Circumcision Is Recommended to Fight HIV

Mar 28, 8:00 AM (ET)

By ALEXANDER G. HIGGINS

GENEVA (AP) - U.N. health agencies recommended Wednesday that heterosexual men undergo circumcision because of "compelling" evidence that it can reduce their chances of contracting HIV by up to 60 percent.

But World Health Organization and UNAIDS experts said men need to be aware that circumcision is only partial protection against the virus and must be used with other measures.

"We must be clear," said Catherine Hankins of UNAIDS. "Male circumcision does not provide complete protection against HIV."

Studies suggest 5.7 million new cases of HIV infection and 3 million deaths over 20 years could be prevented by male circumcision in sub-Saharan Africa, the agencies said.

Still, men and women who consider male circumcision as an HIV preventive method need to continue using other forms of protection such as male and female condoms, abstinence, delaying the start of sexual activity and reducing the number of sexual partners, she said.

Otherwise, they could develop a false sense of security and engage in high-risk behaviors that could undermine the partial protection provided by male circumcision, the agencies said.

Men also should be warned that they are at a higher risk of being infected with HIV if they resume sex before their wound has healed. Likewise an HIV-positive man can more easily pass on the disease to his partner if the wound is still unhealed.

The recommendations were based on a meeting earlier this month in Montreux, Switzerland, where experts discussed three trials - in Kenya, Uganda and South Africa - that produced "strong evidence" of the risk reduction resulting from heterosexual male circumcision.

"Based on the evidence presented, which was considered to be compelling, experts attending the consultation recommended that male circumcision now be recognized as an additional important intervention to reduce the risk of heterosexually acquired HIV infection in men," a joint statement said.

The agencies said much depends on the situation in a given country, and little general benefit will result in countries where the HIV epidemic is concentrated among sex workers, injecting drug users or men who have sex with men.

The public health impact is likely to be most rapid where there is a high rate of HIV infection among men having sex with women.

"It was therefore recommended that countries with high prevalence, generalized heterosexual HIV epidemics that currently have low rates of male circumcision consider urgently scaling up access to male circumcision services," the agencies said.

More study is needed to determine whether male circumcision will cut the transmission of HIV to women. More study also is required to find out whether male circumcision will reduce HIV infection in homosexual intercourse, it said, but it said promoting circumcision of HIV-positive men was not recommended.

"The recommendations represent a significant step forward in HIV prevention," said Dr. Kevin De Cock, director of WHO's HIV/AIDS department. "Countries with high rates of heterosexual HIV infection and low rates of male circumcision now have an additional intervention which can reduce the risk of HIV infection in heterosexual men."

Increasing male circumcision in areas where it the procedure is rare will result in immediate benefit to the men circumcised, but it will take years before there will be an impact on the epidemic.

Although the rate of circumcision varies considerably from country to country, globally an estimated 665 million men, or 30 percent of men in the world, are circumcised, the statement said.

The agencies said the risks involved in male circumcision are generally low, but can be serious if the operation is performed in unhygienic settings by poorly trained, ill-equipped health workers.

Priority should be given to providing circumcision to age groups at highest risk of acquiring HIV because it will have the most immediate impact on the disease. But, it said, circumcising younger males also will have a public health impact over the longer term.

It gave no estimate how much providing the service would cost, but said more money would be needed, but that donors should regard it as "an important, evidence-based intervention."

As my dear old dad says: HIV is for *** and ***.

Uh-oh.

I'm buying stock in Moyels-R-Us.

I think we're being hoodwinked.

__________________
You don't need a weatherman to know which way the wind blows - Robert A. Zimmerman

My apologies everyone, it was a comment in jest but evidently I overstepped the mark.

You whimp.............

__________________
Matt (SD,CA)

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Fight the good fight!......

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It's OK.

__________________
You don't need a weatherman to know which way the wind blows - Robert A. Zimmerman

I heard this quote from G. Gordon Liddy. It gave me food for thought. It might do the same for you...

"The chances of being infected with HIV in the United States are one in a hundred-thousand if you are NOT a homosexual, intravenous drug user and practice safe sex. Don't let the "gay community" scare you into giving them your money."

The Public Service Announcements on TV don't want you to know this.

I think this study is seriously flawed. It is more likely than not that countries with higher rates of circumcision have better health care, better education, higher standards of living, etc (not that circumcision enabled all of those things). To get resultsyou could trust you would have to perform an experiment along these lines, take 10,000 men who have been circumcised, and 10,000 who have not and make them all have unprotected sex with someone who is confirmed to have HIV and then check the infection rates. I'm guessing both groups would have equal infection rates. I don't think that any kind of forced circumcision policy will actually reduce the spread of HIV, any money spent is better spent on education and protection. There have been studies done in third world countries where two-thirds of the population responded that attractive people could not get AIDS/HIV. Tell me with that kind of knowledge people are protecting themselves.

PS. That's doctor from WHO's name makes me think this whole article was just made up.

__________________
Jason Priest
1999 E430
1995 E420 - retired
1986 420SEL - retired

So only 3,000 "innocent" Americans will contract HIV? Oh, well that's not so bad. Donation? Frick 'em.

The mainstream liberal media would have you believe that there is an HIV/AIDS epidemic in the U.S. There isn't folks...

If the "alternative lifestyle", "intravenous drug user" types want ME to donate to their problem... Stand in line, there are a thousand better charities that get my money first.

BTW, you're quoting a man who once ate a rat and wrote a book about it. His lid may not be screwed on too tight.

Yeah, but he's entertaining. Ozzie Osbourne bit the head off a bat once, I believe. Ya gotta admire the lengths our entertainers are willing to go to for our sakes!

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" We have nothing to fear but the main stream media itself . . . ."- Adapted from Franklin D Roosevelt for the 21st century

OBK #55

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