Intactivism News

October - December 2007

To more recent news

(More recent items first)

Earlier items

 

Treading on shaky legal ground....

Jewish Daily Forward
December 26, 2007

Mohels Give Non-Jewish Babies a Slice of Tradition

By John MacDonald

When his son was born, Reverend Louis DeCaro Jr. was dismayed to learn that none of the doctors on call at Manhattan’s Allen Pavilion hospital had time to perform the circumcision. [That's what they said. Or are they starting to have ethical qualms?] At a loss, the DeCaros turned for advice to their Manhattan pediatrician, Andrew Mutnick, who offered a simple solution: Hire a Jewish ritual circumciser, known as a mohel.

...

“When [a circumcision] is done by a mohel, you appreciate the gravity, the beauty of the religious connotations,” DeCaro said in an interview with the Forward. ["You" may - the baby certainly doesn't.]

... Sherman, 51, may be one of the most prolific circumcisers in the tri-state area, ["prolific" means you abundantly create something....] but others — including Emily Blake in New York and Joel Shoulson in Philadelphia — have also found their services called upon by non-Jewish families. While it’s not clear exactly how many mohels offer nonritual circumcisions, the practice is, according to Shoulson — an Orthodox-trained mohel who has circumcised Muslims, Buddhists, Taoists and Hindus during his 50-year career — very widespread.

“Almost everybody else does it,” he said.

According to Blake and Shoulson, non-Jews make up between 2% and 5% of their clientele. Some, like the DeCaros, are motivated initially by practical circumstances, but others seem drawn to the mohels for spiritual reasons, if not explicitly religious ones. Both Blake and Sherman have even been approached by “Torah-observant Christians” — those dedicated to observing Old Testament commandments — seeking to have their sons circumcised on the eighth day after the birth. In all cases, families say they are drawn to the intimacy and convenience of a nonritual circumcision performed at home.

Manhattan pediatrician Susan Levitsky makes a point of recommending non-Jewish patients to mohels. Levitsky said she’s been passing out Sherman’s number more often these days, because concerns over hospital-bred infections are rising. “Why would you want to be around an environment with germs?” she asked. [Like the hasidim of New York are noted for their aseptic conditions?]

That’s precisely the question posed at www.holisticcircumcision.com, a site that Sherman set up for non-Jewish parents. On it, he describes a “quicker, gentler, and more humane” circumcision carried out without the use of “drugs, injections or creams” (he suggests sugar water or wine) in an environment that’s “spiritual and meaningful” instead of “clinical and cold.” ["Clinical and cold" are concerns of the parents, not the baby. Circumcision will be "gentle and humane" when it's without the use of surgery.]

...

Two months ago, Nate Sadeghi-Nejad and his wife, Janine Foeller, were denied a circumcision at New York-Presbyterian/Weill Cornell hospital because of a staph outbreak. After the first mohel the couple contacted refused to operate because they weren’t Jewish, Foeller’s postpartum doula gave them Sherman’s number.

Their son’s circumcision was a success. [If it hadn't been, would Sherman have been guilty of practising medicine without a licence, or what?] Foeller was comforted that Sherman used sugar water as a mild anesthesia [Would she have been "comforted" to have been given sugar water at his delivery?] instead of a topical pain reliever, while her husband — who worried about the “see one, do one, teach one” circumcision practices at hospitals — was impressed by Sherman’s know-how. “I’m a firm believer that any procedure, minor or major, should be done by the person who does it the most,” he said.

Mohels aren’t always second choices. Nearly two years ago, Jeannie Noth Gaffigan and Jim Gaffigan gave birth to their first son at home through the assistance of a nurse-midwife. Though the decision to circumcise wasn’t a religious one, as Catholics the Gaffigans wanted more than a simple medical procedure. ...

As a former obstetrician/gynecologist, Blake said she saw her work as a commitment to her patients [A healthy baby is not a patient.] ...

 

But Intactivists are "alarmist fanatics" for linking it to circumcision ...

paper
December 21, 2007

Texas Football Succumbs to Virulent Staph Infection From Turf

By Victor Epstein

Dec. 21 (Bloomberg) -- Missy Baker recalls the moment when she realized that her football-playing son, Boone, didn't just have the flu.

``He told me he was paralyzed,'' Baker said. ``I said, `What do you mean? I just saw you walk to the bathroom two hours ago.' And he said, `Mom, I can't move my arms or legs.'''

Sixteen-year-old Boone, a wide receiver for Texas's Austin High School, was suffering from a recurrence of methicillin- resistant staphylococcus aureus, or MRSA, which his doctor said he got through an abrasion from playing on artificial turf, Baker said.

Texas has artificial turf at 18 percent of its high school football stadiums, according to Web site Texasbob.com. It also has an MRSA infection rate among players that is 16 times higher than the estimated national average, according to three studies by the Texas Department of State Health Services.

``This is a disease that can kill you,'' said Carolina Espinoza, a graduate epidemiology student at the University of Texas in Houston, who helped conduct one of the studies. ``If I were a football player, I would be alarmed.''

MRSA is a virulent strain of drug-resistant staph bacteria that plagued hospitals for decades and migrated into the general population in recent years, said Edward Septimus, an infectious disease specialist at Methodist Hospital System in Houston. Without proper treatment, it can spread to internal organs and bones after reaching the bloodstream, causing organ failure, he said.

...

``The turf burns themselves are just the kind of minor skin injury that MRSA can exploit,'' said Elliot Pellman, medical liaison for the National Football League, which also has had infections among its players.

...

MRSA causes more deaths than any of the 51 infectious diseases tracked by the CDC, including AIDS, according to CDC data. The agency doesn't require medical professionals to report MRSA cases.

... Researchers including Septimus blame MRSA's spread on overuse of antibiotics. A CDC report in the Journal of the American Medical Association showed that MRSA caused three times more infections than previously thought.

... Baker said she was shocked to learn how pervasive MRSA is. It's also persistent: Boone was originally diagnosed in October 2006, and the infection returned last January. He had three surgeries to remove infected tissue and spent three weeks in the hospital.

...

 

New Vision (Uganda)
18 December, 2007

Uganda: Kasese, Bundibugyo Asked to Suspend Circumcision

Anne Mugisa
Kampala

THE Ministry of Health has asked the people of Bundibugyo and Kasese to suspend their circumcision ceremonies due this festive season until the Ebola epidemic is contained.

The commissioner for health services, Dr. Sam Okware, told journalists yesterday that the ministry is holding discussions with the communities to suspend the practice, adding that the district authorities should make by-laws to suspend circumcision.

Circumcision among the Bamba and Bakonjo was in the past conducted every five years but recently, the practice has been taking place between the end and the beginning of the year.

The health state minister, Dr. Emmanuel Otaala, said another suspected case of Ebola had been reported in Congo on the Bundibugyo border.

... He added that 39 patients, including six health workers, had recovered and were discharged.P> ... The remaining patients, he said, are expected to be discharged in a few weeks. <

 

If in doubt, promote circumcision.

L A Times
December 16, 2007

A TIMES INVESTIGATION

Unintended victims of Gates Foundation generosity

Donations to fight AIDS, TB and malaria in Africa have inadvertently put many of those with other basic healthcare needs at risk.

By Charles Piller and Doug Smith, Los Angeles Times Staff Writers
December 16, 2007

MASERU, LESOTHO -- A neighbor shaved Matsepang Nyoba's head with an antiquated razor. Blood beaded on her scalp. Tears trickled down her cheeks, but not because of the pain. She was in mourning, and this was a ritual.

Two days earlier, her newborn baby girl had died in the roach-infested maternity ward of Queen Elizabeth II, a crumbling sprawl that is the largest hospital in Lesotho, a mountainous nation of 2.1 million people surrounded by South Africa.

Nyoba, 30, whose given name means "mother, have hope," has AIDS. But that is not what killed her baby daughter, Mankuebe.

Nyoba owes her own life to the Bill & Melinda Gates Foundation, which has given $8.5 billion to global health causes. Through its grantees, including the Global Fund to Fight AIDS, Tuberculosis and Malaria, the foundation underwrites, inspires or directs major efforts to prevent, cure or treat those diseases. The fund pays for Nyoba's costly AIDS medicine.

