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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.

Contact

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

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Reports from the Field

Friday, May 02, 2008

Swaziland rolls out the billboards ...

Africacircbillboard_2

[Click on image to enlarge.]

Link: Circumcision. Billboard is in Swaziland, photo source: joe-ks.com (presumably pronounced "jokes"), "Largest Source of Internet Humour, eh!"

Thanks to Frank McGuinness and David Loewen.

Sunday, July 15, 2007

San Francisco AIDS Walk 2007

AidswalkcrowdA throng of humanity, 25,000 strong, stretched out from the stage in Golden Gate Park as far as a person at ground level could see. This was the opening ceremony for the annual San Francisco AIDS Walk to raise funds for the San Francisco AIDS Foundation, an organization at the vanguard of AIDS fundraising, outreach, support services, and the dissemination of evidence-based information for the worried, newly infected, and negative alike. These walkers raised over $4,000,000.00 this year.

It's a powerful experience to be in the presence of so many people who have such a singular goal: helping people with HIV/AIDS, keeping the negative people negative and comforting those newly infected and those left behind and those living with it everyday, and just being optimistic. I feel the same thing when I am engaged with Intactivists. But this is not to equate intactivism with the fight against AIDS -- or even to compare them. Yet, one is about life and death and the other is about dignity, quality of life, and human rights.

Aidswalkucsf_2

I understand the place each occupies on the ladder of worthy causes. It is because I understand what comes first that makes me sad that lives are being risked and gambled away because a few see an opening to promote circumcision in a fit of desperation or opportunism. We mustn't be desperate. We mustn't lose our cool at this stage. Too many positive developments are at hand for circumcision to distract us from the fight against AIDS or for AIDS to derail the progress made against male genital mutilation.

Imagine a world, to raise that famous line John Lennon sang for the first time so long ago. Except this time imagine a world without AIDS or circumcision. A place where we don't have to worry that a simple mistake could cost us our lives or the life of someone we love, or that the children of the world have to endure an indignity and mutilation yet again in the name of fear of disease.

Aidswalkredribbon

More photos after the break.

Continue reading "San Francisco AIDS Walk 2007" »

Tuesday, July 10, 2007

Former Special Envoy for AIDS/HIV in Africa calls for mass infant circumcision

I am passing this along for anyone who feels this is cultural opportunism at its worst (as I do) who may also wish to make their voices heard. As an aside, I am convinced the most effective advocacy of any point of view is to join the organizations and work to steer them in an ethical direction. Protesting outside is fine and necessary. But this problem needs insiders more badly than ever.

From Ron Low:

Hi David,

Ambassador Stephen Lewis said on the radio today that UNAIDS is now
calling for mass infant circumcision.  This is wrong, no?
-Ron

[As far as I know, UNAIDS has only endorsed adult male circumcision in high prevalence, low circumcision countries with a generalized epidemic. This would rule out all, but the sub-Saharan African countries.]

- - - - -

Stephen Lewis was on NPR's Worldview today [July 9]:

http://www.chicagopublicradio.org/Program_WV.aspx

... and he devoted considerable time to advocating mass infant circumcision as a way to fight AIDS.

He will speak at a fund-raiser Thursday evening near Children's Memorial [in Chicago].

My friends and I will be outside the event Thursday with signs reading "Condom: 3 cents, Foreskin: priceless" and "450,000 US men who died of AIDS were circumcised at birth" and "Infants don't have sex, HIS body HIS decision" and "ABSTAIN from cutting helpless infants" etc. AIDS-Free World fundraiser Thursday.

Ambassador Stephen Lewis, the former UN Special Envoy for AIDS/HIV in Africa will speak at a fundraiser for his new organization, AIDS-Free World, July 12th from 6pm to 8pm at Suzanne Cummings Flowers, 630 W. Webster St. Jerome McDonnell, host of WBEZ's "Worldview," hosts. Tickets are $100 and parking is available at Lincoln Park Hospital. Email july12thevent@gmail.com for more info. - - - - -

Regards,

-Ron Low

http://TLCTugger.com (products, support)
http://Foreskin-Restoration.net/forum (user group)

TLCTugger.com, Inc.
2020 Landwehr
Northbrook, IL 60062
ph: 847 414-1692 (Evenings, weekends, and 12-1pm weekdays)

Thursday, June 07, 2007

Let the fighting debate begin!

"Opt out" circumcision at birth? Who exactly is doing the opting?

“Thirty years from now we’ll be so glad we did it.” Who will be glad? The government? Surely not the individual who loses his foreskin and still becomes infected.

These are just some of the words spoken at the Third South African AIDS Conference. Fortunately, other points of view were heard.

“It’s all about cold steel – it’s more akin to sterilisation, it’s not like giving people clean water, it’s not like breastfeeding that we can all get warm and fuzzy about.”

“A mass circumcision programme is an experiment in disguise.”

Arguments that the procedure would not protect women and would disempower women were also heard. Other questions seemed to be left out, such as who is being targeted? Black South Africans who come from a culture of ongoing concurrent relationships or white South Africans who do not have this cultural background? How likely is it black South Africans will all end up circumcised and whites will not? What will this mean in terms of perpetuating divisions in society?

From all accounts, South Africa has a vast underclass of people living in poverty who are almost entirely black. The country has a minority white population who are far better off and hence have the advantage that whites in richer countries have, such as education, access to testing, condoms, treatment when necessary. It seems obvious this was what Timothy Quinlan of the Health Economics and HIV/AIDS Research Division at the University of KwaZulu Natal was thinking of when he said prevention needs to focus on the two factors known to have the biggest effect on HIV transmission rates: concurrent partnerships and high viral load during primary infection [paraphrase directly from the article].

Update: IRIN has a big front page article on the above conference session. It's bias is obvious giving scant coverage to the opposition. South Africa has a history of questionable approaches to the HIV fight. It is interesting to watch the hysteria around circumcision. It's like a mania. However, it is entirely understandable under the circumstances of a 29% infection rate. What is puzzling is that the white medical establishment seems so sold in that country. I think it must have its roots in circumcision rates of men of a certain age, much like the rest of the English-speaking world of that generation. It's all so explainable ... and lamentable. AIDS will continue to ravage SA until they face facts. Denial and something akin to superstition so far has been their reaction.

Full Aidsmap article next page.

Continue reading "Let the fighting debate begin!" »

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  • 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.
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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