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31 Int'l Crim. Just. Rev. 95 (2021)
Punishing Disease: HIV and the Criminalization of Sickness

handle is hein.journals/intcrm31 and id is 94 raw text is: Ch~d t~r updates

Book Reviews                                                                         95
Hoppe, T. (2017). Punishing disease: HIV and the criminalization of sickness. Oakland, CA: University of
California Press. 288 pp. $32.95. ISBN 9780520291607.
Reviewed by: Jordan Nichols , George Mason University, Fairfax, VA, USA
DOI: 10.1 177/1057567719883333
Hoppe delivers a compelling critique of criminal justice's incursion into public health. Examining
efforts to criminalize disease through a case study of HIV, Hoppe sheds light on the mechanisms that
facilitate the legitimization of criminalization as a disease control strategy and the consequences of
that approach. Leaning on the early link made between AIDS and homosexuality, Hoppe outlines the
potential for diseases to crystalize a specific set of social anxieties to propagate blame and highlights
blame's powerful role in starting the process through which sickness becomes criminal. Hoppe's
searing analysis forces readers to confront the assumptions embedded in perceptions of public health
threats, acknowledge the role of prejudice and power, and uncover the harm perpetuated by punitive
approaches to disease control. In Punishing Disease, Hoppe sets out to convince policy makers and
the public that the effects of criminalization are predictable, reproducing stigma at the expense of-
not in support of-public health. Through astonishingly detailed and varied analyses, Hoppe
achieves this purpose, outlines remedial policy options, and proposes a conceptual map to assist
stakeholders in recognizing this debilitating response to disease before its effects can be institutio-
nalized in new battlegrounds, such as hepatitis and meningitis.
Punishing Disease outlines the progression from coercion to punishment to criminalization in its
two sections: (1) Punitive Disease Control and (2) The Criminalization of Sickness. While Hoppe is
careful to contrast coercion and punishment, the book's formal organization understates the first
phase in the progression. Hoppe's remedial policy options provide a glimpse of what alternatives to
HIV punishment and criminalization may have looked like, but Hoppe does not explore alternative
state hypotheses in his discussion of coercive (rather than criminal) disease control. Similarly, by
ending with a chapter on victim impact, Punishing Disease deemphasizes a class of HIV disclosure
law victims for which it exists to advocate. While the impact of criminalizing HIV is peppered
throughout from differential advertising and access to treatment to the various sentences listed in
relation to the cases' victim type, Punishing Disease does not present a unified and comprehensive
summary of how these laws have increased and perpetuated harm to individuals living with HIV.
Such a summary may have enhanced Hoppe's call to action to prevent the expansion of HIV
disclosure laws to other diseases.
The data behind Hoppe's narrative could not be more powerful. Punishing Disease relies on a
comprehensive suite of data that align with each stage of its argument. Hoppe, for example, balances
key outcome evaluations with studies of public opinion and content analyses of public policy and ad
campaigns. Stressing blame's role in distinguishing punishment from coercion, Hoppe connects his
argument associated with classical coercive disease control to the emergence of a policing role
among public health officials through an analysis of the HIV Stops with Me ad campaign. This
campaign's promotion of personal (rather than collective) responsibility for disease control intro-
duced compelling information that would likely have been lost in a purely quantitative study. The
expert balance Hoppe struck between quantitative and qualitative analyses was critical to supporting
the full range of his comprehensive, systemic argument.
Despite its testament to Hoppe's mastery of various schools of thought, Punishing Disease
missed a critical opportunity to explicitly contribute to the wave of federal attention to evidence-
based policymaking. Readers familiar with the decision-making perspective will see opportunities
for its advocacy interwoven in Hoppe's contrast between scientific risk and value-motivated crim-
inalization. Punishing Disease provides the information one would need to frame an evidence-based

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