KNOWLEDGE MOBILIZATION THE CRIMINALIZATION OF HIV/AIDS Dr. D. Scharie Tavcer Department of Mr. Daniel Johns Economics, Justice and Policy Studies Bachelor of Arts, Associate Professor, Mount Royal University Criminal Justice (Hons) stavcer@mtroyal.ca How has Canadian law evolved in terms of our understanding of sexual assault and HIV/AIDS? We reviewed Canadian criminal cases that involved those who didn’t disclose their HIV/AIDS status prior to sexual activity. We also examined current and empirically valid medical information regarding transmission rate to illustrate the evolving knowledge of the HIV/AIDS viruses. # ACCUSED per (most frequent) CCC 25 21 20 OVERVIEW Between 1987 and 2015 the legal consequences for nondisclosure, what constitutes “significant risk of bodily harm” and “fraud”, were tested in court. We looked at relevant cases and the Supreme Court of Canada’s (SCC) most recent judgment on these matters in R v Mabior [2012]. The SCC’s interpretation of current transmission rates in Canada suggests that transmission rates alone do not negate significant risk. The SCC declared that low viral load with the use of a condom do not constitute a significant risk and consequently not disclosing one’s HIVseropositive status does not constitute “fraud” vitiating the complainant’s consent to sexual activity. 15 8 10 5 4 3 3 1 1 3 9 3 36 accused 30 S. 15 1 S. 16 3 S. 18 0 s.2 31 s.2 39 S. 26 6 S. 26 8 s.2 71 s.2 73 S. 27 9 0 cases 12 4 5 17 1987 & 89 1991-99 47 2000-09 57 2010-15 THE CRIMINALIZATION OF HIV/AIDS PRE MABIOR (1998 – 2012) What constitutes low viral load? In the seminal case of R v Cuerrier (1998), the SCC held that concealment of, or the failure to With advancements in treatment options, people today can achieve a state known as having an undetectable viral load (VL). disclosure one’s HIV-positive status to a sexual partner, may constitute fraud thereby vitiating consent to sexual intercourse. This is when a test indicates a VL below 50 copies/mL of blood. The court emphasized that proof of the The risk estimates for the sexual transmission of HIV, per sex act, range from: essential element of fraud is: (1) Dishonesty; and (2) deprivation or risk of deprivation. § Both of which are required for the Crown to § establish that consent to sexual relations was displaced by fraud. § R V. MABIOR (2012) SCC § The SCC revisited and clarified the significant 0.5% - 3.38% for receptive anal intercourse; 0.06% - 0.16% for insertive anal intercourse; 0.08% - 0.19% for receptive vaginal intercourse (M2F); 0.05% - 0.1% for insertive vaginal intercourse (F2M) risk test for establishing fraud vitiating consent to sexual relations. The holding included 5 key findings: 1) The operative offence is now s.273 (aggravated sexual assault); 2) The test for consent remains valid IMPLICATIONS • The Criminal Code has finally evolved to meet up with medical knowledge. • There is drastic variation across the provinces perhaps as a result of Crown prosecutorial discretion. • The Supreme Court’s 2012 holding clarified significant risk as well as articulating the realistic possibility of transmission. (namely fraud vitiates consent); 3) Significant risk is clarified in keeping with medical evidence of risk of transmission. The wording is where there is a “realistic possibility of transmission of HIV”; 4) Where realistic possibility exists, disclosure is required and conversely; 5) Realistic possibility negated if • accused’s viral load was low; and • condom protection was used.