column - UK News


Defendants urged to plead ‘not guilty’ in cases of reckless HIV transmission

a man in cell prisonHIV positive people facing prosecution for reckless transmission of HIV being are urged not to plead guilty when they go to court.
UKC chair Bernard Forbes issued the warning after the 12th UK conviction for recklessly transmitting the virus.
In January, a 35 year old Zimbabwean man was sentenced to three and a half years in prison, at Bournemouth Crown Court, after pleading guilty to reckless transmission of HIV and passing on the virus to his 25 year old ex-girlfriend.
Judge Roger Jarvis said the defendant was “beyond comprehension” and should be deported after serving his sentence.
Forbes said his advice was in no way a justification for reckless transmission but intended to put the onus on the prosecution to prove their case.
“In the ten cases in England and Wales where an HIV GBH conviction has been successful, the prosecution has not had to prove transmission but has relied on a guilty plea,” he said.
“And in one case where the defendant pleaded not guilty, the prosecution tried to use genetic evidence but the defendant was found not guilty.
“Defendants in such cases are put under incredible pressure to plead guilty,” Forbes said.
“And there is further pressure from the defence counsel because a guilty plea supposedly leads to a reduction in sentence,” he added.
The UKC chair, himself a retired Metropolitan police officer, made his comments following media speculation that the Crown Prosecution Service (CPS) will now crackdown on HIV positive people and step up prosecutions for passing on other sexual diseases.
“This conviction sends out a message to people with HIV that these matters are taken seriously,” the Bournemouth CPS office told the Dorset Echo newspaper.
“Failing to act responsibly for other people’s well-being, and not telling them when they are at risk, is a criminal offence and they will be prosecuted,” it added.
Charity groups around the country say prosecutions against people with HIV stigmatise and discriminate against already vulnerable and marginalised people.
“We’re not here to moralise but to support all people with HIV,” said Barbara Heffernan, chair of Body Positive Dorset.
“People living with HIV need to be supported to test for HIV and to disclose their status, not to be treated as criminals," said Rhon Reynolds, of the African HIV Policy Network.
The Terrence Higgins Trust (THT) said the threat of prosecutions might drive vulnerable people away from seeking medical advice.
THT’s Lisa Power warned that people with HIV were becoming increasingly concerned that what they said in confidence to their doctor could later be used against them in court.
Yusef Azad, of National Aids Trust, said: “Sending people to prison doesn’t help anyone.”
“We need to make it clear to defence solicitors in such cases that it will be very unwise for clients to be advised to plead guilty in advance of testing the evidence.”
As Positive Nation went to press another man was convicted for HIV transmission in Scotland.
Thirty eight-year-old Italian chef Giovanni Mola was found guilty at Glasgow High Court on 7 February of knowingly infecting his former partner with both HIV and hepatitis C at a flat in Edinburgh.
He will be sentenced on 7 March.


Ministers slammed over asylum policies

The UK government’s heavy handed policies towards HIV positive asylum seekers came under fire again this month.
The Scottish Sunday Herald accused the Home Office immigration service, of “luring entire families of refugees in Scotland to immigration offices and then detaining them”.
This system has been introduced as an alternative to dawn raids, the paper says.
Families about to be deported are now being transferred to holding centres in England where, it is believed, they are “out of sight and out of mind”.
Further criticism was levelled at the government by UN and international human rights organisations for its willingness to imprison children of asylum seekers.
Peter Kessler, of the UN Refugee Agency, said: “Children seeking asylum should not be kept in detention. The Convention on the Rights of the Child states that children should only be detained as a last resort.”
In response to pressure from National Aids Trust (NAT) and others, the Home Office has already modified its policy on dispersing asylum seekers with HIV.
NAT has published guidance for health care workers and the voluntary sector explaining that asylum seekers with HIV should only be dispersed if medically stable.
Meanwhile, in Sheffield and Leeds, unofficial estimates suggest some 5,500 refugees have been reduced to destitution.
A report in the Yorkshire Post raised serious concerns about rough sleeping, poor diets, worsening mental illness and contagious diseases, including TB, caused by overcrowding.
Anna Reisenberger, of the Refugee Council, said: “It is cruel to deny people like these medical treatment. We have known of asylum-seekers in effect left to die of cancer and kidney disease, and mothers giving birth without medical support.”
l NAT’s guide on the dispersal of HIV positive asylum seekers can be downloaded from: www.nat.org.uk/page/3857



Social worker from left to right: Elizabeth Mwango, Haydn Forde,  Anita Hickmore , Banker Anthony DavisonPos speakers prove a big hit at Parliament
Four HIV positive speakers wowed an audience of MPs, peers, employers and trade unionists at Portcullis House on 6 February.
The four spoke eloquently about their own struggles to overcome HIV stigma and discrimination in the workplace at the launch of the Ensuring Positive Futures (EPF) website.
Social worker Elizabeth Mwango, right, spoke of her battle to become accepted in her community.
Haydn Forde, second right, spoke about the problems of disclosing his status while on tour as an actor.
Anita Hickmore, third right, said she got most support after her HIV diagnosis from the internet, “and from the excellent publication Positive Nation”.
Banker Anthony Davison, right, told of his battle to educate his own employers how to treat HIV positive workers.
“HIV is a condition and not a perversity,” Anthony said: “The EPF website empowers employers and employees alike.”
www.e-pf.org.uk


