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Johanna Westeson - The ICHRP

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considered ‘risk groups.’ 145 Health officials believed that a policy of medical isolation and<br />

criminalization was necessary to contain the spread of HIV, and severe criminal sanctions<br />

were used to punish and isolate HIV-positive individuals. 146 In response to the<br />

development of knowledge about the pandemic and under international influence, these<br />

practices have to a large extent been abandoned in the former Soviet republics. Mandatory<br />

HIV testing has been severely restricted.<br />

For example, the 1995 Russian federal law On Prevention of the Spread in the Russian<br />

Federation of Illness Caused by Human Immunodeficiency Virus (HIV) 147 generally<br />

reflects international principles to effectively fight HIV/AIDS. <strong>The</strong> law bans<br />

discrimination and guarantees to protect the interests of persons living with HIV. It also<br />

sets forth the right to voluntary HIV testing. According to its Article 8, medical<br />

examination in state, municipal, or private health institutions is to be carried out<br />

voluntarily at the person’s request or with his/her consent. Moreover, at the person’s<br />

request the voluntary medical examination may be anonymous. Pursuant to Article 9,<br />

mandatory HIV testing is required only for donors of blood, body fluids, organs, and<br />

tissues and for employees of particular professions, listed in a 1995 Government<br />

resolution. 148 <strong>The</strong>se professions include, inter alia, medical staff working at centers for<br />

HIV-prevention and treatment and laboratory staff and others conducting scientific<br />

research on HIV-related issues or on immunobiological drugs.<br />

Even though the above list can be described as somewhat puzzling and discriminatory<br />

towards persons who work in professions related to HIV treatment and research, the list is<br />

limited in scope. It is noteworthy that traditionally marginalized groups, such as injecting<br />

drug users, sex workers, and prisoners, cannot be tested without their consent. Testing<br />

secretly or by force is totally prohibited.<br />

<strong>The</strong> above-mentioned federal law on prevention and spread of HIV poses HIV-related<br />

conditions on entry for foreign citizens. According to its Article 10 (“Conditions of entry<br />

to <strong>The</strong> Russian Federation of foreign citizens and stateless persons”), non-nationals who<br />

will come to Russia for more than three months will only get a visa subject to the<br />

production of a certificate proving that they are not carriers of HIV. This provision does<br />

not apply to members of diplomatic missions and consular institutions of foreign states and<br />

to employees of international intergovernmental organizations and their families.<br />

Additionally, the 2002 Federal Law on the Legal Status of Foreign Citizens in the Russian<br />

Federation, 149 states that a foreign citizen will not be issued a residence permit or, if<br />

previously issued, such permit will be terminated, if the alien cannot show a certificate that<br />

145 See Zhores A. Medvedev, “Evolution of Aids Policy in the Soviet Union: Serological Screening 1986-7.”<br />

BMJ. 1990 March 31; 300(6728): 860–861 [describing various testing campaigns, including the testing of<br />

one million people in a matter of months]; Svetlana V. Polubinskaya & Elana Vassilieva, “HIV-Specific<br />

Legislation in the Russian Federation.” 18 Med. & L. 351, 355-356 [national mandatory testing of some<br />

groups and local testing of others, Nizshniy Novgorad imposes mandatory testing of people suspected of<br />

using drugs, homosexuals, bisexuals, prostitutes, prisoners, and others.]<br />

146 Medvevdev. [HIV-positive foreigners were deported and HIV-positive Soviets were isolated].<br />

147 Dated 30 March 1995, only available in Russian. All translations in this section are unofficial, made by<br />

Ukrainian lawyer and researcher for the project Oksana Shevchenko.<br />

148 On Approval of List of Employees for Individual Occupations, Industries, Enterprises, Institutions and<br />

Organizations that Pass a Compulsory Medical Examination to Detect HIV Infection During the Mandatory<br />

Pre-Admission for Employment and Periodic Medical Examinations, Russian Federation Government<br />

Resolution No 877, dated 4 September 1995. Only available in Russian.<br />

149 Dated 21 June 2002, only available in Russian.<br />

58

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