A/HRC/43/52
(c)
Ensure that legal provisions, regulations or administrative procedures relating
to the donation of biological material, such as blood, gametes, embryos, organs, cells or other
tissues, contain privacy provisions with exemptions and exceptions as lawfully provided;
(d)
Ensure the inclusion of privacy rights and responsibilities in material relating
to gender in health curricula and continuing professional development programmes;
(e)
Repeal laws that:
(i)
Criminalize consensual sexual activity between adults, including people of the
same sex;
(ii)
Prohibit the expression of gender identity;
(f)
Release people held in pretrial detention or on the basis of a criminal sentence,
if their detention is related to consensual sexual activity between people over the age of
consent or to their gender identity.
J.
Health care
41.
States and non-State actors should:
(a)
Implement the provisions of the Special Rapporteur’s recommendation on the
use of health-related data, in particular by:
(i)
Taking all administrative and other measures necessary to manage healthrelated data so as to ensure enjoyment of the right to health care, confidentially and
regardless of gender;
(ii)
Ensuring that free, prior and informed consent forms the basis of the provision
of health care;
(iii) Not using health-related data concerning gender to restrict the enjoyment of
human rights in either health or non-health contexts, unless medically indicated, as
established by evidence and/or in compliance with a legal requirement;
(iv) Including provision for non-binary classifications in gender-marker categories
in health records and health-related data;
(v)
Taking all measures necessary to ensure that systems, procedures, records and
data collection reflect all medical or other treatments, for example on intersex children
or gender transitions;
(vi) Ensuring that health-related data systems for recording and processing familial
relationships reflect, for example, same-sex partner recognition and, in the case of
children, the self-defined gender of their parents, guardians or other family members;
(vii) Enabling access to high-quality information relevant to gender health-care
needs, as well as full access to health records on the basis of the best interests of the
individual and not subordinated to the claimed interest of the State or of the institution,
or its employees, contractors or agents;
(viii) Ensuring that a person or an entity making a decision concerning the healthrelated data of an individual does so in a way that is consistent with that person’s
gender, in the person’s best interests and with the person’s knowledge and consent;
(ix) Providing particular protection of the health-related data of individuals subject
to reports of notifiable diseases, such as sexually transmitted infections, so as not to
subject individuals to opprobrium or discrimination;
(x)
Reporting notifiable diseases with the ethical consideration of advising the
persons concerned, regardless of their gender, while providing suitable and specific
measures to safeguard their rights and freedoms;
(xi) Reviewing medical classifications to eradicate the conception of some forms
of sexual orientation or gender identities as pathologies;
16
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