Changes

Jump to navigation Jump to search

Abraham L. Wolbarst

578 bytes added, 13:16, 6 September 2023
Myth: protection against penile cancer: Wikify.
[[Image:Abraham L. Wolbarst.jpg|right|thumb|Abraham Leo Wolbarst]]
'''Abraham Leo Wolbarst''', M.D.{{MD}}, ({{LifeData|1872|1952}}) a New York City physician, was a notorious promoter of non-therapeutic neonatal male circumcision.
==Universal circumcision as a sanitary measure== Holt (1913) reported in an article published in the ''Journal of the American Medical Association'' (JAMA) that tubercular ''mohelim'' were infecting baby boys with tuberculosis by the performance of ritual circumcision .<ref name="holt1913">{{REFjournal
|last=Holt
|first=L. EmmetEmmett |init=LE |author-link=L. Emmett Holt
|etal=no
|title=Tuberculosis acquired through ritual circumcision
|trans-title=
|language=
|journal=JAMA
|location=
|date=1913-7-12
|volume=61
|pages=99-102
|url=http://www.cirp.org/library/complications/holt1/
|quote=
|pubmedID=
|pubmedCID=
|DOI=
|accessdate=2020-03-30
}}</ref> Wolbarst was incensed by what he perceived as an attack on ritual circumcision, so he resolved to defend ritual circumcision by arguing that [[circumcision]] provided health benefits. Wolbarst's defense of circumcision was published in ''JAMA'' in 1914 and entitled "''Universal Circumcision as a Sanitary Measure''".<ref name="wolbarst1914">{{REFjournal
|last=Wolbarst
|first=Abraham L.
|init=AL |author-link=Abraham L. Wolbarst
|title=Universal Circumcision as a Sanitary Measure
|journal=JAMA
This was before the days of evidence-based medicine, when doctors relied on medical ''opinion'', instead of scientific evidence. Wolbarst collected the ''opinions'' of several physicians and published those opinions as evidence for his argument that circumcision prevented diseases. Wolbarst argued that non-therapeutic neonatal circumcision prevented numerous diseases including venereal disease (now known as sexually transmitted disease).
Wolbarst's article appeared on the eve of World War I. It apparently influenced American military commanders to order [[adult circumcision | circumcision]] of military personnel under their command to prevent venereal diseases and improve military readiness.<ref name="hill2002">{{REFweb
|url=http://purewatergazette.net/circumcision.htm
|title=The Rise and Fall of Neonatal Circumcision: The Irrational Abuse Of Helpless Children
|format=
|quote=
}}</ref> No statistics exist to document how many men were ]]circumcised ]] because of Wolbarst's article.
The adoption of circumcision as a prophylactic [[amputation ]] by American military services falsely stigmatized the [[foreskin]] as being unhealthy. [[Robert S. Van Howe |Van Howe]] (1999) has exhaustively shown that circumcision does not protect against STDs.<ref name="vanhowe1999">{{REFjournal
|last=Van Howe
|first=Robert S.
|init=RS |author-link=Robert S. Van Howe
|etal=no
|title=Does circumcision influence sexually transmitted diseases?: A literature review
|trans-title=
|language=
|journal=BJU Int
|location=
|date=1999
|volume=83 Supple 1 |issue=Suppl. 1
|pages=52-62
|url=https://onlinelibrary.wiley.com/doi/pdf/10.1046/j.1464-410x.1999.0830s1052.x
== Myth: protection against penile cancer ==
Wolbarst was solely responsible for the invention of the myth that [[circumcision]] rendered males immune to [[penile cancer]]. Wolbarst (1926) made his claim for the first time that male circumcision prevents penile cancer.<ref name="Wolbarst 1932"wolbarst1926!>{{REFjournal
|last=Wolbarst
