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What is HIV criminalization?

HIV criminalization is the use of criminal law to punish those with HIV

for any potential risk of exposure to others. This means that an HIV positive individual

accused of non-disclosure before sexual contact may be punished by law,

even if the act does not risk actual HIV transmission.

Between 2019 and 2021, 275 arrests, prosecutions, convictions, appeals and/or acquittals in 39 countries were recorded in the HIV Justice Network’s database. However, the actual number of criminal cases is estimated to be around 700 cases globally.

In 2020, 92 countries
reported to UNAIDS that they criminalized HIV non-disclosure,
exposure and transmission through either specific or general laws

In California there were 385 incidents that involved HIV-based charges from the time of their creation to June of 2014. All of the incidents resulted in convictions with 90% of those convictions leading to immediate incarceration.

The rates of HIV diagnoses in the South are higher than any other region in the U.S. in 2021, the South accounted for more than half (52%) of the 32,100 estimated new HIV infections.

HIV Is Not a Crime 

2011 Film, by Sean Strub 

Why is HIV Criminalization an Issue?

The Laws do not Reflect the Science: HIV Criminalization laws began in Washington State, Florida, and Tennessee in 1986 when not much was known about HIV and AIDS and the fear and hysteria about the virus was at its peak due to the lack of knowledge about it. They were created by Ryan White Comprehensive AIDS Resource Emergency Act of 1990. The act offered federal funds to states if they criminalized the act of spreading HIV and many states complied and created HIV Criminalization laws to obtain federal funding for their HIV and AIDS programs. Many of these laws are still on the books for many states and reflect the fear and lack of knowledge that the world possessed about HIV at the time.

Outcome Different than Intent: HIV Criminalization laws were created with the intention of protecting people from HIV, but they are having the opposite effect. Seeing what happens to people with HIV and the stigma they face makes people less likely to tell others that they have HIV or get tested if they believe that they have it. HIV Criminalization can only happen if you know you are HIV positive and if you don’t know that, you can’t be punished. 

Stigma: Criminalization fuels stigma. "When you criminalize HIV or stigmatize people who have HIV it encourages people not to get tested, to stay in the shadows, not to be open about their status, not to seek treatment" - Scott Weiner. 
Sean Strub of the Sero Project, an organization that advocates for people with HIV and AIDS said that HIV Criminalization laws single out people the same way that discriminatory laws would single out people based on things such as gender and race. He states: “it is inherently discriminatory to create different laws for different groups of people.” Strub and Scott Burris, a Law Professor from Temple University, added that criminalizing HIV discourages people from getting tested for HIV.

Violence: HIV Criminalization can give violent and abusive people a powerful tool that they can hold over people with HIV. Victims of domestic abuse can be scared away from leaving abusive relationships through the threat of HIV criminalization charge or having their HIV status revealed to the world.

Requirements to Prosecute: Philip Clark, a Public Defender in the Western Judicial Circuit of Georgia, says that HIV Criminalization convictions can still occur even without the corroboration of evidence and differing claims from the defending and prosecuting sides of a case. HIV Criminalization laws do not require that you transmit HIV to get convicted. Even acts that have a minimal and negligible chance of transmitting HIV such as biting or spitting can incriminate an individual.

Stories of HIV Criminalization

In 2006, an HIV-positive man in Texas was sentenced to 35 years in prison for spitting into the eye and open mouth of a police officer during an arrest for being drunk and disorderly. The jury held the man’s saliva could be considered a ‘deadly weapon’, and the man received a heavy sentence.

In Canada in 2008, a young man with a diagnosed mental illness (schizoid-affective disorder), met a 55 year old gay man in an internet chat room, and later had two unprotected sexual encounters. The young man did not inform the man he was HIV-positive. Some hours after the second sexual encounter, he realized he had had sex without disclosing his status, and phoned the man to inform him of his HIV-positive status. Despite the young man’s severe mental illness, and genuine remorse, the judge sentenced him to eight months in jail (with additional conditions). The ‘victim’ remains HIV-negative.

A woman who lived in Iowa was convicted on HIV Criminalization charges and received a 25 year sentence that was later suspended. She was forced to register as a convicted sex offender which meant she couldn’t go to pools, public parks, walk freely about in her community, or work in specific areas such as areas near schools. When Iowa eliminated its HIV Criminalization law, she was able to have her name removed from the sex offender registry.

A Thai woman came to Canada from Hong Kong on a work visa to perform at a strip club. While there, she began a relationship with a man and later married him. The woman had tested positive for HIV in Hong Kong, but she testified that she believed she was HIV negative because she had mistakenly thought she had been HIV tested in Canada for immigration purposes, and her results had been negative. However, those tests did not screen for HIV, since the woman had entered Canada seven years before HIV testing for immigrants was implemented (in 2002). The woman received no HIV treatment until she learned she had AIDS in 2004, when she told her husband of her diagnoses. The woman was convicted of aggravated assault and criminal negligence causing bodily harm for failing to disclose her HIV-positive status to her husband and was sentenced to two years in jail.​

In 2008, a 34 year old man with HIV in Iowa had a one time sexual encounter with a 22 year old man and did not disclose his HIV status. Despite wearing a condom and the 22 year old man’s HIV tests coming back negative, the man was sentenced to 25 years in prison. Despite being freed after 5 months due to a successful letter writing campaign, the man was forced to register as a convicted sex offender, is subject to unannounced search and seizure at the discretion of his parole officer, and cannot be alone with any of his nephews or nieces.

