of the alleged ‘HIV predator’ case, the New Zealand AIDS Foundation reports that the case has increased stigma against people already living with HIV, and also increased the number of people coming forward for HIV tests.

The New Zealand Herald quotes NZAF’s national communications co-ordinator Dawn O’Connor.

“While people in New Zealand are aware of the need to get tested the media interest has created a stigma and discrimination against people living with HIV,” she said yesterday.

It then goes on to try and assess the number of HIV tests taken up since the man’s name and photo was released last month.

The NZAF would not say how many tests it had carried out, “out of respect for its clients and their right to confidentiality”, but confirmed a marked increase in demand for HIV testing and counselling compared with this time last year. […] HIV support group Body Positive said 25 to 30 people had now been tested. Craig Webster, a social worker for the agency, said calls continued to come in from all over the country, averaging five to 10 per day.

It’s a conundrum that challenges those who argue that criminal HIV exposure and transmission laws and media reports of prosecutions increase HIV-related stigma and, therefore, have a negative effect on testing.

From the research I’ve been reading and digesting recently, there really is no proof at all that criminal laws or media reports about prosecutions dissuade people at high risk of HIV from taking an HIV antibody test. Although in some cases they might actually persuade some people to test, and in others, may dissuade someone who is highly aware of their actions and the legal repercussions not to test, their aggregate effect on testing is probably neutral.

A colleague who studies the behaviour of people with, and at risk of, HIV in the UK said to me recently that claiming that criminal laws and prosecutions put people off from testing “ascribes too much cool calculation to people who are generally getting on with their lives, and not wanting to think much about HIV.” I think she’s right: there are plenty of reasons why people don’t test for HIV but for most people, worrying about being arrested doesn’t register on the radar at all. HIV is already so stigmatised that the additive effect of being criminalised once you know your HIV-positive status is unlikely to be a significant deterent. This suggests to me that the links made between stigma and testing are perhaps not quite as straightforward as some advocates argue.

However, there is no doubt that for people already diagnosed with HIV criminalisation palpably increases the stresses and fears of living with HIV – and adversely affects their decisions to disclose and take sexual risks – but that is not necessarily the same as putting people off testing.

If anyone knows of studies from outside of the US (I am aware of two: Burris et al, 2007 and Wise 2008) and the UK (summarised in Chalmers 2008) that measure the impact of criminalisation on HIV testing, please let me know!

Editorial: Burden of HIV disclosure falls on Uganda’s women

An article in today’s Toronto Star highlights the heavy burden that HIV-positive women will carry under Uganda’s proposed HIV/AIDS Prevention and Control Law.

In the article, children’s rights activists, Marc and Craig Kielburger, note that many HIV-positive women in Uganda – who are likely to be tested before their husbands as part of ante-natal screening – face violence and even death for disclosing their HIV status to their husbands. They highlight the fate of Glorius Kyarihunda, 25, who was murdered by her husband within days of disclosing her HIV status to him.

According to the Ugandan branch of the International HIV/AIDS Alliance, Glorius was one of five women murdered in 2008 under similar circumstances. Thousands more suffered abuse or eviction. In a survey of just one district by ActionAid Uganda, 100 out of 465 women said they experienced domestic violence as a result of disclosing their status.Disclosure is not only difficult, it’s dangerous. Yet, just months after Glorius’ death, the Ugandan Parliament is debating a bill that gives a person six weeks after testing positive to tell their partner before the government does.

Given the inequalities in both inter-personal relationships, and the legal status of women in Uganda, this is simply unfair, they argue given:

the rules of predominantly male-dominated societies leave women unable to negotiate condom use or family planning. Many men, like Glorius’ husband, hold their wives responsible for infection.

The article then goes on to critique other criminal HIV transmission laws in Africa:

In Togo, anyone who doesn’t use a condom in “all risky sexual relations” is breaking the law while Guinea requires mandatory testing before marriage. In Zimbabwe, a woman was convicted for “deliberately infecting another person.” Her lover has never tested positive for the virus. In Sierra Leone, women can also be criminalized for exposing their infants to HIV.

That this anti-criminalisation article was published in a Canadian paper is somewhat ironic given the number of prosecutions taking place there, but then there is often a lack of joined-up-thinking in many low-prevalence countries when it comes international concern about AIDS and domestic HIV policies.

