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The Parliament Peace Tower is viewed from Supreme Court of Canada in Ottawa on Friday May 7, 2010. (Sean Kilpatrick / THE CANADIAN PRESS) Justice

Canada's top court takes on HIV disclosure debate

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CTV News Video

National Affairs: Supreme Court hears HIV cases
Murray Jose with the Toronto People with AIDS foundation and Carissima Mathen with the University of Ottawa explore criminal laws around disclosing HIV status.
CTV News Channel: HIV disclosure a grey area
Michael Foster of AIDS Community Care Montreal says the issue of HIV disclosure is grey at best for those with the disease, and many fear disclosing that information to their sexual partners for fear of rejection.
CTV News Channel: Margaret Somerville, director
The director of McGill Centre for Medicine, Ethics and Law says there is no question that patients do have to disclose information of they are putting their partners at risk, but the SCC needs to determine the boundaries around consent.

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The Parliament Peace Tower is viewed from Supreme Court of Canada in Ottawa on Friday May 7, 2010. (Sean Kilpatrick / THE CANADIAN PRESS) Justice

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The Parliament Peace Tower is viewed from Supreme Court of Canada in Ottawa on Friday May 7, 2010. (Sean Kilpatrick / THE CANADIAN PRESS)

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Date: Wed. Feb. 8 2012 10:01 PM ET

Canada's top court is taking on a high-stakes debate on whether people with HIV are obligated to tell sexual partners about the condition.

The Supreme Court began hearing arguments Wednesday over whether non-disclosure should be a potential crime, even in cases where transmission is unlikely.

Under current law, it's possible for someone with HIV to be criminally charged if they don't tell a sexual partner about the virus.

If an individual has HIV and doesn't tell a partner, they could be found guilty of aggravated assault or even attempted murder.

Justices will hear two separate cases from Manitoba and Quebec, both of which are appeals from HIV-positive individuals who were once charged for not disclosing the illness.

Critics argue that the existing law, enacted in 1998, needs to be updated because science has advanced treatment methods since then.

Lawyer Stephanie Claivaz-Loranger said she and other critics aren't asking the government to be more lenient to those who transfer HIV on purpose.

"I'm not saying in these cases we should not use the criminal law," she told CTV Montreal. "But this is not what's been going on here in Quebec."

According to the Canadian HIV/Aids Legal Network, of the more than 130 people with HIV who have faced criminal charges for non-disclosure, more than 65 have been convicted. So far, 55 have been sentenced to prison terms.

Complicating the issue, rulings have been inconsistent. Some of those charged have been acquitted because they used a condom, whereas others have been convicted.

Prosecutors take an absolutist point of view and argue that sexual partners must always be told about HIV, regardless of the risk of transmission.

CTV's Legal Analyst Steven Skurka said a judge must weigh several details before convicting an HIV-positive individual for non-disclosure.

"Are you posing a significant risk of causing serious bodily harm? How serious is the disease? At what level? What precautions have you taken?" he told CTV News Channel.

The United Nations recommends criminal action should only be taken if there is evidence of malicious intent and if HIV is actually transmitted.

HIV education advocate Jordan Arseneault says the broadness of Canada's current law runs the risk of alienating those with HIV who are taking every step to treat the condition.

"You prevent HIV by being tested, by being honest with your partner and getting treatment. The criminalization of non-disclosure makes all that harder," he told CTV Montreal.

Margaret Somerville, director at the McGill Centre for Medicine, Ethics and Law, said she wonders if prosecutors will consider disclosure rules in other scenarios. She points to the rule that requires doctors to tell patients about the risks of a surgery.

"Generally speaking, if there's any risk of death at all, no matter how small you've got to disclose it," she told CTV News Channel on Wednesday.

"I'm wondering if the Supreme Court might take that as some sort of precedent."

The Supreme Court will hear the case of Clato Mabior, a Winnipeg immigrant who was once convicted of six counts of aggravated sexual assault for not disclosing his illness to numerous partners. He was sentenced to 14 years in prison.

