State Of Iowa Vs. Adam Donald Musser ( 2006 )


Menu:
  •                IN THE SUPREME COURT OF IOWA
    No. 33 / 04-0809
    Filed August 4, 2006
    STATE OF IOWA,
    Appellee,
    vs.
    ADAM DONALD MUSSER,
    Appellant.
    Appeal from the Iowa District Court for Johnson County, L. Vern
    Robinson, Judge.
    Defendant appeals his conviction of criminal transmission of human
    immunodeficiency virus in violation of Iowa Code section 709C.1(1)(a)
    (2001). AFFIRMED.
    Linda Del Gallo, State Appellate Defender, and Stephan J. Japuntich,
    Assistant State Appellate Defender, for appellant.
    Thomas J. Miller, Attorney General, Darrel Mullins and Cristen
    Douglass, Assistant Attorneys General, J. Patrick White, County Attorney,
    and Victoria Dominguez, Assistant County Attorney, for appellee.
    2
    TERNUS, Justice.
    The defendant, Adam Donald Musser, appeals his conviction of
    criminal transmission of human immunodeficiency virus (HIV) in violation
    of Iowa Code section 709C.1(1)(a) (2001). Musser claims the statute violates
    the First Amendment, is vague and overbroad, and infringes his right of
    privacy. 1 He also argues his twenty-five-year sentence constitutes cruel
    and unusual punishment.            In addition to these constitutional claims,
    Musser challenges the admission of laboratory reports showing his HIV-
    positive status, asserting they lacked a proper foundation and contained
    inadmissible hearsay. Finally, the defendant raises a claim of ineffective
    assistance of counsel based on trial counsel’s failure to object to the
    admission of the lab reports as a Confrontation Clause violation and failure
    to object to the prosecutor’s opening statement and closing argument. 2 We
    find no merit in any of the issues raised on appeal, and therefore, we affirm
    the judgment of conviction and sentence.
    I. Factual Background and Prior Proceedings.
    The jury could have found the following facts from the evidence
    introduced at trial. The defendant had unprotected sexual intercourse with
    the victim, R.D., on three occasions in late 2002. At this time, he was HIV
    positive and was receiving medical treatment for this condition. Musser did
    not, however, tell the victim that he was HIV positive.
    In April 2003, R.D. learned the defendant was HIV positive and
    contacted the police. Musser was charged with criminal transmission of
    1Musser   also asserts section 709C.1 violates the Equal Protection Clause and his
    right to procedural due process. We do not address these claims, however, because the
    defendant failed to raise these issues in the district court. See State v. McCright, 
    569 N.W.2d 605
    , 607 (Iowa 1997) (“Issues not raised before the district court, including
    constitutional issues, cannot be raised for the first time on appeal.”).
    2Although  the defendant initially challenged the sufficiency of the evidence to
    support his conviction, he abandoned that issue at oral argument. Therefore, we do not
    address it.
    3
    human immunodeficiency virus in violation of section 709C.1(1)(a). This
    statute states a crime is committed if a “person, knowing that the person’s
    human immunodeficiency virus status is positive, . . . [e]ngages in intimate
    contact with another person.” Iowa Code § 709C.1(1)(a). The other person’s
    knowing consent to exposure to the virus is an affirmative defense under
    chapter 709C:
    It is an affirmative defense that the person exposed to the
    human immunodeficiency virus knew that the infected person
    had a positive human immunodeficiency virus status at the
    time of the action of exposure, knew that the action of exposure
    could result in transmission of the human immunodeficiency
    virus, and consented to the action of exposure with that
    knowledge.
    
    Id. § 709C.1(5).
    The    defendant      filed   a   motion      to   dismiss     challenging      the
    constitutionality of section 709C.1(1), which was overruled by the district
    court. The case was subsequently tried to a jury, and the defendant was
    found guilty of criminal transmission of HIV. After his post-trial motions
    were overruled, Musser was sentenced to an indeterminate twenty-five-year
    prison term. 3 See 
    id. §§ 709C.3,
    902.9(2).
    II. Constitutional Challenges to Statute.
    We first consider Musser’s various constitutional challenges to section
    709C.1(1)(a). Our review of these claims is de novo. State v. Seering, 
    701 N.W.2d 655
    , 661 (Iowa 2005).
    We presume a statute is constitutional.                
    Id. To overcome
    this
    presumption, a challenger must prove the unconstitutionality of the statute
    beyond a reasonable doubt. 
    Id. This burden
    can be met only by refuting “
    3 Inaddition to the case involved in this appeal, the defendant was charged in three
    other cases with violations of section 709C.1(1)(a). He was convicted in all four cases and
    sentenced in each case to an indeterminate twenty-five-year prison term. Three of the
    sentences were ordered to run concurrently, but the sentence in this case was ordered to
    be consecutive.
    4
    ‘every reasonable basis upon which the statute could be found
    constitutional.’ ” 
    Id. (citation omitted).
    A. First Amendment. The defendant claims section 709C.1 offends
    the First Amendment to the United States Constitution because it “compels
    speech.”   Specifically, he argues an HIV-positive person engaging in
    intimate contact with another person can avoid criminal liability only by
    telling the potential victim that the person is HIV positive and educating the
    potential victim about the possible transmission of the virus. An infected
    person who has sexual relations with another without conveying this
    information is punished, he contends.
    The legal principle upon which the defendant bases his argument is
    valid: the First Amendment safeguards not only “the right to speak freely,”
    but also “the right to refrain from speaking at all.” W. Va. State Bd. of Educ.
    v. Barnette, 
    319 U.S. 624
    , 645, 
    63 S. Ct. 1178
    , 1189, 
    87 L. Ed. 1628
    , 1641
    (1943) (Murphy, J., concurring). Moreover, the right to refrain from
    speaking encompasses not only thoughts and opinions; it applies “equally
    to statements of fact the speaker would rather avoid.” Hurley v. Irish-Am.
    Gay, Lesbian & Bisexual Group, 
    515 U.S. 557
    , 573, 
    115 S. Ct. 2338
    , 2347,
    
    132 L. Ed. 2d 487
    , 503 (1995).
    The State contends these principles are inapplicable here, however,
    because section 709C.1 does not compel speech. It points out the Iowa
    statute, unlike statutes from other states, does not expressly require an
    infected person to tell a potential victim that the person is HIV positive.
    See, e.g., Mich. Comp. Laws Ann. § 333.5210 (2006) (making it a felony for
    an HIV-infected person to “engage[ ] in sexual penetration with another
    person without having first informed the other person that he or she . . . is
    HIV infected”). The State asserts the victim “could learn of the HIV status
    from any source.”
    5
    Even though section 709C.1 does not explicitly require disclosure by
    the defendant, we think the practical effect of the Iowa statute is the same
    as those statutes mandating disclosure. To avoid violating section 709C.1,
    a defendant must rely on the consent defense set out in section 709C.1(5).
    Realistically, the only way a defendant can be assured the victim knowingly
    consents to exposure is for the defendant to tell the victim of the
    defendant’s HIV status.          The unlikelihood of the victim obtaining this
    knowledge in any other way is underscored by the confidential nature of
    this medical information. See Iowa Code § 141A.9(1) (“Any information,
    including reports and records, obtained, submitted, and maintained
    pursuant to this chapter [Acquired Immune Deficiency Syndrome (AIDS)] is
    strictly confidential medical information.”); see also 
    id. § 622.10
    (preventing
    medical professional from disclosing confidential communications). In other
    words, the only way a potential victim will know the defendant is HIV
    positive is if the defendant discloses this fact or otherwise waives the
    privilege protecting this fact from disclosure by his treatment providers. 4
    For this reason, we conclude the statute compels speech. 5 Cf. People v.
    Jensen, 
    586 N.W.2d 748
    , 758 (Mich. Ct. App. 1998) (concluding Michigan
    statute compelled speech).
    This conclusion brings us to the critical issue: Does the statute’s
    impact constitute an unconstitutional infringement of the defendant’s free
    4 The  limited disclosure allowed through the “partner notification program” set up in
    section 141A.5 does not alter our conclusion. The primary focus of that program is on
    persons “with whom the [infected] person has had sexual relations” or a person who “is a
    sexual partner” of the infected person. Iowa Code § 141A.5(3)(a), (c) (emphasis added);
    accord Iowa Admin. Code r. 641—11.40 (establishing a procedure for notification of “an
    identifiable third party who is a sexual partner of . . . a person who has tested positive for
    the human immunodeficiency virus” (emphasis added)). The program does not encompass
    a method for informing future sexual partners of the infected person’s status.
    5 This court opined in State v. Keene, 
    629 N.W.2d 360
    , 364 n.3 (Iowa 2001), that
    section 709C.1 “does not implicate the First Amendment.” Our observation was dicta, and
    we now disavow it.
    6
    speech rights? See Consol. Edison Co. of N.Y., Inc. v. Pub. Serv. Comm’n,
    
