Chapter 10
Related Sections
1
INTRODUCTION
2
WHAT ARE HIV AND AIDS?
3
The different stages of HIV
4
How do you get HIV?
5
Who is at most risk of contracting HIV?
6
How do you treat HIV and AIDS?
7
How do HIV and AIDS impact on individuals and society?
8
HIV/AIDS AND TB
9
What is TB?
10
What is the association between TB and HIV?
11
How does TB spread?
12
What factors affect TB transmission?
13
What is the difference between TB infection and disease?
14
What is drug-resistant TB?
15
How can TB be recognised?
16
Why is early diagnosis important?
17
What are the symptoms of TB?
18
How is TB treated?
19
HIV/AIDS AND RIGHTS
20
HEALTH AND MEDICAL RIGHTS
21
Confidentiality
22
HIV testing and informed consent
23
The right to health care and medical treatment
24
HIV/AIDS AND TB IN THE WORKPLACE
25
Laws that give employees with HIV, AIDs and/or TB rights at work
26
General rules about HIV and AIDS that apply in the workplace
27
Code of Good Practice on HIV/AIDS and Employment
28
What happens if you become too ill to work?
29
When can TB patients return to work?
30
Can TB patients go on leave?
31
How can TB be prevented in the workplace?
32
What can you do to protect your rights at work?
33
WOMEN AND HIV/AIDS
34
Rape and HIV infection
35
Termination of pregnancy (Abortion)
36
Sterilisation
37
Commercial sex work
38
Customary practices and HIV/AIDS
39
Mother-to-child transmission of HIV
40
LGBTQI+ PERSONS AND HIV/AIDS
41
CHILDREN & YOUTH AND HIV/AIDS
42
Discrimination and abuses faced by children (relating to HIV/AIDS)
43
How does the law protect children (relating to HIV/AIDS)?
44
Dealing with HIV/AIDS in schools
45
Adoption, fostering and HIV/AIDS
46
Children’s health rights and HIV/AIDS
47
PRISONERS AND HIV/AIDS
48
Prisoners’ rights and HIV/AIDS
49
Some rights and rules about prisoners and HIV/AIDS
50
The rights of accused people and HIV/AIDS
51
Bail and sentencing for rape accused with HIV/AIDS
52
SOCIAL SUPPORT AND MEDICAL CARE FOR PEOPLE LIVING WITH HIV/AIDS
53
Disability grants for people with HIV/AIDS
54
Grant-in-aid for people with HIV/AIDS
55
Fast-tracking grants
56
Other forms of relief for people with HIV/AIDS
57
Insurance and HIV/AIDS
58
HIV/AIDS STRATEGIC PLAN FOR SOUTH AFRICA
59
The South African National Aids Council (SANAC)
60
PROBLEMS
61
Problem 1: Keeping medical information confidential
62
Problem 2: Entry to school refused because of HIV status
63
Problem 3: Dismissing a worker who is HIV-positive
64
Problem 4: Refusing to employ an HIV-positive person
65
Problem 5: Making a complaint about being refused medical care
66
Problem 6: Applying for a disability grant
67
COMMUNITY ACTION
68
Running an HIV/AIDS and TB Awareness Campaign

Laws that give employees with HIV, AIDs and/or TB rights at work

Employers, supervisors or colleagues often discriminate against employees living with HIV or AIDS or TB. The following laws give people rights at work:

THE CONSTITUTION

The Constitution gives all employees the right to be treated fairly at work, including the right to fair labour practices and the right to equal treatment and non-discrimination.

THE LABOUR RELATIONS ACT (LRA)

The LRA covers all employees and employers, and treats everyone the same. This means that domestic workers now have the same rights as factory workers.

The only employees who are not covered by the LRA are people working for the South African National Defence Force (SANDF) and the State Security Agency. But these employees are protected by the Constitution and therefore have the right to fair labour practices and equality. The LRA gives employees the right to be treated equally. It is an unfair labour practice to discriminate against an employee on any grounds, including, race, gender, sex, colour, sexual orientation, age, disability and so on. Discrimination is ‘automatically unfair’ if it violates any of the basic rights of employees, such as discrimination on grounds of a person’s disability. (See Automatically unfair dismissals)

Case Study – GARY SHANE ALLPASS v MOOIKLOOF ESTATES (PTY) LTD (2011)

Mr Allpass was employed by Mooikloof Estates as a horse riding instructor and stable manager. At the time of his recruitment, he had been living with HIV for almost 20 years. Before being hired, Mr Allpass had an interview where he informed the employer that he was “in good health”. Shortly after he was hired, he -along with other employees – was asked to complete a form requiring him to disclose whether he was taking any “chronic medication.”

Mr Allpass complied and disclosed that he was taking, among other things, daily medication to manage his HIV condition. When Upon learning of his HIV-positive status, his employer immediately terminated his employment on the grounds that he had fraudulently misrepresented his condition and that he was in fact “severely ill”. The court decided that Mr Allpass had been discriminated against and unfairly dismissed due to his HIV status. The court also considered that the dismissal violated the equality rights.

THE EMPLOYMENT EQUITY ACT (EEA)

The EEA is more specific about the rights of people living with HIV or AIDS. The EEA explicitly prohibits unfair discrimination against people at work on grounds of their HIV status. The EEA also prohibits testing for HIV in the workplace unless this is authorised by the Labour Court. (See Employment Equity Act) An employer cannot:

  • Force a person who is applying for a job to have an HIV test
  • Automatically make an HIV test part of a medical examination
  • Force someone who is already working for them to have an HIV test

The EEA doesn’t cover members of the South African National Defence Force, or the State Security Agency. But members of these organisations can still take their cases to any court with jurisdiction including the High Courts.

THE OCCUPATIONAL HEALTH AND SAFETY ACT AND MINE HEALTH AND SAFETY ACT

Sometimes an accident at work can cause a bleeding injury. If the injured person is HIV-positive and someone who tries to help the person also has an open wound, there is a small chance of the helper becoming infected if the wound comes into contact with the injured person’s blood. The employer has a responsibility to make sure that the workplace is safe and that employees are not at risk of HIV infection at work. (See Occupational Health and Safety Act) There are regulations issued by the Department of Employment and Labour which say:

  • Employers must keep rubber gloves in the first aid box
  • All staff must be trained so that they know what safety measures to take if an accident happens

COMPENSATION FOR OCCUPATIONAL INJURIES AND DISEASES ACT (NO 130 OF 1993) (COIDA)

COIDA gives employees the right to compensation if they are injured or become ill at work. If you get infected with HIV because of a workplace accident, you can claim for compensation. (See Compensation Fund)

THE MEDICAL SCHEMES ACT NO 131 OF 1998 AND REGULATIONS: GOVERNMENT GAZETTE 20556, 20 OCTOBER 1999

Medical aid as a form of insurance is an important employee benefit in the workplace. In the past, the majority of medical schemes refused to cover illnesses that were linked to HIV infection.

The Medical Schemes Amendment Act of 1998 prohibits discrimination on the grounds of ‘state of health’. This covers a person living with HIV or AIDS. It means that the medical scheme cannot refuse to cover reasonable care that could prolong the health and lives of people living with HIV or AIDS. The Medical Schemes Act stops medical schemes from discriminating against people living with HIV or AIDS. It states that all schemes must offer a minimum level of benefits, decided by the government, to employees with HIV or AIDS. The minimum levels of benefits include:

  • They must diagnose and treat all opportunistic infections for HIV or AIDS
  • They must provide anti-retroviral treatment