Re: GEN: Male Circumcision Cuts HIV Risk In Half

From: acmidwife@netscape.net
Thu Dec 14 09:17:31 2006


Lounana....

The article is not the study itself. I have not read the study, but if it is a good one, it will cover all of the important issues you mentioned. We do not make or take medical recommendations from the media or articles on line. In my previous post I said IF..... and I meant it. When the study is out, we could discuss specifics on whether on not the research is appropriate, and how it would impact recommendations and practice... and to whom in might or might not apply (certainly not women....;).

As far as the article being patrionizing..... that is your opinion. If you are implying that they are treating Africa differently than other countries... you are probably right. Look at what is happening in Darfur.

The bottom line, in my opinion, is that IF this research passes the test of time and review and proves to be legit.... we will need to be open-minded. This does not just impact Africa.... IF it is true, we'd have to include this bit of information in the consent process in the US as well.

It is always concerning when the media jumps the gun on research, but it happens everyday. Recently I read that RU486 is a hopeful cure for breast cancer. As I read further into the article, it became clear that they have virtually no research that implies that is the case... they are speculating. Still, imagine if you were a woman struggling w/ breast cancer... and you read that. Hmmmm.

Time will tell.

Your work in Africa sounds like quite an experience. We need something like that in Papua New Guinea.... they are one of the fastest growing AIDS populations in the world.

ac mase CNM

-----Original Message----- From: westsidebirthservice@juno.com To: ob-gyn-l@dns.obgyn.net Sent: Thu, 14 Dec 2006 9:58 AM Subject: Re: GEN: Male Circumcision Cuts HIV Risk In Half

The article did not indicate which country it studied, what the male population they studied consited of, for instance, how many of the male population was already circumcised and how many not and how that realted to their stats. It also did not mention the sexual activity of this population. I still say it is irresponsible and simplistic to conclude that HIV transmission can be cut by 50% by circumcising the adult males. Africa is a very large Continent with many different countries whose circumstances, rituals, and belief systems vary greatly. And I think this article is patronizing--would there be such a recommendation for other countries with high HIV rates who don't circumcize routinely? Louana

At Thu, 14 Dec 2006, acmidwife@netscape.net wrote: >
> Louana...
>
> "Circumcision should be added to other prevention methods, not replace
>
>g the spread of HIV in half (as they claim it does) is not a small matter.
>
>h 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.
>>
>V. specialist
>in
>>scientific journals for years that circumcision slows the spread of AIDS
>>in the parts of Africa where it is practiced.
>>
>t
>>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.
>>
>s
>ony
>>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.
>>
>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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