Canada: Ministry of Justice recognises the negative impact of the over-criminalization of HIV non-disclosure

Minister Wilson-Raybould Issues Statement on World AIDS Day

December 01, 2016 (Ottawa, ON) – Department of Justice Canada

The Honourable Jody Wilson-Raybould, Minister of Justice and Attorney General of Canada, today issued the following statement:

World AIDS Day is a time to reflect on the impact that HIV/AIDS has had on Canadians, and to give thanks to the many dedicated people who work to prevent this disease and help people get the care and support they need.

It is also a time to recognize the tremendous medical advances that have been made since the first World AIDS Day was held in 1988. HIV treatment has slowed disease progression to the point that, for many, HIV infection can now be regarded as a chronic, manageable condition.

Still, the over-criminalization of HIV non-disclosure discourages many individuals from being tested and seeking treatment, and further stigmatizes those living with HIV or AIDS. Just as treatment has progressed, the criminal justice system must adapt to better reflect the current scientific evidence on the realities of this disease.

Over the coming months, I intend to work with my provincial and territorial counterparts, affected communities and medical professionals to examine the criminal justice system’s response to non-disclosure of HIV status. This could include a review of existing charging and prosecution practices, as well as the possible development of prosecutorial guidelines. I also look forward to working with Member of Parliament Randy Boissonnault, Special Advisor to the Prime Minister on LGBTQ2 issues, in his continued efforts to engage Canadians on important issues such as this one.

On World AIDS Day, we should all share in the commitment to reduce stigma and discrimination against those living with HIV or AIDS.

Contacts

Valérie Gervais

Press Secretary

Office of the Minister of Justice

613-992-4621

Media Relations

Department of Justice Canada

613-957-4207

media@justice.gc.ca

Canada: UN experts recommends that Canada review its criminal laws to prevent unjust prosecutions of people living with HIV

UN experts make historic recommendations to Canada: End unjust HIV criminalization, repeal law restricting supervised consumption services, and implement needle and syringe programmes in prison

GENEVA, November 18, 2016 — The United Nations Committee on the Elimination of Discrimination against Women issued its Concluding Observations today following its review of Canada’s compliance with the Convention on the Elimination of All Forms of Discrimination against Women. This is the first time the Committee reviewed women’s rights in Canada since 2008.

Documents can be downloaded here

Canada: HIV activists form national coalition to lobby for an end to the criminalisation of people living with HIV

HIV activists form Canadian coalition to fight criminalization

Aggravated sexual assault convictions for HIV non-disclosure are unjust, members say.

A group of HIV activists, lawyers, and service providers from across Canada have formed a national coalition to call for an end to the criminalization of people living with HIV.

The Canadian Coalition to Reform HIV Criminalization, years in the making, will lobby nationally for people who have been charged for not disclosing their HIV status. Up until now, this work was only done locally and provincially, and mostly by lawyers rather than people most affected by the law.

“We have an amazing expert community of lawyers working on this issue,” says Alexander McClelland, a Montreal-based HIV criminalization researcher and member of the coalition. “But lawyers talk to other lawyers and haven’t been engaged more broadly. So hopefully we can shift things with the way the coalition is organized. We’re really centrally placing lived experience of people on our steering committee.”

Under Canadian law, a person living with HIV must disclose their status to anal and vaginal sexual partners or face the charge of aggravated sexual assault, which carries a maximum lifetime sentence and registry as a sex offender. This standard was most recently upheld in a 2012 Supreme Court of Canada ruling based on outdated science. The court ruled that to be considered safe enough not to disclose, HIV carriers must have very low viral load and wear condoms. Research now shows, however, that low viral load itself is enough to be nearly perfectly safe.

Coalition members met in October after many attended the HIV Is Not A Crime 2 Training Academy in Huntsville Alabama. Realizing the national level of organization in the United States led by people who have been charged and convicted, the attendees realized Canada needed something similar.

The coalition wants to limit prosecutions to intentional transmissions of HIV. Of over 180 known HIV prosecutions in Canada since the discovery of the virus as the cause of AIDS, there have been just two known intentional transmissions, according to Cecile Kazatchkine, senior policy analyst with the Canadian HIV/AIDS Legal Network.

The large percentage of unjust prosecutions in Canada, she says, has a chilling effect on people living with the virus.

“Many [HIV positive] people fear being prosecuted, of that happening to them at some point, like an old partner coming back to them and saying things that may not be true but it’s one word against another.”

The law is constructed to protect the sexual autonomy of women, Kazatchkine says, but it can often have the opposite effect on many HIV-positive women living in abusive relationships who fear their partners could use their status against them if they tried to leave.

“There’s a climate of fear and uncertainty that guides everything that we do and so it would be great to intervene in that and change the current situation,” adds McClelland, who lives with HIV.

Though still in its early stages, the coalition is concentrating on three areas: involving the lived experiences of those who live with the virus and have been criminally charged, lobbying provincial and federal politicians to change the Criminal Code and how it is enforced, and publicizing unjust prosecutions.

The group is also working on specific demands for the federal government, which writes the criminal law, and for provincial governments, which administer the law through the courts.

McClelland says coalition members have spoken to Minister of Justice Jody Wilson-Raybould, which he finds promising, since no such meeting took place under the previous Conservative government.

“It’s also really, really hard to get the Criminal Code reformed,” he notes, “but if we can appeal to members of parliament that it’s being applied so unjustly, then potentially there’s an option for that.”