    447 U.S. 530
    , 535, 
    100 S. Ct. 2326
    , 2332, 
    65 L. Ed. 2d 319
    , 326 (1980)
    (stating not every limitation on speech violates the Constitution). In testing
    the constitutionality of section 709C.1 under the First Amendment, we
    choose the appropriate level of scrutiny based on “the nature of the speech
    taken as a whole and the effect of the compelled statement thereon.” Riley
    v. Nat’l Fed’n of the Blind of N.C., Inc., 
    487 U.S. 781
    , 796, 
    108 S. Ct. 2667
    ,
    2677, 
    101 L. Ed. 2d 669
    , 689 (1988). If the affected speech is commercial
    speech or if the regulation is content neutral, an intermediate level of
    scrutiny applies. See Turner Broad. Sys., Inc. v. FCC, 
    512 U.S. 622
    , 642,
    
    114 S. Ct. 2445
    , 2459, 
    129 L. Ed. 2d 497
    , 517 (1994) (stating “regulations
    that are unrelated to the content of speech are subject to an intermediate
    level of scrutiny”); Cent. Hudson Gas & Elec. v. Pub. Serv. Comm’n, 
    447 U.S. 557
    , 566, 
    100 S. Ct. 2343
    , 2351, 
    65 L. Ed. 2d 341
    , 351 (1980) (holding
    regulation of commercial speech is subject to an intermediate level of
    review).
    The nature of the speech at issue here is clearly noncommercial.
    Commercial speech is “expression related solely to the economic interests of
    the speaker and its audience.” Cent. Hudson Gas & 
    Elec., 447 U.S. at 561
    ,
    
    100 S. Ct. 2349
    , 65 L. Ed. 2d at 348. The interests at stake in the intimate
    relationship providing the context for the speech regulated by section
    709C.1 are plainly not economic.
    In deciding whether the statute regulates speech on the basis of
    content, we find guidance in the following observations of the Supreme
    Court:
    [T]he “principal inquiry in determining content neutrality . . . is
    whether the government has adopted a regulation of speech
    because of [agreement or] disagreement with the message it
    conveys.” . . . But while a content-based purpose may be
    7
    sufficient in certain circumstances to show that a regulation is
    content based, it is not necessary to such a showing in all
    cases. Nor will the mere assertion of a content-neutral purpose
    be enough to save a law which, on its face, discriminates based
    on content.
    As a general rule, laws that by their terms distinguish
    favored speech from disfavored speech on the basis of the ideas
    or views expressed are content based. By contrast, laws that
    confer benefits or impose burdens on speech without reference
    to the ideas or views expressed are in most instances content
    neutral.
    Turner Broad. Sys., 
    Inc., 512 U.S. at 642-43
    , 114 S. Ct. at 2459, 
    129 L. Ed. 2d
    at 517-18 (citations omitted).        An example of a content-neutral
    regulation is one that addresses “only the time, place, or manner of speech.”
    Consol. Edison Co. of N.Y., 
    Inc., 447 U.S. at 536
    , 100 S. Ct. at 2332, 65 L.
    Ed. 2d at 327. “[T]he essence of time, place, or manner regulation lies in
    the recognition that various methods of speech, regardless of their content,
    may frustrate legitimate governmental goals.” Id.; accord Ward v. Rock
    Against Racism, 
    491 U.S. 781
    , 791, 
    109 S. Ct. 2746
    , 2754, 
    105 L. Ed. 2d 661
    , 675 (1989) (“Government regulation of expressive activity is content
    neutral so long as it is ‘justified without reference to the content of the
    regulated speech.’ ” (Citation omitted.)).
    Applying these principles, we conclude section 709C.1 regulates
    speech on the basis of content. The focus of section 709C.1 is not on the
    time, place, or manner of expression, but on the content of the
    communication. The statute requires transmission of specific information—
    the infected person’s HIV-positive status. See 
    Riley, 487 U.S. at 795
    , 108 S.
    Ct. at 
    2677, 101 L. Ed. 2d at 688
    (“Mandating speech that a speaker would
    not otherwise make necessarily alters the content of the speech.         We
    therefore consider the Act as a content-based regulation of speech.”). The
    content-based nature of the statute is no less so because the state’s primary
    intent is to limit the spread of AIDS. See Turner Broad. Sys., 
    Inc., 512 U.S. at 642-43
    , 114 S. Ct. at 2459, 
    129 L. Ed. 2d
    at 518 (“Nor will the mere
    8
    assertion of a content-neutral purpose be enough to save a law which, on
    its face, discriminates based on content.”). In addition, the fact that the
    public interest undoubtedly supports the required disclosure does not
    change the nature of the statute as compelling the communication of
    specific facts the speaker would prefer not to reveal. See Mich. State AFL-
    CIO v. Miller, 
    103 F.3d 1240
    , 1252 (6th Cir. 1997) (“As Turner Broadcasting
    makes clear, the real issue is whether the law is aimed at the
    communicative impact of speech.”).
    Because section 709C.1 is a content-based regulation, it is subject to
    strict scrutiny. United States v. Playboy Entm’t Group, Inc., 
    529 U.S. 803
    ,
    813, 
    120 S. Ct. 1878
    , 1886, 
    146 L. Ed. 2d 865
    , 879 (2000) (“[C]ontent-
    based speech restriction . . . can stand only if it satisfies strict scrutiny.”);
    Turner Broad. Sys., 
    Inc., 512 U.S. at 642
    , 114 S. Ct. at 2459, 
    129 L. Ed. 2d
    at 517 (“Laws that compel speakers to utter or distribute speech bearing a
    particular message are subject to [strict] scrutiny.”). “If a statute regulates
    speech based on its content, it must be narrowly tailored to promote a
    compelling Government interest. If a less restrictive alternative would serve
    the Government’s purpose, the legislature must use that alternative.”
    Playboy Entm’t Group, 
    Inc., 529 U.S. at 813
    , 120 S. Ct. at 1886, 
    146 L. Ed. 2d
    at 879 (citation omitted).
    We believe section 709C.1 withstands strict scrutiny. The obvious
    purpose of this statute is the protection of public health by discouraging the
    transmission of the AIDS virus. As one court has explained,
    Considering the ease of transmitting AIDS and HIV through
    sexual penetration and the absence of any “cure,” the state’s
    interest in protecting the public health, safety, and general
    welfare of its citizenry becomes extremely significant. Although
    the statute may significantly infringe defendant’s individual
    interests in remaining silent, the state’s interest to compel her
    to disclose that she is HIV infected before engaging in sexual
    penetration is undeniably overwhelming.
    9
    
