US: Nushawn Williams “poster child” of newly proposed HIV-specific law faces a lifetime of civil confinement (update 2)

Update: July 20th
A New York Supreme Court judge in Buffalo has dismissed Nushawn Williams’s petition for release and ruled he could remain in jail while awaiting his October trial under New York’s Civil Confinement Law.

Update: May 11th
No big surprise, but a New York State Supreme Court judge has ruled that Nushawn Williams “poses a danger to society and as a result, must remain behind bars even though his sentence is complete.”

State Supreme Court Justice John Michalski said there is probable cause that Williams suffers from a “sexual abnormality” that would pose a danger to society.

With the ruling, Williams could now face a trial to determine his future status.

Both sides are due back in court next month as they hold arguments over a defense motion to dismiss the case.

Under a civil law, passed in 2007, the state can lock up a sex offender indefinitely if it proves the person has a mental abnormality and is likely to offend again.

Original post: April 23rd

The impact of the 1997 Nushawn Williams case continues to reverberate in New York. Following last year’s denied request for parole, there are now plans to keep him locked up forever by New York’s Attorney General Andrew M. Cuomo.

The New York Times reported on April 13th

Mr. Williams, 33, was due to be released on Tuesday after serving his maximum sentence of 12 years, but Mr. Cuomo’s office is seeking to keep him in custody under a three-year-old state law that permits the civil confinement of sex offenders. Last Friday, a state judge in Buffalo, near where Mr. Williams has been jailed, ordered that he remain in custody pending the outcome of a civil confinement proceeding.

Now, State Senator Cathy Young of Olean is not only urging Cuomo to keep Williams in civil confinement but also proposing a new HIV-specific law for New York using Williams as a “poster child”. Back in February 2009, Suffolk County District Attorney Thomas Spota teamed up with Parents for Megan’s Law to advocate for the same thing.

Here is Senator Young’s press release, featuring her proposed law in full.

Senator Cathy Young (R,I,C – Olean) today renewed her call for a law making it a crime to knowingly spread the deadly HIV/AIDS virus to other unsuspecting people. Senator Young’s announcement comes in the wake of news that Nushawn Williams, the man who caused an AIDS epidemic in Chautauqua County in the 1990s, had completed his prison sentence and could be released to the public.

Senator Young also called on New York State Attorney General Andrew Cuomo to rigorously fight to ensure that Williams remains confined in a psychiatric facility and is not let back out into the community.

“People who knowingly use HIV/AIDS as a deadly weapon by purposely exposing others to the disease should be severely punished. This proposed law would provide the appropriate penalties for those who callously put other people’s lives in jeopardy, and will help further prevent the transmission of HIV/AIDS by keeping victims and prison supervisors informed when inmates test positive for the virus.”

State Attorney General Andrew Cuomo has announced that he is seeking, under New York’s Sex Offender Management Act, to have Williams confined in a state-operated psychiatric facility.

Senator Young said, “Nushawn Williams is the poster child for why we need a civil confinement law in New York State. I urge Attorney General Cuomo to do everything in his power to ensure that Williams remains confined. This deadly predator must not be returned to society.”

Senator Young’s legislation would create the crimes of reckless endangerment of the public health in the 1st and 2nd degrees for people who test positive for HIV/AIDS and then recklessly engage in conduct which results in transmission of HIV/AIDS to another unsuspecting person or puts that person at substantial risk of contracting HIV/AIDS.

The bill would also, among other provisions, required persons charged with a sex offense or reckless endangerment of the public health to be tested for HIV/AIDS and the results to be available to the victim (s) upon request.

The announcement in the fall of 1997, that Nushawn Williams had been informed of his HIV-positive status but continued to have unprotected sex with numerous women and underage girls in Chautauqua County, shocked the state and the nation. Williams was directly responsible for infecting thirteen victims statewide with HIV, two of whom passed on the virus to their children.

Williams completed his 12-year sentence for reckless endangerment and two counts of statutory rape last Tuesday, but continues to be held at Wende Correctional Facility in Alden.

While in prison, Williams tossed his HIV-tainted urine at another inmate, said he wanted to infect more women with HIV when he is released, fought with other prisoners, engaged in gang activity, and arranged to have drugs smuggled in and used them. He did not complete any sex offender or drug treatment programs.

