male circumcision doesn't work against HIV in the real world - Comment - Israel News | Haaretz Daily Newspaper
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    • Mark Lyndon
    • 03.06.13 | 12:21 (IDT)

    (I tried posting this earlier with supporting links, but it didn't go through, so I'm posting again without the links. Sorry if it appears twice.) From a USAID report: "There appears no clear pattern of association between male circumcision and HIV prevalence—in 8 of 18 countries with data, HIV prevalence is lower among circumcised men, while in the remaining 10 countries it is higher." It seems highly unrealistic to expect that there will be no risk compensation. The South African National Communication Survey on HIV/AIDS, 2009 found that 15% of adults across age groups "believe that circumcised men do not need to use condoms". It is unclear if circumcised men are more likely to infect women. The only ever randomized controlled trial into male-to-female transmission showed a 54% higher rate in the group where the men had been circumcised. ABC (Abstinence, Being faithful, and especially Condoms) is the way forward. Promoting genital surgery seems likely to cost African lives rather than save them.

    from the article: WHO approves Israeli-developed circumcision device
    First published 19:17 02.06.13 | Last updated 19:17 02.06.13
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