Africa: Circumcision and HIV/AIDs
Monday, March 7th, 2011Circumcision Reduces Risk of Contracting HIV/AIDs
Some have referred to it as the surgical vaccine that reduces the risk of men contracting HIV/AIDs by at least sixty percent. Some say that the reduction in risk, or protective effect is as high as 76 percent, which is equal to the protection that the flu shot gives against the flue. What is this wonder surgery? Circumcision.
The controlled, clinical trails were held in three African countries: Kenya, Uganda and South Africa. All three countries have high levels of HIV/AIDS. More than 11,000 HIV negative, uncircumcised, young men took part in the trials. In order to be accepted into the study, the young men had to be willing to be circumcised. A randomly selected portion of the men were immediately circumcised by a doctor, while the others did not undergo the surgery. The trials in all three countries were halted early because the results were so evident that it would be unethical to continue to forbid the control group from being circumcised. The South African Study lasted 18 months and 1,446 who young men who remained uncircumcised 49 contracted HIV. While only 20 of the 1,431 who were circumcised became infected.
Scientists believe that the region between the foreskin and the shaft of the penis provides a possible hiding place for HIV to hide after intercourse.
In the face of such compelling trials, the World Health Organization and the United Nations HIV/AIDS agency both recommend circumcision as a component of any comprehensive HIV/AIDS prevention program.
Even though circumcision was being practiced thousand of years ago, and these recent trials point its ability to reduce the risk of contracting HIV, the very brief and cheap surgery is far from being the norm all over Africa. Neither Christianity nor many forms of African Traditional Religion forbid circumcision, and it is among the rites of Islam. Traditional beliefs in many ethnic groups in east and southern Africa require circumcision of adolescent young men. Yet, other ethnic groups in that part of the continent view circumcision as a part of their identity. In West Africa, even though many ethnic groups do not require circumcision, community health education has caused a growing number of parents to take their infant sons to clinics to receive the surgery.
Most development and aid agencies currently attempt to persuade families to have their sons circumcised, yet they will have to study further to come up with compelling, culturally appropriate instruction to persuade more to go under the scalpel.
Of course, circumcised men are in no way immune to contracting HIV/AIDS. It is still best to only have sex within marraige and for both the man and women to be tested for HIV prior to marriage.
For a more information read the following articles:
Circumcision — A Surgical Strategy for HIV Prevention in Africa - The New England Journal of Medicine, 2008
Male circumcision for HIV prevention in sub-Saharan Africa: who, what, when? -Global Health Sciences Literature Digest, 2009
Research: Male Circumcision and HIV Prevention - USAID On-Line
