November #149 : Prison Break - by James Wortman

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Table of Contents

Free At Last?

It's a Girl!

Condomless Sex? Maybe Not Yet

Meditation Matters

Boys and Girls Together

Med Alert-November 2008

From the Inside: Strength to Spare

Ritonavir News

A Liver-Cleansing Herb’s Benefits Begin to Bloom

Sweet Spot

Bottoms Up

Starting Out Late?

Eat Well, Pay Little

Is Organic Food Worth the Splurge?

Coats of Many Colors

Prison Break

Ladies First

Pos & Neg

Shout Out!

In Their Words

You Said It...

Life’s Rich Pageant

How to... Disclose in the Heat of the Moment

Editor's Letter-November 2008

Your Feedback-November 2008

Most Popular Lessons

The HIV Life Cycle


Herpes Simplex Virus

Syphilis & Neurosyphilis

Treatments for Opportunistic Infections (OIs)

What is AIDS & HIV?

Hepatitis & HIV

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November 2008

Prison Break

by James Wortman

Is locking up HIV-positive people fueling stigma?

“HIV is a virus, not a crime.”

So said Edwin Cameron, an HIV-positive South African Supreme Court of Appeal judge, in a speech at the XVII International AIDS Conference this past August in Mexico City. In earshot of some of the most influential people in the global HIV/AIDS community, Cameron discussed an alarming trend: the increase in the criminalization of HIV-positive people around the world.

Ideally, the law should protect individual rights and prevent wrongdoing in a society. And the punishment should fit the crime. Why, then, was an HIV-positive homeless man in Texas who was arrested for drunk and disorderly conduct sentenced in May to 35 years in prison? Because he spit in an arresting officer’s face, and a prosecutor said the man’s saliva was a “deadly weapon.”

Regardless of the homeless man’s potentially malicious intent—he announced his HIV status after spitting in the officer’s mouth and eye and appeared to want to hurt him—the U.S. Centers for Disease Control and Prevention (CDC) affirms that while HIV can be found in bodily fluids such as saliva, tears and sweat, contact with these fluids has never resulted in the transmission of HIV.

“The ‘deadly weapon’ the man was accused of wielding was no more than a toy pistol—and it wasn’t even loaded,” Cameron said in his speech. “Ratcheting up the [charges] because the man had HIV was thus inappropriate, unscientific and plain wrong.”

A person who points a harmless object at another person and expresses a desire to harm that person may harbor an arguably punishable malice toward another, but should he or she be sentenced with the same severity as someone who wields an actual deadly weapon—and threatens to or succeeds at killing with it?

In Zimbabwe, people can be sentenced up to 20 years in prison for the crime of “deliberate transmission of HIV” even if there is only a possibility that they are HIV positive and have engaged in anything that might present a risk of transmission. In Sierra Leone, knowingly exposing another person to HIV—whether or not the act results in transmission—is illegal. This pushes the issue too far. It’s one thing to know you are HIV positive, conceal your status and expose someone to HIV with the intent of passing along the virus, but such cases are rare. More often, people are unaware of their HIV status or, like the aforementioned homeless man, are ill-informed about how they could possibly pass along HIV, even if that is their intent.

HIV laws that are overly harsh or too broad-reaching can make positive people feel like criminals. And when people feel like criminals they may be less likely to access care and treatment—the very treatment that could render them less infectious regardless of their actions. According to a recent statement by the Swiss National AIDS Commission, antiretroviral medications can decrease HIV transmission risk from positive people to their negative sexual partners—if they are taking their medication as prescribed and have an undetectable viral load. Wouldn’t, then, overly harsh laws that may deter people from getting treatment be downright counterintuitive to the mission of protecting public health?

“These laws are a throwback to the myths and prejudices that marked the very beginning of the AIDS pandemic,” says Scott Long, director of advocacy group Human Rights Watch’s (HRW) Lesbian, Gay, Bisexual and Transgender Rights Program. “It’s sad and sick that we are having to refight those old battles now.”

As POZ reported in our July/August issue (“Death on the Nile”), HRW has been investigating Egyptian law enforcement’s alleged torture and detainment of men who have sex with men (MSM) just for being HIV positive. Under the country’s so-called “debauchery” laws, a positive status is grounds for prosecution.

Long adds, “In some cases, governments that aren’t willing to put resources into effective outreach and prevention, much less effective care, simply think that throwing the law at people is a substitute for real action.”

In September, The London Free Press in Ontario, Canada, reported that a local man, Edward Kelly, was sentenced to five years in prison for not disclosing his HIV-positive status to a woman with whom he had unprotected sex. No transmission took place, but Kelly’s actions were arguably irresponsible. A prison sentence may indeed be appropriate for knowingly putting someone else’s life at risk. But many other misguided legal decisions help promote institutionalized stigma of MSM, women, intravenous drug users, the homeless and others.

So when is punishment appropriate? “Criminalization is in general warranted only in cases where someone sets out, well knowing he has HIV, to infect another person and achieves this aim,” Cameron said in his closing statements. Let’s match the punishment to the crime and not allow fear to drive a judge or jury’s decision. If the nondisclosure of other sexually transmitted viruses that can lead to death (like hepatitis B and C) were criminalized, perhaps HIV would not seem so exceptionalized and therefore, so stigmatized.      

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