AddThis Social Bookmark Button

Enter your email address:

Delivered by FeedBurner

The Lobby

About

Contributors

  • David Wilton

    David Wilton is a lawyer by training. He has a long-standing interest in issues of body integrity and HIV/AIDS. He maintains this site and blogs from San Francisco, California. His primary interests outside of nurturing a debate on the controversial measure of removing sexual tissue to reduce the spread of HIV are in the areas of international relations, languages, and journalism.
  • Adrienne Soti
    Adrienne Soti has provided research and monitoring of the media for Male Circumcision and HIV. A native of Hungary who came to the US in 1990, she lives with her husband and two small children in New Jersey. She has a B.A. in Psychology and Philosophy from Rutgers University. She lists biology and medicine among her many interests and is particularly interested in bio-ethical issues. The circumcision controversy came to her attention after the birth of her son in 2005.

Contact

  • Circumcisionandhiv.com
    PO Box 40312
    San Francisco, CA 94140
    wilt31@gmail.com
    [Please put CIRCUMCISIONANDHIV in the subject line.]

Relevant Reference Works

Our Blogroll

DVDs

  • Cut:
    Slicing Through the Myths of Circumcision
    A Film by Eliyahu Ungar-Sargon
    Buy Now
    See the Trailer

TypePad Affiliate Program

Fundraising

Blog powered by TypePad

« July 2007 | Main | September 2007 »

8 entries from August 2007

Friday, August 24, 2007

Women with circumcised partners at greater risk for STIs and derive no protection viz HIV, study shows

The first African study on the effect of male circumcision on women's risk for STIs and HIV has trickled out. And the news is not encouraging for those hoping circumcision would provide a magic bullet equally between the sexes for women. 

Aidsmap reports, "Consistent with the baseline findings, women partnered with circumcised partners had higher levels of sexual risk during follow-up, being more likely than women with uncircumcised partners to self-report a sexually transmitted infection (6% versus 4%, p < 0.001), have symptoms of a sexually transmitted infection (26% versus 20%, p < 0.001), and to have a risky sexual partner (a man with symptoms of a sexually transmitted infection, or who was HIV-positive; 23% versus 14%, p < 0.001). Women with circumcised partners also had a lower mean number of protected sex acts (8.6 versus 8.3 per month, p < 0.001)."

A small,statistically insignificant protective effect was observed for HIV, "But the protective effect of having a circumcised partner weakened when the investigators adjusted their model to include age, age at sexual debut, contraceptive use, husband’s employment status, level of education, and number of sexual partners in the previous three months (HR, 0.78; 95% CI, 0.53 – 1.14, p value not provided). Further adjustment, taking into account population subgroups, meant that the protective effect of circumcision disappeared entirely (HR, 1.03, 95% CI, 0.69 – 1.53) [emphasis mine]."

The ultimate  conclusion as between circumcised and intact partners of women was that, "The investigators found that low-risk Ugandan and Zimbabwean women had a similar risk of HIV infection, regardless of their partner’s circumcision status. However, the high-risk Ugandan women derived a non-significant protective effect from having a circumcised partner (HR 0.16; 95% CI, 0.02 – 1.25) [emphasis mine]."

This study is consistent with a number of other studies that have shown little difference in HIV infection rates between groups of similar cultural and sexual mores, usually meaning comparisons within countries as opposed to cross-border comparisons.

Full Aidsmap summary after the fold.

Continue reading "Women with circumcised partners at greater risk for STIs and derive no protection viz HIV, study shows" »

Thursday, August 23, 2007

The French ask questions

A European reader has passed along this article [html] from the French National Council on Aids (Conseil national du SIDA). Apparently, there are some doubts being expressed while paying lip service to the emerging scientific party line viz circumcision as HIV prophylactic.

The questions are more  probing than I've seen almost anywhere else "official". However, the essential basic human right to an intact body and to the decision making process to part with said intact body seems to be missing. Let's keep the dialogue going and hope we see this missing piece of the equation addressed.

Download 07_05_24_rapport_circoncisions_eng.pdf

THANK YOU to Alistair Jenkins for this contribution.

