New WHO Report: Decriminalize Sex Work, Drug Use to Prevent Spread of HIV

A World Health Organization (WHO) report issued this month details guidelines to address policies on and treatment of HIV among vulnerable populations including transgender people. Notably, the report urges governments to decriminalize behaviors to more comprehensively and competently address the spread of HIV:

“Countries should work toward decriminalization of behaviours such as drug use/injecting, sex work, same-sex activity and nonconforming gender identities, and toward elimination of the unjust application of civil law and regulations against people who use/inject drugs, sex workers, men who have sex with men and transgender people​.

Improving policies that aid in HIV prevention and improve treatment requires, as the report notes, a combination of efforts. These efforts include making access to contraception, testing, and health facilities available to vulnerable populations; ending violence and stigma against vulnerable populations like transgender people and sex workers; and eliminating laws and policies that criminalize behaviors, which instill fear in these populations and deters individuals from seeking care.

Seven UN Agencies: Surgery as a Condition of Legal Recognition is Forced Sterilization

In “Eliminating forced, coercive and otherwise involuntary sterilization – An interagency statement,” the World Health Organization (WHO) and several other UN agencies have recognized that sterilization without the “full, free and informed consent” of an individual is a violation of that person’s human rights.

The UN Health (WHO), Human Rights (OHCHR), Women’s (UN Women), Development (UNDP), Population (UNFPA), Children’s (UNICEF), and AIDS (UNAIDS) agencies issuing the statement recognized that transgender people have been historically, and are currently, discriminated against through policies requiring surgery, often resulting in sterilization, in order to obtain legal documents reflecting their gender identity and other forms of legal and social recognition. As the statement observes, “According to international and regional human rights bodies and some constitutional courts, and as reflected in recent legal changes in several countries, these sterilization requirements run counter to respect for bodily integrity, self-determination and human dignity, and can cause and perpetuate discrimination against transgender and intersex persons.”