But when she gave birth on a recent Sunday morning, her baby was suffering from a different kind of distress. The infant was limp and barely breathing. A nurse rushed her to the nursery, packed with sick babies, some two to a crib. Jury-rigged stethoscope tubes let six of the babies share lifesaving oxygen from a single valve.

There was no oxygen tube for Mankuebe. She asphyxiated for lack of a second valve. It would have cost $35.

The hospital, with no staff to move Mankuebe's remains to the morgue, placed her body on a shelf near the delivery room while her father arranged for burial. The tiny corpse was swaddled in a baby blanket. A handwritten death notice was stuck to the blanket with a used hypodermic needle.

The Gates Foundation, endowed by the personal fortunes of the Microsoft Corp. chairman, his wife and Berkshire Hathaway Inc. Chairman Warren E. Buffett, has given $650 million to the Global Fund. But the oxygen valve fell outside the priorities of the fund's grants to Lesotho.

Every day, nurses say, one or two babies at the hospital die as Mankuebe did -- bypassed in a place where AIDS overshadows other concerns.

Mixed effects

The Gates Foundation has targeted AIDS, TB and malaria because of their devastating health and economic effects in sub-Saharan Africa. But a Times investigation has found that programs the foundation has funded, including those of the Global Fund and the GAVI Alliance, which finances vaccines, have had mixed influences on key measures of societal health:

  • By pouring most contributions into the fight against such high-profile killers as AIDS, Gates grantees have increased the demand for specially trained, higher-paid clinicians, diverting staff from basic care. The resulting staff shortages have abandoned many children of AIDS survivors to more common killers: birth sepsis, diarrhea and asphyxia.
  • The focus on a few diseases has shortchanged basic needs such as nutrition and transportation, undermining the effectiveness of the foundation's grants. Many AIDS patients have so little food that they vomit their free AIDS pills. For lack of bus fare, others cannot get to clinics that offer lifesaving treatment.
  • Gates-funded vaccination programs have instructed caregivers to ignore -- even discourage patients from discussing -- ailments that the vaccinations cannot prevent. This is especially harmful in outposts where a visit to a clinic for a shot is the only contact some villagers have with healthcare providers for years.

The Gates Foundation's largest grants for healthcare in Africa go to two organizations: the Global Fund and Geneva-based GAVI. The foundation formed GAVI and has given it $1.5 billion of more than $1.8 billion it has donated for vaccination programs. The Gates Foundation holds a seat on each group's board of directors and helps determine their policies and priorities.

Because of the generosity of the foundation and other donors, millions of children have been protected against scourges such as malaria and measles -- and AIDS deaths in much of Africa are finally leveling off. Dr. Mphu K. Ramatlapeng, Lesotho's health minister, echoed health authorities worldwide when she said this would have been impossible "if it were not for the money from Bill Gates."

But because of the overwhelming nature of AIDS, wartime disruptions and poor governance in some nations -- and because of the priorities of global health groups, including GAVI and the Global Fund -- key measures of societal health have stalled at appalling levels or worsened.

... By 2005, health expenditures per capita in Botswana, boosted by the Gates donations, were six times the average for Africa and 21 times the amount spent in Rwanda.

Deaths from AIDS fell sharply.

But AIDS prevention largely failed. HIV continued to spread at an alarming pace. A quarter of all adults were infected in 2003, and the rate was still that high in 2005, according to the U.N. Program on HIV/AIDS. In a 2005 survey, just one in 10 adults could say how to prevent sexual transmission of HIV, despite education programs.

...

Yamada, the Gates Foundation official, said research was needed to determine whether "vertical" aid, such as the foundation's Botswana program, had contributed to brain drain and higher mortality.

To bolster basic healthcare in Africa, he proposed that universities in rich nations help found medical schools on the continent. And he challenged African nations to spend at least 15% of gross domestic product on health.

As of 2004, only 13 countries worldwide spent as much as 10%, and only one African country, Malawi, is among them.

Yamada said the foundation had asked Botswana to focus more on AIDS prevention -- including circumcision, which can reduce susceptibility to HIV.

"I don't know what to do there, frankly," to reduce unsafe sex, short of "changing the hearts and minds of the people," he said.

...

 

Mail & Guardian
December 16, 2007

Islamic scholar opposes ban on female circumcision

Marwa Al-A'Sar | Cairo, Egypt

In an act that has sparked outrage among Egyptian women's rights activists, a controversial Islamic scholar filed a lawsuit against the minister of health protesting against a recent ban on female circumcision, a practice referred to by rights groups as female genital mutilation (FGM).

Egyptian Sheikh Youssif al-Badri claims the ministerial decree violates the Egyptian Constitution as well as Islamic principles.

Conservative Muslim and Christian Egyptian families have their daughters circumcised as a means to preserve their chastity. Recent studies revealed that about 90% of Egyptian women have been subjected to the practice.

In June, the Health Ministry banned doctors and nurses from carrying out the procedure. The announcement followed the death of an 11-year-old girl in Upper Egypt as a result of the procedure. Medics who carry out circumcisions may face imprisonment and being stripped of their medical licences.

While al-Badri argues that the practice is necessary in curbing women's sexual inclinations, women's rights activists and physicians disapprove of his view.

"Many of the circumcised women who seek our help were traumatised, having no ability to lead a normal sex life, which affects their relationships with their husbands," said Nihad Abul-Qomsan, head of the Egyptian Centre for Women's Rights.

She accused Muslim sheikhs in the Arab world of being distracted from the vital issues. "No one of the sheikhs coming up with such arguments has ever considered in his agenda the deteriorating socio-economic conditions we are undergoing," she noted. "Instead they try to play the role of the Islam advocates."

Egypt's top Islamic and Christian authorities were quick to voice support for the ban, saying the practice had no basis either in the Qur'an or in the Bible.

"The Constitution is based on the Islamic sharia law, which does not stipulate FGM, giving a wife the right to enjoy sex with her husband," Khalil Mustafa Khalil, who holds a master's degree in FGM legislation, told the independent al-Badeel newspaper.

...

 

Why?

Daily Nation (Kenya)
December 14, 2007

Boy bleeds to death after 'cut'

Story by EDWARD KOECH

A 13-year-old boy has bled to death after he was circumcised at home in West Pokot.

The Standard Five pupil at Kwonesis Primary School from excessive bleeding after being circumcised by a traditional attendant at his home in Kospot village, Chesegon Division on Wednesday.

The boy, who was among others who underwent the cut has already been buried secretly in the bush in Sigor constituency location.

Circumcision of both boys and girls is rampant and highly valued by the community.

Chesegon division district officer Justus Motanya confirmed the death, adding that investigations were going on.

In a[n un]related incident, an administration policeman was seriously injured after he was stoned by villagers.

The attack came after police officers tried to stop the villagers from having three girls in Kepiam village in the district circumcised.

A clergyman had alerted the local Provincial Administration of the planned circumcision, prompting them to immediately dispatch police officers to the village to stop the ceremony.

But when the armed police officers arrived at the home where the ceremony was taking place, the villagers became wild and attacked them using stones, clubs and other weapons injuring one on the head.

Sook division district officer Alvis Kolum said policemen shot in the air to scare the villagers away but they kept advancing and daring them to shoot with live ammunition.

Mr Kolum said police retreated and avoided a clash, and the villagers also retreated but proceeded with the ceremony.

The girls are aged between 13 and 15 years.

["But the horrors of female 'circumcision' must not be compared to the benign male operation..."]

 

ABC news
December 9, 2007

Doctors back call for circumcision ban

The Australian Medical Association has backed a call for laws banning the non-essential circumcision of infant boys.

The Tasmanian Children's Commissioner, Paul Mason, says non-medical circumcision is a breach of human rights.

The AMA's Tasmanian President, Haydn Walters, says they would support a ban on the practice, except where there are medical or religious reasons.

He says there is only rarely a medical need to carry out the procedure.

"There were quite a lot of folk myths around the advantages of circumcision. They've almost all been debunked," Prof Walters said.

"There are some minimal advantages in some circumstances, particularly in some infectious diseases, but they're overwhelmingly balanced by disadvantages in other areas," he said.