Wednesday, August 22, 2007

Of receptor sex, foreskin interventions, and disappointed scientists

A reader writes in regarding an article on Medscape worth noting. It isn't that the findings are so earth-shattering. Rather it's that the article's author and apparently the researchers and commentators as well appear to want so badly for circumcision have some value. But apparently for gay men it offers nothing -- even in a study where the researchers clearly were hoping it would.

You can almost feel one Matthew Hogben's sullen mood, glimpsing his leaden face, eyes cast downward in disappointment, when he's says, "The Australian study showed that circumcision was not a factor one way or the other in whether [individuals] developed HIV, which probably makes sense."

The logical thing to do when a study fails to show any beneficial effect would be to abandon the avenue and look elsewhere. But not these scientist-advocates. Hogben says, "with the findings of the trials that ran in Africa, [researchers] might want to expand study of the association to see to what extent they could take advantage of those findings to look at secondary effects. It might be worthwhile to see whether there's less transmission or 'burden' with a foreskin intervention, but I suspect we would need more data, and more clean data, to confirm this."

Translation: This study failed. Let's do more.

These days, foreskin interventions are all the fashion.

THANK YOU to Scot Anderson for this contribution.

A fair use glimpse of Medscape article after the jump.

Continue reading "Of receptor sex, foreskin interventions, and disappointed scientists " »

Tuesday, August 21, 2007

"We have no idea, so why not?" conclude researchers

Continuing in the vein of biased research in the service of furthering American circumcision, researchers have published an article in PLoS Medicine targeting black  and Hispanic men. [I've touched upon this article before. However, Aidsmap and the US Centers for Disease Control and Prevention have chosen to give it new life by the former's reviewing the article in their new Circumcision News page after the latter's making a presentation of it at the Seattle STI conference. I suppose I'm now complicit in extending its life a little longer.]

Among the many absurd assertions, the authors state, "Adult male circumcision will likely have the largest impact in populations where circumcision has been rare." And where else would it have the greatest impact of whatever sort? Among populations where it has been common? What does that even mean?

Continuing:

They highlight findings from a study of men attending a Baltimore sexually transmitted infection clinic, which found that whilst circumcision was not associated with a protective effect throughout the whole clinic population, it was associated with a reduced risk of infection among men known to have had unprotected sexual intercourse with HIV-positive female partners. The risk reduction was approximately 55%, although the confidence intervals of this estimate were wide (0.22–0.97) (Warner 2007).

It's hard to even know where to start with these kinds of reports when they are so over the top. The bottom line is HIV is actually quite rare in all ethnic groups. It is markedly higher in comparison with the majority white population, but that hardly makes it high enough to  recommend circumcision even if the claims for the procedure panned out. The groups where HIV is actually high are in gay men and intravenous drug users. Anyone else is wasting a good piece of skin if he thinks getting circumcised will have any effect on his level of risk. [Edit: Not to suggest gay men or  intravenous drug users wouldn't also be wasting a good piece of skin, that being the point of this post!]

That being understood, it is simply incomprehensible that "whilst circumcision was not associated with a protective effect throughout the whole clinic population," the authors could then go on to recommend its consideration anyway. You, the researcher/presenter, find no consistent protective effect, but you conclude "why not?" That's not an objective scientist talking. That's a man with an agenda. As always, tell him how you feel [after you read the article and review the presentation of course]: the CDC presenter's email: dwarner@cdc.gov .

Aidsmap article after the fold.

Continue reading ""We have no idea, so why not?" conclude researchers" »

Monday, August 20, 2007

Washington PR and the impotence of the American people; other stuff

I am not surprised that the AIDS policy decision makers in Washington have decided to fund a pretty shady policy in Africa, i.e. circumcision for the masses. Shady policy characterizes not just the Bush administration, but much of the US government since about 1944. But I was disappointed. As with a wayward child or an alcoholic parent, surprise is the first casualty in any such relationship. Yet somehow I've never lost the ability to be disappointed.

