Circumcision may stop millions of HIV deaths-study

Galahad

.....an appointment
Joined
May 22, 2000
Messages
11,464
This will probably be controversial - though probably shouldn't be. DW says few than 1% of parents of male children at her hospital choose not to so perhaps in won't be too much of a controversy.

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Circumcision may stop millions of HIV deaths-study
Mon Jul 10, 2006 8:06 PM ET



By Maggie Fox, Health and Science Correspondent

WASHINGTON (Reuters) - Circumcising men routinely across Africa could prevent millions of deaths from AIDS, World Health Organization researchers and colleagues reported on Monday.

They analyzed data from trials that showed men who had been circumcised had a significantly lower risk of infection with the AIDS virus, and calculated that if all men were circumcised over the next 10 years, some two million new infections and around 300,000 deaths could be avoided.

Researchers believe circumcision helps cut infection risk because the foreskin is covered in cells the virus seems able to easily infect. The virus may also survive better in a warm, wet environment like that found beneath a foreskin.

So if men were circumcised, fewer would become infected and thus could not infect their female partners.

The human immunodeficiency virus or HIV, which causes AIDS, now infects close to 40 million people and has killed another 25 million. It mostly affects sub-Saharan Africa and the main mode of transmission is sex between a man and a woman.

Several studies have suggested that men who are circumcised have a lower rate of HIV infection. This has been especially noticeable in some parts of Africa, where some groups are routinely circumcised while neighboring groups are not.

Last year, Dr. Bertran Auvert of the French National Research Agency INSERM and colleagues at WHO found that circumcised men in South Africa were 65 percent less likely to become infected with the deadly and incurable virus.

His team then did an analysis to see what would happen if all African men were circumcised.

"In West Africa, male circumcision is common and the prevalence of HIV is low, while in southern Africa the reverse is true," they wrote in the current report, published in the Public Library of Science Medicine.

"This analysis shows that male circumcision could avert nearly six million new infections and save three million lives in sub-Saharan Africa over the next twenty years," they wrote.

Overall, they project that universal male circumcision would reduce the rate of infections by about 37 percent.

"Male circumcision alone cannot bring the HIV/AIDS epidemic in Africa under control. Even circumcised men can become infected, though their risk of doing so is much lower," the journal cautioned in a commentary.
 
I'm not particularly surprised. It appears that the rate of all infections increases without circumcision so I can see that AIDS rates would be affected too.
 
MorganLeFey said:
interesting. such a small thing... but apparently so important.

I know that given the subject matter I shouldn't find this comment funny, but I can't help it. ;) "Such a small thing..." ;)

But back to the topic - I'm for whatever seems to slow down the spread of this virus and if circumcision is shown to help, that's just an added bonus.
 

Interesting. I don't see how medical fact can be controversial.

At this point over 50% of the population of Africa will be dead in 20 years of AIDS if something isn't done to stop the spread, and at this point anything is better than nothing.

Unfortunately providing medication to those already infected on that continent is like pouring salt into the ocean, what's really needed is education and prevention. (I'm not saying that life saving medication shouldn't be offered to as many as possible.)

It's a really sad situation.

Anne
 
WHO backed this ... wow. I believe it. Was this study peer-reviewed? It's an incredibly delicate statistical analysis.

and Brenda ... I thought the exact same thing. You were brave enough to post it first. Yay Brenda. :)
 
How many men were in the study group? Were the men that were circumcised more likely to practice safe sex than non-circumcised men? What are their levels of education and/or income? Religious beliefs? Race? I would really like to see a breakdown of the study. Can anyone provide that link?
 
crazyme5kids said:
How many men were in the study group? Were the men that were circumcised more likely to practice safe sex than non-circumcised men? What are their levels of education and/or income? Religious beliefs? Race? I would really like to see a breakdown of the study. Can anyone provide that link?

