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Major Medical Journal Warns “Ugandan Bill Could Hinder Progress on HIV/AIDS”

Jim Burroway

December 18th, 2009

The British medical journal The Lancet has just published an article warning about the detrimental effect Uganda’s proposed Anti-Homosexuality Bill would have on that nation’s fight against HIV/AIDS.

Reporter Zoe Alsop describes a talk that MP David Bahati, the prime sponsor of the anti-gay bill, gave before a cheering audience at Makerere University in Kampala (subscription required):

Before ceding the podium, Bahati had one last point to make. “This is not a Ugandan thing”, he said, his chest swelling with indignation. “Homosexuals are using foreign aid organisations to promote this. If an organisation is found to be promoting homosexuality, then their licence should be revoked.”

Shoulder to shoulder with Bahati’s supporters a half dozen or so Ugandans listened quietly. Several were doctors who had spent much of their careers toiling against a disease that has taken the lives of more than a million Ugandans. Their faces were stoic as they contemplated the implications of Bahati’s bill for the fight against HIV/AIDS not just among gay men but also among the wives and children of men who also have sex with men. They considered the long, lean years that had been spent quietly setting up networks to disburse information on HIV/AIDS to lesbian, gay, bisexual, transgender, and intersex Ugandans.

“As a doctor, the law infuriates me”, said one general practitioner, who is much sought after by sexual minorities for his willingness to treat them, and who asked that his name not be used for fear that he would be arrested for working with sexual minorities. “We are only now getting to a point where people understand there is a problem. This law is going to erase all of that.”

Zoe reports that in much of Africa, where AIDS is predominantly a heterosexual disease, many people including doctors believe that it’s impossible for gay people to become infected with HIV. Bahati’s proposed legislation, which would impose draconian penalties including death on anyone who is gay, would have a chilling effect on LGBT people seeking medical care from health authorities. And the bill’s provision requiring anyone who knows someone who is gay to report them to police within twenty-four hours would only serve to reinforce those fears among Uganda’s gay community.

All of that is only compounded by another provision of the proposed bill which punishes anyone who “promotes or in any way abets homosexuality and related practices” with seven years imprisonment. Medical doctors providing safe-sex information or who simply treats someone who’s gay can be seen as promoting or abetting “homosexuality and related practices.” These proposals have already had a chilling effect on HIV/AIDS workers:

In past years, Wamala says, Icebreakers (Icebreakers Uganda is an LGBT HIV/AIDS service organization) travelled around Kampala to meet with sexual minorities and sex workers. They offered counselling, condoms, lubricant, and medical referrals. This year, though, has been different. People seen attending meetings were blackmailed by neighbours, who threatened to report them to the police. “Nowadays, people are hiding”, Wamala said. “The blackmail and the arrests skyrocketed and we saw that it was not safe. At meetings we saw the number had really fallen, and even for those who came we were not sure whether we should be able to come the next time.”

Other groups say they have been able to work as long as their activities are carefully disguised. Thomas Muyunga, a doctor in the Most at Risk Populations Network, says he always makes sure that testing and counselling events include people who are heterosexual. “Originally we wanted to go to these people directly”, Muyunga said. “We realised that it was impossible. So the disguise is to address that. That’s why we have managed to even work today.”

Click here to see BTB’s complete coverage of recent anti-gay developments in Uganda.

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