So why has former insurance executive and now Health and Human Services Secretary Mike Leavitt announced an attack on Africa with a speculative initiative to circumcise the entire adult male population, and possibly as many helpless infants? Because it wouldn't fly here. And maybe just because he can. After all, the big Johannesburg announcement [Washington Post article] smacked of stinking Washington PR. Does anyone think that parents in the United States would stand idly by while public health policy apparatchiks gave in to lobbyists to give away millions of dollars in circumcisions while 45 million Americans go without basic health insurance, much less basic timely health care? It's outrageous.

Meanwhile, Americans fall behind in longevity and infant mortality remains the highest in the developed world. The government steadfastly refuses to provide health care to children while playing around with mandatory health insurance schemes to line the pockets of the insurance lobby. Americans continue to tell pollsters they want a single payer health care system (not just affordable insurance coverage) and Washington continues to ignore them. Democracy? Where? When? HOW?

Yet nobody need stand by feeling helpless. You may in fact be helpless, but you needn't feel helpless. Put pen to paper and let them know how you feel.

Mr. Mike Leavitt
Health and Human Services Secretary
200 Independence Avenue, S.W.
Washington, D.C. 20201
Telephone: 202-619-0257
Toll Free: 1-877-696-6775 

In other news

Australia appears to be going in the other direction, at least in how public administrators regard the issue. Apparently, the province of Victoria has ordered a ban on neonatal circumcisions in public hospitals due to lack of necessity or purpose. The expected savings will be around AUS$2 million.

Meanwhile, the province of South Australia is undergoing a similar review with a report due out in a month or two.

Not to be outdone, Tasmania's Children's Commissioner, Paul Mason, was quoted thusly, "We're discriminating against the little baby boys themselves, because they're not safe [from circumcision] whereas the little girls are." He's prepared a report urging a ban to be forwarded to the state government for consideration.

Finally

Apologies to all for the erratic posting and slow responses to email. First, I was ill for a week. Nothing serious, just bad deli food. Then, I got backed up at the office. And then, frankly I spent a few days not wanting to think about circumcision. And now, I'm back. The posts probably will be intermittent while few conferences are in progress. But there will be posts, rest assured.

A call to blog

Diversity is highly underrated. But that's what we need. We need a chorus. And we have a chorus. But a chorus of bloggers with many different backgrounds, many different voices, and many different nuanced points of view would do wonders in influencing the debate. I hope people who follow this blog, whatever their point of view, will begin to speak regularly about this issue on their own websites. Don't feel helpless. Feel empowered by speaking out.

One thing that will always be true: there will always be little boys protected from circumcision as long as there are principled people who have declined to blindly follow the majority. Focus on these successes when the Leavitts of the world come crashing in. Eventually, there will be a majority that will not question the moral imperative to protect children from neonatal circumcision. Eventually, HIV will be defeated and one more bogus reason to impose ritual on a child will disappear. As surely as male neonates will continue to be born with foreskins, there will be people who believe they deserve to keep them -- indeed have an absolute right to keep them.

Thanks for the encouragement and support.

Wednesday, August 15, 2007

Quickpost: a series of anti-circumcision policy initiatives in Australia ...

Ok, this is lame. But time has been scarce lately.

Still, I wanted to mention and point out that there have been a number of policy initiatives in Australian provinces and/or hospitals against state-funded neonatal circumcision recently. A mini backlash? Perhaps.

Apologize for not having the links for this post -- especially to those of you who have sent them to me. A longer discussion later.

Sunday, August 12, 2007

Notebook: The Intellectual Elite vs The Rest of Us, 41 countries living longer than Americans

Why are people of greater education more accepting of circumcision?

Why is it that the argument over circumcision tends to be between circumcised men in circumcising countries? Isn't this an argument largely between the circumcised?

Why is the impact of dedicated human rights activists, doctors, legal professionals and public policy advocates opposing circumcision so slight and incremental and virtually invisible to the media?

How can non-MDs in the current era, such as Bailey, Halperin, and MDs of an earlier era, such as Fink, Schoen, and Wiswell, garner worldwide (or national for the latter group) headlines on the flimsiest of evidence touting circumcision when others pointing out the  harms, e.g. medical, psychological, and social, get virtually no play at all? (It took 30 years and thousands of studies to convince much of the scientific community of the carcenogenic effects of cigarettes, by way of comparison.)

