Tuesday, July 23, 2013
Roger Magnusson on Australia's Legal Responses to HIV and other STIs
Roger Magnusson (University of Sydney) has posted Law's Role in Promoting Sexual Health in Australia on SSRN. Here is the abstract:
This paper explains some of the principle ways in which public health laws seek to influence sexual behaviour and rates of transmission of STIs (sexually transmissible infections), with particular reference to HIV. It then presents two competing models for identifying, evaluating and debating the values inherent in legal and policy responses to STIs in Australia. These are, firstly, the “contain and control” model inherited from historical responses to contagious diseases, and secondly, a “human rights” model, which seeks to implement a harm minimization approach to STIs and assumes a happy alignment, in most circumstances, between the public health interest and individual rights and interests. Elements of both approaches are evident in Australian laws responding to HIV and other STIs. Despite the acknowledged success of Australia’s response to HIV, the rate of new infections is rising, contributing to debate about the appropriate limits of a human rights-focused approach. The paper evaluates, in particular, debates about the persistent criminalization of HIV and STI transmission as a public health tool; the policy challenges posed by risk-seeking behavior; and the challenge to “HIV exceptionalism” posed by the “test and treat” strategy in the United States, which emphasizes opt-out HIV testing and wider use of HIV test data.