Posted on 03/29/2007 9:18:51 AM PDT by Dirtysnowbank
Circumcision Is Recommended to Fight HIV
Mar 28, 8:00 AM (ET)
By ALEXANDER G. HIGGINS
GENEVA (AP) - U.N. health agencies recommended Wednesday that heterosexual men undergo circumcision because of "compelling" evidence that it can reduce their chances of contracting HIV by up to 60 percent.
But World Health Organization and UNAIDS experts said men need to be aware that circumcision is only partial protection against the virus and must be used with other measures.
"We must be clear," said Catherine Hankins of UNAIDS. "Male circumcision does not provide complete protection against HIV."
Studies suggest 5.7 million new cases of HIV infection and 3 million deaths over 20 years could be prevented by male circumcision in sub-Saharan Africa, the agencies said.
Still, men and women who consider male circumcision as an HIV preventive method need to continue using other forms of protection such as male and female condoms, abstinence, delaying the start of sexual activity and reducing the number of sexual partners, she said.
Otherwise, they could develop a false sense of security and engage in high-risk behaviors that could undermine the partial protection provided by male circumcision, the agencies said.
Men also should be warned that they are at a higher risk of being infected with HIV if they resume sex before their wound has healed. Likewise an HIV-positive man can more easily pass on the disease to his partner if the wound is still unhealed.
The recommendations were based on a meeting earlier this month in Montreux, Switzerland, where experts discussed three trials - in Kenya, Uganda and South Africa - that produced "strong evidence" of the risk reduction resulting from heterosexual male circumcision.
"Based on the evidence presented, which was considered to be compelling, experts attending the consultation recommended that male circumcision now be recognized as an additional important intervention to reduce the risk of heterosexually acquired HIV infection in men," a joint statement said.
The agencies said much depends on the situation in a given country, and little general benefit will result in countries where the HIV epidemic is concentrated among sex workers, injecting drug users or men who have sex with men.
The public health impact is likely to be most rapid where there is a high rate of HIV infection among men having sex with women.
"It was therefore recommended that countries with high prevalence, generalized heterosexual HIV epidemics that currently have low rates of male circumcision consider urgently scaling up access to male circumcision services," the agencies said.
More study is needed to determine whether male circumcision will cut the transmission of HIV to women. More study also is required to find out whether male circumcision will reduce HIV infection in homosexual intercourse, it said, but it said promoting circumcision of HIV-positive men was not recommended.
"The recommendations represent a significant step forward in HIV prevention," said Dr. Kevin De Cock, director of WHO's HIV/AIDS department. "Countries with high rates of heterosexual HIV infection and low rates of male circumcision now have an additional intervention which can reduce the risk of HIV infection in heterosexual men."
Increasing male circumcision in areas where it the procedure is rare will result in immediate benefit to the men circumcised, but it will take years before there will be an impact on the epidemic.
Although the rate of circumcision varies considerably from country to country, globally an estimated 665 million men, or 30 percent of men in the world, are circumcised, the statement said.
The agencies said the risks involved in male circumcision are generally low, but can be serious if the operation is performed in unhygienic settings by poorly trained, ill-equipped health workers.
Priority should be given to providing circumcision to age groups at highest risk of acquiring HIV because it will have the most immediate impact on the disease. But, it said, circumcising younger males also will have a public health impact over the longer term.
It gave no estimate how much providing the service would cost, but said more money would be needed, but that donors should regard it as "an important, evidence-based intervention."
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Circumspection works even better.
Why don't they just ban turtle necks like everything else? That is about the only thing they do these days.
it will be Koffe Anons new job....moile for the woild.
the pay stinks, so he'll work for tips.
Stats game.....circumcision is traumatic to little boys...my son couldn't walk for a year after we had him whittled.
Or so I've heard.
If you cut off your penis it reduces your risk to zero.
Circumlocution is your best defense.
I'll bet he cried and didn't talk much either.
This is going to be used to justfy FEmale circumcisions. (for those in rio linda, it is a barbaric practice where the sexual sensory parts are removed. Did not wish to be too explicit.)
It seems this is an issue of Soap and water vs a government paid program.
Which one will the bureacrat adopt? The one which provides job security through a new tax funded program or a more cost effective program to educate people to wash their privates?
hmmmmmmmm.
Are they also recommending monogamy? Because that reduces your chances by ~100%.
/sarc
Couldn't eat solid food, and was obsessed with my breasts as well.
Still...I say...."OFF WITH THEIR HEADS!!!"
AND wet his pants everyday!
too funny considering how many decades doctors have spent to end routine circumcision in the USA.
Man, this brings up memories.
I remember my parents having a party at the house. I was carried in to the livingroom by my father. A man I never saw before uttered words in a language I didn't understand.
The man then proceeded to get me drunk on this god awful wine, and let me tell you I was feeling tipsy(no pun intended). Then this man took out what looked like a machete attached to a hole punch and hacked part of my weener off after babbling some more in this foreign tongue.
My mother feinted, some peopole yelled Mazel Tov and then everyone ate corned beef and pastrami sandwiches while I had some gauze and salve wrapped around what was left of my manhood.
This article needs a duct tape alert!
As a goy, I've only had the pleasure of attending a single Bris, and your story tracks perfectly with my recollection, except for one detail ... the family videotaped the ceremony. Oy.
Oy vey!
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