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Navia et al. (2020) surveyed the incidence of non-therapeutic neonatal circumcision in four states. The incidence of circumcision in 2016 was found to be have declined to 54.5 percent, which translates to a an increase in genital integrity and wholeness rate of to 45.5 percent.<ref>{{REFjournal
|last=Navia
|first=Mateo Zambrano