Johanna Westeson - The ICHRP
Johanna Westeson - The ICHRP
Johanna Westeson - The ICHRP
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it should not be applied when the reason for concealment was the fear of violence or other<br />
serious consequences. 208 UNAIDS and the UN Office for the High Commissioner for<br />
Human Rights also recommend states to ensure that any application of criminal law to HIV<br />
transmission should be in full consistency with their international human rights obligations,<br />
respecting in particular an individual’s right to privacy, highest attainable standard of<br />
health, freedom from discrimination, equality before the law, and liberty and security of<br />
the person. 209<br />
For the purpose of sexual health and rights, the recommendations from UNAIDS provide<br />
useful guidance. Public health as well as general human rights concerns strongly suggest a<br />
restrictive approach to the application of criminal law in the combat of HIV/AIDS.<br />
In the European region general criminal law tends to be used, applying provisions such as<br />
causing grievous bodily harm or assault, to prosecute cases of HIV-transmission. Reckless<br />
transmission is generally punishable. However, several courts in the region have applied<br />
these provisions cautiously on cases of HIV, and, in their jurisprudence, have highlighted<br />
the many potential pitfalls of broad penalization of reckless transmission. Courts in the<br />
United Kingdom, Switzerland, and the Netherlands have addressed issues such as consent<br />
to the risk of contracting HIV on behalf of the sexual partner; real risk of transmission as<br />
opposed to a mere theoretical risk; and the need to establish reckless intent to cause harm<br />
on behalf of the defendant. In a commendable fashion, the courts have in these cases shed<br />
light on legal complexities involved in the application of criminal law on sexual, nonviolent<br />
conduct where public health is at stake, and have carved out criteria for a narrower<br />
application of provisions criminalizing HIV transmission.<br />
2. Council of Europe<br />
Jurisprudence of the European Court of Human Rights<br />
<strong>The</strong> European Court of Human Rights has not addressed the issue of criminalization of<br />
HIV transmission directly. 210 However, one case merits attention in this context, which<br />
dealt with compulsory isolation of an HIV-positive person. Criminal law had not been<br />
applied in his case (but administrative law), but state interference with his rights to liberty<br />
and freedom of movement in order to prevent HIV-transmission from taking place suggests<br />
parallels with cases of prosecution and punishment for post-facto HIV-transmission.<br />
In the case, Enhorn v. Sweden, 211 the applicant was a HIV-positive man who based on his<br />
HIV-status had been kept in confinement for long stretches of time by Swedish authorities.<br />
208 UNAIDS, “Policy Brief on Criminalization of HIV Transmission 2008,” available at<br />
http://data.unaids.org/pub/BaseDocument/2008/20080731_jc1513_policy_criminalization_en.pdf. Visited on<br />
21 December 2009. See also OHCHR and UNAIDS, International Guidelines on HIV/AIDS and Human<br />
Rights (2006), UNAIDS Geneva Guideline 4: “Criminal and/or public health legislation should not include<br />
specific offences against the deliberate or intentional transmission of HIV, but rather should apply general<br />
criminal offences to these exceptional cases. Such applications should ensure the elements of forseeability,<br />
intent, causality and consent are clearly and legally established to support a guilty verdict and/or harsher<br />
penalties.”<br />
209 UNAIDS “Policy Brief on Criminalization of HIV Transmission 2008,” referring to Articles 3, 7 and 12<br />
of the UDHR, and Article 12 of the ICESCR.<br />
210 See, however, Z v. Finland (application No. 22009/93, decided on 25 February 1997), where the facts<br />
emanated from a prosecution for intentional HIV-transmission, but the main issue regarded the right not to<br />
disclose one’s HIV-status, as part of the right to private life under Article 8.<br />
211 Application no. 56529/00, decided on 25 January 2005.<br />
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