US: Iowa’s criminal HIV transmission law placed under the microscope

A series of articles published this week in the Iowa Independent, have scrutinised Iowa’s poorly-written, erroneously named ‘criminal transmission of the human immunodeficiency virus’ law (transmission is not required to be found guilty) following the May sentencing of 34 year-old Nick Rhoades to 25 years in prison after he pleaded guilty to a one-off act of non-disclosure with another man he met online. The articles suggest that there is a growing, grass-roots movement to reform the law, confirmed by a regular reader of my blog from Iowa, who tells me “some disparate elements are forming to get this law off of Iowa’s books. My state senator seems to be on board and hopefully we can all get ourselves together to form a lobby by this fall to ready ourselves for the legislative session in January.”

Journalist Lynda Waddington’s first article for the Iowa Independent, published last Monday, focuses on the Rhoades case and the history of Iowa’s HIV-specific law passed in 1998, the same year that Mr Rhoades was diagnosed HIV-positive. Since then, 36 people have been charged of whom 24 have been convicted. Ten men and two women are currently in an Iowa prison serving sentences up to 25 years for this ‘crime’.

She critiques the law for being poorly-written, allowing it encompass sexual acts with a “minuscule risk of transmission — such as kissing”. She then writes:

Further, Iowa law not only mandates informed consent of the specific act, but for the person consenting to have knowledge “that the action of exposure could result in transmission.” While this particular phrase could have been added as a protection for individuals with mental deficiencies, could it also be used to prosecute someone who engaged in a low-risk intimate activity without realizing that the activity could potentially result in transmission?

Indeed, sources close to the Rhoades case have informed me that oral sex was the only HIV transmission risk that occurred between the two men, although the Court is vague on this, and the police report too squeamish to mention anything other than “intimate contact”.

In her second article, published on Wednesday, Waddington examines further the impact of this law in Iowa, which she notes has been upheld by the Iowa Supreme Court three times.

She quotes Rhea Van Brocklin, community relations director for the AIDS Project of Central Iowa who states that the law does not appear to dissuade people at high-risk of HIV from testing:

“It could be hearsay within the community that people are afraid to get tested because of the law, but our agency specifically hasn’t seen that,” she said. “In fact, we doubled our testing numbers in 2008. We had a goal to test between 400 and 500 high-risk individuals and we tested about 800 last year. What we see is that people are taking HIV seriously and they want to know their status.”

[This is extremely interesting since I’m currently researching the claim made by many anti-criminalisation advocates that criminal HIV transmission laws deter people from testing, and, from what I am reading, there is no evidence to support these claims.]

The rest of the second article explores whether Iowa’s law should be revised or repealed. She interviews former Iowa representative, Ed Fallon, who voted for the law in 1998, but who now “believes that it might be time for the state to revisit criminal transmission laws.”

“It seems to me that since it is now 11, almost 12, years later, it wouldn’t be bad time to take a look at it again,” said Fallon, who admits he had some reservations before casting his affirmative vote for the bill. “I can think of so many bills we worked on that in the following year, or a few years later, we were rewriting or revisiting. … So, yes, surely the are some tweaks or changes that the legislature could consider relevant to this law, especially with all the new knowledge we have of the disease.”

He recalls that the impetus to pass the law was based on the State accessing Ryan White HIV funding from the Federal Government. However, the homophobia that informed the banning of gay marriage in the same legislative session may also have played a role.

“Certainly, in terms of that conversation, AIDS was a ‘gay disease,’ and we had to crack down on the lifestyle that helped spread the disease. So, there may have been a connection [between criminal transmission and same-sex marriage], but I honestly can’t recall if those types of sentiments continued into this debate.”

The discussion around reform or repeal is the subject of Waddington’s third article published on Friday. She interviews Bob Rigg, an experienced academic who is part of a committee examining the reorganising of Iowa’s criminal code, who warns advocates fighting for reform to be careful what they wish for.

“When people start playing around with the criminal code or they start saying that we should amend our Constitution, I’m like, ‘No, we shouldn’t.’ I err on the side of caution,” he said. “If you think what you’ve got is bad, be careful. You just might end up with something even worse.”