However, four of those convictions were overturned because a court found not everyone who had sex with Mabior were at significant risk. He had used condoms and was undergoing antiretroviral therapy.

Another case the court will hear is that of a Quebec woman who did not tell her partner about her illness the first time they had sex. The two separated after a four-year relationship. The man then went to police and accused her of non-disclosure.

The woman was found guilty of aggravated assault and sexual assault but the convictions were eventually overturned.

Comments are now closed for this story

InOttawa
said

I think the court will come down on the side of the law for this one. They have to consider the possible ramifications if this law is changed so that 'accidental' transmission is not a crime. Also, consider statistical probability. If a partner does not come clean, and multiple sexual encounters happen, the chance that there will be transmission of HIV increases. Some have likened it to landing on 00 on the roulette wheel. Well, people still win in roulette, except in this case, someone loses out on a normal lifetime.As well, I hear a lot of talk about just using protection such as condoms. Yes, they are barriers, but barriers can fail. The best case is total avoidance, which you cannot have if you don't know you're at risk.


Fuller
said

Using "protection" is not protecting yourself. It's nothing more than a false sense of security. The only way to protect yourself is to not sleep around. Abstinence is the one and only way to protect yourself. The only people who get HIV (other than a small percentage of rape cases) are the ones who willingly put their lives at risk. It is preventable.


J.C.
said

Any STD should be disclosed to any potential partner but in the case of HIV especially since it can be a matter of life or death, (as was the case in the past with other STDs such as Syphillus), regardless of whether the one individual takes precautions or not.


firstMickey
said

If a person with HIV/AIDS has sex with another person, they are attempting murder and should be punished for such a crime. Plain and simple. No more. No less. What ever became of getting to know a person before having sex with them? Is love and decency becoming a thing of the past for some people? What ever became of caring and being humane toward others?


Prof. Pye Chartt
said

@ Franck commonsens: "Common sense" dictates that careful and concerned individuals won't engage in sexual activity with an individual who has informed them of their HIV infection and then claim victimhood. (Regardless, our courts handle differences of fact on a daily basis.)


Franck commonsens
said

So, unless two sexual partner sign a contract and waiver in front of a lawyer or other officials with medical results in hand before having sex....the whole thing is legally completely useless as anyone can say in court "your honor I've told him before hand..no she didn' your honor."So are we gonna have to create sex cards, "sex lawyer insta booth" or send to Guam all possible infected before having sex or does people will use common sens...by selecting properly their partners and to use protection....


My 2 cents
said

You need to tell your sexual partners if you have HIV/AIDS. You just do. You can't go around infecting people with a deadly virus that they can then pass on to their partners, children via pregnancy ... it's unthinkable. I think the law should compel you to be honest about it. I support making it a crime not to inform sexual partners of your positive HIV/AIDS status.


Mike
said

I'm against the HIV disclosure debate, all STD disclosure, or none at all.

I'm also negative, and get tested.

Every Canadian has rights, and if you sleep around then you are putting yourself at risk.

Yes, A stranger just wants into your pants, and I would hope your partner would be trueful, and up front when you first meet.

There's so many people out there that didn't get HIV from sex, and so many not tested ?


Prof. Pye Chartt
said

@ simone: Moot. You could apply the "enforcement" argument to most criminal laws. (Murders, assaults, rapes, robberies, etcetera tend to happen anyway. A victim is a victim. It's the de facto breach and punishment that's most relevant. Thanks.)


JJ
said

I am an HIV male. I have struggled with disclosure for 20 years and I will honestly admit I have not told all sexual partners of my status prior to engaging in sexual activity. I have practiced what I have considered safe practices with the use of condoms etc. i have told some partners beforehand and always when I was dating someone in a view for a long term relationship. It is worth noting whenever asked my status I disclosed it.Criminalisation of non-disclosure is a debate that needs to be had, I do see it has having an impact on infection rates, but have not yet read any statistics for this in places where disclosure is required by law. In any regard a person is responsible for themselves and their actions and if they have not asked about a person their status and not practiced safer sex the blame can not be placed solely on one person if transmission occurs.