    Jensen, 586 N.W.2d at 759
    ; accord State v. Gamberella, 
    633 So. 2d 595
    , 604
    (La. Ct. App. 1993) (“No one can seriously doubt that the state has a
    compelling interest in discouraging the spread of the HIV virus.”). We think
    section 709C.1 promotes a compelling state interest, and the legislature
    narrowly tailored the statute to promote this compelling interest.          See
    
    Gamberella, 633 So. 2d at 604
    (holding statute “[f]orcing an infected person
    to inform all of his sexual partners so the partner can make an informed
    decision prior to engaging in sexual activity . . . is narrowly drawn to further
    the state’s compelling interest”). The statute does not absolutely prohibit an
    infected person from having sexual relations with another. Moreover,
    section 709C.1 does not compel public disclosure of an infected person’s
    HIV status; an infected person may privately inform a potential sexual
    partner of his or her condition. We cannot conceive of a less restrictive way
    in which the state could accomplish its goal, and the defendant has not
    suggested such an alternative. We hold, therefore, that section 709C.1 does
    not unconstitutionally infringe the defendant’s First Amendment free-
    speech rights.
    B.    Vagueness.     “The Due Process Clause of the Fourteenth
    Amendment to the United States Constitution prohibits vague statutes.”
    State v. Wiederien, 
    709 N.W.2d 538
    , 542 (Iowa 2006).
    A statute can be impermissibly vague for either of two
    independent reasons. First, if it fails to provide people of
    ordinary intelligence a reasonable opportunity to understand
    what conduct it prohibits. Second, if it authorizes or even
    encourages arbitrary and discriminatory enforcement.
    Hill v. Colorado, 
    530 U.S. 703
    , 732, 
    120 S. Ct. 2480
    , 2498, 
    147 L. Ed. 2d 597
    , 621 (2000).
    Musser claims the statutory prohibition of “intimate contact” between
    an infected person and another is unconstitutionally vague because the
    10
    statutory definition of “intimate contact” lacks clarity. Section 709C.1(2)(b)
    defines “intimate contact” as “the intentional exposure of the body of one
    person to a bodily fluid of another person in a manner that could result in
    the transmission of the human immunodeficiency virus.” The defendant
    argues an ordinary person would not know what type of contact—mode of
    transmission—is prohibited. Consequently, he asserts, the statute is vague
    not only as applied to him, but facially as well. We discuss each claim
    separately.
    1. Vague as applied. When considering a vague-as-applied challenge,
    we focus on whether the defendant’s “conduct clearly falls ‘within the
    proscription of the statute under any construction.’ ” State v. Hunter, 
    550 N.W.2d 460
    , 465 (Iowa 1996) (citation omitted), overruled on other grounds
    by State v. Robinson, 
    618 N.W.2d 306
    , 312 (Iowa 2000). In the case before
    us, Musser engaged in sexual intercourse with the victim. The question,
    therefore, is whether the definition of “intimate contact” gave the defendant
    fair warning that sexual intercourse fell within the statutory prohibition, in
    other words, involved the exposure of the victim to a bodily fluid that could
    transmit the virus.
    This question was answered in State v. Keene, 
    629 N.W.2d 360
    (Iowa
    2001). This court took judicial notice in Keene of the fact that “sexual
    intercourse is one of the most common methods of passing the [human
    immunodeficiency] 
    virus.” 629 N.W.2d at 365
    . We concluded based on this
    common knowledge and related statutes 6 that “any reasonably intelligent
    person is aware it is possible to transmit HIV during sexual intercourse,
    especially when it is unprotected.” 
    Id. This court
    held, therefore, that the
    6We  cited two statutes in which “the risk of transmission during sexual intercourse”
    had been recognized: Iowa Code section 709C.1(1)(b) (referring to semen as a “potentially
    infectious bodily fluid”) and Iowa Code section 915.40(11) (presuming significant exposure
    to HIV during sexual intercourse).
    11
    statute was not vague as applied to the defendant in Keene, who had had
    unprotected sexual intercourse with the victim. 
    Id. at 366.
    The same conclusion is warranted here. When the statute is read as
    a whole and considered in the light of common knowledge and related
    statutes, it clearly gives fair warning that the transfer of semen through
    sexual intercourse could transmit the virus and is, therefore, prohibited.
    Consequently, section 709C.1(1) is not vague as applied to Musser, who
    engaged in unprotected sexual intercourse with the victim.
    2. Facial vagueness and overbreadth.
    [I]mprecise laws can be attacked on their face under two
    different doctrines. First, the overbreadth doctrine permits the
    facial invalidation of laws that inhibit the exercise of First
    Amendment rights if the impermissible applications of the law
    are substantial when “judged in relation to the statute’s plainly
    legitimate sweep.” Second, even if an enactment does not
    reach a substantial amount of constitutionally protected
    conduct, it may be impermissibly vague because it fails to
    establish standards for the police and public that are sufficient
    to guard against the arbitrary deprivation of liberty interests.
    City of Chicago v. Morales, 
    527 U.S. 41
    , 52, 
    119 S. Ct. 1849
    , 1857, 144 L.
    Ed. 2d 67, 77-78 (1999) (citation omitted). We conclude section 709C.1
    passes constitutional muster under both doctrines. 7
    a. Overbreadth. Musser argues section 709C.1 impermissibly chills
    the exercise of infected persons’ freedom of association. He suggests the
    statute could be interpreted to prohibit an infected person “from sweating
    on another while playing a game of basketball” or “from kissing another.”
    Assuming such social contact is protected by the First Amendment, we
    7A  defendant to whom a statute can be constitutionally applied lacks standing to
    make a facial challenge to the statute “unless a recognized exception applies.” 
    Hunter, 550 N.W.2d at 463
    . One such exception is a situation in which the vagueness of the statute
    chills the exercise of First Amendment rights. 
    Id. State courts
    are not required to apply
    the standing doctrine. See 
    Morales, 527 U.S. at 55-56
    n.22, 119 S. Ct. at 1858-59 
    n.22,
    144 L. Ed. 2d at 79-80 
    n.22. Given this discretion, we choose not to address the standing
    issue and instead proceed directly to the merits of the facial vagueness challenge in the
    case before us.
    12
    disagree that the statute could be interpreted to apply to such interactions
    when they are not capable of transmitting HIV.
    The statute clearly defines the proscribed contact: contact that
    exposes another to bodily fluid from the infected person “in a manner that
    could result in the transmission of the human immunodeficiency virus.” See
    Iowa Code § 709C.1(2)(b) (emphasis added). We have previously determined
    the state has a compelling interest in stopping the spread of HIV infections
    and AIDS, and the statute is clearly limited to contact that can spread these
    conditions. See Roberts v. U.S. Jaycees, 
    468 U.S. 609
    , 623, 
    104 S. Ct. 3244
    , 3252-53, 
    82 L. Ed. 2d 462
    , 474-75 (1984) (finding infringement of
    associational rights constitutional in light of compelling state interest). In
    view of the state’s compelling interest, the proscribed contact is not
    sheltered by the First Amendment. We conclude, therefore, that the statute
    simply “does not reach a substantial amount of constitutionally protected
    conduct.” 
    Morales, 527 U.S. at 52
    , 119 S. Ct. at 
    1857, 144 L. Ed. 2d at 78
    .
    For that reason, section 709C.1 does not violate the overbreadth doctrine.
    b. Facial vagueness. The defendant claims the statute is facially
    vague because it does not define the modes of transmission that could
    result in transfer of the virus. We think the desired clarification is provided,
    however, by reference to common knowledge and related statutes.              “A
    statutory term provides fair warning if the meaning of the word ‘is . . . fairly
    ascertainable by reference to similar statutes, prior judicial determinations,
    reference to the dictionary, or if the questioned words have a common and
    generally accepted meaning.’ ”       
    Hunter, 550 N.W.2d at 465
    (citation
    omitted). In addition, a challenged statute should be viewed “in the context
    of the entire statutory scheme of which it is a part.” State v. Robinson, 
    618 N.W.2d 306
    , 314-15 (Iowa 2000). We proceed to do that now.
    13
    Initially, we take judicial notice of the fact, as we also did in Keene,
    that “the HIV may be transmitted through contact with an infected
    individual’s blood, semen or vaginal 
    fluid.” 629 N.W.2d at 365
    . In addition,
    we note section 709C.1(1) prohibits not only intimate contact by an HIV-
    positive person, but also the transfer of semen “or other potentially
    infectious bodily fluids” for “insemination, or other administration to
    another person.”    Further clarification of the modes of transmission
    encompassed in chapter 709C is found in Iowa Code chapter 141A, a
    related statute dealing with AIDS. See State v. Millsap, 
    704 N.W.2d 426
    ,
    436 (Iowa 2005) (concluding statute gave fair warning when meaning was
    ascertainable by reference to related statutory definition).          Section
    141A.1(13) defines “infectious bodily fluids” as “bodily fluids capable of
    transmitting HIV infection as determined by the centers for disease control
    and prevention of the United States department of health and human
    services and adopted by rule of the department.”         The website of the
    Department of Health and Human Services’ Centers for Disease Control and
    Prevention contains information detailing which bodily fluids transmit HIV,
    as well as an explanation of the ways in which HIV can be transmitted. See
    Divs. of HIV/AIDS Prevention, Ctrs. for Disease Control & Prevention, Dep’t
    of Health & Human Servs., Fact Sheet: HIV and Its Transmission, available
    at   http://www.cdc.gov/hiv/pubs/facts/transmission.pdf (July 1999);
    Divs. of HIV/AIDS Prevention, Ctrs. for Disease Control & Prevention, Dep’t
    of Health & Human Servs.,            Which Body Fluids Transmit HIV?,
    http://www.cdc.gov/hiv/pubs/faq/faq37.htm (last updated Dec. 15, 2003).
    When common knowledge and related statutes are considered,
    section 709C.1 provides “standards for the police and public that are
    sufficient to guard against the arbitrary deprivation of liberty interests.”
    
