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In a letter to Ambassador Deborah L. Birx, M.D.{{MD}}, (2020) the head of the United States PEPFAR program, [[Doctors Opposing Circumcision (D.O.C.)| Doctors Opposing Circumcision]] called circumcision ineffective and called for PEPFAR to abandon the WHO VMMC program and redirect its funds to anti-retroviral therapy and the provision of condomʂ<ref>{{REFdocument
|title=World Health Organization, HIV, and male circumcision
|url=https://pool.intactiwiki.org/images/2020-06-15b_LettertoPEPFAR.pdf