Published in DailyXtra on Nov 14, 2016

US: Idaho activists are looking to reform Idaho's HIV Criminalisation laws

Local activists are looking to reform and modernize Idaho’s code on the transfer of bodily fluid containing HIV or AIDS virus. The law was created in the 1980’s, a time when HIV and AIDS was a rising issue in the country.  In the last 10 years, 32 people have been charged under the law. Activists and health officials say scientifically its outdated.

In 1988 Idaho created a law to punish anyone HIV positive, who transferred their body fluids with intentions to expose or infect someone else. Ian Troesoyer a Registered Nurse and Epidemiologist at Southeast Idaho Public Health says,”Singling out HIV from a biological perspective it doesn’t make perfect sense. But in the 1980s when the law was created there was a lot more fear and greater lack of knowledge regarding the transmission.”

Under the code body fluids are: Semen, blood saliva, vaginal secretion, breast milk and urine. But 28 years later health experts say, “So saliva and urine, saliva in particular, they are not known to transmit HIV.” Which is why local activists in Pocatello want to modernize Idaho Code 39-608. Kevin Lish the Board Chair of All Under One Roof says, “These laws come down a lot of times to a ‘He said, she said’ situation.”

The crime carries a maximum of 15 years in prison. In the last decade 12 people across the state have been convicted including a man named Kerry Thomas. He’s serving 30 years for not telling his partner. He says in a video posted on SEROProject.com, “I’m glad that she, three years down the road… she’s not positive.”

Health experts and activists say with an outdated law, there’s a stigma associated with the disease that could increase people’s risks. Lish says, “We have the tools to get to an HIV free generation. One of the things we need to do is update laws like this so people feel good about being tested and are getting tested when they need to.”

Activists say speaking to legislators about changing the law will take years. Educating the public is their first mission before heading to the capitol steps in Boise. On National AIDS Awareness Day, All Under One Roof will host an event on December 1st at 234 North Main Street at 7 p.m. There they will educate the public on the statue, and how they’d like to change it.

On Friday November 11, representatives will speak with Elizabeth Taylor’s granddaughter in Boise about how the Elizabeth Taylor’s AIDS Foundation can help their cause.

Published on KPVI on Nov 10, 2016

US: Movement to reform Michigan's HIV-specific law is gaining momentum

A movement to reform Michigan’s HIV-specific law is gaining momentum in the state House. Activists report a lobby day last month has garnered eight co-sponsors for the legislation, proposed by Rep. Jon Hoadley, D-Kalamazoo.

The legislation is being promoted by the grassroots organization Michigan Coalition for HIV Health and Safety.

“The coalition is excited to have the support and sponsorship of our modernization bill from eight of our Michigan state representatives, but we have a long way to go,” said Kelly Doyle, Coalition Manager. “We need activists and volunteers willing to talk to elected officials about the harm and threat to public health these laws are creating.”

In addition to Rep. Jon Hoadley, D-Kalamazoo, the bill’s author and lead sponsor, state representatives who have all agreed to sign on as co-sponsors include: Reps. Andy Schor, D-Lansing; Tom Cochran, D-Lansing; Jeremy Moss, D-Southfield; David LaGrand, D-Grand Rapids; George Darany, D-Dearborn; LaTanya Garrett, D-Detroit; and Robert Wittenberg, D-Oak Park. Advocates will be gathering at least five more co-sponsors before Hoadley introduces the legislation.

The legislation would change Michigan’s HIV-specific law from a felony to a misdemeanor and provide legal structure around prosecutions which would require prosecutors to prove beyond a reasonable doubt that the accused intended to transmit the virus and took actions which had a significant likelihood of transmission. Those who are proven to have intended to transmit the infection and actually did would face up to one year in jail; those who intended to transmit the infection but didn’t would face up to 93 days in jail.

Key to the modernization is a requirement that prosecutors and courts take into account current science about HIV transmission. Studies have shown that a person who is HIV-positive but successfully treating their infection with antiretroviral drugs so the virus is not detectable in their blood are extremely unlikely to transmit the infection. However, Michigan’s law currently does not allow this information as a defense.

Michigan’s law, passed in 1988, requires those who know they are infected with HIV to disclose that status prior to any sexual penetration, “however slight.” The law came out of a Republican House Task Force Report on AIDS in 1987 which wanted to stop those persons “who would deliberately or recklessly expose others to the infection.” Studies of the impact of Michigan’s law have found that behavior that is unlikely to transmit the infection has resulted in prosecutions. In addition, there appears to be a racial disparity in prosecutions focusing on black men who have sex with women. And finally, there is evidence that the law has become a weapon for domestic abusers as a way to control their intimate partners. Additional studies have found a small, but significant, minority of people at high risk for HIV infection are less likely to be tested for or discuss their risk for infection with medical providers because of such laws.

“This is an important modernization and is needed to protect the health and safety of everyone in Michigan,” said Hoadley. “Our laws are out of date. This effort would align our laws with modern HIV science, keep our communities safe and recognize the lived experiences of people living with HIV.”

Activists will lobby lawmakers again on Nov. 10 and Dec. 6 in Lansing from 9 a.m. to 4 p.m. each day. They will start the day at the ninth floor conference room of the House Office Building, 124 North Capital Ave., Lansing. For more information email Todd@MCHHS.info or visit MCHHS.info.

Mexico: Civil association in San Luis Potosi State urges parliament to rethink proposition to criminalise HIV transmission

English translation (Para artículo en español, desplácese hacia abajo)

Civil association urges a rethink of the criminalisation of HIV transmission as such an amendment to the penal code would promote higher levels of stigma and discrimination.

