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I'll leave it at anyone who would knowingly expose someone to HIV without telling them and do so on purpose deserves extremely harsh punishment. It's not logical to say otherwise IMO.
It should be noted that all states have general criminal laws—such as assault and battery, reckless endangerment, and attempted murder—that can and have been used to prosecute individuals for any of the above-mentioned behaviors.
Comparing it to drug use is in my honest opinion a logical fallacy. People who use Heroin do so knowingly and do it to themselves and it simply does not make sense comparing it to giving someone an expensive to treat, potentially fatal disease on purpose.
Under Alabama’s communicable disease exposure statute, any person with a sexually transmitted disease, including HIV, may be imprisoned for up to three months and/or fined up to $500 if they “knowingly” transmit the disease, assume the risk of transmitting disease, or perform any act that will probably or likely transmit such disease to another person. Neither the intent to transmit the disease nor actual transmission is required for prosecution.
Alaska has no statute explicitly criminalizing HIV transmission or exposure, but enhanced sentencing may be applied based on a defendant’s HIV status if they are found guilty of one of several specified sex offenses.
Assault in the first degree.
(a) A person commits the crime of assault in the first degree if:
(1) With intent to cause serious physical injury to another person, he or she causes serious physical injury to any person by means of a deadly weapon or a dangerous instrument; or
(2) With intent to disfigure another person seriously and permanently, or to destroy, amputate, or disable permanently a member or organ of the body of another person, he or she causes such an injury to any person; or
(3) Under circumstances manifesting extreme indifference to the value of human life, he or she recklessly engages in conduct which creates a grave risk of death to another person, and thereby causes serious physical injury to any person; or
(4) In the course of and in furtherance of the commission or attempted commission of arson in the first degree, burglary in the first or second degree, escape in the first degree, kidnapping in the first degree, rape in the first degree, robbery in any degree, sodomy in the first degree or any other felony clearly dangerous to human life, or of immediate flight therefrom, he or she causes a serious physical injury to another person; or
(5) While driving under the influence of alcohol or a controlled substance or any combination thereof in violation of Section 32-5A-191 or 32-5A-191.3, he or she causes serious physical injury to the person of another with a vehicle or vessel.
(b) Assault in the first degree is a Class B felony.