In a required pre-release psychiatric evaluation, Williams was found to be antisocial, psychopathic, lacking in remorse and “prone to further sexual contact with underage individuals because of deficits in his emotional capacity to understand why this is wrong.”

Specifically, Senator Young’s legislation (S. 3407) would:

– Create the crime of reckless endangerment of the public health in the 1st degree, a class B felony, for those who are aware that they have tested positive for HIV/AIDS and then recklessly engage in conduct which results in transmission of the virus to another person who is unaware of the condition. Also creates the crime or reckless endangerment of the public health in the 2nd degree, a class C felony, for those who have tested positive and then engage in conduct which creates a substantial risk of the transmission of HIV/AIDS to another unwitting person;

– Create a class E felony for providing false information or statement regarding HIV status to a health care provider;

– Require all currently incarcerated persons and persons newly entering a correctional

facility be tested for the HIV virus;

– Provide that a person charged with a sex offense under article 130 of the State Penal Law or reckless endangerment in the 1st or 2nd degrees must be tested for HIV and the results of the test made available to the victim (s) and defendant upon request;

– Provide that upon the diagnosis of an inmate with HIV/AIDS, notice of the diagnosis must be provided to corrections personnel and others involved in the supervision and care of the inmate to that they can take appropriate measure to protect themselves and other inmates from exposure.

UK: New Guidance for Police Investigating Criminal Transmission of HIV

I’m reproducing below a press release issued yesterday by the National AIDS Trust (NAT) about the new UK (with the exception of Scotland) guidance for police officers investigating allegations of criminal HIV transmission. We’ll hear more about the guidance – a world’s first – and how it was developed, at the International AIDS Conference in Vienna which begins on Sunday.

Police and HIV sector work together to produce guidance

New guidance has been produced to help police when investigating allegations of criminal transmission of HIV. The guidance provides police officers with basic facts about HIV and sets out advice on how to deal with complaints about reckless (or intentional) transmission of HIV in a fair and sensitive manner.

The new guidance from the Association of Chief Police Officers (ACPO) was developed by a working group which included police officers, representatives of the Crown Prosecution Service and the National Policing Improvement Agency, and the National AIDS Trust. Police across England, Wales and Northern Ireland will be expected to follow new guidance.

Ellie O’Connor, Detective Chief Inspector of the Metropolitan Police, comments;

“Investigations into the criminal transmission of HIV are extremely rare but we know they cause a lot of anxiety for the individuals involved. It is important police officers have an understanding HIV and what to do should someone make a complaint.

In producing this guidance we listened to the concerns of the HIV sector and worked in partnership with them. We strongly encourage all police forces to disseminate this guidance and ensure officers know to access it when a case occurs.”

Deborah Jack, Chief Executive of NAT, comments;

“Criminal investigations into HIV transmission worry many people with HIV, even though they occur only very occasionally. We are pleased that we have been able to work together with the police to produce guidance for their officers. The Association of Chief Police Officers took the issue very seriously.

The resulting guidance sets out a fair way to deal with these investigations that keeps in mind the particular sensitivities of HIV. This new guidance should serve to reduce the number of police investigations and reassure people living with HIV of what they can expect in the unlikely circumstance this occurs.”

For further information about this issue NAT and THT have produced a leaflet for people living with HIV – Prosecutions for HIV Transmission: A guide for people living with HIV in England and Wales.

Under the new guidance for police investigating criminal transmission of HIV, people living with HIV can expect:

  • to be treated supportively.
  • for their confidentially to be respected.
  • an investigation of reckless transmission only to be pursued if a complainant has been infected with HIV
  • for the case to be continually discussed with the Crown Prosecution Service to ensure only legitimate complaints are pursued.
  • contact with any other individuals relevant to the case to be initiated by trained staff at GUM clinics.
  • and uninterrupted access to medication in the event of being taken into custody.

If someone reports to police concerned that they have been exposed to HIV in the past 72 hours they will be referred to an open sexual health clinic or the nearest hospital Accident and Emergency Department to ask for PEP.

For a background study of early police investigations of alleged cases of HIV transmission see Policing Transmission by Terrence Higgins Trust.