Robert Suttle, the Assistant Director of the Sero Project was convicted on HIV Criminalization charges in Louisiana and was branded as a sex offender for 15 years. He was forbidden from serving in the Air Force as a result of his HIV status and lost his career in the Louisiana Second Circuit Court of Appeals as a result of his HIV Criminalization conviction.

In 2009, a man was found guilty of four counts of aggravated sexual assault for having unprotected sex with four women between 2001 and 2005. Throughout his trial, the accused vigorously denied knowing he was HIV-positive until late 2004. He testified that he had done six tests for HIV in Zimbabwe (all negative), and also had medical tests to facilitate his migration to Canada, believing they included a test for HIV (they did not). 

What does HIV Stigma look like around the world?

The People Living with HIV Stigma Index measures trends in HIV stigma and discrimination across the world. The study has been completed in over 70 countries, and provides a compre-hensive view of stigma around the globe. Check out their site here to view the results from each country.

As of 2023, 34 states have laws that criminalize HIV exposure

HIV Crim in US.png
HIV Crim map-legend.png

Since 2014, at least 13 states have modernized or repealed their HIV criminal laws: California, Colorado, Georgia, Illinois, Iowa, Michigan, Missouri, Nevada, New Jersey, North Carolina, Virginia, and Washington.


Changes include moving HIV prevention issues from the criminal code to disease control regulations, requiring intent to transmit, actual HIV transmission, or providing defenses for taking measures to prevent transmission, including viral suppression or being noninfectious, condom use, and partner PrEP use.

HIV Criminalization Continues:

In 2020, 92 countries reported to UNAIDS that they criminalize HIV. Data from civil society indicate that the number may be as high as 130 countries.


Between 2015 - 2018 There were at least 913 arrests, prosecutions, appeals and/ or acquittals for HIV non-disclosure, exposure or transmission in 49 countries. In 2020, the HIV Justice Network documented at least 90 HIV criminalization cases across 25 countries.


HIV criminalization “is a pervasive illustration of how state-sponsored stigma and discrimination works against a marginalized group of people with immutable characteristics,” says HIV Justice Network. “As well as being a human rights issue of global concern, HIV criminalization is a barrier to universal access to HIV prevention, testing, treatment and care.

Instead of criminalization, states should act to create enabling social and legal environments that support safe and voluntary disclosure of HIV, free of stigma and discrimination. They should ensure access to available, acceptable, affordable HIV prevention, testing and treatment and empower individuals to be able to negotiate safe sex.

In California:

Things have now changed. On January 1, 2018, Senate Bill (SB) 239 came into law, scoring a huge win for HIV activists. Prior to 2018, HIV was the only disease you could be prosecuted for transmitting. California Governor Jerry Brown signed the law which repealed the old HIV laws regarding partner notification.

This Change in CA was necessary:
Prior to 2018,
HIV was the only communicable disease you could face criminal prosecution for by transmitting. This led many to believe that the repealed HIV laws in California were not just an attack on those with HIV, but rather an attack on the LGBTQ community.

From 1988 to 2014, 800 HIV confidentiality criminalization cases were prosecuted in California. Out of the 800 cases, none of them required prosecutors to prove that transmission of HIV occurred prior to the defendant being charged. Moreover, all 800 cases ended in a conviction.

Furthermore, the old laws that criminalized HIV victims did more damage than good. They placed an immense stigma and burden upon HIV victims and the LGBTQ community. 

Quotes on HIV Criminalization

"These laws typically do not require criminal intent, nor does it matter whether or not HIV was transmitted, or even if there was any chance of HIV transmission. Use of safe sex practices or having an undetectable viral load is not a defense. Even disclosing to one's partner may not protect you from prosecution."
- Robert Suttle

"Every person living with HIV in a state of laws that criminalize HIV is just one misunderstanding or disgruntled partner away from finding him or herself in a courtroom. A minor infraction of the law or negative encounter with law enforcement while HIV-positive could lead to a felony conviction, a lengthy prison sentence, public shaming, and/or registration as a sex offender. My situation is not rare; there are hundreds of reported and unreported prosecutions in the South and all over the U.S. similar to mine or worse."
- Robert Suttle


Sources  Canadian HIV/AIDS Legal Network, 2009  R v Handy (Unreported 27 March 2008) See Bernard, E. J. (2008) at (accessed on 12th July 2010) and Canadian HIV/AIDS Legal Network (2008a)  American Psychological Association - The Dehumanizing Effect of HIV Criminalization  CBS Los Angeles - California Lawmakers Want to Repeal HIV Criminalization Laws  CBS Sacramento - While HIV is Treatable, States Keep Laws Criminalizing it From AIDS Panic Era  Center for HIV Law & Policy Positive Justice Project pg. 222 Centers for Disease Control - HIV/AIDS Basic Statistics    Centers for Disease Control - HIV in the United States by Geographic Distribution   Centers for Disease Control HIV-Specific Criminal Laws    CNN - Imprisoned over HIV: One Man's Story  CNN - Save lives: End the HIV stigma   

Elton John AIDS Foundation - Spotlight on HIV Criminalization    Georgia Health News: HIV transmission laws: Georgia legislators to look at changes   The - To prevent new infections, stop criminalizing people living with HIV  HIV Criminalization is Bad Public Policy and Terrible Science  Los Angeles Times - Having Unprotected Sex Without Telling Partner about HIV-Positive Status no Longer Would be a Felony Under New bill    NBC News - Iowa Scraps Harsh HIV Criminalization Law in Historic Vote   Philly Tribune - Flood of HIV cases hasn’t receded in the South  UCLA Williams Institute - HIV Criminalization in California: Penal Implications for People Living with HIV/AIDS  Washington Post - Maryland man faces rarely used HIV transmission charges

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