La exclusión de las personas con VIH de los cuerpos uniformados de seguridad en España

• Autores: Miguel Ángel Ramiro Avilés , Paulina Ramírez Carvajal
• Localización: Revista Vasca de Administración Pública (RVAP). Administrazio Publikoaren Euskal Aldizkaria, ISSN 0211-9560, Nº 112, 2018, págs. 209-243
• Idioma: español
• DOI: 10.47623/ivap-rvap.112.2018.06
• Títulos paralelos:
  • The exclusion of people with HIV from uniformed security services in Spain
• Enlaces
  • Texto completo
• Resumen
  • español

    La relación establecida entre el virus de la inmunodeficiencia hu- mana (VIH) y la seguridad ha creado una barrera legal que impide el acceso a las personas con VIH a los cuerpos uniformados de seguridad. En España, las personas con VIH son excluidas en los cuadros médicos y en las pruebas médicas que se incluyen en las convocatorias de oposiciones de acceso a los cuerpos uniformados de seguridad, tanto a nivel nacional como autonómico y local. La evidencia científica que sostiene la estrategia del tratamiento como prevención del VIH implica que una exclusión genérica basada en la condición de salud de la persona con VIH podría ser una limitación excesiva del derecho de acceso a la función pública y también un trato diferenciado que es discriminatorio porque tal exclusión no es necesaria, ni razonable ni proporcional con respecto al fin perseguido.

  • euskara

    Giza inmunoeskasiaren birusaren (Hiesa) eta segurtasunaren arteko harremanak legezko hesi bat sortu du, eta hesi horrek oztopoak jartzen dizkie Hiesa duten pertsonei segurtasuneko uniformedun kidegoan sartzeko. Espainian, Hiesa duten pertsonak baztertu egiten dituzte segur tasuneko uniformedun kidegoko oposaketetako deialdietan egiten diren koadro mediko eta proba medikoetan, bai estatu mailan, baita autonomia eta toki ma ilan ere. Hiesa prebenitzeko tratamendu estrategia oinarri duen ebidentzia zientifikoaren ondorioz Hiesa duten pertsonen osasun egoeran oinarritutako bazterketa g enerikoak pertsona horiek funtzio publikoan sartu ahal izateko eskubidea gehiegi mugatu lezake, eta gainera, tratu ezberdina ematen zaie, diskriminatzailea dena bazterketa hori ez baita beharrezkoa, ezta arrazoizkoa ezta proportzionala ere lortu nahi den helburuarekiko.

  • English

    The linkage generated between human immunodeficien cy virus (HIV) and security has created a legal barrier that prevents persons with HIV from gaining access to uniformed security bodies. In Spain, persons with HIV are excluded in the medical conditions charts and in the medical tests included in the public examinations for access to uniformed security bodies at national, regional and local levels. The scientific evidence supporting HIV strategy of treatment-as- prevention entails that a generic exclusion based on the person with HIV’s health condition could be an excessive limitation upon the right to have access to the public service and also a differentiated treatment that is discriminatory because such exclusion is not necessary, neither reasonable nor proportional in the light of the intended objective.