Austria: AIDS 2010 delegates warned about criminal HIV exposure laws; law clarified but not binding

The organisers of the International AIDS Conference, due to be held in Vienna from next Sunday (18th July), have today provided an important update on Austria’s criminal HIV exposure and transmission laws.

They recommend that anyone who is aware they are living with HIV practice safer sex and safer injecting practises whilst in Austria to minimise the legal risks.

Although the Austrian Ministry of Justice has issued various opinions clarifying the law on HIV exposure and transmission – including recognising that sex with a condom or unprotected sex with an undetectable viral load is not a criminal offence – and that this is a “firm directive to the courts, it should be noted that it does not actually change the law and is not necessarily binding on the courts. As such, conference delegates are advised to always adopt safer sex practices to protect their health, minimize the risk of transmission and the associated legal risks.”

Full statement below.


Statement on Austrian Laws Impacting People Living with HIV/AIDS (PLHIV)
from AIDS 2010, GNP+ and ICW

Local and international organizers for the XVIII International AIDS Conference (AIDS 2010) look forward to welcoming delegates to Vienna this month.

As delegates plan their stay in Vienna, this short statement provides an overview of some Austrian laws that impact on people living with HIV/AIDS (PLHIV). The organizers of AIDS 2010 recommend that conference delegates read this statement to understand their legal position with respect to these areas of law.

There are two key points in this statement:

  • Intentional and negligent acts capable of transmission of HIV are criminal offences in Austria
  • Legal risks can be minimized through safer sex and safer injecting practices

Intentional and negligent acts capable of transmission of HIV are criminal offences in Austria

The Austrian Penal Code provides that it is a criminal offence to commit an act which is capable of causing the danger of spreading an infectious disease. Under the law, the disease must be reportable or notifiable. HIV is considered such an infectious disease, along with Hepatitis C, tuberculosis and gonorrhoea. An ‘act’ capable of causing danger includes sexual activity such as vaginal or anal intercourse, oral intercourse or heavy kissing where there is biting or open wounds. An ‘act’ could also include the sharing of injecting equipment.

If the act is carried out with the intent of spreading the disease then the penalty is a maximum three years imprisonment or a financial penalty. If it is an act of negligence, then the penalty is a maximum of one-year imprisonment or a financial penalty.

Under Austrian law, the following factors are irrelevant in establishing a criminal offence:

  • Whether the disease was actually transmitted. The key point is whether the act caused danger. This can be a real danger or an abstract (hypothetical) danger.
  • Whether the person carrying out the act thought, ‘without good cause’ (negligently), that the other person already carried the disease. [Note that if person who carried out the act thought ‘with good cause’ (not negligently) the other person was already infected, then the act is not a criminal offence.]
  • Whether the other person consented to the act.
  • Whether the person who carried out the act disclosed his/her disease, although this may reduce the severity of the penalty.

The Global Criminalisation Scan prepared by GNP+ shows that there have been at least 40 prosecutions in Austria resulting in at least 30 convictions. [Note that GNP+ has noted the lack of reliable data as a problem.]

It is important to note that a broad range of organisations now agree that laws that criminalise HIV transmission violate human rights and undermine public health interventions, including HIV prevention initiatives.

Legal risks can be minimized through safer sex and safer injecting practices

There have been a number of developments in Austrian case law that provide greater legal clarity on how PLHIV can minimize their legal risks in relation to the transmission of HIV. This legal information has been kindly provided by Dr Helmut Graupner, an Attorney at Law specializing in sexuality and the law in Austria.

In the lead up to AIDS 2010, the Ministry of Justice has issued an opinion clarifying the law on HIV transmissions. Whilst this opinion is a firm directive to the courts, it should be noted that it does not actually change the law and is not necessarily binding on the courts. As such, conference delegates are advised to always adopt safer sex practices to protect their health, minimize the risk of transmission and the associated legal risks.

For a person living with HIV, sexual intercourse with a condom does not constitute a criminal offence. The Supreme Court of Austria has issued a decision that sexual intercourse with a condom for a PLHIV does not constitute a criminal offence. Please note that the case law on sexual intercourse with a condom only concerns vaginal intercourse and not anal intercourse, however, the opinion of the Ministry of Justice provides that this applies to anal intercourse too.

