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Forced Anal Examinations in Homosexuality Prosecutions | HRW

Citation: Cichowitz C, Rubenstein L, Beyrer C Forced anal examinations to ascertain sexual orientation and sexual behavior: An abusive and medically unsound practice. PLoS Med 15 3 : e This is an open access article distributed under the terms of the Creative Commons Attribution License , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. In October of , the Tanzanian government forced the closure of internationally supported HIV testing and treatment centers designed to serve key populations, including sex workers and men who have sex with men MSM [ 1 ]. This controversial decision and the larger ongoing government crackdown on lesbian, gay, bisexual, and transgender LGBT communities in Tanzania have garnered the attention of public health officials and international journalists, who have expressed concerns about their health ramifications and associated human rights violations [ 2 — 4 ]. It has been reported that Tanzanian physicians, under the direction of law enforcement, have subjected men accused of same-sex behavior to forced anal examination in order to determine their sexual orientation [ 4 , 5 ].
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It has been reported that, in at least nine countries, forced anal examinations are used to investigate or punish alleged same-sex behavior between consenting men or transgender women. In these settings, forced anal examinations are usually performed by healthcare providers at the request of law enforcement officials, and are procedures entirely distinct from those used legitimately in clinical care. Such examinations constitute acts of torture under the United Nations Convention against Torture.
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