Yea, these are the other variable factors that make this study a very delicate statistical exercise. Here's the thing - it's the WHO. They are among the very best worldwide in producing this kind of research. I can't imagine they would release this study without a hard-core peer review. I'm curious to see who reviewed it.
 
Yes they are the WHO, which is why I would like to see more information and a full report. I guess it just surprises me that there is only the small blurb at the end of the article refering to circumcision alone not preventing HIV/AIDS (sorry I don't remember how to do the quote thing).

WHO has been very agressive about trying to educate people on safe sex practices. I don't think they would want to send out any messages that might imply unprotected sex is ok. This is just a case where I think a little snippet of a study/article/quote could be misleading if not downright dangerous.
 
This study has been going on for some time. I remember hearing about it in my Anthropology classes in undergrad... probably close to 10 years ago. Researchers were confused as to why some areas were over/under represented statistically for HIV infection. When these areas were also cross referenced with religion, it became clear. Communities/tribes in which Christianity/Judiasm had been embraced also seems to have an increased circumcision rate and therefore a lower HIV rate.
My guess is that since it's a statistically lower rate rather than a prevention/protection, the medical community hasn't really been promoting it as a means of 'safe' sex.
 
So what you are saying, is that it might be that Christian/Judiasm are more monogamous in general because of their beliefs?
 
So what you are saying, is that it might be that Christian/Judiasm are more monogamous in general because of their beliefs?

Nope, only that those who have embraced Christian/Judiasm have also embraced infant circumcision.
 
Paging Tom Morrow said:
Speak for yourself :thumbsup2

C'mon, enough with the childish humor. I just had the process recently...I came out 6 lbs lighter.

:rotfl2:
 
DizGeek all I can say is WOW!!!! That's some whooping big.......... Oh never mind :rotfl: !

Really though. Wouldn't those that embrace Christianity/Judiasm also embrace a more monogamous lifestyle? Not everyone ;) but many?
 
Our society is strongly Christian. Does it embrace a strong monogamous lifestyle? I believe like so many issues that many factors actually influence numbers with monogamy and circumcision being just two.
 
How is it that the US has had one of the highest circumcision rates AND one of the highest AIDS rate as well? I thought circumcision was supposed to prevent AIDS.

Also, why does Sweden, who has practically no circumcision, also have practically no AIDS? Something's not adding up here folks. We really need to look into these studies before we just blindly believe them.

Did they factor in the fact that the men who became circumcised were out of commision for several weeks, and perhaps less active for several months due to the circumcision? Meanwhile, the intact men were able to have much more sex than the circumcised men. Doubt that was factored in.

This "study" was rejected by many peer reviewed journals due to the many problems with it.

What will probably end up happening is that the AIDS rate will INCREASE since these men and women are being told that circumcision will prevent AIDS. "It's OK honey, I've been circumcised" Sure.....
 
I find ALL information and studies about AIDS interesting. I think anything that makes a difference is worth considering. The cultural differences in Africa make education difficult, so I imagine any change the people are willing to make would be a step in the right direction. But I also imagine in groups where circumcision isn't routinely practiced that they will NOT be lining up to have the procedure. I don't see that tradition as being quick to catch on, regardless of the impact on the AIDS infection rate. But we'll see...

Years ago one of my good friends knew a lady with HIV. She firmly believed that women infected with HPV were more likely to become infected with HIV, but she wasn't sure if the cell changes created by HPV created a gateway for the virus OR if women with HPV tended to engage in behaviors that would put them at greater risk for HIV infection. Well, now HPV has been PROVEN to cause cervical cancer and they have a new vaccine to prevent it. I wonder if the rate of HIV infection in women will start to decline as more and more women are vaccinated for HPV? I hope so! But obviously the HPV vaccine is NOT a license for unprotected sex. It is one more small step, the same way circumcision could be if it becomes more commonplace in areas of high infection.
 
This is really not new information..It still doesn't make me advocate RIC..At least not in *first world countries*
 


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