Positive East arsonist gets three years

A man who set fire to an HIV charity building has been jailed for three years.
Keir Whitaker, 33, a service user at London HIV charity Positive East, was convicted at Snaresbrook Crown Court in December after admitting arson.
The fire in June 2006, destroyed much of the building causing tens of thousands of pounds of damage.
But Positive East managed to continue providing services elsewhere.
The court heard that Whitaker had been imprisoned twice before for arson and had been receiving counselling at the charity.
On 9 June last year he broke into the building, in Mildmay Road, Ilford, after taking alcohol and drugs and set fire to curtains using a cigarette lighter.
He handed himself in to Ilford police six weeks later.
In an unusual move, Judge Inigo Bing said he deserved the “thanks of the public” for giving himself up to police.
Positive East director Mark Santos said the charity was pleased no one was injured.
“This was a tragedy on all levels and clearly not the actions of a well man,” Santos said.
“The building is under repair and we are thinking about re-opening it. But the people of Redbridge have not lost out on our services, we are just providing them in a different way.”


 

news on the side

Sun gets it wrong

The Sun newspaper was forced to publish a correction after alleging Eastern European immigrants would increase HIV infections in the UK and for confusing HIV and Aids. The paper published the correction on 27 December after complaints from National Aids Trust, who said: “We will continue to actively challenge stigmatising coverage such as this.”

Home test plea
The 1992 ban on home testing kits should now be lifted, according to Lucy Frith of Liverpool University, writing in The Lancet. She said the ban was outdated and compulsory pre-test counselling was deterring those who might otherwise come forward. Around a third of those with HIV in the UK don't know their status. At the moment written consent is compulsory for all HIV tests in the UK.

Patients veto

Concerns that confidential medical records on the NHS database may be illegally used by insurance companies and police have caused widespread concern. As a result, the government has now agreed that patients should be allowed to veto the transfer of their health records onto the new NHS computer system. See page 26 for more.

Social care ‘failing’

Elderly and disabled people are increasingly relying on friends and family for care, says the Commission for Social Care.
The proportion of the UK population over 65, is set to grow over the next 20 years to over 53 per cent of the population. With budgets for social care increasingly stretched, two-thirds of local councils say they are now only able to offer support to those with 'substantial needs'. Most councils have already closed down or ‘mainstreamed’ social service support for people living with HIV.

Praise for Scots
A decline in new HIV infections among drug users in the Scottish capital was praised by city council leaders.
“The introduction of needle exchange schemes, the co-ordination of policy through the regional council's Aids co-ordinator and the quick reaction of the support services have led to a situation where new infections amongst intravenous drug users have dropped to a very small number,” councillor Ewan Aitken told BBC News.

HIV taboo risk

Experts fear hitherto low HIV infection rates in the Asian community are misleading, resulting from low testing rates and widespread stigma. Leicestershire Aids Support Services is concerned that vast sections of the two million UK Asian population are not even seeking medical care around sexual health.
“Asians don’t use our services much,” Dr Joyce Dhar told BBC News: “They say, ‘Why should we use the health service when we aren’t at risk?’ They see HIV as a disease of whites and gays.”

Fall in poz babies

Healthy births to HIV positive mothers in Britain are increasing according to latest data from the Royal School of Obstetricians and Gynaecologists. With testing for mother to child transmission of the virus now running at over 90 per cent across the country, and effective antiretroviral therapy and elective caesarean section, the numbers of positive babies has fallen steadily. In 2006, only six babies were born with HIV in Britain and Ireland out of nearly 800 pregnancies reported among HIV positive mothers.

Thai generics approved
Thailand's health minister has announced that a licence has been granted to produce a generic version of popular HIV drug Kaletra.
World Trade Organisation rules allow countries to issue a compulsory license to produce or sell generic versions of patented drugs if they declare a national emergency. Over half a million Thais are living with HIV

‘HIV camp’ call

Emmanuel Ayensu, district chief executive of Wassa district in Ghana, has infuriated HIV positive people across the world by proposing the setting up of camps for people infected. According to Ayensu, isolating people living with HIV is one sure way of checking its spread. “If we cannot kill them,” he said, “then why not build isolation camps for them?” HIV campaigners across the world have called for the official to be fired and highlighted the necessity of improved HIV education.

President’s HIV gaff

The claim by Gambia’s President Yahya Jammeh that he can cure HIV with herbs has been greeted with incredulity. “I can treat asthma and HIV… Within three days the person should be tested again and I can tell you that he/she will be negative,” Jammeh claimed to foreign diplomats last month. “I am not a witch doctor,” he added.

HIV hits 2010 world cup

South Africa's New Civil Engineer magazine has highlighted a growing problem facing construction firms preparing stadiums and facilities at nine separate sites in time for the 2010 FIFA World Cup. Required by law to employ local workers, firms are finding the high rates of HIV among students threaten to stifle the industry, just as it is set to boom. Around 5.5 million South Africans, one in 11 of the population, are HIV positive.

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