A number of
middle- and low-income countries in Asia and Eastern Europe are developing, or
have recently enacted, HIV-specific laws, including Azerbaijan, Belarus,
Cambodia, Georgia, Serbia and Ukraine (all of which have now had at least one
reported prosecution). However, sub-Saharan Africa
has seen the most dramatic increase in HIV-specific laws in recent years, in a
trend characterised by the Canadian HIV/AIDS Legal Network as ‘legislation
contagion’.1
Where no laws
criminalising HIV exposure or transmission in African countries existed at the
turn of the 21st century, now some 25 African countries
criminalise ‘wilful’ HIV exposure or transmission. Many of
the recent laws are based on a model law developed by Action for West Africa
Region–HIV/AIDS (AWARE–HIV/AIDS) at a 2004 workshop in N’Djamena, Chad. AWARE–HIV/AIDS receives funding from the
United States Agency for International Development (USAID). The N’Djamena model law was conceived as human rights
legislation, with many of its provisions touted as protecting women's rights.2 South African
Constitutional Court Justice Edwin Cameron has described how statutes
criminalising ‘wilful transmission’ came
to be considered under the human rights umbrella. According to Cameron, “the [N’Djamena] model law for Africa...was
intended as a beneficial intervention to protect people with HIV: its
provisions on criminalisation...were added almost as an afterthought.”3 Cameron also
points out that many African nations look for moral and legal guidance in the
laws and practices of wealthy nations (such as Australia, Canada, Denmark,
Finland, Norway, Sweden and the United Kingdom, all of which have prosecuted a
disproportionate number of African migrants, often with stigmatising media
attention); the effect, he says, is the “export [of] heightened stigma and
discrimination.”3
criminalise ‘wilful’ HIV exposure or transmission. Many of the recent laws are
based on
The Canadian
HIV/AIDS Legal Network has also considered the soundness of the model law from
a human rights perspective, with one of its concerns being the vagueness of
provisions relating to ‘wilful transmission’ of HIV. ‘HIV
transmission’ is defined as infection that “can occur through sexual
intercourse, blood transfusion or the sharing of intravenous needle[s], skin
piercing instruments or through [m]other-to-child transmission.”3
“Any person who wilfully transmits HIV by
any means will be prosecuted for attempted murder and is punishable according
to the provisions of criminal law.” Example of an HIV-specific criminal law
based on the N’Djamena model law from Burundi. (Loi no 1/018 du 12 mai
2005 §42). See the chapter: Details
for more such laws.
With no provisions
for the affirmative defence of disclosure of HIV-positive status or the use of
safeguards to reduce the risk of transmission, this suggests that legislation
based on the N’Djamena model law could
be used to bring criminal charges against: people with HIV who have practised
safer sex; people with HIV who have attempted to disinfect shared needles; and
women with HIV whose children acquire the virus via mother-to-child
transmission despite their best efforts to prevent this from occuring. In
addition, the term ‘wilful’ is only defined in the English version of the N’Djamena model law as transmission
of HIV “through any means by a person with full knowledge of his/her HIV/AIDS
status to another person.”3 There is no such definition in the French
version. This suggests that individuals who are not diagnosed HIV-positive may
be culpable in French-speaking countries that have enacted laws based on the N’Djamena model law.4
Despite the
growing number of African HIV-specific criminal laws, there have been only a
handful of reports of successful prosecutions. The reasons for this, suggests
the Canadian HIV/AIDS Legal Network, is that the legislation is little known, it is often
not part of the culture to file criminal complaints, and, given the vagueness
of the legislation, difficulties with proof, and the high incidence of HIV
transmission, such laws are practically unenforceable.4
UNAIDS has issued
recommendations that include alternative ways of phrasing some provisions in
the N’Djamena model law.5 These include
defining ‘wilful transmission’ of HIV as “transmission of HIV that occurs
through an act done with the deliberate purpose of transmitting HIV”. It also
recommends that no criminal liability should be imposed upon:
-
an act that poses
no significant risk of HIV infection.
-
a person living
with HIV who was unaware of his or her HIV infection at the time of the alleged
offence.
-
a person living
with HIV who lacked understanding of how HIV is transmitted at the time of the
alleged offence.
-
a person living
with HIV who practised safer sex, including using a condom.
-
a person living
with HIV who disclosed his or her HIV-positive status to the sexual partner or
other person before any act posing a significant risk of transmission.
-
a situation in
which the sexual partner or other person was in some other way aware of the
person’s HIV-positive status.
-
a person living
with HIV who did not disclose his or her HIV status because of a well-founded
fear of serious harm by the other person.
-
the possibility of
transmission of HIV from a woman to her child before or during the birth of the
child, or through breastfeeding of an infant or child.
Case study: Mauritius. Concern over
HIV-specific criminal laws impact on public health. "Legislators
in Mauritius
decided not to criminalize exposure to HIV or even HIV transmission.
Legislators realized that legislation criminalising HIV exposure and/or
transmission would not be able to withstand a constitutional challenge, because
of the difficulties with proof, the likely vagueness of the definition of
exposure, and the risk of selective prosecution. The main reason for not criminalising
HIV transmission was, however, the concern about detrimental impacts on public
health and the conviction that it would not serve any preventive purposes.
Criminalisation would have created more problems than solving them. Therefore, Mauritius
decided to put its resources where they are most likely to have a positive
impact on reducing the spread of HIV: increased funding for HIV testing and
counselling and for evidence-informed prevention measures."6 Rama
Valayden, Attorney General and Minister of Justice and Human Rights, Republic of Mauritius.1
1.
Also
available is a short interview with Minister Valayden on the UNAIDS website at www.unaids.org/en/