Sei sulla pagina 1di 4

Questions

& Answers
This brochure will help you make
informed decisions about disclosing
to sexual partners. It provides
important information about the HIV Disclosure to
Sexual Partners:
criminal law in Canada, public
health, and specific implications for
newcomers, including permanent
residents, students, temporary
workers, visitors, refugees, and Questions and answers
people without immigration status.
for newcomers
Updated July 2015

Learning about your HIV-positive status is an important step for your health. Thanks to medical advances,
people who know their HIV-positive status and have access to care and HIV treatment (antiretrovirals or
ARVs) can live long and healthy lives. Access to treatment can also help reduce the risks of transmitting
HIV to sexual partners. But knowing that you are HIV-positive also has other implications in your life —
for example, deciding whom to tell about your HIV status.

This brochure will help you make informed decisions about disclosing to sexual partners. It provides
important information about the criminal law in Canada, public health, and specific implications for
newcomers, including permanent residents, students, temporary workers, visitors, refugees, and people
without immigration status.

1. What does disclosing my HIV- do so to ensure that you receive proper, 3. What does Canadian criminal
positive status mean? well-informed care. law say about disclosure to sexual
The situation is different when it
partners?
Disclosing your HIV-positive status
comes to sexual partners.
means telling someone else (e.g., a In Canada, people living with HIV
friend, your parents, your spouse, etc.) have an obligation under the criminal
that you are HIV-positive. 2. What is disclosure to a sexual law to tell their sexual partners they
partner? are HIV-positive before having sex that
Most of the time, disclosure is up to you. poses what the courts call “a realistic
You have no obligation to tell your family Disclosing to a sexual partner means possibility of transmission.”(See
or friends that you are HIV-positive, but telling someone you are having sex with below for a breakdown of sexual acts
you might decide to do so if you think that you are HIV-positive. and disclosure requirements.) In other
their support could help. Similarly, in words, if you engage in a sexual activity
most circumstances, you don’t have to This person could be anyone with whom that, according to the law, carries a
tell your landlord, employer, co-workers, you have a sexual relationship, including realistic possibility for transmitting
classmates or school officials. You also your spouse, a regular sexual partner, or HIV, and you do not disclose your status
do not have to tell your dentist or other someone you might have sex with only beforehand, you could be charged with
health-care workers that you are HIV- once. a serious crime. If you are found guilty,
positive. But, again, you might decide to you could go to jail.
2