He suggests that a more pragmatic (if extremely conservertive), softly-softly approach might produce better outcomes for individuals convicted under Iowa’s ‘criminal transmission of HIV’: let the judges do what they do, but since the prison authorities have leeway to release individuals on parole, it is they who end up deciding how long a 25 year sentence really is.

“Just because a defendant is sentenced to 25 [years], doesn’t mean he or she is going to serve 25. Some of these individuals could be paroled in as little as two.”While state intervention to reduce prison sentences may not be an intended consequence of the initial legislation, Rigg argues that it can have “a moderating effect” on an otherwise extreme sentence.

“It is the judge’s job to sentence them. It is the DOC’s job to evaluate them for release,” he said.

Of course, this doesn’t the address the fact this is still a discriminatory, outdated law. The article ends somewhat downbeat, however, noting that law reform can be a long, long road.

A comment after the last article, from an HIV-positive Iowan, highlights that such long-term goals are absolutely necessary:

If it’s not possible to eliminate the HIV law in Iowa, amend it to add intent; probably most persons in Iowa that know their HIV status (and you have to know it to be prosecuted under the law) are under treatment and extremely low infection risk. When I was considered for prosecution under the law I was defending myself from an assault–I bit someone on the finger (he stuck his finger in my mouth, actually). Now, it’s not likely I could infect someone in the normal way, let alone a finger bite and yet THREE of Johnson County assistant DA’s recommended I be prosecuted under Iowa’s HIV law.

Germany: Nadja Benaissa gives TV interview, claims she’s been blackmailed

Nadja Benaissa, the German pop star who is the highest-profile person ever to have been accused of criminal HIV exposure and transmission yesterday gave her first interview since her arrest – on national TV!

Talking to a very sympathetic Günther Jauch – who also hosts Germany’s ‘Who Wants To Be A Millionaire – on Stern TV, she suggested that she had been blackmailed in the past due to her keeping her HIV status secret, and was now somewhat relieved it was out in the open, despite the traumatic way it had been revealed.

Highlights of the interview, published on Stern.de, are below:

How are you?
I’m HIV-positive. That means I carry this virus inside of me, but I don’t have AIDS. I am taking medication that controls the virus. I look after myself, I work out, I eat well. I am a completely healthy person, even if I’m HIV-positive.

How are you dealing with the fact that your HIV status is now public?
It still feels like a state of emergency. I still can’t just go anywhere and be free and live like a normal human being. I now have this mark. But I am trying to make the best of it.

Have you experienced any angry reactions to the media reports about you?
There have been a few situations. I was called a slut by someone on the plane. “There’s that slut from the newspaper!” I’m really amazed that grown people behave that way.

And how has your family dealt with the situation, especially your daughter?
My daughter knew nothing of my infection until it was published in the newspaper. It’s been a huge shock. My parents had tried keep the headlines away from her. She didn’t go to school for a while. We tried as hard as possible to protect her but it was impossible.

What do you say to the accusation that you have knowingly infected others?
There are these allegations that need to be clarified. There is an investigation by the prosecutor against me. I am working with the authorities to try and clarify these allegations. I can’t comment about the specific allegations, since there’s an active case against me and so I shall say nothing about this. But I am fighting for my rights.

You were in custody for several weeks. Were there moments when you lost courage?
Sometimes people we saying: “Have you heard that they want to give you ten years!” And I’d be sitting there totally defenseless and helpless. And I sometimes thought, “My God, what if I never get out of here?”

Was it difficult to keep your HIV infection a secret for so long?
It was always a strain – this pressure. Because there were always people who wanted it to come out. And I always fought to keep that information to myself. It was very stressful – always keeping my head up high, struggling to keep going. But now it’s out in the open. Now I can no longer be blackmailed.

US: Tennessee woman charged with “aggravated prostitution”, unusually sympathetic reporting

An unusually sympathetic report of the case of a 28 year-old female sex worker from Knoxville, Tennessee, who faces between three and 15 years in prison for being an HIV-positive sex worker, was published today in the local paper, the Knoxville News Sentinel.

The report is probably the most balanced reporting I have ever seen of a case of this type, and the reporter, JJ Stambaugh, is to be congratulated on his report.