    Morales, 527 U.S. at 52
    , 119 S. Ct. at 
    1857, 144 L. Ed. 2d at 78
    . Therefore,
    14
    the statute does not violate the void-for-vagueness doctrine. 
    Gamberella, 633 So. 2d at 603
    (holding statute prohibiting “sexual contact” between
    infected person and another who has not given “knowing and lawful
    consent” was not facially vague).
    C. Right of privacy.
    Under the Due Process Clause of the Fifth and Fourteenth
    Amendments to the United States Constitution, the state is
    forbidden from infringing on certain fundamental liberty
    interests, no matter what process is provided, unless the
    infringement is narrowly tailored to serve a compelling state
    interest.
    In re Interest of C.S., 
    516 N.W.2d 851
    , 860 (Iowa 1994) (citing Reno v. Flores,
    
    507 U.S. 292
    , 301-02, 
    113 S. Ct. 1439
    , 1447, 
    123 L. Ed. 2d 1
    , 16 (1993)).
    “If a fundamental right is not implicated, a statute need only survive a
    rational basis analysis, which requires . . . ‘a reasonable fit between the
    government interest and the means utilized to advance that interest.’ ”
    
    Seering, 701 N.W.2d at 662
    (citation omitted).
    The defendant contends section 709C.1(1) infringes on his
    fundamental right to privacy. See generally Griswold v. Connecticut, 
    381 U.S. 479
    , 485, 
    85 S. Ct. 1678
    , 1682, 
    14 L. Ed. 2d 510
    , 515-16 (1965)
    (recognizing a protected right to privacy in the marriage relationship and the
    marital bedroom); Eisenstadt v. Baird, 
    405 U.S. 438
    , 453-54, 
    92 S. Ct. 1029
    ,
    1038, 
    31 L. Ed. 2d 349
    , 362-63 (1972) (holding privacy rights apply to
    individuals, married and single). He relies principally on the United States
    Supreme Court’s decision in Lawrence v. Texas, 
    539 U.S. 558
    , 
    123 S. Ct. 2472
    , 
    156 L. Ed. 2d 508
    (2003). In Lawrence, the Court struck down a
    Texas statute “making it a crime for two persons of the same sex to engage
    in certain intimate sexual 
    conduct.” 539 U.S. at 562
    , 123 S. Ct. at 
    2475, 156 L. Ed. 2d at 515
    . The Court held the state’s attempt to control private
    15
    sexual activity violated citizens’ right to liberty under the Due Process
    Clause. 
    Id. at 578,
    123 S. Ct. at 
    2484, 156 L. Ed. 2d at 525-26
    .
    We think Lawrence is readily distinguishable from the present case.
    As the Supreme Court noted in Lawrence, that case “involve[d] two adults
    who, with full and mutual consent from each other, engaged in sexual
    practices common to a homosexual lifestyle.” 
    Id. at 578,
    123 S. Ct. at 
    2484, 156 L. Ed. 2d at 525
    (emphasis added). The Court also observed the case
    before it did not “involve persons who might be injured or coerced.” 
    Id. In contrast,
    the statute challenged here prohibits intimate contact when there
    is not “full and mutual consent” from the infected person’s sexual partner.
    Surely it cannot be disputed that one considering having sexual intercourse
    with another would want to know whether the other person is infected with
    HIV prior to engaging in such intimate contact. Consent in the absence of
    such knowledge is certainly not a full and knowing consent as was present
    in Lawrence. It is also significant that the sexual partner of an infected
    person is at serious risk of injury and even death from the prohibited sexual
    contact.
    Although section 709C.1(1) infringes on Musser’s privacy rights, we
    conclude the State has a compelling interest in discouraging the spread of
    the virus and protecting human life. See Cruzan v. Director, Dep’t of Health,
    
    497 U.S. 261
    , 282, 
    110 S. Ct. 2841
    , 2853, 
    111 L. Ed. 2d 224
    , 244 (1990)
    (holding “a State [has] an unqualified interest in the preservation of human
    life”); 
    Gamberella, 633 So. 2d at 603
    (“No one can seriously doubt that the
    state has a compelling interest in discouraging the spread of the HIV
    virus.”). Moreover, as we have already determined, the statute is narrowly
    tailored to further this compelling state interest. For these reasons, the
    statute does not unconstitutionally infringe on the defendant’s right to
    privacy and does not violate principles of substantive due process. See
    16
    
