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Related Experiment Videos

HIV infection and circumcision: cutting through the hyperbole.

Robert S Van Howe1, J Steven Svoboda, Frederick M Hodges

  • 1Attorneys for the Rights of the Child, Berkeley, California, USA. rsvanhowe@mgh.org

The Journal of the Royal Society for the Promotion of Health
|December 16, 2005
PubMed
Summary

Mass circumcision for HIV prevention lacks consistent evidence and faces ethical concerns. It may not be cost-effective compared to other interventions, raising questions about its feasibility in developing nations.

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Is circumcision an answer for HIV prevention in men who have sex with men?

The Lancet. Global health·2019

Area of Science:

  • Public Health
  • Medical Ethics
  • Infectious Disease Prevention

Background:

  • Review of medical literature on non-medically indicated circumcision for HIV prevention.
  • Analysis focused on historical context and current evidence.
  • Assessment of feasibility in developing countries.

Observation:

  • Medical literature supporting mass circumcision for HIV prevention is inconsistent.
  • Evidence primarily relies on observational studies.
  • Ongoing randomized controlled trials in Africa are noted.

Findings:

  • Potential protective benefits are uncertain.
  • Significant concerns include unknown complication rates, permanent penile injury, and human rights violations.
  • Mass circumcision may not be cost-effective compared to established interventions.

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Implications:

  • The justification for mass circumcision as an HIV preventive measure is questionable.
  • Ethical considerations and potential for veiled colonialism require careful evaluation.
  • Cost-effectiveness analysis suggests other interventions are superior.