[The woman] differs from most of the 525 other known prostitutes arrested in Knox County over the past five years in one significant way: she is HIV-positive. [Her] medical condition means that when she turns tricks for a living she’s committing a felony called aggravated prostitution. Women without HIV face misdemeanor prostitution charges that often add up to no more than probation and a fine. [She] is a repeat offender, having been convicted twice of being an HIV-infected prostitute before she was arrested a third time early this year, records show. Despite the fact that she’s never been accused of any type of sexual assault, her criminal history already means she must register as a sex offender under state law and follow many of the same restrictions as rapists and child molesters.

Through court records, the article details the woman’s difficult upbringing, her drug addiction, her mental health issues, and her previous arrests for prostitution.

She was discharged from prison the second time last November. Her most recent arrest for aggravated prostitution came April 10, when she was picked up on Magnolia Avenue during an undercover sting that netted eight other streetwalkers and their customers. She has since been held at the Knox County Detention Facility, unable to make her $15,000 bond, jail records show.

In addition to a history of homelessness, she has also been diagnosed with a neurological disorder and mental problems that include “flashbacks of being raped while working the streets,” according to her pre-sentence report.

The article then highlights why, despite its intentions to protect the public health, using the criminal law in this way may not be in the best interests of the community.

The state law that classifies women such as [the accused] as sexual predators is – in the eyes of one defense attorney who has represented several women charged with the crime – just another way of hurting the true victims of abuse.

“I understand there is a public policy to control the spread of HIV, but I’m not sure that accelerating prostitution to a felony charge and meting out more severe punishment is the way to deal with the crisis,” said Julie Auer Gautreau of the Knox County District Public Defender’s Office. “I think it’s inherently unfair to treat sick people, mentally ill people and drug addicts as criminals who are intent on endangering the public, because that’s not what they’re trying to do.

“It may be that they, in effect, present a kind of public danger, but in the case of every prostitute I’ve ever represented, you are dealing with somebody who is deeply troubled, who has suffered for years, and whose addiction … is the result of some kind of abuse or mental illness or addiction.”

Knoxville Police Department Sgt. Chris Baldwin said the aggravated prostitution law is a necessary tool for protecting public health.

“If you are aware that you have a disease or condition that could endanger the health of others, it’s no less in my opinion than pointing a weapon at somebody,” Baldwin said. “When a customer is exposed, then everybody he comes into contact with – including innocent third parties like his family – are at risk at well.

“What you’re doing is putting another human being in danger, not just their moral but their physical well-being.”

Baldwin agrees that many prostitutes are in dire need of drug treatment or psychological help, but stressed that the risks to public health are urgent when a hooker becomes infected with HIV.

As a sex offender, Moore can’t take part in some residential drug treatment programs available to other addicts because she’s not allowed to live at any place that also houses juveniles, records show.

“Ideally, our position is that prostitutes would be arrested and go to some kind of treatment or rehabilitation, but that very rarely happens,” he said. “We have to focus on it from the law enforcement perspective. That’s what we’re tasked with.”

Finally, the article also suggests that prosecutions of HIV-positive sex workers for “aggravated prostitution” appear to be selective.

[She] is one of 39 women in Tennessee who are on the state’s Sex Offender Registry because they have been convicted of aggravated prostitution, according to Tennessee Bureau of Investigation spokeswoman Kristin Helm. She is one of only two women in Knox County to have actually been convicted thus far of the charge, although the Knox County Health Department says at least 10 HIV-infected local women are known prostitutes.

US: Thoughtful criminalisation discussion on US radio

On Monday, National Public Radio included a thoughtful and relatively balanced 30 minute discussion about the criminalisation of HIV transmission in the US and Canada. You can hear the discussion here.

Participants included Jon Wells, who interviewed Johnson Aziga for The Hamilton Spectator (and who provides some further insights into Mr Aziga); Regan Hofmann, editor-in-chief of POZ Magazine, who eloquently, subtly, and patiently, explained why many of these prosecutions (but not that of Mr Aziga) are wrong; and Jonathan Turley, professor of public interest law at George Washington University who blogs about the law. In the interview, he explains how so many of poorly-written HIV-specific US state laws came to be – a late 80s reaction to the myth of ‘patient zero’; fascinating.