The Commisioner's press release of December 6, 2008

 

Never mind testing, circumcise!

New Vision (Uganda)
December 7, 2007

Ministry to roll out free circumcision

By Hilary Bainemigisha

THE Ministry of Health is planning to roll out circumcision free-of-charge countrywide as a preventive strategy against HIV/AIDS, Dr Sam Zaramba, Director General, Health Services has said.

... . It was also suggested that testing before circumcision should not be mandatory because it may discourage some people and the Government does not have resources to test everyone.

...

 

Once was not enough... they did it their way.

IOL.co
December 4, 2007

Forcible circumcision heads for court

A civil society organisation says it is to launch Equality Court proceedings on behalf of an Eastern Cape youth said to have been forcibly circumcised.

The Justice Alliance of SA (Jasa) said on Tuesday it had agreed to act free of charge for 19-year-old Bonani Yamani.

It claimed he was subjected to traditional circumcision in March 2007 after having himself circumcised at East London's Frere Hospital three months earlier.

"Bonani had made it clear that his conscience and religious beliefs did not allow him to undergo the traditional Xhosa rite," Jasa said in a statement.

Yamani is reportedly a devout Christian.

Jasa said it had written in October 2007 to Ngangomhlaba Matanzima, head of the Eastern Cape House of Traditional Leaders, and provincial leader of the Congress of SA Traditional Leaders Mwelo Nkonyana, asking for an apology to Yamani and an assurance that no one else would be subjected to circumcision against his will.

There had been no response.

"We have accordingly written again to both chiefs saying that we have no choice but to commence proceedings in the Equality Court ... on behalf of Bonani," Jasa said.

The Cape Town-based Jasa, which describes itself as "a coalition committed to the highest moral values in South African society", has previously been involved in anti-abortion lobbying. - Sapa

 

So now it's all about race...?


December 4, 2007

Circumcision does not affect HIV in U.S. men

Removing foreskin no protection for American men of color, study finds

WASHINGTON - Circumcision may reduce a man's risk of infection with the AIDS virus by up to 60 percent if he is an African, but it does not appear to help American men of color, U.S. researchers reported on Monday.

Black and Latino men were just as likely to become infected with the AIDS virus whether they were circumcised or not, Greg Millett of the U.S. Centers for Disease Control and Prevention found.

"We also found no protective benefit for a subset of black MSM (men who have sex with men) who also had recent sex with female partners," Millett told reporters in a telephone briefing.

[Some] Doctors believe circumcision protects men because of specialized cells in the foreskin of the penis, which is removed in the procedure. The foreskin is filled with immune cells called Langerhans cells, which are the immune system's sentinels and attach easily to viruses - including HIV.

In addition, sexual intercourse may cause tiny tears in the foreskin [or the remainder of the penis], allowing the virus into the bloodstream.

The data has been so clear that the World Health Organization now recommends circumcision as one of the ways to prevent HIV infection. But circumcision does not protect men 100 percent - the studies in Africa have suggested it is 50 to 60 percent protective.

Millett's team studied 1,079 black and 957 Latino bisexual and homosexual men from New York City, Los Angeles, and Philadelphia. They filled out a computer survey and were tested for the AIDS virus.

"Overall, we found no association between circumcision status and HIV infection status among black or Latino (men who have sex with men)," said Millett, who presented his findings to the CDC's National HIV Prevention Conference in Atlanta.

Doesn't protect female partner
Experts knew circumcision would not protect a female sex partner, nor the male sex partner being penetrated.

But Millett's study found no benefit of circumcision to any of the men. "We also found no protective benefit of circumcision among those men reporting recent unprotected sex with a male partner in which they were exclusively the insertive male partner," he said.

HIV is much more common among black and Latino men than whites and this may offset any protection offered by circumcision, Millett said. [What does this mean? Circumcision is most protective where there is no risk of HIV?] Black and Latino men are more likely to have sex with other black and Latino men, and thus may be exposed to HIV more often than white men. [Or perhaps race has nothing to do with it, and the studies claiming a circumcision connnection are wrong.]

The CDC is about to release new estimates of how many people become infected with the fatal and incurable human immunodeficiency virus each year in the United States.

The CDC estimates that more than 1 million Americans are infected, of the 33 million infected people globally.

 

And if he gets infected, will we hear about it?

News24
December 3, 2007

Circumcision 'Aids prevention'

Lusaka - A southern African radio correspondent has been receiving a flood of text messages and cellphone calls - some from offended listeners and readers.

The response isn't to a story on politics, corruption or soccer - all topics likely to elicit passionate responses.

Rather, Zambia-based Kennedy Gondwe said in an interview on Friday, he was attracting attention because he chose to get circumcised as a way of protecting himself from Aids, and took the British Broadcasting Corp's radio and web audience through the procedure with him.

... Gondwe, a 27-year-old who said he undergoes an Aids test several times a year, said he found it "sad" that more people didn't talk about circumcision as a prevention method. [Without knowing how many women he has sex with and whether he uses condoms, it's still unknown how much risk he is at.]

He said: "We as journalists also have a role to play in the fight against the disease." Gondwe, on the radio piece and in an online diary on Friday, recounted going [for] the procedure on November 22.

SA 'hardest hit by Aids'

Listeners could hear him gasp as a doctor injected him with a local anesthetic, but he assured them that the procedure was otherwise painless. He was up, walking to his car and driving himself home soon afterward. [Which gives the lie to the claim that the procedure is more serious than in a baby.]

... While one admiring web reader from Zambia told Gondwe he would soon follow his example, the reporter said others were offended in a region, where in some communities, tradition frowned upon circumcision. Gondwe's Tumbuka people of Zambia's Northern Province did not embrace circumcision, he said.

[The BBC version of this story printed only pro-circumcision responses.]

 

And when an operation is done out of sight on a baby ...

Reuters
3 December, 2007

Half of U.S. doctors mum about incompetence: survey

By Maggie Fox, Health and Science Editor

WASHINGTON (Reuters) - Nearly half of all U.S. doctors fail to report incompetent or unethical colleagues, even though they agree that such mistakes should be reported, researchers said on Monday.

They found that 46 percent of physicians surveyed admitted they knew of a serious medical error that had been made but did not tell authorities about it.

... In 2000, the U.S. Institute of Medicine reported that up to 98,000 people die every year because of medical errors in hospitals alone.

Campbell and colleagues surveyed more than 1,600 physicians in 2003 and 2004 for their report, published in the Annals of Internal Medicine.

... Forty percent of the doctors said they knew of a serious medical error in their hospital group or practice but 31 percent admitted they had done nothing about it at least once.

... And medical boards may not have the resources to punish errant doctors. "There are restrictions on state medical boards that inhibit their ability to go after physicians aggressively," [Dr. James] Thompson[, chief executive officer of the Federation of State Medical Boards,] said. "There are state medical boards that don't even have their own teams of investigators," he added. "There are state medical boards that are, quite frankly, underfunded and understaffed."

...

 

Reporter tries to talk China into circumcising

Washington Post
November 29, 2007

China AIDS rate slows, main transmission now sex

By Ben Blanchard
Reuters

BEIJING (Reuters) - The rate of new HIV/AIDS infections in China is slowing and is now mainly being transmitted through sex, which the government could tackle with a circumcision campaign, the health minister said on Thursday.

The country will have an estimated 50,000 new infections in 2007, compared with 70,000 in 2005, though groups like men who have sex with men are increasingly at risk, according to a report by the State Council, or Cabinet, and the United Nations.

COMMENT
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That will mean there will be about 700,000 people living with HIV/AIDS this year in China, up from an earlier estimate of 650,000.

Of the new infections, 44.7 percent will come from heterosexual transmission, 12.2 percent from men having sex with men, and 42 percent from intravenous drug use, the report said.

In the past, most infections were caused by intravenous drug use.

"At present, the AIDS epidemic in China continues to spread, but at a slower rate," Health Minister Chen Zhu told a news conference. "Sexual transmission is now the main route for the spread of AIDS."

Chen said more focus needed to be put on traditionally marginalized groups, like the gay community and drug users, though he added condom use by sex workers had risen from 14.7 percent in 2001 to 41.4 percent last year.

