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Defending the human rights of people living with or affected by HIV and key populations. Using the Law to Defend Human Rights in the HIV Epidemic: Courts in Action Richard Elliott, Canadian HIV/AIDS Legal Network Leadership and Accountability Development Workshop (MOWS11)
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Defending the human rights of people living with or affected by HIV and key populations • Using the Law to Defend Human Rights • in the HIV Epidemic: Courts in Action • Richard Elliott, Canadian HIV/AIDS Legal Network • Leadership and Accountability Development Workshop (MOWS11) • AIDS 2014, Melbourne, 21 July 2014
HIV in the courts • Discrimination (based on HIV or other status) in various contexts • Access to care, treatment and support services • Breaches of privacy • Violence against women, LGBTI people, people who use drugs, sex workers • Custody and guardianship of children • Involuntary sterilization and abortion • Criminalization of HIV non-disclosure, (perceived) exposure or transmission • Criminalization of same-sexual sexual conduct, sex work, drugs and people who use them • Access to treatment and prevention interventions in prisons/closed settings • Migration and asylum policy, conditions • Employment issues • Housing rights and land tenure issues, other property rights (e.g. in context of inheritance, separation/divorce, etc.) • Access to education and content of curriculum • Informed consent and other rights re HIV testing, treatment, participation in research • Patents & other aspects of intellectual property affecting access to medicines and knowledge
Judicial power responsibility • Facilitate access to justice • Protect people living with or at risk of HIV against human rights violations, and provide redress • Address fears, misconceptions and prejudices against PLHIV and others • Generate a sense of dignity and justice among PLHIV and those affected by epidemic and by related infringements of human rights • Support access to HIV prevention, care, treatment and support services that is universal and equitable
Judging the Epidemic: A judicial handbook on HIV, human rights and the law (UNAIDS, 2013)
1. HIV in courtroom: considerations • Non-discrimination in courtroom procedures • Accessibility for parties with disabilities • Protecting against HIV-related threats, breaches of privacy or other abuses • Important contributions of third-party interveners
2. Science and medicine of HIV • Summary basics of HIV transmission • HIV disease and treatment • Sexual transmission of HIV and living with HIV
3. Legal decisions that promote human rights in context of HIV • Discrimination on the basis of actual or presumed HIV+ status • Criminal law and HIV non-disclosure, exposure and/or transmission • Sexual assault and domestic violence • Drug laws, harm reduction & rights of people who use drugs • Women’s rights with respect to family and property law • HIV treatment and health care • Human rights & criminalisation of key populations (SWs, MSM)
Format and approach • Short summary of key messages at beginning • Introduction to issue, HIV in that context • Human rights standards (international & national) • Adjudicating cases: factors to consider • Highlighted cases
Case study: HIV treatment and health care • Intro: importance of (uninterrupted) access to treatment and care • Human rights standards: e.g. ICESCR, General Comment 14 • Factors to consider when adjudicating right to health • Applying the right to health: question of justiciability • Cost of treatment and intellectual property issues • Other factors in social or legal environment affecting access • Human rights in health care settings • Right to give informed consent (or refusal) • Right to privacy regarding personal health information • Protection against abuse, discrimination in health settings
Questions for discussion • What one (or two) thing(s) about HIV would it be most important for judges and magistrates to know? • What is one major misconception about human rights analysis at play in judicial thinking and decision-making? • What would be the best means of addressing these gaps in knowledge or deficiencies in reasoning? • Which body/forum could make use of a judicial handbook on HIV and related human rights issues?
Handbook online: • www.unaids.org • www.aidslaw.ca