post #41 of 65
12/14/06 at 4:07pm
|circumcision offers no protection from HIV acquired through anal sex|
|WHO, the UNAIDS Secretariat and their partners will review the detailed trial findings and will then define specific policy recommendations for expanding and/or promoting male circumcision. These policy recommendations will need to take into account:
cultural and human rights considerations associated with promoting circumcision;
the risk of complications from the procedure performed in various settings;
the potential to undermine existing protective behaviours and prevention strategies that reduce the risk of HIV infection; and
the observation that the ideal and well-resourced conditions of a randomized trial are often not replicated in other service delivery settings.
|"It's not a magic bullet, but a potentially important intervention," agreed Dr. Kevin De Cock of the World Health Organization.|
I am new to the world of "intactivism" so please forgive me if this is a stupid question, but in the anti-vax world, it is easy for me to see a "follow the money" mentality, as the pharmaceutical companies make billions off vaccines and the problems they cause. But is circumcision really *that* big a money maker? I've seen a few posts with dollar signs suggesting big money, but is a study like this really going to make anyone big bucks?? I'm sure the condom manufacturers aren't too happy with it! Although, if they are owned by companies who have financial ties to anti-AIDS medications, then I guess it doesn't really matter...
They followed them for almost two years. The recovery period was 2 months.
Even if there was pain for a several months, it still wouldn't explain the 50% figure.
But since HIV infection is a one time deal, following them for 2 years isn't really going to tell you how effective circumcision is.
If, say, only 10% in the circed group were infected at that point, who's to say it wouldn't have been 50% within 5 years?
There are lots of factors that could be going on here, and since the actual study isn't out yet, we can't say WHAT they are. But the recovery period alone doesn't explain it.
I can't stand it!!! Here's the NY Times article (below). What's wrong with these people? Why not spend the money on Safer Sex education? And I love that it doesnt have to be done by a doctor, anyone can be trained...great, so the risk of infection will go up in a continent that probably has little funds for plain 'ol antibiotics. :
Rare Good News About AIDS
The New York Times
Late Edition - Final
Copyright 2006 The New York Times Company. All Rights Reserved.
The announcement yesterday about the results in two African studies of male circumcision may be the most important development in AIDS research since the debut of antiretroviral drugs more than a decade ago. The National Institutes of Health halted studies in Uganda and Kenya when it became overwhelmingly clear that circumcision significantly reduces men's chances of catching H.I.V.
The studies recruited men willing to be circumcised and randomly assigned them to immediate surgery or to a control group. In both studies, the circumcised men acquired half the number of H.I.V. infections as their uncircumcised counterparts did. The studies confirm the results of a trial that ended last year in South Africa, in which circumcision prevented 60 to 70 percent of new AIDS infections.
Until now, efforts at AIDS prevention have largely failed. Little wonder. It requires people to resolve -- every day -- either not to have sex or to use condoms. Circumcision, by contrast, is a one-time procedure. It is familiar and widely accepted all over the world, even by groups who do not practice it. And safe circumcision does not require a doctor. Community workers and traditional healers can be trained to do the operation safely and given the correct tools.
Based on the South African results, groups like the United Nations AIDS program and the World Health Organization were already discussing how they might promote circumcision in countries around the world. They should now move as quickly as possible.
Governments and international donors should also work urgently to provide new financing to help high-risk countries train community workers to do safe circumcision. News of the South African results has already led to a surge in demand for the procedure across Africa, and clinics that now offer it have long waiting lists.
Any campaign will have to be coupled with warnings that circumcision offers only partial protection against H.I.V. and should not become a license for risky sex. Governments must continue to promote condoms and partner reduction.
For years, the holy grail of AIDS prevention has been a vaccine, even one that is only 50 to 60 percent effective. A real vaccine is years away. But as of yesterday, we know its near equivalent exists. International donors and governments should join together to spread the good news about circumcision and make the procedure available everywhere.