Yet the report found risky behavior by men who have sex with men remained widespread, with just a third using condoms for anal sex.

Chen said that with infections now primarily coming via sexual transmission, a male circumcision campaign could not be ruled out in China.

Studies have shown that circumcision could reduce the risk of HIV infection by up to 60 percent, though it does not offer total protection from the virus.

The World Health Organisation has already recommended it as one of the ways developing countries, especially in Africa, could use to fight the spread of AIDS.

"This is a technical question. I think our experts will evaluate it," Chen later told Reuters. "Even before the AIDS era some children in China were already being circumcised."

Circumcision rates are low in China compared to Asian countries like South Korea or Japan [not so], where the foreskin is often removed at birth for hygiene reasons, or Muslim countries like Indonesia which practice it for religious reasons.

China's Muslim minority, concentrated in the far western region of Xinjiang, likewise circumcise their male children, normally as they reach puberty.

Chen said that were the government to decide to promote circumcision among the wider population, he did not think it would run into much opposition or cultural problems.

"As long as there is evidence it is effective, I don't think it would be an issue," he said.

(Editing by Jeremy Laurence [One wonders whether Minister Chen proffered his comments or was asked some leading questions to elict his cautious replies.])

 

Yet another...

thinkSPAIN.com
Thursday, November 22, 2007

Nigerian baby bled to death after botched circumcision

The results of an autopsy performed on an 18 day old baby boy who died in suspicious circumstances in Tarragona last weekend, reveal that the baby died of massive blood loss following a botched circumcision thought to have been performed by the baby's mother, who has been questioned, but not arrested.

The incident occurred at around 9.30pm last Sunday evening at the home of the boy's parents, a Nigerian couple, who live in Tarragona's Pilar district.

 

Blame the victims

Express India
November 19, 2007

Unjha doctors strike work

Ahmedabad, November 19 Doctors in the north Gujarat town of Unjha stayed off their clinics and hospitals on Monday, refusing to take up even emergency cases, which they diverted to the Government hospital. The strike was in protest against the attack on a hospital by relatives of a patient on Sunday. The hospital was vandalised, vehicles gutted and two doctors were manhandled on Sunday.

According to Dr Anil Patel, vice-president of Unjha Medical Association, trouble started after Kuldeep Kumar Vishnubhai Patel (10), who had undergone a minor surgery for circumcision at Anand Hospital on Sunday morning, died about two hours later. Dr Patel, who is an anaesthetist, was present during the operation which was performed by Dr P K Patel. "The surgery was successful but due to the carelessness shown by the relatives, the boy died in a couple of hours. The death enraged them and they attacked the hospital. We could save our lives only by bolting the doors from inside until police came. They had to control the situation by bursting teargas shells," said Dr P K Patel. He said that the boy was brought from nearby Unava town for circumcision on medical grounds.

Cross complaints were lodged and police had provided protection to the doctors following threat to their lives. "We have already got the post-mortem examination done to ascertain the reason of death and are awaiting the report," he further said.

Till reports last came in, a meeting of local NGOs and prominent people was to be held on Monday evening to express support for the doctors. All the 33 doctors in Unjha and another 30 in surrounding areas remained on strike. Asked if people would suffer because of denial of emergency treatment, Dr Anil Patel said there were not many patients because of the festive season.

Dr Bipin Patel, honorary general secretary of state branch of Indian Medical Association said that the Government should take strict action against those responsible for the attack on doctors. According to Unjha police, they have registered cross complaints in this case and inspector C R Parmar is investigating the case.

 

Another justification for circumcising bites the dust.

Bloomberg.com
November 20, 2007

`Revolutionary' Method Gives Skin Cells Power of Embryo Cells

By Rob Waters and John Lauerman

Nov. 20 (Bloomberg) -- Ordinary skin cells from the face of a 36-year-old woman and the foreskin of a newborn infant were turned into stem cells with the apparent power to become any cell in the body by two research teams working independently.

The two groups, one in Japan and the other in the U.S. [It would be much harder to find a detached foreskin in Japan], each inserted four genes into the skin cells that switched on a process converting them into a form equivalent to embryonic stem cells. Those cells were then changed into heart, brain, muscle, fat and cartilage cells by one of the teams using a proven method for growing tissue from embryonic cells.

The technique could shift the ethics debate by ending use of human embryos [no mention of the ethics of using pillaged foreskins] and leapfrog ongoing studies by hundreds of small companies, including Geron Corp. and Advanced Cell Technology Inc. in the U.S. It could allow organs and tissues to be more easily created with one's own cells [in the US, one's own foreskin may not be available] and, more immediately, give drugmakers a new way to test how new compounds interact with diseased cells, scientists said.

``It will revolutionize the way in which we study and treat human disease,'' said Ian Wilmut, the Scottish cell biologist who shocked the world when he cloned a sheep named Dolly more than 10 years ago, ushering in a new era of scientific exploration and ethical conflict. He predicted Yamanaka's work would earn him a Nobel Prize.

The new method was first perfected in mice by Shinya Yamanaka of Kyoto University last year. It may eliminate the push for so-called therapeutic cloning of human embryos as a way to create stem cells that genetically match a person, Wilmut said in a telephone interview yesterday.

Pursuit Ends
As a result, he said he'd no longer pursue that strategy in his work at the Scottish Center for Regenerative Medicine at the University of Edinburgh.

``We decided some weeks ago that we were not going to pursue'' human cloning, Wilmut said. ``It seems more likely that you'd get an effective or reliable source of stem cells from the Yamanaka procedure.''

The two breakthroughs were simultaneously released today in the journals Science and Cell. The research teams were led by Yamanaka and James Thomson, the University of Wisconsin biologist credited as the first to isolate stem cells from human embryos and keep them alive.

Last week, an announcement by Oregon researchers that they had cloned a monkey embryo and extracted stem cells from it had drawn fresh excitement within the scientific community. Now that accomplishment has been overtaken, scientists said.

The transformed skin cells, or ``induced pluripotent cells,'' as Yamaka calls them, showed they could turn into cardiac, brain, muscle, fat and cartilage cells, among other cell types, Yamanaka said. To get them to morph into cardiac cells, they followed a recently-published paper that described how to make them from embryonic stem cells.

`Beating Cardiac Cells'
``We just applied the same protocol to human pluripotent cells and it works,'' Yamanaka said. ``It's amazing. Those cells were skin cells only two to three weeks ago and now they are beating cardiac cells in a dish.'' One of the properties of cardiac cells is that they rhythmically, and visibly, contract.

Because his procedure is relatively simple to perform -- far easier than cloning -- it can be followed and replicated in thousands of labs around the world, Yamanaka said in a Nov. 16 telephone interview.

``You don't need any special equipment and we don't need any special techniques,'' he said. ``All we need is equipment for cell culture and for gene transfer. There may be 10,000 or more labs in the world that could make'' these cells.

While Thomson and Yamanaka each used four genes to reprogram the cells, only two were the same.

To contact the reporter on this story: Rob Waters in San Francisco at rwaters5@bloomberg.net .
Last Updated: November 20, 2007 09:10 EST

[The fact that facial skin cells work in the procedure means there is no need to harvest foreskins for this purpose.]

 

Circumcision claims damaged accordingly

Washington Post
November 20, 2007

U.N. to Cut Estimate Of AIDS Epidemic
Population With Virus Overstated by Millions

By Craig Timberg
Washington Post Foreign Service

JOHANNESBURG, Nov. 19 -- The United Nations' top AIDS scientists plan to acknowledge this week that they have long overestimated both the size and the course of the epidemic, which they now believe has been slowing for nearly a decade, according to U.N. documents prepared for the announcement.

AIDS remains a devastating public health crisis in the most heavily affected areas of sub-Saharan Africa. But the far-reaching revisions amount to at least a partial acknowledgment of criticisms long leveled by outside researchers who disputed the U.N. portrayal of an ever-expanding global epidemic.

The latest estimates, due to be released publicly Tuesday, put the number of annual new HIV infections at 2.5 million, a cut of more than 40 percent from last year's estimate, documents show. The worldwide total of people infected with HIV -- estimated a year ago at nearly 40 million and rising -- now will be reported as 33 million.

