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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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« Notebook: Circumcision as Lucky Charm | Main | S.F. General researchers follow strain of drug-resistant bacteria »

Friday, January 11, 2008

What will Klausner do if people simply don't want it?

Jeffrey Klausner has published a shrill piece [summary] in Future Medicine decrying the apparent lack of interest in circumcision, which he says is at least as good as any vaccine and the "'only modality for preventing' sexual HIV transmission that has been proven to work by the 'highest standards of scientific evidence.'" [Reference.] Moreover, he claims it prevents a myriad of other sexually transmitted diseases.

He's crazy.

Frankly, I'm not sure whether this is good news or bad news. Such shrillness surely signals the author's sense that people aren't as interested as he would like them to be. On the other hand, he clearly is signaling to the world that he intends to make this his life mission.

There's only one thing to do. Sharpen your pencils and ready yourself for Target Klausner.

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"They neglect to realize that, for example, HIV has been circulating in West Africa for over 80 years and yet there is still no country there, or elsewhere, where nearly all men are circumcised and adult HIV prevalence is above 6% "

Yoo hoo morons.

Cote d'ivoire:
http://www.unaids.org/en/CountryResp...e_d_ivoire.asp

Average HIV Prevalence: 7.1

According to most data, circumcision is regularly practice in the Ivory Coast

http://en.wikipedia.org/wiki/Circumcision_worldwide

Halperin and his ilk are so see-through.

Whoops, here's the right link for Ivory Coast's HIV prevalence rate:

http://www.unaids.org/en/CountryResponses/Countries/côte_d_ivoire.asp

Other circumcising countries with high HIV prevalence rates:

Nigeria
http://www.unaids.org/en/CountryResponses/Countries/nigeria.asp

Lesotho
http://www.unaids.org/en/CountryResponses/Countries/lesotho.asp

Kenya
http://www.unaids.org/en/CountryResponses/Countries/kenya.asp

Cameroon
http://www.unaids.org/en/CountryResponses/Countries/cameroon.asp

The 'only modality for preventing' sexual HIV transmission that has been proven to work by the 'highest standards of scientific evidence.'
eh?

I suppose all those circumcised men dying of AIDS in the US just happen to be hypochondriacs. Or maybe those "standards" Klausner is referring to just aren't high enough? (One can hardly call equipping newly circumcised men with condoms, advising them to engage in safer sex, and accrediting the lower incidence in HIV transmission to circumcision 'scientific.')

"Such shrillness surely signals the author's sense that people aren't as interested as he would like them to be."

Indeed, it is easy to see he doth protest too much.

He deserves the same attention as would be given to any 'scientist' proclaiming the wonders of blood-letting. A quack fond of a lie.

Shrill? You mean he sounds like so many of the [intactivists]?

You might say he sounds like a baby being circumcised.

Sadly, too many people get off to that.

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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