San Luis Potosi, SLP.- With regard to the initiative presented during the Ordinary Session No. 44, on October 27, 2016 in the State Congress by the State Governor Juan Manuel Carreras Lopez and Erika Velasquez Gutiérrez, the president of the Women Institute in San Luis Potosi, the civil association Amigos Potosinosen Lucha Contra el Sida condemned the initiative which they say, stigmatize people living with the Human Immunodeficiency Virus (HIV), and have therefore called for reconsideration of the initiative put forward, conveying the following position:

1. It is important to promote actions that recognise the human rights of women through the varied international tools signed and ratified in this matter by the Mexican State,  and which have been become mandatories following the constitutional reform of 2011 in the field of Human Rights.

2. It is not advisable to seek to punish conducts that are perceived to be fraudulent with regard to HIV and other sexually transmitted infections, as the evidence tell us that HIV prevention is not achieved through punitive measures, but by public health policies which promote changes at the structural level, to facilitate equal access to services that guarantee the sexual and reproductive health of women, and also strengthen programmes and activities that promote equality between women and men.

3. Criminalisation promotes stigma and discrimination against people with HIV, including girls, children, adolescents and women, contradictorily promoting actions that violate the dignity of these vulnerable groups.

4. It is very difficult to determine causality, fraud and intention and other varied factors involved in HIV transmission such as: the possibility of transmission, the type of exposure, the use of condoms or not, at what stage of infection the person is, whether the person is on antiretroviral treatment, if their viral load is undetectable, if there is any concomitant infection, the health status of the receiving partner and the agreements between spouses or casual partners, among others.

5. It is important to emphasize that punitive measures such as those intended to legislate through this initiative, could hinder and affect various multisectoral actions in prevention, detection and HIV care in our state.

6. It might influence people who perceive themselves as having  risk factors for HIV, to not undergo testing in order not to know their status and avoid any potential criminal proceedings made possible by testing. Such legislation may affect the continuous detection, prevention and care of HIV in Mexico [1], which seeks to facilitate the early diagnosis of people who perceived themselves to at risk so they can receive timely treatment to improve their quality of life and also help to curb the transmission chain.

7. Scientific evidence indicates that to stop the chain of transmission of HIV from one person to another, it is essential to combine prevention strategies, which include biomedical, behavioural and structural change, the latter emphasizing the need for actions that contribute to the eradication of stigma and discrimination associated with HIV-AIDS, and a punitive law does not contribute to these strategies.

8. The specific content of this initiative “Risk of contagion” could result in the legal responsibility for HIV prevention to fall only on those living with HIV, and could conceal the public health message that sexual partners have shared responsibility for their sexual health. People may mistakenly assume that their partners are HIV-negative because they are unaware of their status or do not disclose it, and they would therefore stop taking preventive measures.

9. Such amendments to the penal code will promote higher levels of stigma and discrimination against diverse HIV populations and their families.

Amigos Potosinos en lucha contra el Sida urges the State governor Juan Manuel Carreras Lopez and Erika Velázquez Gutiérrez president of the Women Institute in San Luis Potosi (sic), to reconsider the criminalization of HIV, as to do so would place people with HIV under a status of being possible criminals, which is contrary to their dignity as persons, violating their human rights and stigmatising them for their health condition.

Better yet, we encourage you to promote the creation of the State Council for the control of HIV, AIDS and STIs in San Luis Potosi, and to increase resources to prevent, detect and address HIV in a timely manner; to improve the quality and comprehensiveness of care services in the State that are provided by CAPASITS and by hospitals in the health system; to generate and strengthen empowerment programs for women and actions that seek to promote equal opportunities between women and men; finally to reduce stigma and discrimination against key populations affected by HIV and other STIs incorporating the MIPA principle [3] which speaks of greater involvement of people living with HIV as part of the solution and response, thereby contributing to a democratic, inclusive and non-discriminatory Mexico.

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Asociación Civil pide reconsiderar tipificar como delito trasmisión del VIH. Este tipo de adecuaciones al código penal promoverán mayores niveles de estigma y discriminación.

San Luis Potosí, SLP.- En relación a la iniciativa presentada, en la Sesión Ordinaria No. 44, día 27 de octubre del 2016 al Congreso del Estado, por el gobernador del Estado Juan Manuel Carreras López y Erika Velázquez Gutiérrez presidenta del Instituto de las Mujeres en San Luis Potosí la asociación civil Amigos Potosinos en Lucha Contra el Sida condenaron la iniciativa que a decir de ellos, estigmatiza a las personas con contagiadas con el Virus de Inmunodeficiencia Humana (VIH), por lo que llaman a reconsiderar la iniciativa formulada, difundiendo el siguiente posicionamiento:

1.- Es importante impulsar acciones a favor del reconocimiento de los derechos humanos de las mujeres en el orden internacional de los diversos instrumentos que en esta materia ha suscrito y ratificado Estado Mexicano, lo cual se convierte en obligatorio a partir de la reforma Constitucional del año 2011 en materia de Derechos Humanos.

2.-No es recomendable buscar castigar las conductas que se perciben como dolosas en relación al VIH y otras infecciones sexuales, ya que la evidencia científica nos señala que la prevención del VIH no se logra con medidas punitivas, sino con políticas en salud pública que faciliten acciones que promuevan cambios a nivel estructural que faciliten la igualdad en el acceso a servicios que garanticen la salud sexual y reproductiva de las mujeres, así también fortalecer los programas y acciones que promuevan la igualdad entre mujeres y hombres

3.- La penalización favorece el estigma y la discriminación hacia personas con VIH, incluyendo a las niñas, niños, adolescentes y mujeres, por lo que resulta contradictorio impulsar acciones que contravienen a la dignidad de estos grupos vulnerables.