• Referencias bibliográficas
  • ARREOLA S et al., «Sexual stigma, criminalization, investment, and access to HIV services among men who have sex with men worldwide», AIDS...
  • BALAGUER CALLEJÓN M.ªL., Igualdad y Constitución Española. Madrid: Tecnos, 2010.
  • BARNETT T., PRINS G. «HIV/AIDS and security: fact, fiction and evidence–A report to UNAIDS». International Affairs 2006; 82(2): 359-68.
  • BARTLETT J., MURO E., «Generic and branded drugs for the treatment of people living with HIV/AIDS». Journal of the International Association...
  • BASTIDA F.J., VILLAVERDE I., REQUEJO P., PRESNO M.A., ALÁEZ B., FERNÁNDEZ I., Teoría general de los derechos fundamentales en la Constitución...
  • BATTIN M., CARR-LEE L.S., FRANCIS L.P., JACOBSON J.A., SMITH C.B., «The patient as victim and vector: Bioethics and the challenge of infectious...
  • BAVINTON B. et al., «The Opposites Attract study of viral load, HIV treatment and HIV transmission in serodiscordant homosexual male couples:...
  • BAVINTON B. et al., «HIV treatment prevents HIV transmission in male serodiscordant couples in Australia, Thailand and Brazil». 9th International...
  • BAVINTON B. et al., «Viral suppression and HIV transmission in serodiscordant male couples: an international, prospective, observational,...
  • BAYER R., DUCAMERON S., GODWIN J., «Barriers to legal and human rights in Australia in the era of HIV treatment as prevention». AIDS Education...
  • CASTILLA J. et al., «Effectiveness of highly active antiretroviral therapy in reducing heterosexual transmission of HIV». Journal of Acquired...
  • COHEN J., «HIV treatment as prevention». Science 2011; 344 (6063): 1628.
  • COHEN M.S. et al., «Prevention of HIV-1 infection with early antirretroviral therapy». New England Journal of Medicine 2011; 365(6): 493-505.
  • COHEN M.S., McCAULEY M., GAMBLE T., «HIV treatment as prevention and HPTN 052». Current Opinion in HIV and AIDS 2012; 7(2): 99-105.
  • CROFTS N., PATTERSON D., «Police must join the fast track to end AIDS by 2030». Journal of the Internacional AIDS Society 2016; 19(Suppl 3):...
  • CSETE, J., Aids and public security: the other side of the coin. Lancet 2007; 369: 720-721.
  • CUENCA GÓMEZ P., «Accesibilidad, ajustes razonables y barreras de acceso de las personas con VIH a la función pública». En M.A. RAMIRO (ed.),...
  • D’AMELIO R., TUERLINGS E., PERITO O., BISELLI R., NATALICCHIO S., KINGMA S., «A global review of legislation on HIV/AIDS: The issue of HIV...
  • DAVID M., «Rubber helmets: The certain pitfalls of marshalling security council resources to combats AIDS in Africa». Human Rights Quarterly...
  • DE WAAL A., «Reframing governance, security and conflict in the light of HIV/AIDS: A synthesis of findings from the AIDS, security and conflict...
  • DEEKS S., LEWIN S., HAVLIR D., «The end of AIDS: HIV infection as a chronic disease». Lancet 2013; 382 (9903): 1525-33.
  • ELBE S., «Should HIV/AIDS be securitized? The ethical dilemma of linking HIV/AIDS and security». International Studies Quarterly 2006; 50(1):...
  • ENEMARK C., «Securitizing infectious diseases». En M.J. SELGELID, M.P. BATTIN, C.B. SMITH (eds.), Ethics and Infectious Disease, Oxford: Wiley...
  • FAUCI A., «The AIDS epidemic: Considerations for the 21st century». New England Journal of Medicine 1999; 341(14): 1046-50.
  • FELDBAUM H., LEE K., PATEL P., «The national security implications of HIV/AIDS». PLoS Medicine 2006; 3(6): 774-8.
  • FELDMAN E.A., «Testing the force: HIV and discrimination in the Australian military». AIDS & Public Policy Journal 1998; 13(2): 85-90.
  • FERGUSON L., NICHOLSON A., HENRY I., SAHA A., SELLERS T., GRUSKIN S., «Assessing changes in HIV-related legal and policity environments: Lessons...
  • FOLKERS G.K., FAUCI A., «The AIDS research model: Implications for other infectious diseases of global health importance». JAMA 2001; 286...
  • FOOTER K. et al., «Policing practices as a structural determinant for HIV among sex workers: a systematic review of empirical findings». Journal...
  • FRANCIS L.P., FRANCIS J.G., «Criminalizing health-related behaviours dangerous to others? Disease transmission, transmission-facilitation...
  • GABLE L., GOSTIN L., HODGE J.G., «A global assessment of the role of law in the HIV/AIDS pandemic». Public Health 2009; 123 (3): 260-4.
  • GALLETLY C., PINKERTON S., «Conflicting Messages: How criminal HIV disclosure laws undermine public health efforts to control the spread of...
  • GARCÍA-TREVIJANO GARNICA, E. «Consideraciones en torno al derecho de igualdad en el acceso a la función pública», Revista de Administración...
  • GARRETT L., HIV and national security: Where are the links?, New York: Council on Foreign Relations 2005.
  • GIMÉNEZ GLÜCK D., Juicio de igualdad y Tribunal Constitucional. Barcelona: Bosch, 2004.
  • GOSTIN L.O., The AIDS Pandemic. Chapel Hill: The University of Norht Carolina Press 2004.
  • HAIRE B., KALDOR J., «HIV transmission law in the age of treatment-as-prevention». Journal of Medical Ethics 2015; 41(12): 982-6.
