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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.]

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(F)requently (A)sked (Q)uestions

1. Who is behind this blog?

This blog was started by a lawyer from San Francisco in December of 2006 shortly after American researchers announced results of two studies that set out to prove the procedure reduced the risk of HIV infection.

2. What is its purpose?

The purpose is to sort through the claims of researchers primarily from the United States who have recently made claims that male circumcision "prevents" or reduces the risk of HIV infection in populations where the primary mode of transmission is heterosexual intercourse. It is also to respond to public health policy makers, reporters, and circumcision advocates who have used the epidemic of HIV/AIDS to promote the practice in inappropriate populations.

3. Who pays for it?

The cost of domain registration, hosting, and other actual expenses is borne entirely by donations. The cost in time to review articles, papers, and books, and write and edit entries is unpaid.

4. Who writes the posts?

At the moment, the founder of the blog, David Wilton, is the only author of entries. Guest authors will be added as candidates accept an extended invitation to write for the blog or come forward to offer their editorial skill. Adrienne Soti has provided research assistance and monitoring of the media.

5. Why haven't you responded to my email?

We respond to all emails. David Wilton will not respond to emails except to those directed to the (semi-)official email address on the website. He has another email address on his law office website that is easy enough to find. However, that address is for the sole use of his law practice. He deletes emails and then blocks the sender of said emails on the subject of male circumcision and HIV. Readers that wish to debate a specific point brought up in a blog post are encouraged to do so in the comments. Such a debate will not be entertained privately in email exchanges as the purpose of this blog is to be a public health policy blog with an emphasis on the public.

6. Are you against circumcision?

No. However, we believe that circumcision is a special case in surgical treatments as it entails a cosmetic and sexual change in the body that cannot be reversed. Our intent is to discuss the wisdom of promoting circumcision inappropriately or unethically to combat the spread of HIV/AIDS. We oppose circumcision where informed consent is unavailable or not possible and where said consent fails to address the issue of damage or injury to the penis and loss of sexual function and sensation. We support a man's inherent right to refuse both circumcision and medical treatment generally (autonomy). Where consent is freely given with full disclosure of the procedure's limitations and costs, we do not oppose the practice for cosmetic purposes or perceived health benefits. Based on the forgoing issues of consent and autonomy, we believe infant circumcision is never justified.

7. Do you accept that the Human Immunodeficiency Virus (HIV) causes Acquired Immune Deficiency Syndrome (AIDS)?

Yes. We believe the research that shows AIDS is caused by HIV. We have accepted this truth from the founding of this website, and the authors have always accepted that HIV is the cause of AIDS.

8. What is your position viz. HIV/AIDS prevention and management?

We support the proven methods of HIV prevention that have been used to successfully stem the spread of the disease in such diverse countries as Brazil, Thailand, and the high risk communities of developed countries in Europe and North America. These methods are wide distribution of condoms, widespread testing, needle exchange, encouragement of open discussion on sero-status before and after sexual encounters, drug abuse treatment and prevention efforts, and freely available and accessible treatment options that have proven so effective at stemming infection in their own right.

9. Why a blog?

Prior to starting this blog, there was no regularly updated blog on the issue of male circumcision. Frankly, the factual issues were pretty well represented and discussed in more static websites. When HIV and circumcision began to be linked and promoted, it seemed like the right time to begin an ongoing discussion of the type that is really well-suited for blogging.

FAQ vers. 0.1.5 [updated 7/24/2007]

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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