4.- Es muy difícil determinar la causalidad, el dolo, la intencionalidad ya que intervienen diversos factores en la trasmisión del VIH, como son: la posibilidad de la trasmisión, el tipo de exposición, el uso o no de condón, la etapa de la infección en la que se encuentra la persona, si lleva tratamiento antirretroviral, si tiene carga viral detectable o indetectable, si existen enfermedades concomitantes, el estado de salud de la pareja receptora y los acuerdos establecidos entre cónyuges o parejas ocasionales, entre otros.

5.- Es importante enfatizar que medidas punitivas como las que se pretende legislar a través de esta iniciativa, podrían obstaculizar y afectar las diversas acciones multisectoriales en materia de prevención, detección y atención del VIH en nuestro Estado.

6.- Podría influir a que las personas que se perciban con factores de riesgo ante el VIH, omitan realizarse una detección temprana a fin de no conocer su estado serológico en virtud de prevenir un posible proceso penal. Este tipo de legislaciones pueden afectar al Continuo de la detección, prevención y atención en VIH en México[1], el cual busca que las personas que se perciban en riesgo se realicen un diagnóstico temprano, puedan recibir un tratamiento oportuno que mejore su calidad de vida y además contribuya a frenar la cadena de transmisión.

7. La evidencia científica señala que para detener la cadena de trasmisión del VIH de una persona a otra es indispensable realizar estrategias de prevención combinada, entre las cuales, destacan las biomédicas, las comportamentales y las de cambio estructural, estas últimas enfatizan las acciones que contribuyen a erradicar el estigma y la discriminación asociado al VIH-sida, y una ley con acciones punitivas no contribuye con estas estrategias.

8.- El contenido en específico de esta iniciativa de “Peligro de contagio” podría provocar que la responsabilidad jurídica de la prevención del VIH recaiga solamente en quienes viven con VIH, y podría invisibilizar el mensaje de salud pública de que las parejas sexuales tienen responsabilidad compartida sobre su salud sexual. Las personas podrían suponer erróneamente que sus parejas son VIH-negativas porque desconocen o no revelan su estado serológico, por tal dejarían de incorporar medidas de prevención.

9.-Este tipo de adecuaciones al código penal promoverán mayores niveles de estigma y discriminación hacia las diversas poblaciones con VIH y sus familias.

Amigos Potosinos en lucha contra el Sida exhorta al gobernador del estado Juan Manuel Carreras López y a Erika Velázquez Gutiérrez presidenta del Instituto de las Mujeres en San Luis Potosí (sic), a reconsiderar la penalización del VIH, de hacerlo colocarían a las personas con VIH bajo un estatus de posibles criminales, contraviniendo a su dignidad como personas, atentando a sus derechos humanos y estigmatizándoles por su condición de salud.

Mejor aún, le exhortamos a impulsar la creación del Consejo Estatal Para el control del VIH, Sida e ITS en San Luis Potosí, además incrementar los recursos  para prevenir, detectar y atender oportunamente el VIH; mejorar la calidad e integralidad de los servicios de atención en el Estado que son otorgados desde los CAPASITS y hospitales del sector salud; generar y fortalecer programas de empoderamiento para las mujeres y acciones que busquen promover la igual de oportunidades entre mujeres y hombres; por último a disminuir el estigma y la discriminación hacia las poblaciones clave y personas afectadas por el VIH y otras ITS incorporando el principio MIPA[3] que habla del mayor involucramiento de las personas con VIH como parte de la solución y respuesta, con ello contribuir a un México democrático, incluyente y sin discriminación.

Mexico: Quintana Roo activists submit proposal for a change in the State HIV criminalisation law

Submission to eliminate the criminalisation of people with HIV (Desplácese hacia abajo para el artículo original)

This initiative has been proposed by the organisation ‘Vida Positiva’.

PLAYA DEL CARMEN, Q. Roo

A proposition to eliminate the criminalization and general criminalization of people with HIV having sex, focussing on cases of willful intent by amending Article 113 of the Criminal Code of Quintana Roo, is being put forward.

This initiative has been proposed by the civil association ‘Vida Positiva’ and delivered to deputy Laura Beristain Navarrete, president of the Commission for Health and Social Welfare of the XV Legislature to be adapted and submitted to the State Congress at the beginning of October.

Rudolf Geers, president of the activist group said that its aims are for the legislation mentioned to be replaced by a new article which sanction the transmission of a chronic or fatal disease deceitfully and when protection methods have not been used.

“What we propose is that the law be changed to only prosecute cases of actual transmission, removing talks of risks, and cases where there was actual deception and where people did not use protection, in order to qualify the intent of the situation. In the case of pregnant women, to only prosecute cases where the mother had the express intention of infecting the baby. There was one prosecution in January this year, “said the leader of Vida Positiva.

On this matter, Deputy Beristain Navarrete said it was an issue that will be analyzed in a responsible manner, which will be reviewed properly to be subsequently pass on to the committee because every project must be adapted for proper submission, especially when concerning such a sensitive issue as health risks.

Background information

Meanwhile, Geers highlighted that looking at the history of the law, this Article has only served to motivate cases of blackmail and extortion, which have threatened to expose people because of their HIV status, even without evidence, and even when cases did not proceed, the name of the person with the condition had been made public.