Gil
said

How does an HIV positive person prove that he or she has disclosed? Currently, the law favors the person accusing the carrier of the virus with the benefit of the doubt, rather than presuming the hit-positive person innocent unless proven guilty. This is not what our law system should be about.Are we to begin forcing people to sign a consent form before engaging in any type of sexual activity? What is the definition of "putting a person at risk" exactly? Is it oral sex? mutual masturbation? Intercourse? Kissing?And why is this only applicable to HIV positive people? What if someone is positive of carrying SARS or a deadly strain of flu? Is the government going to prosecute those who do not stay at home with a nasty virus just the same?This law is nothing other than homophobia, plain and simple. It does not belong in any civilized society.


PRIDE
said

This is yet another attack on the gay community, an attempt to obtain some sort of database of gays.


Reid
said

The defence of not disclosing makes me sick. Any action that can potentially harm someone has to be disclosed. Witholding information in potential life threatning situations is crominal


Brad Smith
said

Problems exist in much of the legislation around HIV as a reportable infection, and also around confidentiality of disclosure. The fact of the matter is, anyone could have it and not know it unless they are tested. Long term partners have been known to have intercourse and not transmit while not using a condom, but others have gotten HIV the first time they had unprotected sex with their partner (long term partner even).

So, the only real way to protect one's self is to use protection each time, EVERY time, whether the individual has mentioned they have HIV or not. Using protection doesn't ONLY prevent HIV, but also Hep C (which can sometimes not show up for YEARS in someone), Hep B, Chlamydia, and a host of other infections. It also assists in preventing uintended pregnancy.

That said, HIV is communicable, and DOES shorten the lifespan (meds or not) for an individual. Because of that, it remains a reportable disease. There are those out there who will attempt to transmit it on purpose, however, if the other partner refuses to engage in activity without a condom, responsibility more often than not, is placed on both individuals involved.

However, if a person refuses to have sex without a condom, and the individual forces this type of sex anyway, then it constitutes sexual assault and is punishable by law under that.

Maybe that's where we should be looking.


simone
said

Prof.Pye ChartI'd venture to say it is really not that straight forward but intricately complex.Enforcement is nigh on to impossible.


omega
said

HIV is the most controllable virus out there. But until people start using their brains it will continue to be a problem. Sheer idiocy.


simone
said

The concept is good but the enactment is very flawed. Yes I agree that anyone who is infected should divulge. Reality is not quite the same. - not all will do so- by the time any breaking of this law are enforced, due to the nature of disease court may be a non issue. Sad but true-human rights will definitely weigh in on this issueThere are too many variables.Yes in theory all should divulge but in reality and because it is sex ....well we all know how that works.


Hill
said

I don't want to risk my life so I won't sleep around. Wow! That's simple! Why would I trust a stranger to tell me the truth?


Agnela Anderson
said

I think they should pass a law... first I think they should come out with proper tests. Not to mention meds that don't kill the patients!


Mark in Victoria
said

Or people could just be more thoughtful about who they sleep with.Next they are going to criminalize people for giving other people the flu. Lots of people die each year from the flu but you don't see people suing each other for not washing their hands.


Doug ^^^ BC
said

I get your point "Joseph".But it makes no sense in the context of this case.Lawyers and doctors are arguing that modern drugs reduce the possibility of transmission because the weaken the virus.But the only people who get those drugs are people who have been tested.Those who have not been tested will not be using the drugs,and thus thay are even more likely to pass on the HIV virus,which has not been weakened by modern drug cocktails. Your point relies on the premise that people would be able to self diagnose,and that they would rather die sooner than seek help that could keep them alive and healthy much,much longer. Do the right thing people.How is that to much to ask of anyone with a conscience.And let the courts hold people people without a conscience in some kind of custody.No one has any right to impose this kind of risk on someone else.No one..If that goes against your "Charter",it's time to burn the Charter. My only question,is why are we spending millions of dollars,and wasting the time of the SCOC,just to make the only sensible and moral deision possible? THAT'S the real crime.


