By Dr. Ernest Massiah, UNAIDS Caribbean Regional Support Team Director
Recently, the discussion on HIV has been a mix of the selective review of scientific evidence, comments on an administrative procedure at the regional university, and perceptions on the existence of agendas that seek either to change or hold back Caribbean societies. Lost in this debate is a Caribbean reality. At the end of 2012, UNAIDS estimated that there were 260,000 people living with HIV in the region. In many countries, approximately one in three new cases is among men who have sex with men. How do we deal with this as we work to end the epidemic in the Caribbean?
First we must recognise that HIV is a virus, not a crime. Laws that criminalise being HIV positive, sexual behaviours such as anal sex or sexual orientation, make it difficult to mount an effective HIV response. Persons who know their sexual behaviour or orientations are illegal are less likely either to go to health services or to speak openly about their sexual behaviour while there, thus limiting their treatment options and prevention efforts.
A soon to be released UNAIDS internet survey of more than 3,500 men who have sex with men across the Caribbean, the CARIMIS study, shows that about two in three men who got a negative HIV test result from the private or public health sector, did not talk to their doctors about their sex with men. Our laws should help create an environment in which there is no