    Gamberella, 633 So. 2d at 603
    (holding similar Louisiana statute did not
    violate defendant’s right of privacy).
    D.    Eighth Amendment.             “Criminal transmission of the human
    immunodeficiency virus is a class ‘B’ felony.”                   Iowa Code § 709C.1(3).
    Although this crime carries a twenty-five-year sentence, see 
    id. § 902.9(2),
    it is not a forcible felony subject to restrictions on eligibility for parole or
    work release, see 
    id. § 902.12.
    Musser claims a twenty-five-year sentence for the criminal
    transmission of HIV constitutes cruel and unusual punishment in violation
    of the Eighth Amendment. 8              See U.S. Const. amend. VIII. The Eighth
    Amendment prohibits “sentences that are disproportionate to the crime
    committed.” Solem v. Helm, 
    463 U.S. 277
    , 284, 
    103 S. Ct. 3001
    , 3006, 
    77 L. Ed. 2d 637
    , 645 (1983). The defendant claims the punishment provided
    for his crime fails the proportionality analysis set out in 
    Solem. 463 U.S. at 292
    , 103 S. Ct. at 
    3011, 77 L. Ed. 2d at 650
    (stating court should consider
    gravity of offense, harshness of penalty, “sentences imposed on other
    criminals in the same jurisdiction,” and “sentences imposed for commission
    of the same crime in other jurisdictions”).
    As this court has previously noted, the Solem proportionality test is
    limited “ ‘to the rare case [in which] a threshold comparison of the crime
    committed to the sentence imposed leads to an inference of gross
    disproportionality.’ ”        State v. Lara, 
    580 N.W.2d 783
    , 785 (Iowa 1998)
    (citation omitted). Therefore, our first inquiry is whether Musser’s sentence
    8Musser   also challenges his sentence under the Iowa Constitution’s prohibition of
    “cruel and unusual punishment.” Iowa Const. art. I, § 17. Because the Iowa prohibition is
    similar to the federal prohibition, we look to the interpretation of the federal constitution for
    guidance in interpreting the state provision. State v. Izzolena, 
    609 N.W.2d 541
    , 547 (Iowa
    2000). Because the defendant has not suggested any distinction between the analyses
    applicable to the state clause and the federal clause, we address the clauses together. See
    In re Detention of Garren, 
    620 N.W.2d 275
    , 280 n.1 (Iowa 2000). Therefore, our discussion
    of the Eighth Amendment applies equally to Musser’s claim under the Iowa Constitution.
    17
    appears grossly disproportionate in view of the gravity of his offense. See
    State v. August, 
    589 N.W.2d 740
    , 743 (Iowa 1999).                This analysis is
    undertaken     objectively    without        considering   the     individualized
    circumstances of the defendant or the victim in this case. 
    Id. Viewed objectively,
    we cannot say the punishment set by the
    legislature for the crime of criminal transmission of HIV is grossly
    disproportionate to the harm sought to be punished and deterred. HIV is
    “the causative agent of AIDS.” Iowa Code § 141A.1(11). AIDS is a chronic,
    life-threatening condition. See MedlinePlus Medical Encyclopedia: AIDS,
    http://www.nim.nih.gov/medlineplus/ency/article/000594.htm                  (last
    updated Apr. 14, 2004) (“AIDS . . . is the final and most serious stage of HIV
    disease . . . . At the present time, there is no cure for AIDS. It has proven
    to be a universally fatal illness.”). Clearly, the dire consequences of this
    crime can be significant and serious. The potential harm to the public
    welfare from the spread of this deadly virus is equally grave and severe.
    Musser argues in his brief that his offense is “de minimis” because
    the victim did not become infected with HIV.           But as noted above, in
    evaluating the proportionality of a sentence, we do not consider the
    circumstances of the particular case in which the challenge is made. See
    State v. Ramirez, 
    597 N.W.2d 795
    , 797-98 (Iowa 1999) (concluding twenty-
    five-year sentence for first-degree robbery was not cruel and unusual
    punishment, refusing to consider the gravity of defendant’s specific
    conduct, which consisted of shoplifting knife and gun and then briefly
    brandishing knife toward store employee). Rather, we look at the harm the
    legislative provision was designed to prevent—the spread of HIV infections.
    The defendant also claims a twenty-five-year sentence is excessive in
    view of the fact section 709C.1 does not require an intent to inflict injury or
    the occurrence of an injury at all. While section 709C.1 may not expressly
    18
    require an intent to injure, it does require the functional equivalent: that the
    defendant intentionally expose another person to the defendant’s infected
    bodily fluid in such a way that the virus could be transmitted. See Iowa
    Code § 709C.1(2)(b).
    The crime of criminal transmission of HIV is actually quite similar to
    the crime of first-degree robbery for purposes of proportionality analysis.
    First-degree robbery does not require an intent to inflict injury (only an
    intent to commit a theft), and it does not require that any actual injury
    result from the defendant’s action. See Iowa Code §§ 711.1, .2. On the
    other hand, it does require that the defendant “purposely inflict[ ] or
    attempt[ ] to inflict serious injury” or be “armed with a dangerous weapon.”
    
