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[[George C. Denniston]], {{MD}}, {{MPH}}, the president of [[Doctors Opposing Circumcision (D.O.C.)| Doctors Opposing Circumcision]], in a letter to Ambassador Deborah L. Birx, {{MD}}, {{MPH}}, dated 29 June 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 and protective function of the foreskin| immunological protections]] of the [[foreskin]], and to focus on the provision of anti-retroviral therapy and condoms.<ref name="denniston2020">{{REFdocument
|title=Letter to Deborah L. Birx, M.D.
|url=https://pool.intactiwiki.org/images/2020-06-15b_LettertoPEPFAR.pdf
|last=Denniston
|first=George C.
|publisher=[[Doctors Opposing Circumcision(D.O.C.)]]
|format=
|date=2020-06-29
}}</ref></blockquote>
[[George Hill]], CFI, ATR, acting for [[Doctors Opposing Circumcision(D.O.C.)]], wrote to Deborah L. Birx on 28 January 2021 regarding her lack of action and to transmit a copy of the article by Fish et al. (2020).<ref name="hill2021">{{REFdocument
|title=Letter to Deborah L. Birx
|url=https://pool.intactiwiki.org/w/images/2021-01-28A_LetterBirx_516.pdf
|last=Hill
|first=George
|publisher=[[Doctors Opposing Circumcision(D.O.C.)]]
|format=PDF
|date=2021-01-28