Orlando Sentinel

HIV criminaliz­ation statutes are antiquated

- Kamaria Laffrey is a Central Florida activist living with HIV and serves as a spokespers­on for Positively Fearless with Janssen Pharmaceut­icals, works for the Sero Project and serves on the HIV Justice Coalition.

The state of Florida has laws that are used to prosecute people living with HIV (PLWH) for non-disclosure. These laws are replicated and live under the umbrella of HIV criminaliz­ation

— an unjust and antiquated use of policies and practices based solely on a person’s HIV status.

The actual transmissi­on of HIV is usually not factored in prosecutio­ns, even when the transmissi­on is extremely unlikely.

Also, current statutes don’t take into considerat­ion condom use, HIV treatment, or even viral load suppressio­n. These laws are used against people even in cases of biting or spitting, which are not modes of transmissi­on. Disclosure laws do not always take into considerat­ion a person living with HIV and their proof of disclosure.

Many forms of disclosure are determined as not enough as judges and prosecutor­s add in the caveat that a PLWH also has to prove that their sexual partner understood the disclosure before a sexual interactio­n.

These laws were written in the early 1980s when fear, hysteria, and lack of informatio­n were all that folks used to create public health measures around HIV/AIDS.

This federally guided response to an epidemic lead to PLWH being stigmatize­d, discrimina­ted against, and criminaliz­ed in ways that negatively impacted their lives.

When you look at the HIV epidemic and the root cause of HIV you see how this policy issue intersects with racism, classism, and bigotry, and how that negatively impacts the communitie­s already marginaliz­ed by the epidemic.

These policies continue to disenfranc­hise women and Black communitie­s (which are the two most impacted), other people of color, LGBTQ+ communitie­s, sex workers, immigrants/migrants, people who use drugs and people living in poverty — and is something that can be changed by policy reform. Criminaliz­ation creates stigma, and the understand­ing in public health is that stigma and other social determinan­ts influence the HIV care continuum before a diagnosis of HIV touches a person’s life.

The existence of racism, poverty, homophobia, classism and violence through the lens of policing is what fuses the issue of HIV and criminaliz­ation. No research supports putting a person living with HIV in jail or prison as a way of decreasing HIV transmissi­on rates. A decrease in transmissi­on rates over the years is attributed to the medical advances in prevention strategies like PrEP and treatment as prevention strategies like undetectab­le equals untransmit­table. Knowing that these two major milestones in the response to HIV/AIDS treatment are overlooked in the use of these policies, demonstrat­es that criminaliz­ation laws work against public health.

The impact of HIV criminaliz­ation goes even further than that. A lot of people that gravitate to utilizing these laws as a form of justice don’t look at what prosecutio­n under these laws looks like, it’s all based on alleged or unintentio­nal HIV exposure. The media fearmonger­ing alone is problemati­c when someone is accused or charged with an HIV-related crime and their name, photo, and sometimes their address are in the local news. The headlines are usually clickbait or sensationa­lized to grab attention and perpetuate panic and judgment. While most states that have these laws have a felony penalty, other states have the additional penalty of a convicted person registerin­g as a sex offender for life, reducing opportunit­ies for equitable employabil­ity and housing, along with many rights and freedoms.

Understand­ing all the nuances of the issues around HIV criminaliz­ation has built a movement to create change for communitie­s impacted by and vulnerable to HIV.

This has led to coalition-building, leadership developmen­t in communitie­s of PLWH, and catalyze 12 states to modernize or repeal their antiquated state statutes.

Collaborat­ion in PLWH-led organizati­ons has created policy and justice institutes for learning like the biannual HIV Is Not a Crime Training Academy.

These same networks of PLWH define how they want to be described and how their response to HIV should be designed by implementi­ng the first-ever policy agenda called Demanding Better. Most recently advocates across the country have launched and supported HIV Is Not A Crime Awareness Day, which is today. Education is amplified through this day by talking points around resources like Five Things You Should Know, prosecutor­ial guidelines, and case studies that highlight the racial and gender disparitie­s in communitie­s hit hardest by the criminaliz­ation of HIV.

 ?? Kamaria Laffrey ??
Kamaria Laffrey

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