    Id. § 711.2.
    Based on the high “risk of death or serious injury to persons
    present when first-degree robbery is committed,” this court has held that a
    twenty-five-year sentence for that crime is not grossly disproportionate,
    even though a defendant is required to serve at least eighty-five percent of
    the maximum sentence. 
    Lara, 580 N.W.2d at 785
    , 786.
    The same conclusion is warranted here. Infection with HIV carries
    the potential for serious injury, even death.        Thus, a defendant who
    intentionally exposes another to the virus is just like the first-degree robber
    who attempts to inflict serious injury on his victim. And, just like the
    robber carrying a gun or a knife, a defendant infected with HIV is armed
    with a dangerous virus capable of inflicting serious injury or death on the
    victim. In view of the gravity of the offense, we cannot say a twenty-five-
    year sentence for the criminal transmission of HIV appears grossly
    disproportionate. Because there is no inference of gross disproportionality,
    we need not undertake the Solem analysis. The defendant’s sentence does
    not constitute cruel and unusual punishment.
    19
    III. Admission of Laboratory Reports.
    Over the defendant’s objection, the trial court admitted two reports
    from the University of Iowa Hygienic Laboratory, showing the defendant had
    tested positive for HIV on two occasions. On appeal, the defendant renews
    his objections: (1) an inadequate foundation was laid for admission of the
    reports; and (2) the reports contained inadmissible hearsay. We, like the
    trial court, find no merit in the defendant’s challenges to these exhibits.
    A. Foundation. “Whether the [offering] party has established . . . a
    proper foundation is a matter committed to the sound discretion of the trial
    court; reversal is warranted only when there is a clear abuse of discretion.”
    Sechler v. State, 
    340 N.W.2d 759
    , 764 (Iowa 1983); accord Duncan v. City of
    Cedar Rapids, 
    560 N.W.2d 320
    , 323 (Iowa 1997).
    The State introduced the lab reports through the testimony of
    epidemiologist Randy Mayer, HIV coordinator of the Iowa Department of
    Public Health. Mayer testified the department is required by law to keep a
    record of persons who test positive for HIV. See Iowa Code § 141A.6. To
    ensure the department is aware of who has had a positive HIV test, all
    laboratories and physicians in Iowa are required to report any positive
    results directly to the department. 
    Id. § 141A.6.
    Mayer also testified to the
    procedure for collecting specimens from persons being tested, and to the
    fact that a positive test is confirmed by a second test.        He said the
    department contracts with several testing sites across the state to do free
    HIV testing, and one such site is the Free Medical Clinic in Iowa City. The
    department also contracts, according to Mayer, with the Hygienic
    Laboratory to test the specimens collected at the testing sites.
    Mayer identified the two lab reports at issue in this case as being the
    defendant’s HIV test results from the Hygienic Laboratory. He testified the
    department has these reports in its possession as part of its statutory
    20
    recordkeeping responsibility. The reports showed the Free Medical Clinic
    had collected two samples from the defendant, these samples were sent to
    the Hygienic Laboratory where they were tested in July 2000, and both test
    results were positive for HIV.
    The defendant argues Mayer’s testimony was inadequate because
    Mayer “did not conduct the tests, never met or examined Mr. Musser, had
    no knowledge of the protocol of the tests, or of the method of record
    keeping.”   But we do not think these matters are required for proper
    authentication or identification under Iowa Rule of Evidence 5.901.
    Rule 5.901 provides in pertinent part:
    a. General provision. The requirement of authentication
    or identification as a condition precedent to admissibility is
    satisfied by evidence sufficient to support a finding that the
    matter in question is what its proponent claims.
    b. Illustrations. By way of illustration only, and not by
    way of limitation, the following are examples of authentication
    or identification conforming with the requirements of this rule:
    (1) Testimony of witness with knowledge. Testimony that
    a matter is what it is claimed to be.
    ....
    (7) Public records or reports. Evidence that a writing
    authorized by law to be recorded or filed and in fact recorded or
    filed in a public office, or a purported public record, report,
    statement, or data compilation, in any form, is from the public
    office where items of this nature are kept.
    Iowa R. Evid. 5.901.     The foundation made through Mayer satisfied
    subparagraphs (1) and (7) of rule 5.901(b). Mayer testified the exhibits were
    lab reports showing HIV test results maintained by the department as
    required by law. This testimony established that the exhibits were “what
    [they were] claimed to be” and that they were records “from the public office
    where items of this nature are kept.” Iowa R. Evid. 5.901(b)(1), (7); see
    Spear v. McDermott, 
    916 P.2d 228
    , 233 (N.M. 1996) (“All that is necessary is
    the testimony of a witness who knows that the documents in fact came from
    21
    the legal custodian of the document.”); State v. D’Alo, 
    649 A.2d 498
    , 499
    (R.I. 1994) (holding proper foundation existed for admission of defendant’s
    driving record through testimony of employee of public office where such
    records are kept). The trial court did not abuse its discretion in admitting
    these exhibits over the defendant’s foundation objection.
    B. Hearsay. Our scope of review is well established:
    We review the defendant’s hearsay claims for errors at law.
    “Hearsay . . . must be excluded as evidence at trial unless
    admitted as an exception or exclusion under the hearsay rule
    or some other provision.” Subject to the requirement of
    relevance, the district court has no discretion to deny the
    admission of hearsay if it falls within an exception, or to admit
    it in the absence of a provision providing for admission.
    Inadmissible hearsay is considered to be prejudicial to the
    nonoffering party unless otherwise established.
    State v. Newell, 
    710 N.W.2d 6
    , 18 (Iowa 2006) (citation omitted).
    Hearsay is “a statement, other than one made by the declarant while
    testifying at the trial or hearing, offered in evidence to prove the truth of the
    matter asserted.” Iowa R. Evid. 5.801. Clearly, the lab reports contained
    hearsay: the test results shown in the reports were conclusions of a lab
    technician who did not testify, and the results were offered to prove the
    truth of the matter asserted—that the defendant was HIV positive. See
    State v. McCurry, 
    544 N.W.2d 444
    , 446 (Iowa 1996) (holding DNA reports
    were hearsay); State ex rel. Buechler v. Vinsand, 
    318 N.W.2d 208
    , 210 (Iowa
    1982) (holding paternity blood test results were hearsay).
    Hearsay evidence is not admissible unless some exception allows its
    admission. Iowa R. Evid. 5.802. One exception is for records of regularly
    conducted activity, known as the business records exception:
    A memorandum, report, record or data compilation, in any
    form, of acts, events, conditions, opinions, or diagnoses, made
    at or near the time by, or from information transmitted by, a
    person with knowledge, if kept in the course of a regularly
    conducted business activity, and the regular practice of that
    22
    business activity was to make the memorandum, report,
    record, or data compilation, all as shown by the testimony of
    the custodian or other qualified witness, unless the source of
    information or the method or circumstances of preparation
    indicate lack of trustworthiness. The term “business” as used
    in this subrule includes business, institution, association,
    profession, occupation, and calling of every kind, whether or
    not conducted for profit.
    Iowa R. Evid. 5.803(6) (emphasis added). This exception applies to hearsay
    falling within its scope even though the declarant is not shown to be
    unavailable. See Iowa R. Evid. 5.803.
    We think the business records exception applies to the information
    contained in the exhibits challenged by the defendant. See Ex parte: Dep’t
    of Health & Envtl. Control, In re: State v. Doe, 
    565 S.E.2d 293
    , 297 (S.C.
    2002) (approving admission of HIV tests as a business record based on
    testimony of department-of-health employee). First, the lab report from the
    Hygienic Laboratory is the type of document encompassed in this exception:
    it is a “record . . . of [a] diagno[sis], made at or near the time by . . . a person
    with knowledge.” Iowa R. Evid. 5.803. As the witness from the department
    of public health explained, the Hygienic Laboratory does the actual testing
    for the presence of HIV and prepares a report showing the results when the
    testing is completed.     The witness also established it was “the regular
    practice of [the laboratory] to make the . . . report.” 
    Id. These reports
    are
    required by law and, according to the witness, all reports showing a positive
    HIV test are routinely forwarded to the department. Finally, the witness
    was qualified to give this testimony, as he was an employee of the agency
    designated by law as the custodian of these reports. We find nothing in the
    record or the defendant’s briefing to indicate a lack of trustworthiness with
    respect to the Hygienic Laboratory or the method or circumstances of the
    reports’ preparation. The trial court did not err in admitting the lab reports
    under the business records exception.
    23
    IV. Ineffective-Assistance-of-Counsel Claims.
    Musser raises two claims of ineffective assistance of counsel. He
    asserts his attorney failed to object to the admission of the lab reports
    based on the Confrontation Clause. He also contends the prosecutor made
    improper statements in the opening statement and closing argument to
    which counsel should have objected.
    To establish a claim of ineffective assistance of counsel, the defendant
    must show: (1) trial counsel failed to perform an essential duty; and (2)
    prejudice resulted from this failure. State v. Scalise, 
    660 N.W.2d 58
    , 61
    (Iowa 2003). Counsel has no duty to raise an issue or make an objection
    that has no merit. 
    Id. “Generally, ineffective-assistance
    claims are preserved for
    postconviction relief proceedings to afford the defendant an
    evidentiary hearing and thereby permit the development of a
    more complete record.” If the record on appeal shows,
    however, that the defendant cannot prevail on such a claim as
    a matter of law, we will “affirm the defendant’s conviction
    without preserving the ineffective-assistance-of-counsel
    claims.” Conversely, if the record on appeal establishes both
    elements of an ineffective-assistance claim and an evidentiary
    hearing would not alter this conclusion, we will reverse the
    defendant's conviction and remand for a new trial.
    State v. Graves, 
    668 N.W.2d 860
    , 869 (Iowa 2003) (citations omitted).
    A. Confrontation Clause. The Sixth Amendment to the United States
    Constitution guarantees that “[i]n all criminal prosecutions, the accused
    shall enjoy the right . . . to be confronted with the witnesses against him.”
    U.S. Const. amend. VI; see also Pointer v. Texas, 
    380 U.S. 400
    , 406, 85 S.
    Ct. 1065, 1069, 
    13 L. Ed. 2d 923
    , 927-28 (1965). This constitutional
    provision reflects the “preference for face-to-face confrontation at trial and
    the right of cross-examination.” State v. Castaneda, 
    621 N.W.2d 435
    , 444
    (Iowa 2001). It is not to be equated with the hearsay rule. See State v.
    Brown, 
    656 N.W.2d 355
    , 361 (Iowa 2003).             That is because “[t]he
    24
    Confrontation Clause bars the admission of some evidence that would
    otherwise be admissible under an exception to the hearsay rule.”
    