“This year, we have had  reports of four cases and the advice was to ignore them and just 3 years ago, a lawsuit under this law was recorded. Furthermore this legislation is based on a federal law adopted in 1991; a time when it was a deadly disease with no treatment; It also violates several national and international standards and is counterproductive to an effective response to HIV.

According to CENSIDA, this measure was taken internationally, including in Mexico since the last decade of the last century as a preventive measure against transmission or as a punishment of behaviours that are perceived as ‘willful’, however, we can state that this has not worked with punitive measures, and without public health policies.

“We need to increase resources and efforts with recommended HIV prevention strategies, improve the quality and comprehensiveness of care and reduce stigma and discrimination towards key populations and people living with HIV and other STIs, considering them as part of the solution and contributiors to a fair, inclusive and democratic Mexico”, stated the  National Center for the Prevention and Control of HIV and AIDS on the criminalisation of HIV and other STIs transmission.

Rudolf Geers, president of the civil association Vida Positiva stressed that in these cases the responsibility to prevent further transmission is shared; anyone who has casual sex should use a condom.

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Proponen eliminar la criminalización de las personas con VIH

Esta iniciativa ha sido propuesta por la asociación civil ‘Vida Positiva’.

PLAYA DEL CARMEN, Q. Roo.- Proponen eliminar la criminalización y la penalización general de las personas con VIH por tener relaciones sexuales, especificando casos de intencionalidad consumada, mediante la modificación del artículo 113 del Código Penal de Quintana Roo.

Esta iniciativa ha sido propuesta por la asociación civil ‘Vida Positiva’ y entregada a la diputada Laura Beristaín Navarrete, presidenta de la Comisión de Salud y Asistencia Social de la XV Legislatura para su adecuación y presentación ante el Congreso del Estado a inicios del mes de octubre.

Rudolf Geers, presidente de dicha agrupación activista explicó que se tiene como objetivo que dicha legislación se sustituya por un nuevo artículo el cual sancione una transmisión de una condición de salud crónica o mortal con engaño y sin usar métodos de protección.

“Lo que nosotros proponemos que se cambie esta ley para que solo se castigue en caso de existir una transmisión, quitar la palabra peligro,  castigando los casos en que hubo engaño y que no usaron protección, para poder calificar la intencionalidad de la situación. En el caso de la mujer embarazada, solo cuando la madre tiene la intención expresa de infectar al bebé sea castigado. De estos tuvimos un caso en enero de este año”, dijo el dirigente de Vida Positiva A.C.

Antecedentes registrados

Al respecto la diputada Beristain Navarrete señaló que es un tema que se estará analizando de manera responsable, que se revisará de manera adecuada para posteriormente pasarla a comisión, ya que todo proyecto hay que adecuarlo para su correcta presentación, en especial un tema delicado en referencia a riesgos sanitarios.

Por su parte, Geers aseguro que de acuerdo a los antecedentes registrados, este artículo solo ha servido para motivar casos de chantajes y extorsiones, que han amenazado con exponer a personas por su condición de VIH, incluso sin pruebas y aunque posteriormente no proceda la demanda, pero si haciendo público el nombre de la persona con este padecimiento.

“De estos hemos tenido este año reportes de cuatro casos y el consejo simplemente fue ignorarlos y hace 3 años se registró un caso de una demanda por esta ley. Además esta legislación, está basada en una federal de 1991; época en que era un padecimiento mortal al no haber tratamiento; además viola varias normas nacionales e internacionales y es contraproducente para una respuesta eficiente ante el VIH.

De acuerdo a CENSIDA, esta medida había sido tomada a nivel internacional, incluyendo a México desde la última década del siglo pasado como una medida de prevención de transmisión o castigo de conductas que se perciben como ’dolosas’, sin embargo, aseguran que esto no tendrpa éxito con medidas punitivas si no políticas de salud públicas.

Prevención y control

“Es necesario incrementar recursos y esfuerzos en las estrategias recomendadas para prevenir la transmisión del VIH, mejorar la calidad y la integralidad de la atención y disminuir el estigma y la discriminación hacia las poblaciones clave y las personas afectadas por el VIH y otras ITS, considerándolas como parte de la solución y contribuyendo a un México justo, incluyente y democrático”, señala sobre la penalización por transmisión del VIH y otras ITS en Centro Nacional para la Prevención y Control del VIH y el Sida.

Rudolf Geers, presidente de la asociación civil Vida Positiva enfatizó que en estos casos la responsabilidad para evitar nuevas transmisiones es compartida; cualquier persona que tenga relaciones sexuales casuales sebe de usar condón.

US: Ohio Supreme Court to review the state's HIV exposure law and the conviction of man charged under that law

The Ohio Supreme Court announced today, over three dissents, that it would review the state’s HIV criminal law and Orlando Batista’s conviction and sentence under that law.

The Ohio Supreme Court announced today, over three dissents, that it would review the HIV criminal law at issue in State of Ohio v. Orlando Batista. CHLP, along with fourteen Ohio-based and national HIV, civil liberties, LGBT, social advocacy and criminal justice organizations, signed on as friends of the court in support of appellant Orlando Batista’s request for leave to appeal his conviction, under Ohio’s HIV exposure law, to Ohio’s highest court.

Batista’s lawyers had argued at trial that the charges should be dismissed because the Ohio law is unconstituional. When the trial court rejected this argument, Batista did not contest that he had sex with his girlfriend without first disclosing his HIV status to her. The trial court found him guilty and sentenced him to 8 years imprisonment, the maximum allowed under the statute. Batista preserved his right to challenge the legality of the Ohio statutue itself on appeal, but the appellate court rejected these arguments and affirmed Batista’s conviction. The Hamilton County Public Defender, representing Batista, submitted a brief to the Ohio Supreme Court seeking review of the Ohio law.

