Crime and Punishment: An International HIV Disclosure Dilemma
By Dave R.
October 25, 2012
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In 2010 in Germany, a case hit the headlines and was reported all across Europe. In 2009, Nadja Benaissa, a well-known pop singer was arrested after three men accused her of not revealing her HIV status before having sex. Only one subsequently tested positive. After that, she was released without anybody being sure why but early the following year she was arrested again and charged with one count of aggravated assault and two of attempted aggravated assault. Despite the fact that infecting someone with HIV carries a prison sentence of six months to ten years, she was given a two year suspended sentence. The lenient sentence was put down to the fact that she'd confessed to having the sex and not revealing her status and had apologized profusely for the harm caused;
"In those days I was careless ... I'm sorry from the bottom of my heart," she told the court. It was also taken into account that she was only seventeen at the time and she was tried in a juvenile court. This could be seen as an example of a court respecting the rule of law but looking beyond the cold hard facts, to examine the person they were dealing with and acting accordingly.
Yet there are examples of the other side of the coin. In 2004, it was claimed that Hans-Otto Schiemann, a 56 year old German, tried to infect nearly a hundred Thai women while living in Thailand. He had a self-confessed pathological hatred of Thai women (one of whom was his wife) so a motive was easy to spot. However, because there are no laws in Thailand to prosecute unprotected sex or its consequences, he was eventually deported back to Germany for outstaying his visa! Clearly the man had psychological problems because he ended up being deported for a second time after he was discovered in Thailand again. Here's a case (without knowing all the facts and evidence) for which the law probably was found wanting. The lack of a law meant that the man almost got off scot free -- it's a very delicate balance!
A New Zealand case set the tone for dealing with these cases in that land. In 2005, a New Zealander had unprotected sex with his girlfriend and didn't disclose his status. She initially told the man's family that she was positive but it was a lie and she remained negative. However, charges were still brought against the man, of causing mental stress and trauma and he was sentenced to 300 hours of community service, six months supervision and $1000NZ costs to cover the girl's therapy costs. He was in the end convicted of "criminal nuisance" which covers a multitude of sins. Unfortunately for him, another girl heard of the case and tried to bring a similar case to court. However, this case was dismissed because not only did she remain negative but he'd used a condom.
Were these pragmatic court judgements; or too severe; or too lenient? It shows how subjective the whole subject can end up being. I'm sure the court thought they were being both lenient and pragmatic but had the guy even committed a crime? To my mind it's up for discussion.
In Australia, these laws tend to be more frequently applied and are termed, criminal acts that transmit, or risk transmitting, a serious disease (including HIV) plus recklessly endangering another person's life or causing grievous bodily harm. Depending on the state in which you live, penalties can range from a maximum of ten years, to life imprisonment. Here, transmitting HIV can be considered a breaking of both public health and criminal laws, thus compounding the penalty possibilities.
The UK's laws in this area are based on "recklessly inflicting grievous bodily harm." This charge carries a maximum prison sentence of five years but certain factors must be established:
These seem on the face of it to be as reasonable as you can find on international statute books and in fact nobody has been prosecuted for intentional grievous bodily harm using HIV as a weapon. It's considered that the burden of proof is just too difficult and it is recognized that sex is actually a pretty inefficient way of transmitting HIV if someone intended to do it.
In 2010, the police in the UK themselves issued comprehensive guidance as to how to treat this subject both fairly and with sensitivity and reckless transmission prosecutions should only go ahead if there is new infection and evidence of intent. Furthermore, if someone living with HIV is taken into custody, their medication should not be interrupted and their confidentiality should be respected (a far cry from the name and shame tactics in North America!). In short, in the UK, you can be charged with assault or grievous bodily harm only if HIV transmission has occurred; not simply if there was no disclosure, nor if there was exposure to HIV but no transmission occurring.
Recently a UK gay man went to court in just such a case but was found not guilty after the defense successfully claimed that phylogenetic analysis (the establishment of both strain and source of HIV) could not prove that the man had deliberately infected the complainant. This use of science forms the basis of the appeals in the earlier mentioned Dutch case too. This seems to encouragingly show that the British authorities are implementing their own pragmatic conclusions. It also seems that more and more legal experts are realizing that the burden of proof in HIV transmission cases is extremely difficult; especially in cases of multiple sexual contact; which has to be both fairer for people with HIV and easier for the law to deal with.
However, at least fifteen people have slipped through the system in Great Britain and been sent to jail for up to ten years, (as in the case of an asylum seeker from Malawi). One can only hope that good intentions become reality and that enlightened thinkers win the day.
HIV and Neuropathy: How to Avoid Becoming a Nervous Wreck
English but living since 1986 in Amsterdam, the Netherlands. HIV+ since 2004 and a neuropathy patient since 2007. I've seen quite a bit, done quite a bit and bought quite a few t-shirts if you know what I mean; but all that baggage makes me what I am today: a better person I believe, despite it all.
Arriving on TheBody.com is the end result of getting neuropathy as a side effect of the medication, or the virus, or both. I found it such a vague disease and discovered very little information that wasn't commercially tinged, or scientifically impenetrable, so I decided to create a website and blog where practical information, hints, tips and experiences for patients could be gathered together in one place.
I'm not a doctor or qualified medical expert, just someone with neuropathy and HIV who has spent the last few years researching the illness and trying to create information sources for people who want to know more.
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