Re: GEN: Male Circumcision Cuts HIV Risk In Half

From: acmidwife@netscape.net
Thu Dec 14 08:46:01 2006

"Maybe Operation 'Tip of the Spear' for

instance???

Too bad you can't do adult circs with our nifty Mogan clamps."

Haha!:)

-----Original Message----- From: Darryl.elrod@LAKENHEATH.AF.MIL To: ob-gyn-l@dns.obgyn.net Sent: Thu, 14 Dec 2006 9:41 AM Subject: RE: GEN: Male Circumcision Cuts HIV Risk In Half

I read in the first article that they are worried that many men will seek out the services of a bush doctor with a rusty knife for the circumcision and by doing so increase the risk to them.

How about we arrange a humanitarian mission to go and do circs sort of akin to Operation Smile. Maybe Operation 'Tip of the Spear' for instance???

Too bad you can't do adult circs with our nifty Mogan clamps.

Glen

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D. Glen Elrod, Maj., USAF, MC

Obstetrician/Gynecologist

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RAF Lakenheath, England

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-----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Louana George, RN, LM, CPM, MA Sent: Thursday, December 14, 2006 3:26 PM To: Multiple recipients of list OB-GYN-L 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."
>
>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=8833
323645b51227&ex66677200&partner=MYWAY&pagewanted=print >
>Art
>
>--
>art fougner, md
>"May The Wings of Liberty Never Lose a Feather." - Jack Burton
>

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