There are no satisfactory answers to these questions. Nothing to suggest anything but a future of hard-slogging to end gratuitous genital mutilation. Still, I think we can make a fair guess that education eases the way into acceptance of normative views; circumcised men have ample psychological and other reasons to reject and defend circumcision; the opposition camp is a minority in a majority circumcised country, such as the US; and finally Bailey, Halperin, Fink, Wiswell, and Schoen are in the majority camp, and therefore are swimming with the stream and not against it.

In a related vein, Noam Chomsky recently gave an interview where he discussed how "[t]he community of technical intelligentsia, and weapons designers, and counterinsurgency experts, and pragmatic planners of an American empire is one that you have a great deal of inducement to become associated with." Quoting from an earlier response by Chomsky the interviewer said, "The  inducements, in fact, are very real; their rewards in power, and affluence, and prestige and authority are quite significant.”

I thought this was a profound point in understanding why certain points of view in the HIV/AIDS public health policy debate get major play and other equally valid points get drowned out, ignored, or labeled non-sense. In a significant (and long) quote, Chomsky continues. As you read through the following, think of the circumcision lobby when Chomsky refers to the military-industrial complex, or imperialists, or whatever label he may use to refer to other technical/technocratic groups.

From where may we trace the development of this strong coterie of technical experts in the schools, and elsewhere, sometimes referred to as a ‘bought’ or ‘secular priesthood’?

It really goes back to the latter-part of the nineteenth century, when there was substantial discussion -- not just in the United States but in Europe, too -- of what was then sometimes called ‘a new class’ of scientific intellectuals. In that period of time there was a level of knowledge and technical expertise accumulating that allowed a kind of managerial class of educated, trained people to have a greater share in decision-making and planning. It was thought that they were a new class displacing the aristocracy, the owners, political leaders and so on, and they could have a larger role -- and of course they liked that idea.

Out of this group developed an ideology of technocratic planning. In industry it was called ‘scientific management’. It developed in intellectual life with a concept of what was called a ‘responsible class’ of technocratic, serious intellectuals who could solve the world’s problems rationally, and would have to be protected from the ‘vulgar masses’ who might interfere with them. And, it goes right up until the present.

Just how realistic this is, is another question, but for the class of technical intellectuals, it’s a very attractive conception that, ‘We are the rational, intelligent people, and management and decision-making should be in our hands.’

Actually, as I’ve pointed out in some of the things I’ve written, it’s very close to Bolshevism. And, in fact, if you put side-by-side, say, statements by people like Robert McNamara and V.I. Lenin, they’re strikingly similar. In both cases there’s a conception of a vanguard of rational planners who know the direction that society ought to go and can make efficient decisions, and have to be allowed to do so without interference from, what one of them, Walter Lippmann, called the ‘meddlesome and ignorant outsiders’, namely, the population, who just get in the way.

It’s not an entirely new conception: it’s just a new category of people. Two hundred years ago you didn’t have an easily identifiable class of technical intellectuals, just generally educated people. But as scientific and technical progress increased there were people who felt they can appropriate it and become the proper managers of the society, in every domain. That, as I said, goes from scientific management in industry, to social and political control.

There are periods in history, for example, during the Kennedy years, when these ideas really flourished. There were, as they called themselves, ‘the best and the brightest.’ The ‘smart guys’ who could run everything if only they were allowed to; who could do things scientifically without people getting in their way.

It’s a pretty constant strain, and understandable. And it underlies the fear and dislike of democracy that runs through elite culture always, and very dramatically right now. It often correlates closely with posturing about love of democracy. As any reader of Orwell would expect, these two things tend to correlate. The more you hate democracy, the more you talk about how wonderful it is and how much you’re dedicated to it. It’s one of the clearer expressions of the visceral fear and dislike of democracy, and of allowing, again, going back to Lippmann, the ‘ignorant and meddlesome outsiders’ to get in our way. They have to be distracted and marginalized somehow while we can take care of the serious questions.

