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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.
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    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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« Future Medicine: Male Circumcision is not the HIV vaccine we have been waiting for! | Main | Kenyan Muslim clerics declare war on condoms, Aidsmap reviews Halperin's call to abandon ABC »

Friday, May 09, 2008

Joint Harvard/Berkeley policy paper says drop ABC, adopt male circumcision

The points made in this paper to be published in the journal Science, are simply incorrect. In short, they are the opposite of the truth in HIV prevention. The authors urge dropping the ABC approach in Africa and focusing on male circumcision and campaigns to encourage the reduction of sexual partners.

If anything, this academically dishonest diatribe on what the authors say doesn't work, particularly viz condoms, is evidence of the authors' own agenda to promote circumcision for its own sake. Their reasons can only be explained as a personal infatuation with the act itself.

It is amazing to me that leading schools such as UC-Berkeley and Harvard have been the locus of this activity. It makes a mockery of academic freedom when biased, dangerous, and scientifically unsupported agendas rise to the top of such institutions' efforts.

At what point do people like Halperin, Potts, and their cohorts cross the line into the camp of deniers of HIV as the cause of AIDS, 9/11 government conspiracy theorists, and other assorted circus clowns? The level to which these people are capturing the attention and imagination of real policy makers is reminiscent of the beet juice and vitamin policies of South Africa's health ministers during the 90s.

[Note: I've done some minor editing and adding throughout for clarity.]

And the media obsession with circumcision continues in the Times of London.

The BBC has picked up the story as well, adding this sensible quote, "Roger England, chair of small Grenada-based think tank, Health Systems Workshop, said too much is being spent on HIV compared with other diseases which kill more people.

"He said globally HIV causes 3.7% of mortality but received 25% of health aid."

Where is the coverage of the antidote to Halperin's hysteria as demonstrated in Future Medicine?

Link: 05.08.2008 - More focus needed for effective HIV prevention strategies in Africa, says new policy paper.

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Comments

Why did Science Magazine publish this? The use of 3-cent condoms to decrease HIV transmission is both more effective per act and more cost effective than either male or female circumcision. Circumcision itself can be an entry point for the HIV virus into the patient , if equipment is not sterilized properly. This has been documented in young victims of FGM.

The surgical intervention offers NO PROTECTION to women, and at the same time reduces their negotiating power in requesting condoms.

In the short term, this publication will help Halperin et. al. score a few points toward tenure at their otherwise respected universities. In the long term, this premature and ill-considered suggestion is similar to the Tuskegee Experiment (USA, 1932-1972) but on a much larger scale.

It's hard to understand how such grossly misleading statements can be made like those in this article. It is as if they intend to undermine all the hard won progress made in Africa over the past 20 years. How can they say little progress has been made? How can they say that circumcision is the corner stone of prevention when circumcision can't stand on its own? Condoms can stand on their own. Being faith to your wife, girl friend, husband, or Boy Friend could stand on its own. What they are doing here boarders on criminal.

Insane. It's clear that these men are in love with circumcision and could care less about the HIV/AIDS epidemic.

Seriously, they chastise the abstinence policy and purport to replace with a policy that merely ENCOURAGES people to reduce their partners? What's the difference? One policy says don't have sex, and the other policy says have sex with only one person. Either way, many people are likely to not listen.

I think these guys are getting desperate to keep their fetish going. Really, when their opinion (and that's all it is light of the facts) flies in the face of both reason and observation, it can't be too long until the whole sorry house of cards falls. Reasonable people can see through their motives if they are given enough time and facts to think this question through.
KEEP hammering the facts home, we can win this, KEEP GOING!

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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