November 2005

Only nuns and monks need apply


    

 

 

One really feels sorry for the 5 guys who were named in the Straits Times and other media (see box on the right). Not only are they facing criminal charges, they have suffered the body blow of being diagnosed as HIV-positive, and their HIV status announced to everybody in Singapore. 

How many of their employers will not find some excuse to lay them off, is not worth guessing.

The even sorrier thing is that Singaporeans need this kind of news before we have even the slightest hope of giving a little thought to the absurdities of our society that have created Catch-22 situations for these men. They are, in a sense, sacrificial lambs to our society's wilful blindness to reality.

Two of the 5 men, Ng Choon Siong and Wong Shimin, donated blood last year when they were still serving National Service (NS). As all of us who have gone through NS know, the military is probably the largest single source of blood for our national blood bank. Whole companies of men are "encouraged" to line up and donate blood when the blood transfusion service comes to camp.

Given the peer pressure and the commandant's "encouragement", it is extremely difficult for a closetted gay person to answer the question posed by the blood service, "Have you had sex with another man?" If you say Yes, your mates will wonder what's wrong with you that you are told to get out of the line. You might be effectively outed. Furthermore, it would also suggest that you had lied earlier at enlistment, when the same question would have been asked. After all, if you're in a combat unit, it indicates that you had answered "No" to the question "are you a homosexual?" then.

Even for the older 3 guys who were likewise charged, although their individual circumstances at the time of donation was not revealed by the Straits Times, a clue can be seen from Lua Bu Chung's case. He was an employee of Baxter Healthcare, and the company had mounted a blood donation drive. Similar forces of peer and management pressure would have applied in his case, as in the NS guys' case.

In addition, I have heard tales from people who were asked by family members to donate blood. What happens is that when someone faces major elective surgery, with expected blood loss, an appeal is made by the hospital to the patient's family to come forward and donate. In such a situation, it's very hard for family members to say No.

* * * * *

What this news story points to is how we have a social and legal climate that encourages people to lie, and then punishes them for so doing.

The safety of our blood supply requires people to be honest about their medical and behavioural history. Yet if men admit they have had sex with other men, they are open to prosecution, since the sex act itself is illegal under our laws.

Even short of prosecution, there is pervasive homophobia and discrimination in Singapore, not least because the government insists on setting the tone. Why should people out themselves, risking their jobs and family relationships, when it's so easy to tick "No" to the blood bank's question?

Singapore should realise, that as in so many things, society functions best when there is trust, openness and honesty. This is true whether we're thinking about commercial transactions, about healthy family relationships, about an employee owning up to a mistake and alerting the company to a possibly disgruntled customer, or the nexus between government and people.

Every time we do something that is a disincentive to trust, openness and honesty, we sow the seeds of a problem.

Homophobia, especially institutionalised homophobia (as in law and government policies and pronouncements) is one such disincentive. It doesn't reduce the incidence of homosexual persons in our society; it simply drives a whole class of people underground.

But they are still part of our society, and epidemiology sees no distinction. For the sake of society as a whole, an effort must be made to stamp out homophobia, and we can start but doing away with silly laws and dogmatic policies.

* * * * *

I was intrigued by the mention in the Straits Times' report, about how Lua Bu Chung was being charged because he had lied about having had more than one sexual partner. Does this mean that anyone who has had more than one partner is disallowed from giving blood?

I went to the Blood Bank's website [1] and saw this (the numbering is mine):


Who Should Not Donate Blood

Certain persons are at an increased risk of developing HIV infection and must not give blood. They are: 

  1. Persons who have had a positive HIV test or who have AIDS 
  2. Persons who have had sex with multiple partners 
  3. Persons who have engaged in casual sex 
  4. Men who have had sex with another man 
  5. Persons who have injected themselves with drugs 
  6. Persons who are prostitutes 
  7. Persons with signs and symptoms suggestive of AIDS, ie., weight loss, swollen glands in the neck, armpits or groins, persistent diarrhoea or rare cancers 
  8. Anyone who has had sex with anyone in these groups 

Look at items 2 and 3. Doesn't that capture the great majority of people in Singapore?  

As I mentioned in the article Reality in a world of make-believe, some 60% of 18- and 19-year-olds entering National Service have had sex before; even if it's just once, they are most unlikely to be in a life-long relationship with that partner. This means that if a battalion is asked to donate blood, and anything more than 40% appear to qualify, then you can assume that you have liars among them.

You can also assume that when it comes to company-organised donation drives involving older people, the percentage who ought to be disallowed should swell and swell, since they are more sexually experienced than army recruits.

Item 8 acts as a kind of coup de grace. It says that if you have had sex with a life-long partner (and no one else), and if that life-long partner has ever had casual sex, then you too are disqualified!

With such rules, I can't imagine there is a single person left in Singapore, other than nuns and monks, who are eligible for donating blood. Over a million people, at least, are lying on their questionnaires. And since it's an offence to lie, they are all criminals in the eyes of the law.

If everybody were honest, our blood bank would dry up. So on an even bigger scale, here is an example of how our entire medical system depends on people behaving dishonestly.

Which only leaves us with this question: what morality is there behind the decision to prosecute these 5 persons for being dishonest?.

© Yawning Bread 


 

10 Nov 2005 
The Straits Times

5 with HIV who gave blood charged with lying
By Chong Chee Kin

FIVE men infected with the HIV virus were brought before a district court yesterday for allegedly lying about their sexual history in questionnaires they completed before donating blood.

Their blood, none of which ever found its way to patients, tested positive for HIV.

Four of the five men are alleged to have lied when they declared on the form that they had never had sex with other men. Facing a single charge each under the Infectious Diseases Act are Ng Choon Siong, 21; Suhaidi Abas, 37; and Tan Yee Wee, 30.

The fourth man, 22-year-old Wong Shimin, faces two charges for making false declarations on two occasions, once in 2003 and once last year.It is understood that he did not test positive for the virus at that time.

The fifth man, Lua Bu Chung, 37, is accused of lying about his sexual history on one occasion.

He is said to have lied when he declared that he had not had sex with more than one partner. In the same form, he also allegedly claimed in the previous year he had not had sex with anyone he had known for less than six months.

If convicted, all can be jailed for up to two years and fined the maximum $20,000.

Since 1992, four men have been convicted for lying about their sexual history when donating blood.

Potential donors have to fill in a questionnaire covering their sexual history before they can give blood. This enables doctors to assess whether they should be allowed to donate.

Yesterday, all five men appeared briefly before a district court, but did not enter any plea.

Wong and Ng, both undergraduates, are said to have committed the offences while they were still in national service. Both of them allegedly lied in June last year when they donated blood at their camps.

Tan was said to have made the declaration at the Singapore General Hospital on May 13 last year while Suhaidi made his declaration at Tampines East Community Club on Nov 28 last year.

Lua gave blood during a donation drive at healthcare company Baxter Healthcare on June 29 last year.

All five men are scheduled to return to court on Dec 12.

According to Mr Paul Toh, executive director at Action For Aids, three of the younger accused are being counselled and also receiving financial help for their medication from the group.

The Health Ministry assured the public that the stringent measures in place here to screen donors and test their blood are comparable to those adopted by blood banks in countries like the United States and Britain.

 

Footnotes

  1. See http://www.hsa.gov.sg/html/consumer/ctm_how_to_be_a_donor.html and 
    http://www.hsa.gov.sg/html/consumer/ctm_important_message.html 


Addenda

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