Male Circumcision Consortium

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The Male Circumcision Consortium (MCC) is run by FHI 360 (Family Health International), a group that receives sponsorship from the Gates Foundation. The MCC runs The Clearinghouse on Male Circumcision for HIV Prevention (malecircumcision.org). They describe themselves as a "collaborative effort to generate and share information resources with the international public health community, civil society groups, health policy makers, and programme managers."

Goals
The Clearinghouse exists to expand global access to information and resources on male circumcision for HIV prevention. The Clearinghouse aims to provide current evidence-based guidance, information and resources to support the delivery of safe male circumcision services in countries that choose to scale up male circumcision as one component of comprehensive HIV prevention services. (Male Circumcision Consortium website)[1]

Their actual goal is to function as a propaganda arm of the pro-circ agenda in Africa and to function as a marketing tool for the mass circumcision campaign. The research on their site is heavily biased in favor of circumcision. Their funder, FHI360, is a "social marketing" outfit, essentially a PR firm established for the purpose of changing people's behavior for ostensibly socially positive ends. According to their website, FHI "serves as the webmaster for the Clearinghouse on Male Circumcision for HIV Prevention, and in partnership with WHO, UNAIDS and AVAC, develops and selects content for the site."

Goals
The Male Circumcision Consortium (MCC) works with the Government of Kenya and other partners to prevent HIV and save lives by expanding access to safe and voluntary male circumcision services.

FHI, the University of Illinois at Chicago, and EngenderHealth are partners in the Male Circumcision Consortium. The MCC is funded by a grant to FHI from the Bill & Melinda Gates Foundation from August 2007 to February 2013.

The Male Circumcision Consortium's objectives are to:

Support the Government of Kenya and other partners in developing and implementing a national male circumcision strategy. Expand a male circumcision research and training center in western Kenya to train providers, build the capacity of health facilities, and monitor clinical outcomes. Identify and address any misunderstandings about male circumcision for HIV prevention.

Conduct research to identify the safest, most effective ways to provide voluntary male circumcision as part of a comprehensive package of HIV prevention services. (Male Circumcision Consortium website)[1]

Their website identifies the following institutions as providing "review of materials written for the Clearinghouse":


The website describes its other partners:

Population-based studies

September 2021 saw the publication of two huge population studies on the relationship of circumcision and HIV infection:

  1. Mayan et al. (2021) carried out a massive empirical study of the male population of the province of Ontario, Canada (569,950 males), of whom 203,588 (35.7%) were circumcised between 1991 and 2017. The study concluded that circumcision status is not related to risk of HIV infection.[2]
  2. Morten Frisch & Jacob Simonsen (2021) carried out a large scale empirical population study in Denmark of 855,654 males regarding the alleged value of male circumcision in preventing HIV and other sexually transmitted infections in men. They found that circumcised men have a higher rate of STI and HIV infection overall than intact men.[3]

No association between lack of circumcision and risk of HIV infection was found by either study. There now is credible evidence that the massive, expensive African circumcision programs have not been effective in preventing HIV infection.

Two African surveys

The previously reported studies were from developed Western nations. Now we have information from Sub_Saharan Africa.

French scientist Michel Garenne, Ph.D. has published two reports in 2022 comparing the incidence of HIV infection in circumcised and intact men.

In his first report, Garenne presented the findings from a study in Lesotho, the enclave in South Africa. He reported:

In couple studies, the effect of circumcision and VMMC on HIV was not significant, with similar transmission from female to male and male to female. The study questions the amount of effort and money spent on VMMC in Lesotho.[4]

In his second report, Garenne (2022) presented information from six Sub-Saharan African nations (Eswatini, Lesotho, Malawi, Namibia, Zambia, Zimbabwe). He reported:

"Results matched earlier observations made in South Africa that circumcised and intact men had similar levels of HIV infection."[5]

See also

External links

References

  1. a b REFweb Male Circumcision Consortium website. Retrieved 24 November 2021.
  2. REFjournal Mayan M, Hamilton RJ, Juurlink DN, Austin PC, Jarvi KA. Circumcision and Risk of HIV Among Males From Ontario, Canada. J Urol. 23 September 2021; PMID. DOI. Retrieved 21 August 2022.
    Quote: We found that circumcision was not independently associated with the risk of acquiring HIV among men from Ontario, Canada.
  3. REFjournal Frisch M, Simonsen J. Non-therapeutic male circumcision in infancy or childhood and risk of human immunodeficiency virus and other sexually transmitted infections: national cohort study in Denmark. Eur J Epidemiol. 26 September 2021; 37: 251–9. PMID. DOI. Retrieved 16 January 2022.
  4. REFjournal Garenne M. Changing relationships between HIV prevalence and circumcision in Lesotho. J Biosoc Sci. 4 April 2022; online ahead of print: 1-16. PMID. DOI. Retrieved 2 November 2022.
  5. REFjournal Garenne M. Age-incidence and prevalence of HIV among intact and circumcised men: an analysis of PHIA surveys in Southern Africa. J Biosoc Sci. 26 October 2022; : 1-13. PMID. DOI. Retrieved 2 November 2022.