Now, that’s the basic strain. And you find it all the time, but increasingly in the modern period when, at least, claims to expertise become somewhat more plausible. Whether they’re
authentic or not is, again, a different question. But, the claims to expertise are very striking. So, economists tell you, ‘We know how to run the economy’; the political scientists tell you, ‘We know how to run the world, and you keep out of it because you don’t have special knowledge and training.’

When you look at it, the claims tend to erode pretty quickly. It’s not quantum physics; there is, at least, a pretense, and sometimes, some justification for the claims. But, what matters for human life is, typically, well within the reach of the concerned person who is willing to undertake some effort.

Given the self-proclaimed notion that this new class is entitled to decision-making, how close are they to actual policy, then?

My feeling is that they’re nowhere near as powerful as they think they are. So, when, say, John Kenneth Galbraith wrote about the technocratic elite which is taking over the running of society -- or when McNamara wrote about it, or others -- there’s a lot of illusion there. Meaning, they can gain positions of authority and decision-making when they act in the interests of those who really own and run the society. You can have people that are just as competent, or more competent, and who have conceptions of social and economic order that run counter to, say, corporate power, and they’re not going to be in the planning sectors.

So, to get into those planning sectors you first of all have to conform to the interests of the real concentrations of power.

And, again, there are a lot of illusions about this -- in the media, too. Tom Wicker is a famous example, one of the ‘left commentators’ of the New York Times. He would get very angry when critics would tell him he’s conforming to power interests and that he’s keeping within the doctrinal framework of the media, which goes back to their corporate structure and so on. And he would answer, very angrily -- and correctly -- that nobody tells him what to say. He wrote anything he wanted -- which is absolutely true. But, if he wasn’t writing the things he did he wouldn’t have a column in the New York Times.

That’s the kind of thing that is very hard to perceive.

People do not want,or often are not able, to perceive that they are conforming to external authority. They feel themselves to be very free, and indeed they are, as long as they conform. But power lies elsewhere. That’s as old as history in the modern period. It’s often very explicit.

Adam Smith, for example, discussing England, quite interestingly pointed out that the merchants and manufacturers, the economic forces of his day, are the ‘principal architects of policy’, and they make sure that their own interests are ‘most peculiarly attended to’, no matter how grievous the effect on others, including the people in England. And that’s a good principle of statecraft, and social and economic planning, which runs pretty much to the present. When you get people with management and decision-making skills, they can enter into that system and they can make the actual decisions within a framework that’s set within the real concentrations of power. And now it’s not the merchants and manufacturers of Adam Smith’s day, it’s the multinational corporations, financial institutions, and so on.

But, stray too far beyond their concerns and you won’t be the decision-maker.

It’s not a mechanical phenomenon, but it’s overwhelmingly true that the people who make it to decision-making positions (that is, what they think of as decision-making positions) are those who conform to the basic framework of the people who fundamentally own and run the society.

That’s why you have a certain choice of technocratic managers and not some other choice of people equally or better capable of carrying out policies but have different ideas.

What about degrees of responsibility and shared burdens of guilt on an individual level? What can we learn about how those in positions of power or authority often view themselves?

You almost never find anyone, whether it’s in a weapons plant, or planning agency, or in corporate management, or almost anywhere, who says, ‘I’m really a bad guy, and I just want to do things that benefit myself and my friends.’

Almost invariably you get noble rhetoric like: ‘We’re working for the benefit of the people.’ The corporate executive who is slaving for the benefit of the workers and community; the friendly banker who just wants to help everybody start their business; the political leader who’s trying to bring freedom and justice to the world--and they probably all believe it. I’m not suggesting that they’re lying. There’s an array of routine justifications for whatever you’re doing. And it’s easy to believe them. It’s very hard to look into the mirror and say, ‘Yeah, that guy looking at me is a vicious criminal.’ It’s much easier to say, ‘That guy looking at me is really very benign, self-sacrificing, and he has to do these things because it’s for the benefit of everyone.’

