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  • Male Circumcision and HIV provides a place for a public health policy debate on the linking of male circumcision and HIV/AIDS. It seeks to address questions of cost versus benefit, the effectiveness of circumcision in the fight against HIV/AIDS in real world settings, and the differing points of view of researchers, the media, and all contributors to the policy discussion.

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  • 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.

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« Study finds no protective effect in gay men from circumcision, so why are the authors still promoting it? | Main | And now this contradiction from China: Health Minister Chen Zhu says HIV slowing, China may consider circumcision in HIV fight »

Wednesday, November 28, 2007

China reports sharp drop in HIV cases - Yahoo! News

Experts have said the figures are probably accurate because they are in line with a change in the way data are collected.
...
Previous estimates were largely inflated and the new numbers are the result of a different methodology, which show that the AIDS pandemic is losing momentum.

It is hard to internalize the meaning of this development. The numbers have come down from nearly a million estimated HIV infected individuals to 223,501 individuals in a country of nearly a billion and a half. How do we reconcile the theories and beliefs of the circumcisionists with the reality of this intact nation? I don't think that we can. The reality is that HIV and its spread is a socially derived problem rather than one of biology. We don't breathe it in. Nor do we pick it up from unwashed food or unsterile surfaces. We get it from the most intimate contact, whether that be through sex or sharing objects that commingle our blood. It's sociology and the way we arrange our societies that will determine the course of this disease.

Edit: More detailed reports say that the suspected number of HIV infections probably stand around 700,000 rather than the number quoted above. The 223,501 are the confirmed cases.

Link: China reports sharp drop in HIV cases - Yahoo! News.

Full AP story below the fold.

China reports sharp drop in HIV cases

China has 223,501 people infected with HIV, the official Xinhua News Agency said Thursday, a sharp drop in previously reported figures.

The brief dispatch from Xinhua did not give any more details.

In 2004, China scaled back the estimated number of people infected with HIV, the virus that causes AIDS, from nearly 1 million people to 840,000, and then further lowered the estimate to 650,000 in 2005.

Experts have said the figures are probably accurate because they are in line with a change in the way data are collected.

HIV gained a foothold in China largely due to unsanitary blood plasma-buying schemes and tainted transfusions in hospitals.

After years of denying that AIDS was a problem, Chinese leaders have shifted gears dramatically in recent years, confronting the disease more openly and promising anonymous testing, free treatment for the poor and a ban on discrimination against people with the virus.

But the topic still remains very sensitive and authorities regularly crack down on activists and patients seeking more support and rights.

Global health officials said earlier this month that the estimated number of people infected with HIV around the world fell from almost 40 million last year to about 33.2 million this year.

Previous estimates were largely inflated and the new numbers are the result of a different methodology, which show that the AIDS pandemic is losing momentum.

The old AIDS numbers were largely based on how many infected pregnant women were at pre-natal clinics, as well as projecting the AIDS rates of certain high-risk groups like drug users to the entire population at risk. Officials said those figures were flawed, and are now incorporating more data like national household surveys.

Last week, David Ho, a well-known AIDS researcher who also runs a public awareness and prevention program in mainland China, said Beijing's previously revised figures likely reflected the change in method of calculation.

Reference

Staff reports. China reports sharp drop in HIV cases. Associated Press. November 29, 2007.

http://news.yahoo.com/s/ap/20071129/ap_on_he_me/china_aids&printer=1;_ylt=AsnimzMZTmLZIgDTiNt54FJa24cA       


 

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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