Oral intercourse (PLHIV giving) without a condom does not constitute a criminal offence. Austrian courts have found that oral intercourse from a PLHIV to another person without a condom does not constitute a criminal offence. However, there is no case law concerning oral intercourse from an HIV-negative person to a PLHIV, so the legal position in this case remains unclear. Such intercourse should not constitute a criminal offence if safer sex practices are observed and no ejaculation into the mouth takes place. However, an HIV positive person ejaculating into the mouth of someone who is HIV negative may constitute a criminal offence. [An element of HIV transmission law in Austria is ‘abstract’ risk or hypothetical risk. Whilst there have been no cases concerning oral intercourse from an HIV-negative person to a PLHIV, due to the abstract risk element of the law, we have been advised to include this advice in the statement.]

If a PLHIV has an undetectable viral load, unprotected sexual intercourse does not constitute a criminal offence. The Ministry of Justice has provided a firm opinion that if the PLHIV has an undetectable viral load and is consistently following an effective ART regimen then sexual intercourse without a condom does not constitute a criminal offence, given that such persons are not infectious. Please note that the opinion is not binding on the courts. As such, delegates are advised to adopt safer sex practices even if they have an undetectable viral load.

The AIDS 2010 organisers recommend that all conference participants practice safer sex and safer injecting practices to protect their health, minimize the risk of transmission and the associated legal risks.

There are no restrictions in Austria for PLHIV in accessing public spaces
The Vienna public transportation system (Wiener Linien) has no regulations denying PLHIV the right to use the system and there has never been a reported incident of denied service to a PLHIV. Further, regulations denying entry to those with contagious diseases to public swimming facilities in Vienna were removed recently.

Conference organizers are grateful to representatives of the Austrian Government, the City of Vienna and the Austrian Parliament for their efforts to work with us to clarify Austrian laws impacting PLHIV. We are also grateful to them for all the other support given to the conference to make it a success.

Mexico: Laws Criminalising HIV Transmission Are Discriminatory

I’m republishing this excellent article from the Inter Press Service providing the first overview I’ve ever seen of the individual Mexican state’s laws that can be used to prosecute people with HIV for not disclosing before sex. So far there have been no prosecutions.

Mexico: Laws Criminalising HIV Transmission Are Discriminatory

Inter Press Service – June 29, 2010
Emilio Godoy

MEXICO CITY, Jun 29 (IPS) – In 30 of Mexico’s 32 states there are laws penalising transmission of HIV, the AIDS virus, which are regarded by experts as discriminatory and ineffective in curbing the epidemic.

Under the Federal Criminal Code, passing on a sexually transmitted infection (STI) or incurable disease is a crime punishable by up to five years in prison, and this is mirrored in most of the states’ legislation, where fines and community service are sometimes included as penalties.

In two states, Guerrero in the southwest and Tamaulipas in the northeast, the laws refer specifically to HIV/AIDS.

The central states of Aguascalientes and San Luis de Potosí are the only ones that do not criminalise the transmission of STIs.

In Guerrero, article 195 of the state penal code establishes prison terms of three months to five years and fines of between 20 and 100 days of the defendant’s wages for anyone who is aware they have an STI or HIV and has sexual intercourse with someone who is unaware of their condition.

In Tamaulipas, article 203 provides for sentences of six months to six years, and fines of between 10 and 50 days of the defendant’s wages, for the same offence.

“This is an alarming situation. HIV transmission should not be criminalised. It is a discriminatory practice that lends itself to continued justification of attitudes like homophobia,” José Aguilar, the national coordinator of the non-governmental Red Democracia y Sexualidad, which focuses on sex education and advocating sexual rights, told IPS.

So far, these laws have not been enforced against HIV-positive people, which is why there have been no moves to repeal them.

“This legislation was intended to curb the HIV/AIDS epidemic; but clearly, it criminalises people living with HIV. It also violates a number of human rights, for instance the rights to privacy and sexual freedom,” Mario Juárez, at the department of analysis and proposals of the state National Council to Prevent Discrimination, told IPS.