Or you get respected moralists like Reinhold Niebuhr, who was once called ‘the theologian of the establishment’. And the reason is because he presented a framework which, essentially, justified just about anything they wanted to do. His thesis is dressed up in long words and so on (it’s what you do if you’re an intellectual). But, what it came down to is that, ‘Even if you try to do good, evil’s going to come out of it; that’s the paradox of grace’. And that’s wonderful for war criminals. ‘We try to do good but evil necessarily comes out of it.’ And it’s influential. So, I don’t think that people in decision-making positions are lying when they describe themselves as benevolent. Or people working on more advanced nuclear weapons. Ask them what they’re doing, they’ll say: ‘We’re trying to preserve the peace of the world.’ People who are devising military strategies that are massacring people, they’ll say, ‘Well, that’s the cost you have to pay for freedom and justice’, and so on.

But, we don’t take those sentiments seriously when we hear them from enemies, say, from Stalinist commissars. They’ll give you the same answers. But, we don’t take that seriously because they can know what they’re doing if they choose to. If they choose not to, that’s their choice. If they choose to believe self-satisfying propaganda, that’s their choice. But, it doesn’t change the moral responsibility. We understand that perfectly well with regard to others. It’s very hard to apply the same reasoning to ourselves.

In fact, maybe the most elementary of moral principles is that of universality, that is, If something’s right for me, it’s right for you; if it’s wrong for you, it’s wrong for me. Any moral code that is even worth looking at has that at its core somehow. But that principle is overwhelmingly disregarded all the time. If you want to run through examples we can easily do it. Take, say, George W. Bush, since he happens to be president. If you apply the standards that we applied to Nazi war criminals at Nuremberg, he’d be hanged. Is it an even conceivable possibility? It’s not even discussable. Because, we don’t apply to ourselves the principles we apply to others.

There’s a lot of talk about ‘terror’ and how awful it is. Whose terror? Our terror against them? I mean, is that considered reprehensible? No, it’s considered highly moral; it’s considered self-defense, and so on. Now, their terror against us, that’s awful, and terrible, and so on.

But, to try to rise to the level of becoming a minimal moral agent, and just enter in the domain of moral discourse is very difficult. Because, that means accepting the principle of universality. And you can experiment for yourself and see how often that’s accepted, either in personal or political life. Very rarely.

41 Countries exceed the US in life expectancy

I thought it would be fun to go over the recently released list of countries' life expectancy generated by the US Census Bureau to see how many of the 41 countries that beat out the US are intact. But the report is in no way straightforward, and therefore the exercise would require more time than I have this morning. You can do it yourself with the data found here. Still, I would note that with the possible exception of Singapore, none of the top ten longevity-blessed countries circumcise their young. And they generally have very low HIV rates as well. The last ten are split about half and half. And for the record, I understand that the reasons for longevity are complex and likely have very little to do with whether or not the population generally circumcises. Rather it's the obverse point worth noting here. That is to say circumcision doesn't decrease life expectancy, but it certainly is no marker for longevity in any way whatsoever.

Tuesday, August 07, 2007

Foreskins first, tonsils next?

Not too long ago in the US, tonsillectomy was an extremely common procedure among children. Their frequency, just like for circumcision, peaked in the 1970s. Since then, doctors have been more skeptical about the benefits of the surgery and the rate of tonsillectomies has fallen to about one quarter of that in the 70s. According to a recent study, however, there is reason to scrutinize the tonsils once again. A study published in the American Journal of Pathology has shown that the tonsils are a vulnerable site for the transmission of HIV.

For this reason, researchers suggest people should use condoms to protect themselves from acquiring HIV and other sexually transmitted diseases through oral sex. Undergoing a tonsillectomy to remove the tonsils would be too drastic a measure based on current evidence, they add. "I think that would be a stretch," says Moutsopoulos. "We can't go taking out every tissue that HIV could pass through."

Reports the New Scientist in their recent article: Tonsils may help transmit HIV during oral sex.The chance of HIV transmission through oral sex is roughly 20% of that of transmission through genital contact.

Moutsopoulos stresses that the tonsils– which were removed routinely up until the late twentieth century – are now seen as a first line of defence in the immune system, alerting the body to potentially dangerous foreign particles.