    Castaneda, 621 N.W.2d at 444
    .
    An out-of-court statement by a witness that is testimonial in nature is
    barred under the Confrontation Clause unless the witness is unavailable
    and the defendant had a prior opportunity to cross-examine the witness.
    Crawford v. Washington, 
    541 U.S. 36
    , 59-60, 
    124 S. Ct. 1354
    , 1369, 158 L.
    Ed. 2d 177, 197 (2004). This prohibition applies even though the out-of-
    court statement is deemed reliable by the court. 
    Id. at 61,
    124 S. Ct. at
    
    1370, 158 L. Ed. 2d at 199
    . Nontestimonial statements are not subject to
    scrutiny under the Confrontation Clause. Davis v. Washington, 547 U.S.
    ___, ___, 
    126 S. Ct. 2266
    , 2273, 
    165 L. Ed. 2d 224
    , 236 (2006).
    The first question here, then, is whether the test results contained in
    the lab reports are testimonial or nontestimonial hearsay.
    Various formulations of [the] core class of “testimonial”
    statements exist: “ex parte in-court testimony or its functional
    equivalent—that is, material such as affidavits, custodial
    examinations, prior testimony that the defendant was unable
    to cross-examine, or similar pretrial statements that declarants
    would reasonably expect to be used prosecutorially”;
    “extrajudicial statements . . . contained in formalized
    testimonial materials, such as affidavits, depositions, prior
    testimony, or confessions”; “statements that were made under
    circumstances which would lead an objective witness
    reasonably to believe that the statement would be available for
    use at a later trial . . . .”
    
    Crawford, 541 U.S. at 51-52
    , 124 S. Ct. at 
    1364, 158 L. Ed. 2d at 193
    (citations omitted).    In addition, statements in response to police
    interrogations that are “solely directed at establishing the facts of a past
    crime, in order to identify (or provide evidence to convict) the perpetrator,”
    are also testimonial statements subject to the Confrontation Clause. Davis,
    547 U.S. at ___, 126 S. Ct. at 
    2276, 165 L. Ed. 2d at 240
    .
    25
    The test results at issue here are clearly nontestimonial. See People
    v. Johnson, 
    18 Cal. Rptr. 3d 230
    , 233 (Ct. App. 2004) (“A laboratory report
    does not ‘bear testimony,’ or function as the equivalent of in-court
    testimony.” (Citation omitted.)); Commonwealth v. Lampron, 
    839 N.E.2d 870
    ,
    875 (Mass. App. Ct. 2005) (holding hospital records containing drug and
    alcohol test results were nontestimonial); State v. Dedman, 
    102 P.3d 628
    ,
    636 (N.M. 2004) (holding laboratory report of defendant’s blood alcohol level
    was nontestimonial). The HIV tests were not requested by law enforcement;
    they were done two years before the crime at issue here was even
    committed. Compare People v. Brown, 
    801 N.Y.S.2d 709
    , 712 (Sup. Ct.
    2005) (holding records of lab technicians who tested DNA samples were not
    testimonial because they “were not prepared solely for litigation” but for
    routine business purposes), with State v. Crager, 
    844 N.E.2d 390
    , 397 (Ohio
    Ct. App. 2005) (holding DNA reports prepared by state bureau of criminal
    investigation were testimonial because they were “prepared wholly in
    anticipation of litigation”). In addition, the statements were not given in
    response to structured questioning in an investigative setting or litigation
    context. See State v. Staten, 
    610 S.E.2d 823
    , 830 (S.C. Ct. App. 2005)
    (observing testimonial statements described in Crawford “ ‘all involve a
    declarant’s knowing responses to structured questioning in an investigative
    environment or a courtroom setting where the declarant would reasonably
    expect that his or her responses might be used in future judicial
    proceedings’ ” (citation omitted)). Although lab personnel possibly realized
    the report could be used in a later prosecution for criminal transmission of
    HIV, that use would be rare and certainly collateral to the primary purpose
    of providing the defendant and his medical providers with the information
    they needed to make informed treatment decisions. Cf. Davis, 547 U.S. at
    ___, 126 S. Ct. at 
    2276-77, 165 L. Ed. 2d at 240
    (considering primary
    26
    purpose of police interrogation to determine whether responsive statements
    were testimonial or nontestimonial).
    Because the reports are nontestimonial statements, an objection
    under the Confrontation Clause would have had no merit. Consequently,
    Musser’s counsel did not fail to perform an essential duty when he did not
    raise this issue at trial.
    B. Prosecutorial misconduct. The defendant contends the prosecutor
    committed prosecutorial misconduct in opening statement and closing
    argument and his counsel should have objected. In considering this claim,
    we are guided by the following principles:
    The prosecutor’s duty to the accused is to “assure the
    defendant a fair trial” by complying with “the requirements of
    due process throughout the trial.” Thus, while a prosecutor is
    properly an advocate for the State within the bounds of the
    law, the prosecutor’s primary interest should be to see that
    justice is done, not to obtain a conviction.
    
    Graves, 668 N.W.2d at 870
    (citations omitted).
    In order to establish a due process violation based upon prosecutorial
    misconduct, the defendant must first establish proof of misconduct. 
    Id. at 869.
    We noted in Graves that “[a] prosecutor ‘is entitled to some latitude
    during closing arguments in analyzing the evidence admitted in the trial. ’ ”
    
    Id. at 874
    (citation omitted). “[A] prosecutor may argue the reasonable
    inferences and conclusions to be drawn from the evidence,” but may not
    suggest that the jury decide the case on “any ground other than the weight
    of the evidence” introduced at trial. 
    Id. In addition,
    a prosecutor is not “
    ‘allowed to make inflammatory or prejudicial statements regarding a
    defendant in a criminal action.’ ”      
    Id. (citation omitted).
      Nor is the
    prosecutor allowed to instruct the jury “to place themselves in the position
    of the victim.” Lucas v. State, 
    335 So. 2d 566
    , 567 (Fla. Dist. Ct. App. 1976)
    (“The technique of asking jurors to place themselves in the position of the
    27
    victim has been held improper in both criminal and civil cases.”); see also
    Oldsen v. Jarvis, 
    159 N.W.2d 431
    , 435 (Iowa 1968) (“Direct appeals to jurors
    to place themselves in the situation of one of the parties . . . [is] condemned
    by the courts.”). These rules ensure the case is decided solely on the
    evidence.
    Prosecutorial misconduct alone does not entitle a defendant to a
    mistrial, however. See State v. Trudo, 
    253 N.W.2d 101
    , 106 (Iowa 1977).
    There must be proof the misconduct resulted in prejudice to the extent the
    defendant was denied a fair trial. 
    Id. In determining
    whether prejudice
    resulted, we consider several factors “ ‘within the context of the entire trial.’”
    