This country of 107 million people has more than 200,000 people living with HIV — the second largest infected population in Latin America after Brazil — and an HIV infection rate of 0.4 percent. In the region, over two million people are living with the virus.

Criminalisation of the transmission of HIV/AIDS is on the agenda for the 18th International AIDS Conference scheduled for Jul. 18-23 in Vienna, Austria. It was also discussed at the 11th National Congress on HIV/AIDS and other Sexually Transmitted Infections, held last November in the southern Mexican state of Chiapas.

And at the 17th International AIDS Conference held in August 2008 in Mexico City, the Joint United Nations Programme on HIV/AIDS (UNAIDS) and the United Nations Development Programme (UNDP) presented a global report on the growing criminalisation of HIV transmission.

Mexico’s national report for 2008-2009 on the fulfilment of the Declaration of Commitment on HIV/AIDS, adopted by the United Nations General Assembly Special Session (UNGASS) in 2001, does not mention the effects of these laws.

“It’s important to have prevention measures and awareness-raising campaigns, and to build a culture of respect. Civil society is always fighting discriminatory measures like these, and always struggling against the current,” said Aguilar.

In 2007, UNAIDS and the UNDP supported the publication of a document, “Ten Reasons for Opposing Criminalisation of HIV Exposure or Transmission“, drawn up by a coalition of organisations working on HIV/AIDS, human rights and gender issues.

“The push to apply criminal law to HIV exposure and transmission is often driven by the wish to respond to serious concerns about the ongoing rapid spread of HIV in many countries, coupled by what is perceived to be a failure of existing HIV prevention efforts,” the document says.

The 10 reasons include the ineffectiveness of such laws and their discriminatory and stigmatising nature, as well as the view that they “endanger and further oppress women.”

In Mexico the sex ratio among people living with HIV was 6.6 men for each woman in 1995, a proportion that dropped to 5.1 in 1996 and 3.6 in 2008, before increasing to four men for every woman in 2009.

Between 1995 and 2009, there were 640 homophobia-related murders, 143 of which were committed in the Mexican capital, according to the Federal District Commission on Human Rights.

“It’s an issue that just hasn’t been raised forcefully enough, and so the state has not reacted. Civil society organisations should take up the question and air it in public,” said Juárez, in regard to the laws and their possible consequences.

But so far there have been no legislative initiatives to eliminate the laws criminalising HIV transmission in Mexico.

The Global Fund to Fight AIDS, Tuberculosis and Malaria has approved a grant of 70 million dollars for a Mexican project aimed at high risk groups such as men who have sex with men, sex workers and intravenous drug users.

The Global Fund, based in Geneva, Switzerland, is a public-private partnership of international donors, the governments of the Group of Eight most powerful countries, and non-governmental organisations, devoted to preventing and treating AIDS, tuberculosis and malaria in needy countries.

Laos: Legislators consider HIV-specific law allowing “prosecution of wrongdoers”

A brief report from the German News Agency, dpa, suggests that leglislators in Laos are considering a new HIV-specific law that will include criminal exposure or transmission provisions.

The law would also introduce the “prosecution of wrongdoers,” the report said.

Some of Laos’ neighbouring countries, including Cambodia, China, and Vietnam already have statutes that allow for such prosecution, although Myanmar and Thailand have so far resisted such laws.

“As a transit country, the trend is towards more exchanges of people and goods between neighboring countries,” Minister of Health Ponmek Dalaloy told the assembly Wednesday.”There will be more hotels and entertainment venues offering sex services and injected drugs,” Ponmek said in support of the legislation, which would promote public education about the virus. “All these factors could cause the virus to spread unless strong prevention measures are put in place,” he argued.

Uzbekistan: Negligent liability now added to HIV-specific criminal law

The Uzbek government has amended article 113 of Uzbekistan’s Criminal Code to allow for easier prosecution for medical negliglence resulting in HIV transmission, according to a report on eurasianet.org.

Article 113, passed in 1999 and enacted in 2001, criminalises both knowing HIV exposure and transmission, both of which are punishable by imprisonment from eight to ten years. According to the report it had

previously provided punishment of fines or arrest from 6 months to 3 years for “deliberately endangering another person by infecting them with a venereal disease or AIDS.” The new law specifies criminal liability of arrest for 6 months or imprisonment up to 5 years for such infection “as a result of non-fulfillment or negligence of professional duties”. This includes failing to keep instruments sterile, and failure to follow proper procedures for blood transfusions and other medical procedures.

