Re: GEN: Male Circumcision Cuts HIV Risk In Half
From: acmidwife@netscape.net
Thu Dec 14 08:44:26 2006
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Louana...
"Circumcision should be added to other prevention methods, not replace
them, he said."I think the article covered that this would be in conjunction with education etc. They are by no means saying that this is the final answer on slowing the spread of HIV. IF the research is legit and the conculsions they have drawn are sound, we should begin advocating circumcision. Cutting the spread of HIV in half (as they claim it does) is not a small matter.
We need to be open-minded. Recommendations change constantly as new research is done. This situation is no different.
ac mase CNM
-----Original Message-----
From: westsidebirthservice@juno.com
To: ob-gyn-l@dns.obgyn.net
Sent: Thu, 14 Dec 2006 9:26 AM
Subject: Re: GEN: Male Circumcision Cuts HIV Risk In Half
This is simplistic beyond belief. Depending on the country, many men in
African villages age circumcised by ritual at puberty (as are many of
the women). When I started a condom program in Liberia in Lofa county
(the upper part of the country) and asked the midwives about HIV they
said to me, "Well, they have HIV in Nigeria, not here." The discussion
about HIV in African countries needs to be much broader than simply
circumcise all males and irresponsible as well.
Louana
At Thu, 14 Dec 2006, art fougner, md wrote:
>
>Circumcising African men may cut their risk of catching AIDS in half,
>the National Institutes of Health said today as it stopped two clinical
>trials in Africa, when preliminary results suggested that circumcision
>worked so well that it would be unethical not to offer it to
>uncircumcised men in the trials.
>
>AIDS experts immediately hailed the result, saying it gave the world a
>new way to fight the spread of AIDS, and the directors of the two
>largest funds for fighting the disease said they would now consider
>paying for circumcisions.
>
>“This is very exciting news,†said Daniel Halperin, an H.I.V. specialist
>at Harvard’s Center for Population and Development, who has argued in
>scientific journals for years that circumcision slows the spread of AIDS
>in the parts of Africa where it is practiced.
>
>In an interview from Zimbabwe, Mr. Halperin added: “I have no doubt
>that, as word of this gets around, millions of African men will want to
>get circumcised and that will save many lives.â€
>
>But experts also cautioned that circumcision is no cure-all. It only
>lessens the chances that a man will catch the virus, it is expensive
>compared to condoms, abstinence or other methods, and the surgery has
>serious risks if performed by folk healers using dirty blades, as often
>happens in rural Africa.
>
>Sex education messages to young men need to make it clear that “this
>does not mean that you have an absolute protection,†said Dr. Anthony
>S. Fauci, an AIDS researcher and director of the National Institute of
>Allergy and Infectious Diseases, which sponsored the trials.
>Circumcision should be added to other prevention methods, not replace
>them, he said.
>
>http://www.nytimes.com/2006/12/13/health/13cnd-hiv.html?ei=5065&en=8833323645b51227&ex66677200&partner=MYWAY&pagewanted=print
>
>Art
>
>--
>art fougner, md
>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>
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