Having millions fewer people with a lethal contagious disease is good news. Some researchers, however, contend that persistent overestimates in the widely quoted U.N. reports have long skewed funding decisions and obscured potential lessons about how to slow the spread of HIV. Critics have also said that U.N. officials overstated the extent of the epidemic to help gather political and financial support for combating AIDS.

"There was a tendency toward alarmism, and that fit perhaps a certain fundraising agenda," said Helen Epstein, author of "The Invisible Cure: Africa, the West, and the Fight Against AIDS." "I hope these new numbers will help refocus the response in a more pragmatic way."

Annemarie Hou, spokeswoman for the U.N. AIDS agency, speaking from Geneva, declined to comment on the grounds that the report had not been released publicly. In documents obtained by The Washington Post, U.N. officials say the revisions stemmed mainly from better measurements rather than fundamental shifts in the epidemic. They also say they are continually seeking to improve their tracking of AIDS with the latest available tools.

Among the reasons for the overestimate is methodology; U.N. officials traditionally based their national HIV estimates on infection rates among pregnant women receiving prenatal care. As a group, such women were younger, more urban, wealthier and likely to be more sexually active than populations as a whole, according to recent studies.

The United Nations' AIDS agency, known as UNAIDS and led by Belgian scientist Peter Piot since its founding in 1995, has been a major advocate for increasing spending to combat the epidemic. Over the past decade, global spending on AIDS has grown by a factor of 30, reaching as much as $10 billion a year.

But in its role in tracking the spread of the epidemic and recommending strategies to combat it, UNAIDS has drawn criticism in recent years from Epstein and others who have accused it of being politicized and not scientifically rigorous.

For years, UNAIDS reports have portrayed an epidemic that threatened to burst beyond its epicenter in southern Africa to generate widespread illness and death in other countries. In China alone, one report warned, there would be 10 million infections -- up from 1 million in 2002 -- by the end of the decade.

Piot often wrote personal prefaces to those reports warning of the dangers of inaction, saying in 2006 that "the pandemic and its toll are outstripping the worst predictions."

But by then, several years' worth of newer, more accurate studies already offered substantial evidence that the agency's tools for measuring and predicting the course of the epidemic were flawed.

The downward revisions also affect estimated numbers of orphans, AIDS deaths and patients in need of costly antiretroviral drugs -- all major factors in setting funding levels for the world's response to the epidemic.

James Chin, a former World Health Organization AIDS expert who has long been critical of UNAIDS, said that even these revisions may not go far enough. He estimated the number of cases worldwide at 25 million.

"If they're coming out with 33 million, they're getting closer. It's a little high, but it's not outrageous anymore," Chin, author of "The AIDS Pandemic: The Collision of Epidemiology With Political Correctness," said from Berkeley, Calif.

The picture of the AIDS epidemic portrayed by the newer studies, and set to be endorsed by U.N. scientists, shows a massive concentration of infections in the southern third of Africa, with nations such as Swaziland and Botswana reporting as many as one in four adults infected with HIV.

Rates are lower in East Africa and much lower in West Africa. Researchers say that the prevalence of circumcision, which slows the spread of HIV, and regional variations in sexual behavior are the biggest factors determining the severity of the AIDS epidemic in different countries and even within countries. [Then how come HIV is more prevelent in several countries with high circumcision rates than other countries with low rates?]

Beyond Africa, AIDS is more likely to be concentrated among high-risk groups, such as users of injectable drugs, sex workers and gay men. More precise measurements of infection rates should allow for better targeting of prevention measures, researchers say.

[If HIV is less prevalent than was thought, then circumcision is less efficacious than they calculated - the number of circumcisions needed to prevent each transmission, and hence the cost per transmission prevented, is higher.]

 

A friend in need...

Ayaan Hirsi Ali, herself a victim of Female Genital Cutting, opposes both FGC and MGC (circumcision). See her in a Dutch documentary on YouTube.

RichardDawkins.net
November 18, 2007

URGENT APPEAL: Please Help Protect Ayaan Hirsi Ali

by Sam Harris
See: http://www.samharris.org/site/security_trust/

Ayaan Hirsi Ali

Ayaan Hirsi Ali is the most prominent advocate of free speech and women's rights in the Muslim world, and for this she must live under perpetual armed guard, even in the West. Unfortunately, on October 1st of this year, the Dutch government officially rescinded its promise to protect her. Now, Ayaan Hirsi Ali's friends, colleagues and admirers must come to her aid [if she may ever safely leave Holland].

I have created a page on my website that links directly to the Ayaan Hirsi Ali Security Trust. The money raised by this trust will pay Ayaan Hirsi Ali's security expenses. In the event that money remains after these costs have been met, it will be used to encourage and protect other dissidents in the Muslim world.

The ongoing protection of Ayaan Hirsi Ali is a moral obligation. It is also a strategic one: for here is a woman doing work that most of us cannot do--indeed, would be terrified to do if given the chance--and yet this work is essential for preserving the freedoms we take for granted in the West.

If every reader of this email simply pledged ten dollars a month to protect Ayaan Hirsi Ali, the costs of her security would be covered for as long as the threat to her life remains.

Thanks in advance for your support.

Sincerely,
Sam Harris

Ayaan Hirsi Ali
In 2005, TIME included Ayaan Hirsi Ali in its list of the World's 100 Most Influential People. If you would like to know more about her, please read Christopher Caldwell's fine profile in the New York Times Magazine. You can also read the essay that Salman Rushdie and I recently published in the Los Angeles Times, or the one that Christopher Hitchens wrote for Slate.

Frequently Asked Questions

 

A small step forward

Adelaide Now
November 12, 2007

Cosmetic circumcision banned

JILL PENGELLEY, HEALTH REPORTER
November 12, 2007 01:15am

CIRCUMCISION will be banned in the state's public hospitals unless it is for medical reasons.

Health Minister John Hill today will announce an immediate ban on "cosmetic" circumcision.

"The Health Department has a responsibility to ensure access to elective surgery is based on sound medical reasons," he said yesterday. "Cosmetic procedures such as liposuction, facelifts and male circumcision will only be provided if assessed and justified on true clinical grounds.

"This will improve the demand on beds, clinical resources and theatre time."

In the past financial year, 274 circumcisions were p! erformed on children in the state's public hospitals. SA is the last state to take a stand against circumcision. "Both nationally and overseas, doctors agree there is no medical benefit to routine circumcision with the procedure as low as 2 per cent in the UK," Mr Hill said.

"Parents who wish to have their son circumcised can still have the procedure done in private hospitals or private day centres."

Australian Medical Association state president Peter Ford said circumcision was controversial and it was "not unreasonable" that other procedures take priority in a system under pressure.

Patients already on the waiting list will still be able to have the surgery in the public system but anyone not allocated an appointment will not be eligible.

Other procedures to be banned include breast enlargement or reduction, penile implant, hair transplant, facelift, gender re-assignment surgery and sterilisation reversal.

Queen Elizabeth Hospital surgery director Guy Maddern said it was 30 years or more since most purely cosmetic work had been performed in public hospitals.

"It's making it clear that operations will not be offered for cosmetic reasons but only for medically indicated reasons," he said.

 

Welcome reality check

Daily Monitor (Uganda)
November 12, 2007 Opinion | HIV/AIDS | November 12, 2007

Circumcision may not help

DR M. BATEGANYA

I write to share my opinion with others following an article that quoted President Museveni’s speech to the youth. I write to add my voice on the issue of “the role of male circumcision in Uganda’s fight against HIV.”

Male circumcision is a promising addition to Uganda’s HIV preventive strategies and once implemented it has potential to reduce HIV infection among circumcised males. Uganda and the rest of the world are fortunate to have an additional intervention that will support the fight against the epidemic. However wide-scale implementation is premature in Uganda.

First, although several research studies that compared circumcised and uncircumcised males in several African countries including one from Rakai district in Uganda showed that circumcised males were less likely to acquire HIV than their uncircumcised counterparts, there is a big difference between what can be achieved in a study setting and the results of a public health intervention. Conditions in a clinical trial are carefully controlled and results may not really be as glowing as those from a study situation where both the study staff and participants are well motivated.