The amendment to the law was likely inspired by the trial of 13 doctors and medical workers whose negligence allegedly resulted in 147 children in the Namangan and Namangan regions becoming HIV-positive.

Fourteen of the children later died. Prosecutors found that doctors had failed to sterilize catheters, had reused disposable syringes and needles for taking blood samples, and also had falsified sterilization records and later destroyed evidence. Twelve were sentenced to prison for 5-8 years. Nine other medical employees from district hospitals in Namagan region were investigated, but the government has not made any information available and ferghana.ru could not learn their fate. This year, another group of doctors in Andijan were also charged with infecting patients with HIV.

Uzbekistan is not known for its HIV-friendly policies. Last summer, HIV educator and advocate, Maxim Popov, was jailed for seven years allegedly for mismanagment of donor’s funds but ostensibly for “corruption of youth” for “possessing and distributing HIV/AIDS-prevention publications that were deemed offensive to Uzbek sensibilities.”

Last month, Uzbek President Karimov’s daughter, Gulnara Karimova, who is also the Uzbek ambassador to Spain, attended a fundraiser in Cannes sponsored by the Foundation for AIDS Research (amfAR).

Robert Frost, executive directof of amfAR, said he had raised Popov’s case with Karimova [and] she had promised to “look into the situation,” but nothing further has been heard from Karimova.

Ghana: Calls for new HIV-specific criminal law heeded by AIDS Commission

The Ghana AIDS Commission is undertaking a legal audit to establish whether there is a need for a new HIV-specific criminal law against “deliberate” transmission, according to a report from Ghanian radio station, Joy.

According to the report, some members of a PLHIV self-help group, Models of Hope, have claimed that the phenomenon of deliberate transmission is “very prevalent” in Ghana.

Reports say people get affected by the virus through another person’s premeditated action. Affected persons who have their conditions alleviated by antiretroviral drugs are said to deliberately spread the virus to unsuspecting persons by having unprotected sex with them. Some even go to radio stations to boast of their escapade, thus causing panic in those who have engaged in, most often, unprotected sex with them.

Dr Angela El-Adas, Director General of the Commission, told the radio station that “this legal audit will tell us what we have in terms of the legislative instruments that can enforce any action that we take or can back an action that we take”, but that the Commission is also mindful of the human rights of people living with HIV.

In 2006, the Ghana Chapter of the Society For Women Against AIDS In Africa (SWAA) began lobbying policymakers and parliamentarians to adopt a version the AWARE-HIV/AIDS model law. At the same time Ministry of Justice and the Attorney-General’s Office initiated a process to incorporate’ wilful transmission’ into the Criminal Code.

It was thought that the process has stalled by 2008, but since most of their neighbours already have passed HIV-specific criminal legislation based on this horrendous model law, it is not surprising that Ghana is following this path. Twelve other countries in Western Africa have passed their own adaptations of law since 2005 and at least 25 African countries now have HIV-specific criminal laws.

Uganda: Latest version of HIV/AIDS Prevention and Control Act introduced, HRW analysis

Yesterday, Beatrice Rwakimari, Chairperson of the Committee on HIV/AIDS and Related Matters introduced the latest version of the 2010 HIV/AIDS Prevention and Control Act to the Ugandan parliament.

According to a press release from Human Rights Watch (HRW) issued yesterday:

“The bill contains measures that have been proven ineffective against the AIDS epidemic and that violate the rights of people living with HIV,” said Joe Amon, Health and Human Rights director at Human Rights Watch. “The HIV epidemic in Uganda is getting worse, and this bill is another example of misguided, ideological approaches and lack of leadership.”

The bill as currently written codifies discredited approaches to the AIDS epidemic and contains dangerously vague criminal provisions. Contrary to international best practices, the bill would criminalize HIV transmission and behavior that might result in transmission by those who know their HIV status.