Jeffrey Gamso, the former Legal Director of the ACLU of Ohio Foundation, with assistance from The Center for HIV Law and Policy and the ACLU of Ohio Foundation, submitted a brief supporting the petition for Ohio Supreme Court review. In our brief, we argued that Ohio’s felonious assault statute: (1) violates the Equal Protection Clauses of the Ohio and United States Constitutions because it singles out people living with HIV for prosecution in response to conduct that is not criminal in the case of other groups, for example those living with other sexually transmitted diseases; (2) compels speech in violation of the Free Speech Clauses of the First Amendment and the Ohio Constitution; and (3) violates the Americans with Disabilities Act for reasons similar to those in point one.

We expect to submit an amicus brief expanding on these arguments to the Ohio Supreme Court by the end of 2016.

Zimbabwe: Activists call for HIV criminalisation law to be scrapped as it reversed public health gains in national HIV response

Paidamoyo Chipunza: Senior Health Reporter

On November 19, 2014, then Chinhoyi regional magistrate Mr Never Katiyo sentenced 39-year-old Nyengedzai Bheka to 15 years in prison for willfully transmitting HIV to a 17-year old pupil. In his ruling, Mr Katiyo said infection of that nature was tantamount to a death penalty on the girl since she was an immature minor. “This is a very rare case that we have had to deal with as the courts and we have to set a precedent that is deterrent to would-be offenders,” said Mr Katiyo.“Although it was a matter involving a single witness the court is convinced that there was deliberate infection.” Bheka’s case serves as both a template for discussion on aptness of wilful transmission of HIV as a law and as precedence to the 1,4 million Zimbabweans estimated to be living with HIV who by virtue of them being HIV positive are ‘‘potential criminals’’.

Elizabeth Tailor Human Rights Award winner and HIV activist, Ms Martha Tholanah said this law must be scrapped because it stigmatised and discriminated against people living with HIV. Ms Tholanah, who has been living with HIV for the past 14 years, said criminalisation of wilful HIV transmission was done a long time ago on the advent of the disease, when no one wanted to be associated with it. She, however, said owing to developments in the medical field, HIV is now just like any other disease hence the law must be informed by science trends. “Evidence has shown that chances of transmitting HIV to another person if you are on treatment are slim. The law must then speak the same language with science to achieve our national and global goals and targets,” said Ms Tholanah. She said the current law discouraged people from getting tested thereby delaying them from accessing treatment early, reversing global efforts to end Aids by 2030.

To end Aids by 2030, Zimbabwe adopted the United Nations goals popularly referred to as the 90-90-90 targets. These targets entail that at least 90 percent of people living with HIV must be tested by the year 2020. For those diagnosed with HIV, at least 90 percent of them must be on antiretroviral treatment and a further 90 percent of those on treatment must have their viral load fully suppressed by the year 2020.

“How do you get tested when you know that you risk being a criminal?” said Ms Tholanah. She said while science has proved that taking antiretroviral drugs (ARVs) actually reduced the risk of one transmitting HIV to another person, the law drew conclusions on deliberate HIV transmission from the fact that one was on ARVs — a direct contradiction of science.

Zimbabwe Lawyers for Human Rights HIV and Law Unit project manager Mr Tinashe Mundawarara said HIV involved science and it was therefore difficult to ascertain the direction of infection even in developed countries where there is sophisticated equipment.

“It is still difficult to point out the direction of infection and also people might have acquired the same HIV genotype from a common source, which might also dismiss infection from the concerned partners,” said Mr Mundawarara.

Section 79 (1) of the Criminal Codification and Reform Act on deliberate transmission of HIV reads: “Any person who knowingly that he or she is infected with HIV, or realising that there is a real risk or possibility that he or she is infected with HIV, intentionally does anything or permits the doing of anything which he or she realises involves a real risk or possibility of infecting another person with HIV, shall be guilty of deliberate transmission of HIV, whether or not he or she is married to that other person and shall be liable to imprisonment for a period not exceeding twenty years.“It shall be a defence to a charge under subsection (1) for the accused to prove that the other person concerned knew that the accused was infected with HIV and consented to the act in question, appreciating the nature of HIV and the possibility of becoming infected with it.”

Mr Mundawarara said this law was too broad and that the accompanying defence on informing the other person and ‘‘appreciating the nature of HIV’’ was also vague making it difficult to prosecute and convict someone of committing a crime. He said the law itself was not clear on what understanding the nature of HIV meant.

“Does it mean the scientific or genetic make-up of the HIV virus or does it mean how HIV impacts on the immune system,” he said. Mr Mundawarara said the law also criminalised sex by people living with HIV and Aids, hence it infringed on their rights and promoted stigma and discrimination around HIV.  “One can still be charged even if transmission has not occurred because it says ‘ . . . real risk or possibility of infecting another person with HIV’. So, if you engage in unprotected sex which involves a real risk of transmitting HIV to another person, you risk being charged, thus making everyone living with HIV a potential criminal,” said Mr Mundawarara.

Mr Mundawarara said this legislation should therefore be scrapped as it reversed public health gains in national HIV and Aids response.He said the law can still punish people who willfully transmit HIV through other provisions such aggravated indecent assault.

Katswe Sisterhood director Ms Talet Jumo said the law was unfair on women who in most cases knew of their status first through antenatal care or voluntary testing, hence risked being charged of having infected their spouses. “Sometimes women may delay to inform their partners of their status due to fear of gender based violence and using that law, their partners may still drag them to the courts for deliberately transmitting HIV,” said Ms Jumo.