For example while side effects from surgery were minor under study conditions, they may be enormous under field conditions given the current challenges faced by Uganda’s hospital surgery departments such as few and less motivated personnel, lack of proper equipment, shortage and frequent stock out of drugs and consumables.

Secondly, there may be behaviour disinhibition where people who are circumcised may incorrectly assume they are not at risk of HIV infection. Such an incorrect conclusion may lead individuals who are HIV-negative at the time of circumcision to maintain or increase their current level of HIV-risk behaviour putting themselves and their sexual partners at risk.

Similarly, HIV positive individuals may seek surgery and incorrectly think they will not transmit HIV. Hospitals implementing circumcision may not have the capacity to screen all their clients for HIV before offering circumcision, thus circumcised males may create another risk category in HIV prevention.

Male circumcision may also take away resources and attention from other prevention methods that have effectively reduced the HIV prevalence in Uganda, namely abstinence, faithfulness and condom use. In fact, those prevention efforts have already earned Uganda the coveted position as an international success story in reducing the number of people being infected with HIV (though this assertion is still being questioned and is an open debate; what worked in Uganda?).

The cost for each circumcision in the Rakai study was over $60. This is a cost ten or more times the annual budget for health for an individual. Is it worth diverting the prevention budget away from methods that seem to work for a fraction of the cost to try something that has only been tested in a study setting? I don’t think so.

Dr Moses Bateganya is based at University of Washington, Seattle

 

!

New Vision (Kampala)
7 November, 2007

Museveni Cautions Youth On Circumcision

By Fortunate Ahimbisibwe

Kampala
PRESIDENT Yoweri Museveni has said circumcision should not be promoted in the fight against HIV/AIDS, as it will encourage recklessness among the youth.

Addressing over 500 youth delegates who attended the Youth Activist Forum on Tuesday at Hotel Africana in Kampala, Museveni said he would continue advocating for the ABC strategy (Abstinence, Faithfulness and Condoms.)

"Some NGO's have been saying rubbish about circumcision but I will continue encouraging the youth to abstain, and use condoms only if they must. How many Bagisu have died of AIDS and yet all of them are circumcised?" he asked.

"You would rather use a condom as a fall-back position but not rely on circumcision."

Museveni warned the youth against contracting HIV/AIDS and encouraged them to get married immediately after school.

"By the time you get your first degree when you are 24, you should find a responsible partner and enjoy the rest of your lives together. Getting a partner should be a process but not meeting in the bus park and getting married."

...

The forum, a precursor to the Commonwealth Youth Forum to take place in Kampala later this month, was organised by the Global Forum for International Cooperation.

 

New York Sun
November 7, 2007

Ore. Court Mulls Circumcision Case

By JOSH GERSTEIN
Staff Reporter of the Sun

SALEM, Ore. — Six justices of the Oregon Supreme Court are wrestling with the question of what to do when divorced parents disagree about whether a child should be circumcised.

For an hour yesterday, the judges heard arguments in a child custody dispute between James Boldt, who wants his son circumcised as part of the son's conversion to Judaism, and the child's mother, Lia Boldt, who went to court to block the procedure. The child, who was 9 at the time the issue arose in 2004, is now 12.

A county judge dismissed Mrs. Boldt's challenge, but blocked the circumcision from taking place until all appeals were exhausted. The mother's attorney, Clayton Patrick, told the court that the circumcision posed "an unreasonable and unnecessarily high risk to the child." Mr. Patrick was quickly challenged by Judge W. Michael Gillette, who asked whether courts should step in when a divorced couple disagrees about whether a child should play football. [Maybe if football inevitably modified a child's body for life...?]

"More people get hurt playing football than from having a circumcision and a lot more seriously," Judge Gillette said. [Death is the most serious outcome in both cases.] He said family court disputes over going out for football were a "necessary consequence" of the mother's position. "That's preposterous. I hope you recognize that cannot work," the judge said.

Mr. Patrick said that, even though the father had full custody of the child, the mother was entitled to a court hearing because, based on her review of information about circumcision, the practice amounts to "sex abuse or physical abuse."

"If the custodial parent wanted to amputate some other body part, I think the court would step in and say you can't do that," the attorney said. Mr. Boldt, other family members and the doctor who would perform the circumcision said the boy wanted it. However, Mrs. Boldt said her son told her that he did not want to be circumcised and was afraid to contradict his father. Some of the justices asked whether the courts should take the child's views into account, either when he was 9 or at age 12.

"The child's wishes, while of course they should be considered, are not legally decisive or, legally speaking, relevant," Mr. Boldt, who is a lawyer and has represented himself in the legal proceedings, said. Judges speculated about whether custodial parents had the right to impose genital mutilation or a nose job "on children whose faces are just fine." "Are there no limits?" one judge asked.

When Mr. Boldt said he thought a custodial parent could do anything that wasn't illegal to a child, Judge Rives Kistler replied, "That seems a real broad claim. What if they wanted to have tattoos put on the child's face?"

Mr. Boldt said some actions might be so outrageous that they called into question a person's fitness as a parent. A tattoo on a child's shoulder that says "Mom" would be a different matter than "a swastika on the forehead," he said. [How different?]

Mr. Boldt insisted that the court should not single out circumcision for greater scrutiny than other parenting choices. "There's no principled, intellectually defensible, legally supportable reason to extract that one category," he said. Much of the hearing discussed whether Mrs. Boldt was automatically entitled to a formal evidentiary hearing on her objection and, if not, what evidence she had to produce to get such a hearing.

The Oregon jurists appear to be the highest-ranking American court to hear a dispute involving circumcision, according to a New York University law professor who has written on the issue, Geoffrey Miller. "It will be a precedent that will be closely paid attention to by people who are interested in that debate," the professor said. "I would be quite shocked or at least surprised if the result in the Oregon Supreme Court undoes what the lower courts said."

A Portland rabbi who attended the argument, Daniel Isaak, said he was surprised that there was little discussion of the religious freedom aspect of the case. "Circumcision is a basic rite of conversion" for Jewish men and is also practiced by Muslims, the rabbi said.

Four Jewish groups, the American Jewish Congress, the American Jewish Committee, the Anti-Defamation League, and the Orthodox Union, filed an amicus brief backing Mr. Boldt. A physicians' group, Doctors Opposing Circumcision, filed a brief supporting Mrs. Boldt.

The anti-circumcision brief notes that during a prior court proceeding unrelated to the circumcision issue, the Boldts agreed that they had a dominant-submissive relationship — in which Mr. Boldt was "god" or "sovereign" — and that sometimes involved Mr. Boldt administering beatings to his wife, who assumed the role of "slave girl." The Boldts' son "must not be abandoned by the courts, to become embroiled in his father's need for a replacement slave … if that is what happened," the anti-circumcision group argued.

Mr. Boldt declined to be interviewed as he left court yesterday. The groups defending circumcision stated in their brief that they were taking no position on "who is the more appropriate parent."


A National Public Radio report.

Earlier story.

 

New Vision (Uganda)
Monday, 5 November, 2007

ABC, not circumcision, gives best defence against HIV

By David J. Llewellyn

DR. Myers Lugemwa is to be congratulated on his insightful article on the attempt to circumcise Uganda by US doctors. It is so obvious that Abstinence, Being Faithful and Condoms (ABC) are the only rational defense against the HIV virus, that it is hard to believe that many in the international health community have bought into the ridiculous "circumcise to prevent HIV" theory.

The best way to prevent sexually-transmitted HIV and all other venereal diseases is by ABC. It is that simple.

It appears that there may be more to the push for circumcision than merely the improvement of public health. Some of those pushing this strategy have their academic reputations and careers on the line. Others have familial traditions that emphasise circumcision. For example, Daniel Halperin, one of the foremost proponents of the "circumcise to prevent HIV" movement, admitted in a newspaper article years ago that his grandfather had been a part-time Jewish ritual circumciser. He has also been quoted as saying that women like circumcised men and that sex is better if you are circumcised - two very subjective statements with which most uncircumcised men and their wives would disagree. Others may feel the need to validate their own circumcised status or academic theories by encouraging others to be circumcised.

