By Marlene Cimons
WASHINGTON _ Despite an increasing body of scientific evidence about how
AIDS is transmitted, judges across the nation have continued to perpetuate
stereotypes and myths about the disease in both their decisions and in their
courtroom behavior, according to a major report to be released Sunday.
``Because judges appear undereducated on the subject of AIDS, they are
permitting prosecutors to use fear and misunderstanding to undermine the rights
of persons with AIDS,'' said Larry Gostin, adjunct professor of health law at
the Harvard School of Public Health, and author of the study.
The study, which examined the cumulative total of all AIDS-related
litigation since the epidemic began in 1981, was released by the AIDS
Litigation Project, which was established three years ago to help lawyers,
health care providers and consumers understand the evolution of laws regarding
the rights of persons with AIDS or those infected with the human
immunodeficiency virus. It is funded by the AIDS program office of the
Department of Health and Human Services.
The study found that, with some exceptions, most decisions in AIDS
discrimination cases have been favorable to persons with AIDS, or HIV infection
in recent years because of the clear body of anti-discrimination law that now
exists.
But in other types of cases, ``not necessarily involving discrimination, but
involving people with HIV, you're seeing the old stereotypes emerge,'' Gostin
said.
For example, he said, one court had what he described as a ``10-foot rule''
in which ``they allowed guards to stand 10 feet away from the defendant (who
was HIV-infected),'' Gostin said. ``In another case, evidence was labeled:
`Evidence from an AIDS patient _ Don't Touch' and this was done in front of the
jury _ and the appellate court said it wasn't prejudicial.''
Moreover, he said, criminal courts ``have been convicting HIV-infected
persons for `attempted murder' and `aggravated assault' and giving Draconian
sentences _ life, in one instance, 30 years in another _ for biting, spitting,
things like that, even though there's never been a single case of AIDS
transmitted that way.''
Gostin said the study showed that courts have been ``reinforcing
stereotypical attitudes about AIDS and people with AIDS, and their decisions
haven't reflected scientific knowledge. And they aren't able to distinguish
clearly between irrational fears and real risk.''
He blamed insufficient AIDS education for the knowledge gap.
Harvey Fineberg, dean of the Harvard School of Public Health, said, of the
study, that ``it appears that those of us in public health have not yet done an
adequate job in educating the judiciary and other key decision-makers.
``Some courts seem unable to distinguish important from inconsequential
risks of AIDS transmission,'' he added.
The study also said that AIDS-related discrimination cases have escalated at
an unprecedented rate in recent years, making AIDS ``the most litigated disease
in American history,'' said Dr. James Allen, director of the AIDS program
office of the Public Health Service. ``AIDS is a disease that has deeply
affected society.''
Gostin said discrimination nationwide was ``rife'' because ``I can measure
it by the number of cases coming to courts and human rights commissions _ and
there is still a tremendous amount. And those coming into the courts are only
the tip of the iceberg.