Category: Articles

HIV criminalization and the Canadian government’s failed law reform project: Another. Incredible. Disappointment. Surprise!

The Government of Canada has broken its promise to reform the laws that criminalize people living with HIV. In November 2024, the Federal Justice Minister’s office informed the Canadian Coalition to Reform HIV Criminalization (CCRHC) that the federal government’s long-promised initiative addressing the “overcriminalization” (their term) of HIV was not going to move forward. This announcement came after almost a decade of difficult work on the part of the HIV community. Blood, sweat and tears and some lives were lost while we worked on developing a workable consensus statement that would satisfy a majority of Parliament. The government squandered time,...

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The Safer Municipalities Act: A misguided approach to public safety

The Safer Municipalities Act, introduced as Bill 242 by Premier Doug Ford on December 12, 2024, consists of two major legislative components that target Ontario’s homeless population and people who use drugs. The first part, the Restricting Public Consumption of Illegal Substances Act, creates new punishments for individuals consuming or “believed to be consuming” illegal substances in a public place. The second part of the Act amends the Trespass to Property Act, adding aggravating factors to be considered when sentencing for a trespassing offence, which can raise the severity of punishment. This Bill is framed as an effort to enhance...

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The Kotawêw Indigenous HIV/STBBI Doula Project: How kinship has guided our research journey

The Kotawêw Indigenous HIV/STBBI Doula Project is a community response to the disproportionate impact of HIV and other sexually transmitted and blood-borne infections (STBBIs) on Indigenous women and gender-diverse people. While our work is currently in the research phase, our goal is to co-create a curriculum to train Indigenous doulas who can support community members by fostering connections to HIV/STBBI prevention and treatment services through care grounded in kinship and traditional practices. Our core team is made up of Indigenous women and Two-Spirit researchers with lived experience, and allies. The project is co-led by two Elders/Knowledge Holders, Albert McLeod and...

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Providing STBBI services to trans people: Beyond kindness, what truly matters?

It is around 11 p.m. and I am getting an urgent call from a friend who is a community member and a refugee trans woman living with HIV. She is telling me that she cannot get the urgent treatment she needs at the hospital and that the front desk misgendered her many times and frowned upon her broken English. Later, I learned that different clinics denied and delayed her HIV and hormone replacement therapy (HRT) meds for different reasons like lack of insurance or language barrier. Another community member who is nonbinary, assigned female at birth, was constantly questioned at...

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Prevention vs. resistance: The doxyPEP dilemma

It seems that everyone is taking doxyPEP now. Every day in my clinic, people ask me about it, often conflating it with HIV PrEP. Many believe that if they are on doxyPEP, worrying about sexually transmitted infections (STIs) will be a thing of the past. DoxyPEP involves taking an antibiotic called doxycycline after sex to help prevent bacterial STIs and has been primarily studied in gay, bisexual and other men who have sex with men (gbMSM), as well as trans women. What we know from these studies is that there is a benefit for individuals, specifically gbMSM and trans women,...

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Why sex education needs to evolve

Revenge porn, sexting, nudes, unsolicited dick pics, catfishing, dating apps, OnlyFans, consent, queer sex, polyamory—the list goes on. It’s safe to say that youth today are growing up in a drastically different context than previous generations when it comes to discovering and navigating their sexuality, identity, relationships, sexual health and safety. Young people today are arguably more vulnerable than previous generations due to higher levels of interconnectedness and exposure to false or harmful content on the internet. The need for modern supports to help young Canadians navigate these online spaces, content and interactions is vital. The sex talk reboot The...

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