Two of the primary authors of the recent randomised controlled trials recently have collaborated with long-time proponents of circumcision on the formulation of a pamphlet encouraging women worldwide to push their husbands to be circumcised and to circumcise their sons. One of those proponents, a circumcised middle-aged Australian, the primary author of the pamphlet, has written that circumcision is "an imperative" for the 21st Century!

As the Trojans learned, one should always "beware of Greeks bearing gifts," even if those "Greeks" are Americans. Ugandans should know that one of the early proponents of medicalised circumcision in the US, Peter Remondino, M.D., in the late 19th Century advocated circumcising all black Americans to prevent what he called "the Negro rape crisis."

Modern day Ugandans may wish to consider whether or not the US push to circumcise them has any similar patronising, racist overtones or overtones of colonialism.

We know that the foreskin is an integral part of the penis. A recent study has shown that it is the most sensitive part of the penis. Earlier unrefuted studies proved that it contains most of the fine touch nerve receptors in the penis. It may well mediate the ejaculatory reflex.

It makes intercourse easier and more enjoyable for both the man and the woman. No rational man would give up his foreskin if he realised the sexual consequences. It is immoral and unethical to remove normal, sexually-valuable tissue from an infant or child, male or female, without present medical necessity. Ugandans should think twice about what they would be losing before agreeing to circumcision for themselves or their sons.

That Americans may still circumcise the majority of their sons is not an example to emulate.

As Dr. Lugemwa points out, circumcision began in the US in a vain attempt to prevent masturbation. Of course, it did not work. But Americans became invested with their circumcised penises and it has proven challenging to change their minds. Nevertheless, Ugandans should know that the rate of circumcision in the US has been dropping slowly for the last 30 years as the public has learned of the value of the foreskin. In California and some other western states, the circumcision rate for newborn boys is below 35%.

Ugandans should also know that circumcision did not prevent HIV from wrecking havoc in the US. The US has a much higher rate of HIV infection and a much higher rate of circumcision than does Europe. This puts the lie to the hypothesis that circumcision "prevents" HIV. It is not a "vaccine," although its proponents would like Ugandans to believe that it is. One might reasonably wonder what the real motive is behind those who would try to sell a mutilating surgery to others with such hyperbole.

Ugandans wanting more information about the controversy surrounding male circumcision might wish to consult www.cirp.org or www.doctorsopposingcircumcision.org.

The writer is an attorney at Law Atlanta, Georgia, US

 

Could this have been published in the US?

The Times Online
November 4, 2007

Cutting comments: the foreskin debate

Some say it’s barbaric, others a matter of hygiene. But with babies dying from circumcision, should it continue? Our correspondent hears from the ‘intactivists’
Simon Mills

The actor Alan Cumming gets quite a reaction when he drops his trousers. Especially in America. Why? His penis is uncircumcised. He is genitally intact, a cavalier rather than a roundhead. His johnson wears an opera cape, as they say in US gay circles. This gives him something akin to freak status in the hygiene-obsessed States, where 70% of the mature male population have been circumcised.

Cumming, an endearingly puckish type, is really rather proud of his foreskin. “During interviews in America, I have made a point of talking about it,” he says. “I think it’s insane that an entire nation is ignorant about a part of their body they have lost. When I take my pants off in America, people gasp, which is kind of nice, until I realise that they’re actually staring at my penis as if it’s some kind of National Geographic photo come to life. Nobody has a foreskin there. They’re, like, ‘Wow! What do you do with that? How does it work?’ ”

Why is it that so many American men are circumcised? Well, it seems the Brits are responsible. Queen Victoria, who, along with much of the British aristocracy, believed that the English descended from one of the Ten Lost Tribes of Israel, chose to have her sons circumcised. It became fashionable, and the procedure travelled to America. It was there that John Harvey Kellogg campaigned for circumcision as a cure for masturbation, which was, in his opinion, a cause of psychological problems. And ever since (in the 1950s, it is estimated, 90% of American boys were snipped), middle-class Americans have grown up believing that foreskins are filthy, wholly unnecessary fleshy adjuncts that harbour disease and make a sensitive teenage boy something of a fairground attraction in the communal-shower environment.

That’s why the uncut likes of Nick Nolte, Leonardo DiCaprio, Willem Dafoe, Emilio Estevez, Nicolas Cage and Keanu Reeves, all born during the barbaric period of the last millennium, are listed on pro-foreskin websites as if they were all some kind of heroic locker-room maverick.

Blame Cumming and the unlikely figure of Ben Affleck, if you like, but the circumcision debate has suddenly caught the attention of a new breed of quietly militant pro-choicers and so-called “intactivists” who are putting foreskins to the fore again and unleashing some appropriately cutting comments from the high-minded and famous.

Men with foreskins squirm and buttock-clench comedically when the subject is broached, while men who were cut as babies can’t see what all the fuss is about. Foreskins are said to heighten sexual pleasure but harbour disease. Circumcised men are said to suffer from, wait for it, “significant penile sensory deficit”, although – get this – a Men’s Health magazine survey in 2000 suggested that uncircumcised men lasted an average of four minutes longer during sex than their circumcised peers.

Pressure groups such as Brothers United for Future Foreskins (Buff) and Uncircumcising Information and Resources Center (Uncirc), and even Jews Against Circumcision, fronted by Rabbi Moses Maimonides [? ], do their best to break with tradition and prevent unnecessary cuts in the United States, while Cumming and the art critic Brian Sewell are both spokesmen for the British branch of the National Organization of Restoring Men (Norm, originally known as Recover a Penis, or Recap), founded in 1989 for men hoping to restore their foreskins. Foreskin restoration? It can be done. Sort of.

Medical techniques are not sufficiently advanced to give back the erogenous tissue and nerves amputated at circumcision, but careful stretching can create a more natural-looking penis, and softening the epithelium (or outer tissue) of the glans (or tip) can return the penis to a much higher level of sensitivity.

The pro-choicers feel that they are on a roll right now. Non-medical circumcision for children is now illegal in Sweden. The numbers of circumcision procedures in the UK are slowly declining and, after peaking in the 1930s, when 35% of British boys were snipped, fell to a mere 6.5% in the 1980s. Today, only 12,200 circumcisions are performed in the UK annually. Most of them go ahead without a hitch. A few end in tragedy.

The inquest into the death of Amitai Moshe, who was just seven days old when he stopped breathing after being circumcised at a synagogue in north London last February – he died a week later from a heart attack – is to be held tomorrow at Hornsey coroner’s court.

“No causal link has been established between the circumcision and the baby being taken ill. There is no indication that this was anything other than a tragic juxtaposition of two events,” a spokesman for the synagogue said after the child’s death. “The mohel [appointed circumciser] is a registered member of the Initiation Society, which has been licensing and training practitioners of the procedure for more than 200 years. It is a well-established and well-regulated practice.”

Anti-circumcision horror stories such as this have served only to rally the pro-choice, intactivist PR machine. As well as Affleck, who has made it known that he is against routine infant circumcision, celebrity supporters include Colin Farrell. Affleck, it should be noted, was apparently circumcised in adulthood, after suffering injury during the filming of a superhero movie; a doctor decided that removing his foreskin would be easier than repairing it. Which has to hurt.

But this isn’t just about cautiously radical telegenic celebrities or grown men checking one another out at the urinals or intact males doing histrionic winces and leg-crosses at the thought of the dreaded bris. For parents, there’s a basic guilt issue at play, too. In his eloquently incensed invective against religion, God Is Not Great, the firebrand polemicist Christopher Hitchens rails against parents who have their boys circumcised.

“As to immoral practice,” he writes, “it is hard to imagine anything more grotesque than the mutilation of an infant’s genitalia.” He argues that circumcision weakens the faculty of sexual excitement and diminishes its pleasure, pointing out the significance of the operation being performed on babies rather than those who have reached the age of reason. (One study found that 92% of male infants subject to circumcision were not given anaesthetic during the procedure.)

Unconcerned that militant Jewish factions rancorously dismiss the intactivist lobby as wholly antisemitic, Hitchens states that, as recently as 2005, a mohel in New York City quite legally performed a ritual known as metzitzah (taking a mouthful of wine and then sucking the blood from the circumcision wound) on newborn babies, giving genital herpes to several small boys and causing the death of at least two.

