UN Reaffirms Value of Universal Circumcision

Maybe, just maybe, we are beginning to see government agencies (outside of Africa) embrace the goal of universal circumcision, a society where the foreskin can no longer pose a threat to a male and his partners. Experts from the World Health Organization, UNAIDS, and the South African Centre for Epidemiological Modeling applied mathematical modeling to a number of studies showing the benefits of circumcision.

Here are some of their conclusions:

* "Using a 10-y time horizon, one new HIV infection would be averted for every five to 15 men newly circumcised. For the most successful interventions, where almost all men are circumcised, HIV incidence could be reduced by ~30%–50% over the same period."

* "Women, even if not directly protected, would benefit indirectly from the introduction or expansion of male circumcision services because their probability of encountering an HIV-infected male sexual partner gradually declines with programme scale-up."

* "Circumcising men who have not started sexual activity leads to the greatest population-level benefit in the long term. . . . Of course, circumcising both adult males and neonates would maximise the short- and long-term impact of circumcision on HIV incidence."

* "The estimated costs per adult male circumcision are between $30 and $60 depending on the programme setting, with neonatal circumcision costing about one-third this amount. . . . By comparison, estimates of discounted lifetime treatment costs typically exceed $7,000 per HIV infection if only first-line treatment is provided, and twice as much if second-line treatment is available."

Put simply, universal circumcision at birth provides the best health protection at the lowest cost. Circumcising before sexual activity is best, and one HIV case can be prevented for every five males circumcised. Isn't that worth it?

Now let's hope our friends at the Centers for Disease Control (CDC) are able to read this report through the fog of crap being tossed up by the anti-circ fanatics.

Universal Circumcision Reduces HIV Dramatically

Did you catch this latest gem of a story? The Phillipines, where universal circumcision is practiced and encouraged, has one of the lowest HIV rates in the world.

A story from ABS/CBN News is worth a moment:

"Dr. Catherine Hankins, chief scientific adviser to UNAIDS, has praised the Philippines for having one of the lowest HIV/AIDS prevalence rates in the Asia-Pacific, which she attributed to the country's practice of almost universal male circumcision." [my emphasis].

"One of the major reasons for the Philippines' low HIV prevalence rate is the fact that it practices almost universal male circumcision. We know that male circumcision protects against HIV partially, about a 60 percent reduction for men and eventually that means Filipino women are less likely to encounter men who are HIV positive so they have lower rates of HIV," Hankins, chief scientific adviser to UNAIDS, told abs-cbnNEWS.com.

"The Philippines, in adopting male circumcision despite the fact that it is primarily a Roman Catholic country has meant a better control of the epidemic."

"She said various studies have shown the benefits of male circumcision including lower rates of urinary tract infections in male infants who are circumcised; lower risk of penile cancer and lower prevalence of some sexually transmitted infections such as human papillomavirus (HPV) and herpes simplex virus type 2 (HSV-2)."

Now we've known this medical evidence for some time now, but what is interesting is that the Phillipines is a perfect "case study" of what happens when every male is clean-cut. Of course, there is some HIV & STDs & HPV, but the cultural desire to be circumcised has greatly cut the rates of those awful diseases there. In the Philippines to be "supot" or "pisot" (meaning uncircumcised) is not only unhealthy but it's also socially unacceptable. Indeed, to call someone supot or pisot is a great insult, meaning not only are they uncircumcised but they are dirty, unclean, and child-like.

I hope Dr. Hankins has talked to the US Centers for Disease Control (CDC) and the American Academy of Pediatrics (AAP) so that they, like the World Health Organization (WHO) and UNAIDS, can forcefully call for universal circumcision in America.