The bill would discourage voluntary HIV testing, while making testing mandatory for pregnant women, their partners, suspected perpetrators and victims of sexual offenses, drug users, and prostitutes, in violation of fundamental principles of consent. The bill also allows medical practitioners to disclose a patient’s HIV status to others, breaching confidentiality standards. These provisions could potentially endanger those who are infected by exposing them to stigma, discrimination, and physical violence.

Last November, HRW and 50 Ugandan and international organisations commented on an earlier draft of the bill.

Since then, notes HRW, “the law was partially improved by removal of criminal penalty for the transmission of HIV from mother to child through breastfeeding.”

However, many problematic provisions remain including those relating to:

  • HIV testing and counseling, generally and among minors
  • Notification and disclosure obligations
  • Criminalisation of HIV transmission
  • Criminalisation of other conduct related to HIV/AIDS

Earlier this month, in a letter to Uganda’s Parliament, Human Rights Watch released an updated analysis of the bill which highlights:

numerous provisions that contravene the right to equal protection and non-discrimination under Uganda’s constitution and Uganda’s obligations under international human rights law. Furthermore, these provisions will ultimately prove counterproductive to reducing the burden of the HIV epidemic in the country.

HRW’s press release concludes:

“Like the anti-homosexuality bill, the HIV/AIDS bill tramples on rights and encourages stigma and intolerance,” Amon said. “The international community and Ugandan civil society have been vocal and clear about the problems in the bill. It is time for Uganda’s parliament to listen and amend these damaging provisions.”

Uganda: Minister’s turnaround on HIV bill raises concern (PLUSNews)

KAMPALA, 11 May 2010 (PlusNews) – Ugandan AIDS activists have expressed concern over a decision by the Ministry of Health to back an HIV/AIDS bill that would criminalize the deliberate transmission of HIV.

Last week, State Minister for Health in charge of General Duties, Richard Nduhura, appeared before the parliamentary committee on HIV to explain the government’s position on the HIV and AIDS Prevention and Control Bill (2009). Nduhura backtracked on his earlier position that portions of the bill would lead to discrimination and undermine the rights of people living with HIV.

“I am in support of the law as it is now,” he told IRIN/PlusNews.

Uganda’s President Yoweri Museveni has in the past stated that he “fully supports” an HIV/AIDS law that would criminalize deliberate transmission of the virus.

The bill, as well as another controversial proposed law, the Anti-Homosexuality Bill 2009, has led to widespread criticism by human rights activists.

According to Stella Kentutsi, of the National Forum of People Living with AIDS Network in Uganda, the minister’s U-turn showed there was still a lack of understanding of its clauses and how they would affect people living with HIV.

“The biggest problem we have with this bill is lack of awareness; we think [Nduhura’s] comments were biased and influenced by parliament,” she said. “He needs to sit and think carefully, then make a decision that will balance both sides.”

Nduhura said he was convinced of his new position, and had not been unduly influenced by members of the parliamentary committee.

The forum has been raising awareness across the country about the bill, which is intended to provide a legal framework for the national response to HIV, as well as protect the rights of individuals affected by HIV. Many of its clauses seek to protect the rights of people living with HIV to healthcare, criminalize discrimination on the grounds of HIV status and uphold the principles of confidentiality and consent.

Contradictions

However, AIDS activists say the parts that criminalize the deliberate transmission of the virus are counter-productive; for instance, the bill outlaws attempted transmission of HIV and recommends life in prison for people found guilty of intentional transmission of HIV. Many activists have questioned how the government would prove deliberate transmission.

The bill further recommends that intravenous drug users, sex offenders and their victims, people charged with offences related to prostitution, and pregnant women and their partners be automatically tested for HIV. If passed, it would authorize medical practitioners to inform, at their discretion, people they felt were at risk of contracting HIV, such as an HIV-positive person’s spouse.

“If you push for a more severe or lesser punishment because someone is infected you are discriminating and undermining the rights of people living with HIV,” Kentutsi said. “Those who are HIV-infected should not be treated any differently.”

The bill is due to be tabled before parliament imminently, and stakeholders will have a chance to put forward their positions on its clauses.

“People should not lose sleep over the bill; that phrase [deliberate transmission] could be dropped or retained – there is still a lot of room to review it,” said Chris Baryomunsi, a member of parliament’s select committee on HIV.