And what happens to all those lopped-off foreskins? Believe it or not, there is a handsome profit to be made from harvested bits of young penis. The Norm UK website features the following item: “Since the 1980s, private hospitals have been involved in the business of supplying discarded foreskins to private bio-research laboratories and pharmaceutical companies, who require human flesh as raw research material. Human foreskins are in great demand for commercial enterprises, and the marketing of purloined baby foreskins is a multimillion-dollar-a-year industry.”

There is even an expensive face cream, SkinMedica, on the market, made from a formula grown from young foreskins. Yes. Really.

“There’s a sinister side to all this,” Cumming says. “It’s tradition, control and pleasure-removing masquerading as a hygiene thing. What it comes down to is mass genital mutilation. It’s barbaric. I don’t mean to offend anyone, but I’ve heard about men who can’t orgasm for ages because they have no sensation. People in America are impeded, because they don’t feel, you know?”

There have been a number of studies conducted to find out whether male circumcision reduces the risk of acquiring sexually transmitted diseases, including HIV/Aids. While some of them show it may reduce the risk, they are not entirely conclusive, and using a condom still offers the best protection.

For Cumming, it’s more of an emotive issue. “As far as I am concerned, the default-setting arguments about hygiene just don’t stand up,” he says. “The sanitation issue, especially, always comes up when I am in America. But you know what? I am very clean. I shower frequently.

“I am very proud of my foreskin. I believe it’s there for a purpose. And I just want people to stop and think for a second before they decide to get a big bit of their newborn son’s cock cut off.”

 

Some sidetracks, some wisdom

The Monitor (Kampala)
31 October 2007

Uganda: Don't Impose Circumcision On Natives!

OPINION
Franklin Okot

So interesting and laughable, I first dismissed it as Mickey Mouse. Never did I expect circumcision to become a national policy, leave alone an 'international arsenal' in the war against HIV/Aids. Modern scientific research risks losing relevance through half-measures and conflicting theories.

It's now part and parcel of President Bush's politics and weapons of mass deception. Instead of focusing on a cure, authorities are tagging African men to undergo rituals once reserved for Muslims and few ethnicities after "rediscovering circumcision." It's obvious, nothing short of a cure will only lead to the proliferation of HIV.

But why get rid of the virus now when there's so much money to be made? I'm blowing the whistle on this mundane conspiracy theory as Uganda, my country of birth, considered as having a "rosy" Aids record qualifies for President Bush's $15b anti-Aids fund to make circumcision readily available.

... In what's reminiscent of The River Between, neighbouring Kenya has jumped in with such zeal that uncircumcised students were barred from school.

Like Uganda, scavenging politicians competing for American patronage are in the final stages of developing a circumcision policy. I'm warning against the imposition of a tradition many consider alien.

To the Acholi and other Nilotic groups, circumcision arouses bitter resentment and reminds them of slavery, ethnic cleansing and forced Islamisation. ...

People like Dr Elioda Tumwesigye, chairman of the "prostituted" parliamentary committee on HIV/Aids, who's supposed to know better, are tagging even small children. Is he aware that even advanced countries like Canada are backtracking on what was once compulsory at birth, to give infants freedom to decide as adults? Child Circumcision is a form of child-abuse, much like Female Genital Mutilation as research has proved that newborns suffer more pain than adults.

Soon ignoramuses will be jumping up and down with euphoria: "They're now immune to HIV because they've shed blood. Gullible ones who believe that the latter have an edge over the uncircumcised, beware: Circumcision isn't worth the pain. After visiting Uganda in 2003, I too fell into circumcision mindset and decided to defy tradition.

Back in Toronto, I approached my doctor who stopped me in my tracks: Circumcision doesn't increase sensation; quite the opposite. The myth that the low rate of HIV/Aids infection and death in the Islamic world is due to circumcision is beyond naiveté. Are the Bagisu, the Kikuyu, and homosexuals faring any better? It's Islamic austerity and discipline. While others have stood up bravely in the clash of cultures, Western lifestyles ride roughshod over our cultures and traditions.

... Whatever its merits, circumcision alone, without tackling corruption of the mind, body and soul, is a roadmap to more trouble. The new "discovery" is a tsunami that will spread, not counter HIV/Aids. It will also roll back Museveni's "rosy record" on HIV/Aids, as simple-minded Africans will throw caution to the wind.

 

And with no medical indications, what is infant circumcision but cosmetic?

paper
30 October, 2007

Govt considers teen surgery ban

By Mark Furler

The State Government, concerned about an increase in the number of teenagers undergoing cosmetic surgery and using tanning solariums, is considering banning the practice for those under 18.

Premier Anna Bligh said she was concerned about growing evidence that more teenager were resorting to the surgeon's blade to improve their breast size and appearance.

"Articles appearing in the media in recent years have cited doctors reporting an increase in adolescent patients enquiring about, and demanding, cosmetic surgery – particularly liposuction, breast enhancement and rhinoplasty,'' Ms Bligh said.

"Further, a popular Australian young girls’ magazine recently published results of its survey of 4000 girls aged 11 to 18. "A quarter of these young women reported they would get plastic surgery if they could, and two percent had already done so,'' she told Parliament.

"Anecdotal evidence suggests that this worrying trend is a response by children and young people to the pressures they are feeling to look perfect in an increasingly competitive world that is obsessed with beauty and celebrity.

"This is very worrying. Any surgery carries a degree of risk.

"As well there are obvious risks especially with breast enhancement surgery like; detection of breast cancer becoming more difficult, infection, further corrective surgery, scarring, and even an inability to breast feed later in life.

"One Gold Coast cosmetic surgeon is reported saying she treats more than 100 teenagers a year and that the number is rising 5% a year. "This reported increase is consistent with similar reported cosmetic-practice increases for teenagers in Sydney and Melbourne.

She said her government had today released a Discussion Paper on a range of issues relating to the non-therapeutic use of cosmetic surgery by children and young people under 18 years of age.

"Cosmetic procedures in the Discussion Paper do not include the range of plastic and reconstructive surgery undertaken on children and young people under 18 years of age for therapeutic purposes.

"That is, to correct deformities, or address particular physical features that impact on their medical, psychological or social well-being.

"Discussion about the appropriateness of cosmetic procedures for young people under 18 years of age is limited to procedures that are undertaken on otherwise healthy adolescents for non-therapeutic purposes.

"They include breast enlargement, rhinoplasty (nose surgery), liposuction surgical face-lifts, abdominoplasty (tummy tuck), chemical peels, collagen injections, laser resurfacing, vein removal and laser hair removal.

"I appreciate this can be a difficult time, especially in a young woman’s development, but to resort to a surgeon’s blade is an adult response that is best left until one is an adult.

In Australia, cosmetic procedures are predominantly performed by medical practitioners including plastic surgeons, cosmetic surgeons, dermatologists, otoloaryngologists (ear, nose and throat specialists), ophthalmologists (eye surgeons), and general practitioners performing cosmetic medicine (known as cosmetic physicians).

The Discussion Paper also includes the use of a solariums for cosmetic tanning purposes.

The issue has been the subject of recent national media attention given the death of 26-year-old Claire Oliver who died after developing melanoma, allegedly caused by using a solarium.

Currently, no Australian state or territory directly regulates the provision of cosmetic surgery to minors, or solaria use by minors.

The discussion paper entitled “Have Your Say: Children and Young People Using Cosmetic Surgery and Solarium in Queensland” is available electronically here or by emailing Queensland Health at: cosmeticsurgery@health.qld.gov.au

The closing date for submissions is 30 November 2007. Share this

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Another circumstition bites the dust

CNN money
October 29, 2007

Epicel(TM) Wins Marketing Approval for Severe Burn Victims

First FDA-Approved Xenotransplantation Device

PR Newswire
October 29, 2007: 09:31 AM EST

CAMBRIDGE, Mass., Oct. 29 /PRNewswire-FirstCall/ -- Genzyme Corporation announced today that the U.S. Food and Drug Administration (FDA) has granted Epicel(TM) (cultured epidermal autografts) marketing approval under the Humanitarian Device Exemption (HDE) for the treatment of life-threatening wounds resulting from severe burns. It is a product that can provide permanent skin replacement for burn victims, and is made from a patient's own skin cells and then grown on a layer of mouse cells