National Aids Council board chairman Mr Everisto Marowa said in line with the UNAIDS 90-90-90 targets, Zimbabwe must reduce new HIV infections from the current 64 000 a year to about 6 000 — a figure he described as a huge considering that HIV was preventable.He said NAC was aiming to have less than 1000 new infections by the year 2020.“NAC is geared for the task ahead and ready to provide the needed leadership with guidance from Government,” said Dr Marowa.

HIV remains a major public health threat in Zimbabwe with a prevalence rate of about 15 percent.

Mexico: HIV Justice Worldwide supports Mexican organisations' constitutional challenge against law criminalising HIV transmission in the State of Veracruz

English translation (para la versión en español,  ver más abajo)

International organisations support the constitutional challenge against the law criminalizing HIV transmission in Veracruz

Before the amendment to Article 158 of the Criminal Code of Veracruz, entitled “Contagion”, which added the term Sexually Transmitted Diseases to the article, and was adopted on August 4, 2015 by the Congress of the State, the National Commission on Human Rights, in response to the request of the Multisectoral Group on HIV / AIDS and STIs of the State of Veracruz and other organisations of civil society, brought the constitutional challenge 139/2015 against the amendment to the Supreme Court of Justice of the Nation this past December.

This is because the legal reform indicates that among these infections, HIV and human papilloma virus are outlined and a penalty ranging from 6 months to 5 years in prison and a fine of up to 50 days salary is established for those “deceitfully” infecting another person of any sexually transmitted disease.

The reform presented by Deputy Monica Robles Barajas from the Ecologist Green Party of Mexico, was intended to “try to prevent the transmission of these infections, mainly to women and girls who are in a vulnerable position…”.

Unconstitutionality

For the CNDH, the new content of Article 158 of the Criminal Code of the State of Veracruz “generates a discriminatory treatment to the detriment of the people, and that criminalising the willful endangerment of disease transmission, generates two assumptions: that it concerns sexually transmitted infections and that it concerns serious diseases. “

In addition, he said the agency does not meet its objective of preventing the spread of sexually transmitted infections against women and girls, finding themselves in vulnerable situations, but that it create a differentiation based on the condition of certain types of infections, in this case of sexual transmission, and that it casts them as serious, a fact that is not real, because not all infections of this type are serious.

International support

A little after half a year after the appeal, organisations of international civil society such a HIV Justice Worlwide have delivered a letter to the Supreme Court of Justice of the Nation for the legal challenge to be considered as “there is no evidence that criminalising perceived or potential exposure to HIV or STI benefits prevention; however, there are serious concerns that criminalisation can cause considerable damage. “

The document submitted to the Court, reminds us that various international bodies such as UNAIDS, the Special Rapporteur on the right to health to the United Nations, the Global Commission on HIV and the Law and the World Health Organization, have recommended to governments to limit the use of criminal law to the extremely exceptional cases of intentional transmission of HIV (for example, when the person knows their own HIV positive status, acts with the intention to transmit HIV, and in fact transmit it).

The letter also notes that laws criminalizing HIV affect the rights of people with HIV because they cause confusion and fear about their duties under the law; they generate failures in the justice system, often as a result of inadequately informed and competent legal representation;  they risk triggering prosecutions as a means of abuse or retaliation against a current or former partner; Police investigations are disproportionate and insensitive and can cause stigma and discrimination, and they promote sentences and disproportionate penalties.

In addition, fear of prosecution may discourage people, especially those belonging to those populations highly vulnerable to HIV, to get tested and know their status, because many laws apply only to those who are aware of their HIV status and thus prevent access to care and treatment because medical records can be used in evidence against them in the courts.

Worrying situation

Patricia Ponce, researcher at the Center for Research and Studies on Social Anthropology and member of the Multisectoral Group on STI and HIV / AIDS of the State of Veracruz, stated that the situation in the state is worrying because it is the region with the third highest number of cumulative cases of AIDS throughout Mexico, the second in HIV cases, the second in the number of women living with the virus and the second in the number of children affected by HIV.

Meanwhile, Edwin J. Bernard, global coordinator of the HIV Justice Network Worldwide, said that the fight against the epidemic requires the eradication of stigma and discrimination, not to add further through the legal system.

For the specific case of Veracruz, he explained that “if you want to protect women and girls from HIV, what should be done is to strengthen and empower women”.

Sean Strub, CEO of the Sero Project of the United States, explained that the existence of laws that criminalize HIV transmission is a public health issue because sanction reduces the possibility of new diagnoses.

“The best way to combat the criminalization of HIV is that people with the virus raise their hands to eradicate the situation,” he added.

Alejandro Brito, director of the civil organization Letra S, warned that if this situation is allowed to pass, “this can become a domino effect and similar changes could be approved in other states.”

In this regard, Ricardo Hernandez Forcada, director of the Programme for HIV AIDS and Human Rights at CNDH said that practically in every state, and even in federal criminal codes, there is a penalty for the transmission of sexually transmitted infections, and it is known that in Baja California Sur people have been jailed under that criterion.

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Organizaciones internacionales respaldan acción de inconstitucionalidad contra la ley que criminaliza transmisión del VIH en Veracruz

Ante la modificación al artículo 158 del Código Penal de Veracruz, denominado “Del Contagio”, a fin de adicionar el término Infecciones de Transmisión Sexual, aprobada el 4 de agosto de 2015 por el congreso de la entidad, la Comisión Nacional de Derechos Humanos, en respuesta a la petición del Grupo Multisectorial en VIH/sida e ITS del estado de Veracruz y otras organizaciones de la sociedad civil, interpuso la acción de inconstitucionalidad 139/ 2015 en contra de la reforma en la Suprema Corte de Justicia de la Nación en diciembre pasado.