New Zealand: Article examines implications of ‘HIV predator’ case

After all the hysterical media reporting surrounding the current ‘HIV predator’ case comes a thoughtful analysis of the situation from the New Zealand Herald. The article also usefully includes a summary of the most important criminal HIV transmission cases over the years.

I include the first few paragraphs below. Click here to read the full article.

HIV-positive: The case for disclosure
By Chris Barton
Saturday Jun 06, 2009

Many questions arise from the case of the 40-year-old HIV-positive man charged with wilfully infecting three other men with HIV and attempting to infect a fourth.

Not just why the man, now in custody with name suppression, allegedly did what he did. Or why it took so long for the police to stop him. Or why our laws are so out of date that doctors and other health professionals are uncertain about what to do when they come across such reckless behaviour. Or why HIV is not a notifiable condition.

Puzzling as all that sounds, the greater mystery here is why did the man’s sexual partners participate the way they did? Why, after decades of messages honed from the reality of the Aids epidemic 25 years on, did they not practise safe sex?

Past cases include:

1994 Kenyan musician Peter Mwai sentenced to seven years jail for having unprotected sex with five women and infecting two with HIV. Deported in June 1998 having served four years in jail here, Mwai died in Uganda in September 1998.

1999 David Purvis, a 31-year-old Pakuranga invalid beneficiary, sentenced to four months jail for committing a criminal nuisance by having unprotected sex with another man who did not contract HIV. Pleaded guilty.

2001 Former male prostitute Christopher Truscott held in “secure” care (he has escaped many times) in Christchurch after being prosecuted in 1999 for having unprotected sex with four men. Intellectually impaired, Truscott seemed unable to comprehend the implications of his HIV infection.

2004 Zimbabwean Shingirayi Nyarirangwe, 25, was sentenced to three years jail after pleading guilty in the Auckland District Court to four charges of criminal nuisance and three of assault relating to unprotected sex with several women.

2005 Justin Dalley found guilty of criminal nuisance by failing to inform a woman he was HIV positive – sentenced in Wellington to 300 hours’ community work, six months’ supervision and told him to pay $1000 reparation to the woman to cover her counselling costs and expenses. The woman did not contract HIV. Soon after, Dalley was acquitted on a second, similar charge because on that occasion he did wear a condom – possibly setting a legal precedent that by wearing a condom an HIV positive man is taking “reasonable precautions” against infection and need not disclose his HIV status.

Current A New Zealander originally from the Democratic Republic of Congo awaiting trial on charges that he had unprotected sex with a woman and infected her with the virus. It is possible he also infected other women.

US: Padieu gives TV interview, highlights Texan ‘injustice’

It wouldn’t happen anywhere else, but three days after Philippe Padieu was sentenced to 45 years in prison after being found guilty of six counts of aggravated assault with a deadly weapon, after having unprotected sex without first disclosing his HIV status with six women who subsequently tested HIV-positive, he gave a TV interview to CBS 11 News.

In it, he essentially repeats the same accusations of bias and lack of evidence that he made in court prior to be sentenced.

I thought the trial was just public opinion turned against me. It wasn’t a fair trial at all… The reason I’m serving 45 years is because I had an ineffective counsel. I had no money…

However, seeing him say these things in the flesh makes me appreciate that he has a point. In particular, since Texas has no HIV-specific law, the bar is set much higher in proving that he actually infected the six women with HIV. Although phylogenetic analysis linked his strain of HIV with the six women’s, that is not enough to prove the direction of transmission, and – notably – the timing.

He noted that all six women had multiple partners, and that he had sex with three of them before he tested positive (which means he could have infected these women before knowing his status, which definitely would not be a crime).

I think it was an injustice. You couldn’t say anything about these woman in court. You couldn’t bring up their past sexual history.

However, some of his other allegations are more difficult to swallow, including saying that the six women were “very vindictive.”

You could blame them because they failed to take responsibility. They lied. They were involved in a conspiracy. They formed a hate group. I believe they should step up to the plate. They are just as responsible as I am…There’s rage. There’s vengeance. Admitting knowledge is not admitting responsibility. Hate and anger is fear and guilt in disguise.

Mr Padieu will now appeal and is looking for a new lawyer.