|first=A.Abraham L. |author-linkinit=Abraham L. WolbarstAL |title=Circumcision and penile Is circumcision a prophylactic against penis cancer? |journal=LancetCancer |volumedate=11926-07 |issuevolume=56553 |dateissue=1932-01-164 |pages=150301-15310}}</ref> Wolbarst (1932) put forward his claim that [[circumcision]] would prevent [[penile cancer]] in the British jounal, ''The Lancet''.<ref name="Wolbarst 1932">{{Wolbarst1932}}</ref> Wolbarst wrote an article that was published in ''The Lancet'' in 1932, implicating human male smegma as carcinogenic.<ref name="Wolbarst 1932"/> Wolbarst's myth was based entirely on unverifiable anecdotes, ethnocentric stereotypes, a faulty understanding of human anatomy and physiology, a misunderstanding of the distinction between association and cause, and an unbridled missionary zeal, and it had absolutely no basis in valid scientific and epidemiological research.<ref name="Fleiss 1996">{{REFjournal
|last=Fleiss
|firstinit=P.M.PM
|author-link=Paul M. Fleiss
|last2=Hodges
|first2init2=F.FM
|author2-link=Frederick M. Hodges
|title=[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2350473/pdf/bmj00534-0065d.pdf Neonatal circumcision does not protect against cancer]
|journal=BMJ
|date=1996
|volume=312
|issue=7033
|pages=779-78080
}}</ref>
Wolbarst was directly responsible for its proliferation. All subsequent repetions of this myth are directly traceable to Wolbarst's article, though Wolbarst himself advocated universal neonatal circumcision principally as a preventive for epilepsy, paralysis, and [[masturbation]]. Circumcision advocates such as Wolbarst do not seem to have promoted this myth because they have a genuine interest in reducing penile cancer; they used it instead as a scare tactic in the promotion of neonatal circumcision.<ref name="Fleiss 1996"/>Wolbarst's false claims were not disproved until 1979.
Boczko & Stanley (1979) collected numerous cases of cancer in [[circumcised ]] men.<ref name="boczko1979">{{REFjournal
|last=Boczko
|first=Stanley
|init=S
|last2=Freed
|first2=Selwyn
|init2=S
|title= Penile carcinoma in circumcised males
|journal=N Y State J Med
|date=1975
|accessdate=
}}</ref> Maden ''et al'' (1993) reported [[penile cancer ]] among a fifth of elderly patients from rural areas who had been [[circumcised ]] neonatally and had been born at a time when the rate of neonatal [[circumcision ]] was about 20% in rural populations.<ref>{{REFjournal
|last=Maden
|firstinit=C.
|last2=Sherman
|first2init2=K.J.KJ
|last3=Beckman
|first3init3=A.M.AM
|last4=Hislop
|first4init4=T.G.TG
|last5=Teh
|first5init5=C.Z.CZ
|last6=Ashley
|first6init6=R.L.RL
|etal=yes
|title=History of circumcision, medical conditions, and sexual activity and risk of penile cancer
|volume=85
|pages=19-24
}}</ref> Their study also shows that the rate of [[penile cancer ]] among men circumcised neonatally has risen in the [[United States ]] relative to the rise in the rate of neonatal [[circumcision]].
Although Wolbarst's falsehoods were disproved decades ago, they had entered into the American psyche where they continue to exert influence that they do not deserve.<ref name="hill2000">{{REFjournal
|last=Hill
|first=George
|init=G
|author-link=George Hill
|etal=no
|title=The Ghosts of Abraham Wolbarst and Aaron Fink
|trans-title=
|language=
|journal=BMJ
|location=
{{SEEALSO}}
* [[Alleged reasons for circumcision]]
* [[Bias]]
* [[Circumcised doctors]]
{{ABBR}}
{{REF}}
[[Category:Person]]
[[Category:Male]]
[[Category:Deceased]]
[[Category:Physician]]
[[Category:Promoter]]
[[Category:Researcher]]
[[Category:Jewish]]
[[Category:History]]
[[Category:USA]]
[[History]]
[[Category:From CircLeaks]]
[[Category:From IntactWiki]]
[[de:{{FULLPAGENAME}}]]
15,626
edits

Navigation menu