  • HARSONO D., GALLETLY C., O’KEEFE E., LAZZARINI Z., «Criminalization of HIV exposure: A review of empirical studies in the United States»....
  • HEALTHLINK WORLDWIDE. Combat Aids. HIV and the world’s armed forces. London 2002.
  • HEINECKEN L., NEL M., «Human rights and HIV-testing in the South African armed forces: Whose rights are paramount?» Journal of Human Rights...
  • INGRAM A., «Biosecurity and the international response to HIV/AIDS: Governmentality, globalisation and security». Area 2010; 42(3): 293-301.
  • JÜRGENS R., CSETE J., AMON J., BARAL S., BEYRER C., «People who use drugs, HIV and human rights». Lancet 2010; 376 (9739): 475-85.
  • KUMARASAMY N. et al., «The changing natural history of HIV disease: Before and after the introduction of generic antiretroviral therapy in...
  • KUMARASAMY N. et al., «Safety, tolerability and effectiveness of generic HAART in HIV-infected children in South India». Journal of Tropical...
  • LAZZARINI Z., GALLETLY C., MYKHALOVSKIY E., HARSONO D., O’KEEFE E., SINGER M., LEVINE R., «Criminalization of HIV transmission and exposure:...
  • LLIBRE J.M. et al., «The changing face of HIV/AIDS in treated patients». Current HIV Research 2009; 7(4): 365-77.
  • LÓPEZ AHUMADA E., Los trabajadores especialmente sensibles a los riesgos laborales. Madrid: Marcial Pons, 2010.
  • LUNZE K. et al., «Sexual violence from police and HIV risk behaviours among HIV-positive women who inject drugs in St. Petersburg, Russia...
  • McINNES C., «HIV/AIDS and security». International Affairs 2006; 82(2): 315-26.
  • McINNES C., RUSHTON S., «HIV, AIDS and security: Where are we now?» International Affairs 2010; 86 (1): 225-45.
  • McINNES C., RUSHTON S., «HIV/AIDS and securization theory». European Journal of International Relations 2011; 19(1): 115-38.
  • MILLS E., NACHEGA J., «HIV infection as a weapon of war». Lancet Infectious Disease 2006; 6 (12): 752-3.
  • MONTANER J. et al., «The case for expanding access to highly active antiretroviral therapy to curb the growth of the HIV epidemic». Lancet...
  • O’MANIQUE C., «The ‘securization’ of HIV/AIDS in Sub-Saharan Africa: A critical feminist lens». En S. MacLEAN, D. BLACK, T. SHAW, A decade...
  • OKANO J. et al., «Testing the hypothesis that treatment can eliminate HIV: a nationwide, population-based study of the Danish HIV epidemic...
  • ONUSIDA. Report of the UNAIDS expert panel on HIV testing in United Nations peacekeeping operations. Bangkok 2001.
  • ONUSIDA. HIV testing of specific populations: Recruits for the armed forces. Third meeting of the UNAIDS global reference group on HIV/AIDS...
  • RAMIRO AVILÉS M.A., «El VIH como barrera de acceso a la función pública». En M.A. RAMIRO AVILÉS (ed.), VIH y Accesibilidad en Tiempos de Crisis,...
  • RAMIRO AVILÉS M.A., «Aspectos jurídicos del VIH: los derechos de las personas con VIH en España». En M.ªJ. FUSTER, A. LAGUÍA, F. MOLERO (coords.),...
  • RAMIRO AVILÉS M.A., RAMÍREZ CARVAJAL P., «Discriminación por razón de VIH: Los casos de la Clínica Legal de la Facultad de Derecho de la Universidad...
  • RAMIRO AVILÉS M.A., RAMÍREZ CARVAJAL P., «El acceso a la justicia por las personas con VIH: la experiencia de la Clínica Legal de la Universidad...
  • RAMOS MORAGUES F., «La prevención de riesgos laborales en la Administración pública». En D. TOSCANI, M. ALEGRE (dirs.), Análisis práctico...
  • REDFIELD R., WRIGHT D.C., JAMES W.D., et al., «Disseminated vaccinia in a military recruit with human immunodeficiency virus (HIV) disease»....
  • RODGER A. et al., «Sexual activity without condoms and risk of HIV transmission in serodifferent couples when the HIV-positive partner is...
  • RUSHTON S., «AIDS and international security in the United Nations system». Health Policy and Planning 2010; 25(6): 495-504.
  • SÁNCHEZ MORÓN M., Derecho de la función pública. Madrid: Tecnos, 2013.
  • SAYLES J.N. et al., «Operationalizing treatment as prevention in Los Angeles county». AIDS Patient Care and STDs 2012; 26(8): 463-70.
  • SELGELID M.J., ENEMARK C., «Infectious diseases, security and ethics: The case of HIV/AIDS». Bioethics 2008; 22(9): 457-65.
  • SELGELID M.J., MCLEAN A.R., ARINAMINPATHY N., SAVULESCU J., «Infectious disease ethics: Limiting liberty in context of contagion». Bioethical...
  • SONTAG, S. Illness as metaphor and AIDs and its metaphors. London: Penguin, 2002.
  • SPIEGEL P.B., BENNEDSEN A.R., CLAAS J., PATTERSON N., YIWEZA D., SCHILPEROORD M., «Prevalence of HIV infection in conflict-affected and displaced...
  • TENNI B., CARPENTER J., THOMSON N., «Arresting HIV: Fostering partnerships between sex workers and police to reduce HIV risk and promote professionalization...
  • VAN SIGHEM A.I. et al., «Life expectancy of recently diagnosed asymptomatic HIV-infected patients approaches that of uninfected individuals»....
  • WHITESIDE A., DE WAAL A., GEBRE-TENSAE T., «AIDS, security and the military in Africa: A sober appraisal». African Affairs 2006; 105(419):...
  • ZWAHLEN M. et al. Mortality of HIV-infected patients starting potent antiretroviral therapy: Comparison with the general population in eight...