Circumcision and HIV: Difference between revisions

m African RCTs: spelling.
Line 1,061: Line 1,061:
On their [http://www.who.int/hiv/topics/malecircumcision/en/ website], the WHO acknowledges that, ''"[m]ale circumcision provides only partial protection,"'' and that it should be part of a ''"comprehensive HIV prevention package"'' that includes HIV testing and counseling services, treatment for STD infections, the promotion of safer sex practices and the provision of condoms and the promotion of their correct and consistent use.
On their [http://www.who.int/hiv/topics/malecircumcision/en/ website], the WHO acknowledges that, ''"[m]ale circumcision provides only partial protection,"'' and that it should be part of a ''"comprehensive HIV prevention package"'' that includes HIV testing and counseling services, treatment for STD infections, the promotion of safer sex practices and the provision of condoms and the promotion of their correct and consistent use.


Even if the recent trials were accurate, circumcision would only reduce the relative risk of acquiring HIV between circumcised and uncircumcised men by 60% over a period of about one year. Circumcision is outperformed by condoms, which have an absolute reduction risk of acquiring HIV that's over 95% (closer to 100% when used properly). Even if a man is circumcised, he would still need to use condoms, and even the authors of the latest studies cannot stress this enough.
[[George C. Denniston]], M. D., M. P. H., the president of [[Doctors Opposing Circumcision (D.O.C.)| Doctors Opposing Circumcision]], in a letter to Ambassador Deborah L. Birx, M.D., M. P. H., (2020), the head of the President’s Emergency Plan for AIDS Relief (PEPFAR)  has called on PEPFAR to suspend the provision of male circumcision because it is ineffective and may increase the reception of HIV infection due to the loss of immunological protections of the foreskin, and to focus on the provision of anti-retroviral therapy and condoms.<ref name="denniston2020">{{REFdocument
|title=World Health Organization, HIV, and male circumcision
|url=https://pool.intactiwiki.org/images/2020-06-15b_LettertoPEPFAR.pdf
|contribution=
|last=Denniston
|first=George C.
|publisher=Doctors Opposing Circumcision
|format=
|date=2020-06-29
|accessdate=2020-09-02
}}</ref>


== Increased risk to women ==
== Increased risk to women ==