Eso, debido a que la reforma legal señala que entre dichas infecciones se contempla al VIH y al virus del papiloma humano y se establece una pena que va de los 6 meses a los 5 años de prisión y multa de hasta 50 días de salario para quien “dolosamente” infecte a otra persona de alguna enfermedad de transmisión sexual.

La reforma, presentada por la diputada Mónica Robles Barajas del Partido Verde Ecologista de México, tenía la finalidad de “tratar de prevenir la transmisión de dichas infecciones, principalmente a las mujeres y las niñas que se encuentren en condición de vulnerabilidad…”.

Acción de inconstitucionalidad

Para la CNDH, el nuevo contenido del artículo 158 del Código Penal del Estado de Veracruz “genera  un  trato discriminatorio  en  perjuicio de las personas, ya que al tipificar como delito la  puesta  dolosa en peligro de contagio de enfermedades, genera dos supuestos: que se trate de  infecciones de transmisión sexual y que se trate de enfermedades graves”.

Además, señaló el organismo, no cumple su objetivo de prevenir la transmisión de infecciones sexuales hacia mujeres y niñas, por encontrarse en condiciones de vulnerabilidad,  sino que provocó una diferenciación basada en el padecimiento de  cierto  tipo  de  infecciones,  en  este  caso  de  transmisión sexual, y calificarlas como graves, hecho que no es real, pues no todas las infecciones de este corte son graves.

Respaldo internacional

A poco más de medio año de haberse presentado el recurso, organizaciones de la sociedad civil internacionales como Red Justicia por VIH en todo el Mundo entregaron una carta a la Suprema Corte de Justicia de la Nación para solicitar la admisión del recurso legal tomando en cuenta que “no hay evidencia de que criminalizar la exposición potencial o percibida al VIH o ITS beneficie la prevención; sin embargo, hay serias preocupaciones de que la criminalización puede causar un daño considerable”.

En el documento entregado a la Corte, se recuerda que diversos organismos internacionales como el Programa Conjunto de las Naciones Unidas sobre el VIH/Sida, el Relator Especial del derecho a la salud de las Naciones Unidas, la Comisión Global de VIH y la Ley y la Organización Mundial de la Salud han recomendado a los gobiernos limitar el uso del derecho penal a situaciones extremadamente excepcionales casos de transmisión intencional de VIH (por ejemplo, cuando la persona conoce su propio estatus seropositivo, actúa con la intención de transmitir el VIH, y de hecho lo transmite).

La misiva también señala que las leyes que criminalizan al VIH afectan los derechos de las personas con VIH porque provocan confusión y miedo sobre obligaciones en virtud de la ley; generan fallas en los sistemas de justicia, a menudo como resultado de una representación legal inadecuadamente informada y competente; surgen amenazas que desencadenan el enjuiciamiento como medio de abuso o represalia contra una pareja actual o anterior; las investigaciones policiales son desproporcionadas e insensibles, pudiendo provocar estigma y discriminación, y propicia condenas y sanciones desproporcionadas.

Además, el miedo al procesamiento judicial puede desalentar a las personas, especialmente a aquellas pertenecientes a poblaciones altamente vulnerables al VIH, de examinarse y conocer su estatus, porque muchas leyes se aplican sólo a quienes son conscientes de su estatus seropositivo e impide el acceso a la atención y tratamiento porque las historias clínicas pueden ser usadas como evidencia en su contra en las Cortes.

Situación preocupante

Para Patricia Ponce, investigadora del Centro de Investigaciones y Estudios sobre Antropología Social Unidad Golfo e integrante del Grupo Multisectorial en ITS y VIH/sida del Estado de Veracruz, la situación en el estado es preocupante debido a que es la entidad con el tercer número más alto de casos acumulados de sida de toda la República Mexicana, el segundo de casos de VIH, el segundo en número de mujeres viviendo con el virus y el segundo con niños afectados por VIH.

Por su parte, Edwin J. Bernard, coordinador global de la Red Justicia por VIH en todo el Mundo, consideró que el combate contra la epidemia requiere erradicar el estigma y la discriminación, no añadirle aún más a través del orden jurídico.

Para el caso concreto de Veracruz, explicó que “si se quiere proteger a las mujeres y niñas del VIH, lo que se debe hacer es fortalecerlas y empoderarlas”.

Sean Strub, director ejecutivo de Sero Project de los Estados Unidos, explicó que la existencia de leyes que penalizan la transmisión del VIH son un asunto de salud pública porque sancionar reduce la posibilidad de realizar nuevos diagnósticos.

“La mejor manera de combatir la criminalización del VIH es que las personas con el virus alcen la mano para erradicar la situación”, añadió.

Alejandro Brito, director de la organización civil Letra S, advirtió que si se deja pasar la situación, “esta se puede convertir en un efecto domino y podrían aprobarse modificaciones similares en otros estados”.

Al respecto, Ricardo Hernández Forcada, director del Programa de VIH SIDA y Derechos Humanos de la CNDH, señaló que, prácticamente, en todos los códigos penales estatales, e incluso el federal, hay alguna penalización por la transmisión de  infecciones de transmisión sexual, y se tiene conocimiento de que en Baja California Sur se ha encarcelado gente bajo dicho criterio.

Fuente: Notiese