But the foreskin is also a special part of the male genital organ. Besides its known protective, sensory and sexual function, there is also evidence, contrary to the currently accepted view, that the Langerin it produces is nature’s barrier to HIV. Yet, regarding the tonsils:

...[Moutsopoulos] does not believe there is enough evidence to warrant their removal as part of a prophylactic measure against HIV transmission.

And if there was, would this too be recommended? And where does it stop?

Tip Jar

Support us

Tip Jar

Site News

  • The AAP/CDC Project
    The CDC has come out with a misleading and counterproductive white paper on circumcision and HIV. Please check out the The AAP/CDC Project page for names and addresses of people you should contact to press the issue. Follow this [link] to go directly to that page.
  • The Projects, rewritten
    The Projects in the left sidebar have been reorganized, revised, and rewritten to include more information, easier navigation, and a clearer picture of their purpose. Check it out!

Welcome Message

Help Us Promote This Site!

  • This site needs exposure. We need people to come here and debate this issue. It isn't going away any time soon and neither are we. Therefore, get in the game and add your two cents to these life-altering issues. That's right. You can be a part of this website by leaving comments, linking to us, talking about us, leaving a tip in the Tip Jar, and passing our URL on to anyone interested in both HIV/AIDS prevention and the preservation and health of the human body. Thanks for visiting and for helping.

Navigation

Elsewhere on the Web

  • Circumcision and AIDS at MGMbill.org
    A decidedly anti-circumcision site with a calm approach to addressing the human rights issues likely to become problematic in the rush to roll out circumcision as an HIV prophylactic.
  • Circumcision and HIV at circumstitions.com
    One of the most thorough reviews anywhere of circumcision and the history behind the HIV prevention community's study of it. The science behind this prophylactic tool is much more equivocal than the most recent researchers would have you believe. New Zealand based.
  • Circumcision and HIV: Harm Outweighs Benefits from circumcision.org
    From the Circumcision Resource Center, Boston, Massachusetts. This human rights organization has published such books as Questioning Circumcision: A Jewish Perspective and Circumcision: The Hidden Trauma. Sitting on its board are a number of individuals affiliated with Harvard and other Ivy League institutions.
  • Circumcision and HIV infection from CIRP.org
    From the Circumcision Information Resource Pages. Not as up-to-date, but an excellent primer on the issue.
  • Doctors Opposing Circumcision statement on HIV
    Doctor's Opposing Circumcision is a Seattle based physicians group that provides education, information and advice on medical circumcision and its effects.
  • Statement on AIDS and Circumcision from the International Coalition for Genital Integrity
    Another thorough treatment of male circumcision's likely impact on the spread of HIV from an "alliance of organizations dedicated to protecting the normal anatomy of males, females and the intersexed ... [that] was formed to coalesce the many activist organizations, each with a specific focus, into one, common voice."
  • Does circumcision prevent HIV infection? - NORM-UK
    John Dalton puts together a critique of the African studies and their weaknesses. He examines the evidence, appropriateness, and possible outcomes from promoting circumcision and calling it a "prevention."

Sources

  • HIV/AIDS Medscape [free registration required]
    This site is owned by WebMD.com. It is a great source for breaking news. I wouldn't necessarily trust it completely on the issue of circumcision as it is US-based. But the HIV/AIDS coverage is pretty good.
  • UCSF HIV InSite Gateway to HIV Information
    The University of California - San Francisco is a leading medical teaching and research university in the HIV/AIDS field. Generally very reliable, it occasionally oversells or misstates the prevention message, most obviously and unfortunately regarding circumcision.
  • IRIN PlusNews
    I don't like this source because it tends to be a bit sensationalist, in my opinion. But it is pretty good for divining which way the wind is blowing.
  • Aidsmap: Circumcision News
    An otherwise great source, they have recently begun to climb on the bandwagon. The tone of the reports seem reticent as evidenced by their providing some great quotes. Coincidence? Inadvertent? Maybe, but hope not.

Medscape HIV/AIDS Headlines