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New state laws target people with AIDS

By Joyce Chediac

Many state governments are passing laws that carry jail sentences for "knowingly transmitting" the HIV virus. Instead of declaring war on AIDS, these laws declare war on the people who have AIDS.

This will not stop the AIDS epidemic. On the contrary, criminalizing HIV is a sure-fire formula for making the most vulnerable afraid to seek medical help. It can drive the disease deeper into the population and continue to spread the virus, particularly among gay men and Black and Latino youths, who have the highest transmission rates.

The same legislatures that claim to be fighting AIDS have cut back AIDS education programs. Today people know less about how to protect themselves from AIDS than they did seven years ago.

Cutbacks have ended some of the most effective programs-like a New York City-based peer program designed to reach women of color. And public health campaigns fail to emphasize that the disease is transmitted through sexual contact, hypodermic needles or blood, according to the University of California at Davis.

A UC-Davis phone survey revealed that more people in 1997 falsely believed they could become infected by sharing a drinking glass with an HIV-positive person or sitting on a public toilet than did in 1991.

Gov't declares war on sick people

At least 29 states made it a crime to transmit or "expose others knowingly" to HIV. This year, 16 state legislatures have introduced such bills, including New York, where the AIDS advocacy movement was traditionally the strongest.

Serious jail sentences are involved. In Arkansas, the State Supreme Court recently upheld the conviction of a 24-year-old man sentenced to 30 years in prison for "knowingly transmitting the virus" to a woman through unprotected sex.

More state laws now require HIV testing for specific segments of the population, usually prisoners and pregnant women. A New York State law passed in June requires doctors to report the names of HIV-positive people to officials.

Such measures create obstacles to HIV prevention. People will fear arrest from visiting the doctor or even
admitting they are HIV positive or have AIDS. The laws declare war on the sick, instead of declaring war on the sickness.

Youth suffer most

According to a study titled "Dangerous Inhibitions: How America is letting AIDS become an Epidemic of the Young," by Chris Collins, youths have the greatest rate of increase of the HIV virus.

This study, a collaboration between the Center for AIDS Prevention Studies at the University of California at San Francisco and the Harvard AIDS Institute, documents that "half of all new HIV infections occur among people under the age of 25.

"AIDS is now the sixth leading cause of death among 15-24 year olds.

"The HIV epidemic in young men is concentrated among men who have sex with other men.

"The rate of HIV infections is growing faster among young women than any other group. The proportion of U.S. adolescent AIDS cases who are female has tripled from 14 percent in 1987 to 45 percent of the reported cases in the year proceeding July 1996. Heterosexual sex accounts for three-quarters of cases in young women.

"Race is an even more important factor. Sixty-one percent of cumulative AIDS cases in Americans age 20-24 are among people of color, particularly African Americans and Latinos."

The study concludes that the pattern of infection among American youth is consistent with the evolving global epidemic. "In each society, those people who were marginalized, stigmatized, and discriminated against-before HIV/AIDS arrived-have become over time those at highest risk of HIV infection."

These are the very people least likely to have medical coverage, and who feel most intimidated by doctors and police.

Gay youth's sexual orientation has already been criminalized. Black and Latino communities already suffer from a lack of medical coverage, little local medical care, and disproportionately high numbers of youths in jail. The new laws will drive people of color further from all forms of medical care.

Those unable to afford the $10,000 a year needed for AIDS medication will be locked out of the medical care system.

How to fight the epidemic

The AIDS epidemic can and will be stopped by empowering people against the virus.

All people, especially youth, need the skills and tools to protect themselves from HIV, including accurate education and access to condoms. People need ready access to HIV testing and counseling, free from fear of exposure or breach of confidentiality. People seeking care need to know that they will never be threatened or arrested.

These services need to be made readily available in all communities, presented in a way designed to make community members feel comfortable and receptive.

The fight to stamp out AIDS is part of the overall battle for social justice. Empowerment of the population includes the basic human rights to health care, a job, education, and decent housing, to live free of racism, homophobia and sexism.

The AIDS activist movement-not legislatures-won rights for people with AIDS. It is time for all concerned with social justice to pick up that banner of struggle and continue the fight.

This article is copyright under a Creative Commons License.
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