Anne
said

Holy smoke, why is this even a question to be debated in the high courts. If you have HIV you must alert potential partners to that fact - I'm sorry that you have HIV but you have no right to take away the choice from someone who does not have HIV. And that goes for other sexually transmitted afflictions as well. If you do not disclose, well, you are lower than low.


Joseph
said

This is a hot debate. The question shouldn't be who has to disclose. We should all be protecting ourselves and each other. The responsibility should be of both (or all) partners.If this law were passed that 'people with HIV must disclose' ... then people may simply stop getting an HIV test ... what you don't know you don't have to share. Is ignorance a defense? Do we make testing mandatory for everyone who has reached puberty?What if the law that stated 'if your are at risk of potentially having HIV you need to disclose that you could potentially infect your partner' ... but then that would mean everyone would have to disclose that they could potentially have HIV ... since simply having sex puts you at risk.What if the law stated that anyone has the right to ask their partner their HIV status before sex? How would yo make your decision to engage in sex?Their may be some HIV individuals who act irresponsibly - we have other laws that deal with that. However, the BIGGEST risk of infection is among sexually active people who DO NOT know their HIV status.


Jonathan from Saskatoon
said

HIV is not the only STD that should be covered by this law. Herpes, while not fatal, is still a life long disease. syphallis is still potentially fatal if not treated properly.Obviously unprotected sex is the greatest risk of transmission, but not the only risk. Condoms have a failure rate of over 2%. Full disclosure is the only way for one to make an informed decision as to the risk of sex, "protected" or otherwise.


Sheri
said

This shouldnt even be debated...if you have HIV you have a MORAL obligation to advise your partner. I dont care what the risk of transmission is...I dont want to take ANY chances and I have the RIGHT to know!
People with HIV have to tell police and doctors so why would it be different to tell the person that you care about and are about to have sex with? This world is getting so sick!


Amber
said

You are potentially infected someone with a deadly disease, treatment or not once you are infected with it your life alters and is shortened. Why would you want to do that to anyone else I'll never know but if someone knowingly had contact with me without telling me low risk or not I would lose it personally. It's best that the courts keep the fear in people of potential jail time then the other consequences...


Prof. Pye Chartt
said

Both the issue and the law aren't that complicated; pointy-headed judges have made it so. If HIV has lethal potential, then it is incumbent upon the infected to inform their sexual partner prior to the act, regardless of type of sex or use of a condom. The physical safety of an individual supersedes the alleged mental health or "social comfortability" of another. Pretty straightforward, in my opinion.


GregoryJ-wpg
said

An issue with positive and negatives. Potential victims of HIV infection need the right to know whose infected soto defend their own lives... those infected need the right to defend their lives from the public's attitudes and potentialy harmful actions against them. Ultimately, each court will interpret for themselves which side gets the priority of it's opinions, no matter what the script of any new laws says.


Brenda
said

I don't know that criminalizing it is the way to go, but any person with a sexually transmittable disease needs to disclose it to a partner so they can choose whether they want to take the risk or not, regardless of whether the risk is low or not. There is still a risk.


Johnny
said

In matters of personal health, everyone should have the right to ALL of the facts before they should make a decision.Don't doctors have to inform their patients of all the risks including possible side effects which may be very unlikely to occur?I shudder to think of what will happen if the SCC decides that someone else can decide if the risk is too great or too small.


sniffles
said

There is already a moral obligation to share this information with any partners, regardless of the risk of transmission, making the obligation legal does not criminalize people with HIV, it criminalizes the act of omitting this fact to their partners. There is a bid difference. Regardless, I would have any potential partners tested and be willing to undergo the same, prior to establishing a sexual relationship. I watched my gay best friend die a long, painful death from AIDS and will never risk my own health.


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