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[[George C. Denniston]], {{MD}}, M. P. H.{{MPH}}, the president of [[Doctors Opposing Circumcision (D.O.C.)| Doctors Opposing Circumcision]], in a letter to Ambassador Deborah L. Birx, {{MD}}, M.P.H.{{MPH}}, (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