More views on male circumcision
Published On April 5, 2014 » 3867 Views» By Moses Kabaila Jr: Online Editor » Features
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AIDS LOGOI HAVE in the last few weeks been bombarded by so many queries on male circumcision.
The following are extracts of blogs that were sent to me on the issue of male circumcision where the bloggers feel voluntary medical male circumcision (VMMC) does not help much in the fight against HIV/AIDS.
The bloggers give appropriate references/websites where you can get more information:
“What does the frequently cited “60 per cent relative reduction” in HIV infections actually mean?  Across all three female-to-male trials, of the 5,411 men subjected to male circumcision, 64 (1.18 per cent) became HIV-positive.  Among the 5,497 controls, 137 (2.49 per cent) became HIV-positive”, so the absolute decrease in HIV infection was only 1.31 per cent, which is not statistically significant.”  (Boyle GJ, Hill G. Sub-Saharan African randomised clinical trials into male circumcision and HIV transmission: Methodological, ethical and legal concerns. J Law Med 2011; 19:316-34.)  See:
http://www.salem-news.com/fms/pdf/2011-12_JLM-Boyle-Hill.pdf
When asked if the RCTs (randomised controlled trials) would be repeated in the US, at the 2009 National HIV Prevention Conference in Atlanta, Dr Katrina Kretsinger of the CDC replied that they would not, because it would be unethical to do so!
If these studies would be unethical to do in the US, then how were they ethical to do on men in Africa?  See:
http://circumcisionandhiv.com/2009/08/31/nhpc-2009-report-from-member-of-intact-america-in-attendance/
Denied, withheld, and uncollected evidence and unethical research cloud what really happened during three key trials of circumcision to protect men – by David Gisselquist, economist and anthropologist who has authored nearly 60 scholarly publications.
http://dontgetstuck.wordpress.com/2012/02/11/denied-withheld-and-uncollected-evidence-and-unethical-research-cloud-what-really-happened-during-three-key-trials-of-circumcision-to-protect-men/#comment-609
HIV infection rate higher on circumcised men Sunday, 08 July 2012 09:40 peter nyoni
“According to the latest Zimbabwe Health Demographic Survey (ZHDS 2010/2011), the prevalence rate among the circumcised is 14 per cent, while that of the uncircumcised is 12 per cent.”  See:
http://www.zimdiaspora.com/index.php?option=com_content&view=article&id=8811:hiv-infection-rate-higher-on-circumcised-men&catid=38:travel-tips&Itemid=18
From the USAID report “LEVELS AND SPREAD OF HIV SEROPREVALENCE AND ASSOCIATED FACTORS: EVIDENCE FROM NATIONAL HOUSEHOLD SURVEYS”- Findings from the 18 countries with data present a mixed picture of the association between male circumcision and HIV prevalence (Table 9.3) . . . In 10 of the countries—Cameroon, Guinea, Haiti, Lesotho, Malawi, Niger, Rwanda, Senegal, Tanzania, and Zimbabwe — HIV prevalence is higher among circumcised men.” (page 109)  See:
http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf
The one randomised controlled trial into male-to-female transmission showed a 61% higher rate among females in the group where the men had been circumcised.   See:
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract
HIV in the Circumcised U.S. Up to 500% Higher than Intact Nations
http://www.savingsons.org/2013/02/hiv-in-circumcised-us-up-to-600-higher.html
Where Circumcision Doesn’t Prevent HIV – Part I
http://joseph4gi.blogspot.com/2011/05/where-circumcision-doesnt-prevent-hiv.html
Where Circumcision Doesn’t Prevent HIV – Part II
http://joseph4gi.blogspot.com/2013/02/where-circumcision-doesnt-prevent-hiv-ii.html
Lack of Open Debate in Circumcision Policy – Resources Wasted and Harms Ignored
http://www.salem-news.com/articles/july212012/aids-circumcision.php
How the circumcision solution in Africa will increase HIV infections
Robert S. Van Howe, Michelle R. Storms DOI: 10.4081/jphia.2011.e4 | Published: 2011-02-11 15:59:52
http://www.publichealthinafrica.org/index.php/jphia/article/view/jphia.2011.e4/pdf_22
“Langerin is a natural barrier to HIV-1 transmission by Langerhans cells” (Nature Medicine- 4 March 2007). This study states, “Langerhans cells (LCs) specifically express Langerin . . . LCs reside in the epidermis of the skin and in most mucosal epithelia, such as the ectocervix,  vagina and foreskin . . . “ Removal of the foreskin (male circumcision) removes the langerhans cells that express langerin, the natural barrier to HIV-1 transmission.  See:
http://www.ncbi.nlm.nih.gov/pubmed/17334373
A study in the March, 2007 issue of the “Annals of Epidemiology” found that circumcision is “likely to spread” HIV. See:
http://www.afrol.com/articles/24469
A study published on June 20, 2007 found that male circumcision is overstated as a prevention tool against AIDS.
This study found that the key to  understanding the global spread of AIDS is the size of the infected prostitute community around the world. See:
http://www.eurekalert.org/pub_releases/2007-06/plos-mco062007.php
“HIV infection and circumcision: cutting through the hyperbole” THE JOURNAL OF THE ROYAL SOCIETY FOR THE PROMOTION OF HEALTH, Volume 125, Number 6: Pages 259-265, November 2005
http://www.cirp.org/library/disease/HIV/vanhowe2005a/
Why Most Published Research Findings are False – John Ioannidis
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1182327
Published online 2005 August 30
Why Is HIV So Prevalent In Africa? – Michael Fumento
http://www.fumento.com/disease/aids2005.html
Danish Study- Male circumcision leads to a bad sex life
November 14, 2011
http://sciencenordic.com/male-circumcision-leads-bad-sex-life

“Circumcised men have more difficulties reaching orgasm, and their female partners experience more vaginal pains and an inferior sex life, a new study shows.”
BJU Int. 2013 February 4. Male circumcision decreases penile sensitivity as measured in a large cohort.
http://www.ncbi.nlm.nih.gov/pubmed/23374102
What is Lost to Circumcision
http://www.cirp.org/pages/parents/lostlist/
“How Male Circumcision May be Affecting Your Love Life”
by Christiane Northrup MD
http://www.coloradonocirc.org/files/handouts/Love_Life_article_by_Christiane_Northrup.pdf
One man in Africa appears to have more common sense than many of those promoting circumcision.
“Jackson Dlamini, 25, a strapping man taking a break from weight training at a local gym, told IRIN he was considering circumcision as a way to protect himself from HIV/AIDS.
“When told that counsellors at Mbabane Government Hospital would advise him to carry on using condoms even after the operation, Dlamini said, “It is painful to get circumcised.  If I have to wear a condom anyway, what is the point?”
Well, what is your comment on this important matter?
For queries, comments you can contact me on knoxngoma@gmail.com or SMS/call 0955883139

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