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Beyond Decriminalization: Sex-work, Human Rights and a New ...

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PIVOT LEGAL SOCIETYUnder the WCA, <strong>work</strong>ers might also be eligible for compensation for mental stress. 40 However,compensable psychological disability must be acute, <strong>and</strong> be diagnosed by a physician or psychologist,<strong>and</strong> it must go beyond clinical depression, addiction <strong>and</strong> anxiety disorders. Such compensation istherefore rare <strong>and</strong> extremely difficult to obtain.Many sex <strong>work</strong>ers described the psychological stresses associated with their <strong>work</strong>:A. There should be a similar system with sex <strong>work</strong>. For sex trade <strong>work</strong>ers, they sufferfrom post-traumatic stress disorder. Tons of them do. I do . . . Or when they are inthe trade still. I mean, excessive nightmares, anxiety attacks. It’s all part of post traumaticstress disorder. A lot of that makes it very hard for someone to find <strong>work</strong>, like,legitimate non-sex <strong>work</strong>, <strong>work</strong>.- female off-street out-call sex <strong>work</strong>erProject participants also mentioned that employee benefits, such as <strong>work</strong>ers’ compensation, couldprovide an incentive to <strong>work</strong> for an employer, rather than <strong>work</strong> on their own:A. Yeah I would pay into that. That’s – that’s like that’s what I was saying – like the onlyreason that I would go to a house versus <strong>work</strong>ing by myself would be to get that kindof protection, would be to get a Pension. You have to pull into account, hey they wantthis legalized, they wanna help us out, they want to make this a legal thing? Thegovernment wants a piece of the pie? Fine. Tax us. Pension us. Everything else like aregular job job. It also gives you maternity leave, it also gives you paid leave, <strong>work</strong>ers’compensation, in case you get hurt on the job, god knows you could get lock jaw.- female street-level sex <strong>work</strong>ersSection 6(1) of the WCA provides compensation for occupational diseases. 41 For example, Hepatitis A<strong>and</strong> Herpes Simplex are covered at present. However, the Occupational Disease Recognition Regulation 42does not recognize HIV/AIDS as an occupational disease. Sections 6(4.1) <strong>and</strong> 6(4.2) give authority tothe Board to add to the occupational diseases set out in Schedule B of the Regulation. 43Although it is commonly believed that sex <strong>work</strong>ers are “vectors” of disease, Canadian healthresearch indicates that the majority of sex trade <strong>work</strong>ers who acquire HIV through sexual contactcontracted it through unprotected sex with a male intravenous drug user who was an intimate partner,not through a client. 44 The vast majority of sex <strong>work</strong>ers who contributed to this project reportedbeing extremely vigilant <strong>and</strong> careful about condom use on the job. Nevertheless, there may be cases ofaccidental exposure. <strong>Sex</strong> <strong>work</strong>ers suggested that the schedule should be revised to include HIV/AIDSso that <strong>work</strong>ers in all industries who may be vulnerable to HIV exposure have access to <strong>work</strong>ers’compensation:40 WCA, supra note 6, s. 5.1.41 Occupational disease means (a) a <strong>work</strong>er suffers from an occupational disease <strong>and</strong> is thereby disabled from earning full wages at the<strong>work</strong> at which the <strong>work</strong>er was employed or the death of a <strong>work</strong>er is caused by an occupational disease; <strong>and</strong> (b) the disease is due to thenature of any employment in which the <strong>work</strong>er was employed, whether under one or more employments. WCA, supra note 6, s. 6(1).42 Occupational Disease Recognition Regulation, B.C. Reg. 71/99.43 WCA, supra note 6, s. 6(4.1): The Board may, by regulation, (a) add to or delete from Schedule B a disease that, in the opinion ofthe Board, is an occupational disease, (b) add to or delete from Schedule B a process or an industry, <strong>and</strong> (c) set terms, conditions <strong>and</strong>limitations for the purposes of paragraphs (a) <strong>and</strong> (b). Section 6(4.2): Despite subsection (4.1), the Board may designate or recognizea disease as being a disease that is peculiar to or characteristic of a particular process, trade or occupation on the terms <strong>and</strong> conditions<strong>and</strong> with the limitations set by the Board.44 See, for example: K. Bastow “Prostitution <strong>and</strong> HIV/AIDS” (1995) HIV/AIDS Policy & Law <strong>New</strong>sletter 2(2), online: CanadianHIV/AIDS Legal Net<strong>work</strong> Homepage ;L. Jackson & A. Highcrest “Female Prostitutes in North America. What are their Risks of HIV Infection?” in L. Sheer, C. Hankins<strong>and</strong> L. Bennett eds., AIDS as a Gender Issue (London: Taylor <strong>and</strong> Francis, 1996); P.M. Spittal, K.J.P. Craib, E. Wood, N. Laliberte,K. Li, M.W. Tyndall, M.V. O’Shaughnessey & M.T. Schechter “Risk factors for elevated HIV incidence rates among female injectiondrug users in Vancouver” (2002) Canadian Medical Association Journal 166(7).112

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