It does not matter whether HIV is A viral load test tells you how much Network”) may be able to refer you to a
transmitted or not. You can be charged HIV is in your blood. With effective lawyer familiar with HIV.
simply for not telling your sexual HIV treatment, your viral load can
partners that you are HIV-positive, even become “undetectable.” When you have 6. Does the criminal law around HIV
if HIV is not transmitted. an undetectable viral load, it does not disclosure have specific implications
mean that you are cured of HIV, but
This legal obligation to disclose your it does mean that the virus is under if I am not a Canadian citizen?
HIV status applies equally to all sexual control. Having a low or undetectable
partners — whether it’s a spouse, a viral load can greatly reduce the risks Yes. There are specific implications if
long- or short-term relationship, sex of HIV transmission. This is why the you are not a Canadian citizen because
in exchange for money, or a one-time law takes into account your viral load there is a significant risk you could be
sexual encounter. to determine whether you have an deported from Canada if convicted.
obligation to disclose.
As far as we are aware, all criminal If you have been contacted by the
cases for HIV non-disclosure have been Remember that the criminal law is police or if you are worried that you
brought against people who knew their about disclosure. This means you may be at risk of criminal charges
HIV-positive status because they had should not be prosecuted for having sex and you are not a Canadian citizen,
received an HIV test (either in Canada (even if you do not use a condom and/ you should immediately contact an
or abroad). However, not taking an or your viral load is high) if you have immigration lawyer, even if you are a
HIV test does not necessarily mean you disclosed your status before sex and sex permanent resident and/or you came to
will be protected against prosecution. is consensual. Canada as a refugee. You should also
Theoretically, you could be charged immediately contact a criminal lawyer
if you think you may be HIV-positive and tell the criminal lawyer details
5. When do I not have an obligation about your immigration status. The
and you do not disclose that possibility. to disclose my HIV-positive status
But, as of today, we are not aware of Legal Network may be able to provide
any cases against people who have not to a sexual partner under the appropriate referrals.
received positive HIV test results. criminal law?
7. Is there any obligation outside
4. When do I have an obligation to Because using a condom and having a the criminal law to disclose my HIV-
low or undetectable viral load means it positive status to a sexual partner?
disclose my HIV-positive status to is almost impossible to transmit HIV,
a sexual partner under the criminal courts have said that you do not have Yes. Public health authorities might
law? an obligation under the criminal law require you to tell your sexual partner
to disclose before vaginal sex if you that you are HIV-positive.
You do not always have to disclose use a condom and you have a low or
your HIV-positive status to your undetectable viral load. (This principle In Canada, when you test for HIV, the
sexual partner. Whether or not you are likely applies in a similar way to anal test result is reported to the provincial
required to disclose your HIV status sex but we cannot be certain until it is or territorial public health authorities.
under the criminal law depends on the confirmed by the courts.) The type of information that gets
level of risk of transmitting HIV. The reported to public health, and perhaps
courts decide what “realistic possibility There is also no obligation to disclose stored in a database, depends on the law
of transmission” means. before other intimate activities that pose and practice in the relevant province
no risk of HIV transmission, such as or territory. (If you choose to take an
The law might evolve or be applied kissing. anonymous HIV test, the test result
differently depending on available and non-identifying information will
medical evidence in a particular case. Oral sex is usually considered a be reported to the public health agency,
But based on the current state of the very low risk for HIV transmission. but not your name. However, when you
law, it is safest to assume that you have However, at the time of this writing, begin accessing medical care for HIV,
an obligation to disclose before: we cannot say for certain that oral sex your name will likely be reported to
without a condom and/or without a low public health regardless of the type of
▪▪ Vaginal or anal sex without a viral load does not require disclosure. test involved.)
condom; and
▪▪ Vaginal or anal sex with a condom If you have been contacted by the police If you test positive for HIV or certain
unless you have a low viral load (less or if you are worried you might be at other sexually transmitted infections
than 1500 copies/ml). risk of criminal charges, you need (STIs), public health authorities —
to talk to a lawyer. The Canadian depending on where you live — will
HIV/AIDS Legal Network (or “Legal
3

“A realistic possibility of transmission” — disclosure obligations according to sexual activity


The following table summarizes what we can say about your disclosure obligations, based on the current state of the law in
Canada.

N.B.: The courts decide what “a realistic possibility of transmission” is. The law may evolve or be applied differently
depending on medical evidence available in a particular case.

Possibly no obligation
Obligation to disclose No obligation to disclose to disclose but it is
uncertain
Sex (vaginal, anal)
without a condom, X
regardless of viral load
Sex (vaginal, anal) with a
condom but without a low X
or undetectable viral load
Sex with a condom AND
a low or undetectable X (at least for vaginal sex) X (anal sex)
viral load
Oral sex X