East Africa: Move Towards Common HIV/AIDS Law (IPS)

Another excellent piece from the Inter Press Service News Agency, whose mission is to give voices to the voiceless.

EAST AFRICA: Move Towards Common HIV/AIDS Law
by Wambi Michael

ARUSHA, Dec 4 (IPS) – All HIV-positive east Africans could soon access free anti-retroviral treatment even as they move freely from country to country, if a new proposed law comes into effect.The East African Community (EAC) is currently developing a law to guide the region’s response to HIV/AIDS.

This comes as the regional block moves towards an integration process that would see more citizens cross the boarders in the five states of Kenya, Uganda, Tanzania, Burundi, and Rwanda.

“With the signing of the protocol on customs union that will enable free movement of persons, you are actually going to see free movement of the virus because people will be interacting more easily as they transact business. The effect of that is that HIV must be seen regionally,” said Catherine Mumma, a Kenyan Human Rights Lawyer, who works with consultancy group Africa Vision Integrated Strategies. She led a consultation in the EAC states before the drafting of the new proposed law.

Based upon the consultations, the proposed law aims to provide joint treatment policies for people in the region while they move freely across the borders.

“One other thing is that east Africans would want a law that would enable them to access services anywhere they go in east Africa. So that if you were in Nairobi and you were on ARVs and you only brought two days ARVs and Kenya Airways went on strike, you should be able on the third day to walk into a treatment centre and get treated.”

The law will allow for a common stance on HIV/AIDS, which aims to be non-discriminatory. Currently some countries in the region criminalise the treatment of HIV-positive sex workers and gay men.

The presidents of the five member states agreed in November to commence the East Africa common market protocol, which beings in early in 2010. It will allow for the free movement of labour and trade across borders, similar to the Southern African Development Community trade agreement.

Lucy Ng’ang’a, the executive director for the Eastern African National Networks of AIDS Service Organisations (EANNASO) said the proposed law will take on the good parts of the existing laws in the region but also tackle some of the silent issues and make better the areas that are controversial.

For example, Kenya has as a law providing for the free treatment and counselling for HIV-positive people.

One of the controversial areas is the criminalisation of the transmission of HIV/AIDS being suggested by countries like Uganda.

Another controversial area is that in the Penal Codes of Kenya, Rwanda, Burundi and Tanzania prostitutes and gay men, who are considered high risk in HIV/AIDS transmission, are not allowed access to treatment.

Member states like Kenya, Tanzania and Burundi already have laws on HIV/AIDS.

Uganda’s law, the HIV/AIDS Control Bill 2009, was tabled before Parliament in 2008 as a Private Member’s Bill. It has already caused a public outcry because of a clause relating to the criminalisation of HIV transmission between adults.

EANNASO contracted consultancy group Africa Vision Integrated Strategies to study the existing HIV laws within the region and advise on a draft bill for an East African Law on HIV.

The report by the Kenyan-registered consultancy was presented at a regional consultative meeting held between December 3rd and 4th, 2009.

Participants at the meeting in Arusha voiced concern at provisions in the member states laws relating to the rights of People Living With HIV/AIDS and criminalisation of HIV transmission.

Mumma told IPS that most people consulted felt that the issue of wilful transmission of HIV/AIDS should be punishable, but not in the context of the HIV law. It should be dealt with separately because if it was included in the HIV law, it will stigmatise people who may use this law to seek protection and treatment, the East Africa Law Society said.

“HIV should be seen as any other diseases including hepatitis B. And it would better for it to be dealt with in the context of the penal code even if it meant drafting another clause in the penal code,” Mumma said.

Sarah Bonaya, a Kenyan Representative at East African Legislative Assembly and also a member of the General Purposes Committee in the parliament, said she was sure that her colleagues in the assembly would support the Bill which may be tabled as a Private Member’s Bill to the East African Assembly.

She was happy that consultations had gone on through the five states to ensure a harmonised law that would address some of the negative provisions within each member state law that would affect management of HIV/AIDS as a region.

The new proposed law on HIV/AIDS would be the second in Africa after the SADC HIV law adapted in November 2008. The SADC law provides a comprehensive framework for harmonisation of HIV and human rights in southern Africa.