    Graves, 668 N.W.2d at 869
    (citation omitted). These factors include the
    severity and pervasiveness of the misconduct, the significance of the
    misconduct to the central issues in the case, the strength of the State’s
    evidence, the use of cautionary instructions or other curative measures,
    and the extent to which the defense invited the improper conduct. 
    Id. We turn
    now to the facts of this case.
    The defendant claims his trial counsel was ineffective for failing to
    object to the following italicized portions of the prosecutor’s quoted
    statements:
    [State’s Opening Statement]: At the end of the trial, I will have
    the opportunity to come back and stand here before you and
    ask you to find the Defendant guilty. And I will do that for two
    reasons. First of all, because the evidence in this case will only
    point you in that direction. And, second, because it is the right
    thing to do.
    [State’s Closing Argument]:      We submit to you that in
    December of 2002, two and a half years after he knew he was
    HIV positive, this man did not care. Either he was in denial or
    he was angry about the fact that, out of everyone in this world,
    he was afflicted with HIV. And at the point in time that you
    don’t care about yourself, you care less about somebody else.
    When he met the victim in this case, the least he could have
    done was be honest with her. The least he could have done
    28
    was respect her life. But when the time came, the only thing
    he said was, “I ain’t got nothing,” and that is not true.
    I am asking you to find the Defendant guilty, not only
    because the State proved all the elements of the offense, but
    because the only way that he will care is if you make him care.
    [State’s Rebuttal Closing Argument]: The only thing you need
    in order to decide this case is the evidence that was presented
    in this matter. That evidence is the testimony of those five
    witnesses that came in here and took the oath and told you
    what they knew about this case, and the exhibits. That’s all
    you need. Find him guilty. Make him responsible because, if
    you don’t, no one will.
    (Emphasis added).
    Although the defendant claims the prosecutor improperly vouched for
    the credibility of witnesses, injected her personal belief of the defendant’s
    guilt into her statements to the jury, and asked the jurors to place
    themselves in the position of the victim, we agree with the State that
    nothing in the quoted statements can be construed in this manner. The
    defendant is correct, however, when he asserts the prosecutor improperly
    urged the jurors to decide the case on something other than the evidence.
    The ABA Standards for Criminal Justice state: “The prosecutor
    should refrain from argument which would divert the jury from its duty to
    decide the case on the evidence.” ABA Standards for Criminal Justice 3-5.8
    (3d ed. 1993); see also 
    id. commentary (“Predications
    about the effect of an
    acquittal on lawlessness in the community also go beyond the scope of the
    issues in the trial and are to be avoided.”). See generally United States v.
    Young, 
    470 U.S. 1
    , 8, 
    105 S. Ct. 1038
    , 1042, 
    84 L. Ed. 2d 1
    , 7-8 (1985)
    (relying on ABA Standards in considering claim of prosecutorial
    misconduct, noting the Standards were “useful guidelines”); State v.
    Williams, 
    334 N.W.2d 742
    , 745 (Iowa 1983) (relying on ABA Standards in
    reviewing allegations of prosecutorial misconduct).      Although there is
    always some gray area between proper and improper argument, we think
    29
    the prosecutor here inappropriately diverted the jury from its duty to decide
    the case solely on the evidence by injecting issues broader than the guilt or
    innocence of the defendant and by making predictions of the consequences
    of the jury’s verdict. Whether the defendant should be made to care is not a
    reason independent of the evidence for a finding of guilt, yet that is what the
    prosecutor suggested when she told the jury to find the defendant guilty
    “not only because the State proved all the elements of the offense, but
    because the only way that he will care is if you make him care.” (Emphasis
    added.) Similarly, whether a finding of guilt is “the right thing to do” in an
    abstract sense is not the issue, yet that is what the prosecutor implied
    when she said she would ask for a guilty verdict based on the evidence
    “[a]nd because it is the right thing to do.” (Emphasis added.) See Impson v.
    State, 
    721 N.E.2d 1275
    , 1283 (Ind. 2000) (holding prosecutor’s request that
    the jury “do the right thing” was “an improper statement” insofar as it urged
    the jury to act for reasons other than the evidence); Lisle v. State, 
    937 P.2d 473
    , 482 (Nev. 1997) (holding prosecutor’s statements to the jury that it
    must be “accountable” and “do the right thing” were improper). The issue in
    any criminal case is ultimately one of guilt or innocence as shown by the
    evidence. The prosecutor here improperly attempted to broaden the jury’s
    duty to include a responsibility to do the right thing and to make the
    defendant care.    See 
    Trudo, 253 N.W.2d at 106
    (holding prosecutor’s
    comment in closing argument “that the jury should be concerned about
    returning defendant to the community was improper”); People v. Brown, 
    817 N.Y.S.2d 139
    , 140 (App. Div. 2006) (holding prosecutor’s “public safety
    arguments” to jury were improper).
    Although the statements made by the prosecutor were objectionable,
    prosecutorial misconduct is not, standing alone, a due process violation. As
    noted above, only when the prosecutor’s conduct deprives the defendant of
    30
    a fair trial is the right to procedural due process denied. We conclude
    based on our review of the entire record the defendant was not denied a fair
    trial. See 
    Young, 470 U.S. at 11
    , 105 S. Ct. at 
    1044, 84 L. Ed. 2d at 10
    (stating “statements or conduct must be viewed in context; only by so doing
    can it be determined whether the prosecutor’s conduct affected the fairness
    of the trial”). The evidence against the defendant was strong, the comments
    did not go to a central issue in the case, and the improper statements by
    the prosecutor were isolated. In addition, the jurors were instructed they
    were to decide the defendant’s guilt or innocence “from the evidence and the
    law in these instructions,” and that evidence did not include “[s]tatements,
    arguments, and comments by the lawyers.”
    At this juncture, we briefly address a related argument made by the
    defendant with respect to the jury instructions. Musser argues his attorney
    should at least have requested that the court give the jury the following
    instruction: “The duty of the jury is to determine if the defendant is guilty or
    not guilty. In the event of a guilty verdict, you have nothing to do with
    punishment.”     The defendant contends this instruction would have
    mitigated the effect of the prosecutor’s inappropriate statements. We do not
    think counsel failed to perform an essential duty when he opted not to
    request this instruction. As we have already determined, the defendant was
    not prejudiced by the improper statements made by the prosecutor.
    Therefore, we cannot say trial counsel was duty bound to request an
    instruction arguably to avoid the inconsequential effect of the prosecutor’s
    misconduct.
    In summary, we frown upon the prosecutor’s improper appeal to the
    jury to convict the defendant for reasons other than his guilt as established
    by the State’s evidence. But in the context of the entire record, we cannot
    say the defendant was denied a fair trial. Therefore, defense counsel did not
    31
    fail to perform an essential duty when he did not claim a due process
    violation at trial.
    V. Conclusion.
    There is no merit in the defendant’s constitutional challenges to
    section 709C.1 defining the crime of criminal transmission of HIV and to
    the punishment a conviction of that offense carries. The statute does not
    violate defendant’s freedom of speech. It is not unconstitutionally vague, on
    its face or as applied to the defendant, in its description of the proscribed
    “intimate contact.” Section 709C.1 is not overbroad because it does not
    infringe on a substantial amount of constitutionally protected conduct.
    Moreover, the statute does not violate the defendant’s substantive due
    process rights by unconstitutionally infringing on his right of privacy. The
    sentence imposed for this crime does not constitute cruel and unusual
    punishment. In view of the serious health risk the defendant’s conduct
    poses to the victim of his crime, the twenty-five-year sentence does not raise
    an inference of gross disproportionality. Therefore, the district court did not
    err in overruling the defendant’s motion to dismiss.
    The trial court properly admitted the laboratory reports of the
    defendant’s HIV testing under the business records exception to the hearsay
    rule.    The State adequately authenticated these reports through the
    testimony of an epidemiologist employed by the department of public
    health, the official custodian of these records.
    As a matter of law, the defendant cannot prevail on his ineffective-
    assistance-of-counsel claims. The admission of the hearsay test results
    contained in the lab reports did not violate the defendant’s confrontation
    rights because these statements were nontestimonial. Consequently, trial
    counsel did not fail to perform an essential duty by not objecting to the lab
    reports on the basis of the Confrontation Clause. With respect to the
    32
    defendant’s ineffective-assistance claim based on counsel’s failure to object
    to prosecutorial misconduct, the record shows the prosecutor made
    improper statements when addressing the jury.          Notwithstanding the
    objectionable nature of the prosecutor’s comments, these comments were
    not so pervasive as to deny the defendant a fair trial. The defendant’s
    ineffective-assistance-of-counsel claims are not preserved.
    Finding no basis for reversal, we affirm the defendant’s conviction and
    sentence.
    AFFIRMED.