Kissing X

probably require that your sexual 8. What if I am sponsored by my And again, as with public health, even if
partners be contacted. This is called spouse or partner to come to you think CIC may have contacted your
partner notification. spouse or partner, it is always safer not
Canada? to assume your partners know you are
Public health authorities are responsible HIV-positive if you have not directly
If you are sponsored by your spouse
for protecting public health and told them yourself.
or partner and you test positive for
preventing the transmission of
HIV, Citizenship and Immigration
infections, including HIV. While these 9. Where can I get support around
Canada (CIC) will give you 60 days
authorities will generally work with disclosure?
to tell your spouse or partner that you
you, they may sometimes take action if
are HIV-positive, or to withdraw your
you do not or cannot disclose you status Telling others that you are HIV-positive
application.
to your sexual partners. The powers and can be difficult and stressful. In some
procedures of public health authorities cases you may fear rejection, violence
If you don’t withdraw your application,
vary from one province/territory to or discrimination, or you may be
CIC will notify your spouse or partner
another. worried that your HIV-positive status
of your HIV-positive status after
the 60-day deadline. Your spouse or will not be kept confidential. Such
Note that even if you think public concerns are particularly real for those
partner will be given an additional 60
health may have contacted your sexual living in tight-knit communities and
days to decide to withdraw or maintain
partners, you might still have an in communities where sexuality and
sponsorship. If your spouse or partner
obligation under the criminal law to HIV are taboo. Racism, gender norms,
doesn’t choose to withdraw sponsorship,
disclose your HIV-positive status before economic conditions, and cultural and
your application will proceed normally.
having sex. It is always safer not to language barriers are all factors that can
This is important information because,
assume that your partners know you are also affect a person’s ability to disclose
if you have not told your spouse or
HIV-positive if you have not directly their status, take precautions to reduce
partner (with whom you have sex) about
told them yourself. risks of HIV transmission, and access
your HIV-positive status, you could
be at risk of criminal charges if your support.
spouse or partner decides to go to the
police. Contacting your local AIDS
organization can be a good first step
4

to finding help and support. You may Public health and HIV testing options ▪▪ Coalition communautaire des
also want to seek legal advice before — In your province, contact your local organismes québécois de lutte
deciding whether to disclose your HIV AIDS service organization. If you live contre le sida (COCQ-SIDA) —
status. in Ontario, the HIV & AIDS Legal Clinique d’information juridique
Clinic Ontario (HALCO) can provide VIH info droits (Quebec):
Additional resources legal advice if you have concerns < www.cocqsida.com >
related to public health. Tel: +1 514 844-2477 (ext. 34)
Toll-free (when calling from outside
For more information on:
Criminal convictions and their Montréal): +1 866 535-0481 (ext. 34)
impact on non-Canadian citizens E-mail: vih-infodroits@cocqsida.com
HIV disclosure and the criminal law
— See Community Legal Education To find a local AIDS organization, go to
— See our info sheet, Criminal Law
Ontario, Mental illness, criminal < hiv411.ca >.
& HIV Non-Disclosure in Canada, at
offenses & deportation: tips for front-
< www.aidslaw.ca/site/criminal-law-
line workers (June 2013), at To find a lawyer, contact legal aid
and-hiv/ >, and watch our series of
< www.cleo.on.ca/sites/default/files/ and lawyer-referral services in your
videos about the HIV and the criminal
book_pdfs/mentill.pdf > (English only) province. Legal aid offers services for
law at < www.youtube.com /aidslaw >
(available in English and French only). individuals with low income.
You can also contact the Legal Network Contact information:
and other organizations working at
the intersection of HIV and the law in ▪▪ Canadian HIV/AIDS Legal
Canada (see contact information below). Network (Canada):
If you need legal advice, you should < www.aidslaw.ca >
contact a lawyer; the Legal Network Tel.: +1 416 595-1666
may be able to provide appropriate Fax: +1 416 595-0094
referrals. E-mail: info@aidslaw.ca
▪▪ HIV & AIDS Legal Clinic Ontario
HIV disclosure at work, school or (HALCO) (Ontario):
in health care settings — See our < www.halco.org >
series of info sheets, Know Your Rights, Tel.: +1 416 340-7790
available at < www.aidslaw.ca/site/ or +1 888 705-8889
kyr/ > (available in English, French, Fax: +1 416 340-7248
Arabic, Chinese, Spanish and Tagalog). E-mail: talklaw@halco.org

This publication contains general information. It does not constitute legal advice, and
should not be relied upon as legal advice. Copies are available on the website of the
Canadian HIV/AIDS Legal Network at www.aidslaw.ca/criminallaw. Reproduction is
encouraged, but copies may not be sold, and the Canadian HIV/AIDS Legal Network
must be cited as the source of this information.

Funding for this publication was provided by the Public Health Agency of Canada. The
opinions in this publication are those of the authors and do not necessarily reflect the
official views of the Public Health Agency of Canada.

© Canadian HIV/AIDS Legal Network 2015

Potrebbero piacerti anche