Twenty Zimbabwe lawmakers circumcised to show "political will" to fight AIDS

Evelyn Masaiti a member of parliament in Zimbabwe is tested for HIV and Aids in Harare,Friday, June, 22, 2012. About 20 members of parliament in Zimbabwe volunteered to get tested and some circumcised in a move aimed at promoting the fight against HIV and AIDS in Zimbabwe.

/ AP

(CBS/AP) Twenty Zimbabwe lawmakers underwent circumcisions Friday to spread awareness for the procedure that research shows reduces risk of HIV transmission.

The members of parliament who agreed to the procedure belonged to a panel on health issues that set up an HIV/AIDS testing and male circumcision center. Officials said more than 40 lawmakers have volunteered to undergo circumcision.

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Medical officials running the program said 107 legislators and their spouses have been given virus tests so far. Lawmaker Blessing Chebundo of the Zimbabwe prime minister's party said the campaign, the first of its kind involving the country's leaders, is a show of "political will" to fight AIDS.

Infection in Zimbabwe runs at about 13 percent of the population but rises above 20 percent in the teens to early 30s age group.

Chebundo was the first to be circumcised Friday. He said the procedure was "safe and pain-free."

"I was a bit scared at first but I didn't feel a thing. I can confidently urge all Zimbabwean men to go through with this," he said.

He was told to expect minor pain after the anesthetic had worn off, to abstain from sex for six weeks and to come back three times for follow-up treatment.

The Zimbabwe circumcision program began in 2009 and has so far carried out 70,000 circumcisions, health ministry officials at the parliament house in downtown Harare said.

Chebundo, the chairman of the parliamentary panel on health, said until now the country's political leaders lacked commitment to combat HIV/AIDS. In Africa's polygamous communities, AIDS is mainly spread by heterosexual contact.

Louisa Norman, director of Population Services International, an independent family planning and sexual health organization in Zimbabwe and sponsors of the campaign, commended the leaders for "publicly setting an example" and urged all Zimbabweans to follow suit.

Among those who went for HIV testing were Deputy Prime Minister Thokozani Khupe and House Speaker Lovemore Moyo.

AIDS counselors on hand at the parliament said an HIV positive result was no longer a death sentence and it has been proven worldwide that people knowing their status were able to receive anti-retroviral drugs, manage their lives and live longer.

Khupe said AIDS infection still carries a social stigma in Zimbabwe, but that should not deter a person from being tested.

"Don't worry about what people say, it's none of their business. Do it for yourself and your children," she told lawmakers, parliament staff and a crowd gathered in the central square outside the parliament building.

According to the Centers for Disease Control and Prevention, evidence has shown that medical circumcision reduce's a man's risk of acquiring HIV through heterosexual sex. That's because the inner lining of the foreskin is more susceptible to HIV infection than other penile tissues, according to laboratory studies. The CDC says foreskin is also more susceptible to tears during intercourse, potentially allowing pathogens to enter.

Research suggests risk of female-to-male HIV transmission is cut more than 60 percent by circumcision, HealthPop reported.

U.S. President Barack Obama said in December at a World AIDS Day event that the U.S. aims to fund 4.7 million voluntary medical male circumcisions in eastern and southern Africa over the next two years.

[Hugh_Intactive]

Hmm. Your censorbot doesn't like the word formed when you join "tiny" and "url".

[Hugh_Intactive]

In Zimbabwe in 2005, USAID found 14.2% of non-circumcised men had HIV compared to 16.6% of circumcised men. (Similar differencess apply in 10 of 18 countries for which it has figures.) Shouldn't this at least be explained before blundering on with mass circumcision programmes? Clearly what seemed to work in clinical trials does not necessarily work in the real world. One reason could be here: http://*******.com/7deqtap The experimenters did not correct nearly well enough for non-sexual transmission, especially through contaminated surgical instruments.

Zimbabwe has horrendous health problems. The money and resources being spent cutting men's genitals could be used much more effectively on measures that would, for example, ensure children survive long enough to be at risk of sexually transmitted HIV. THEN is the time to worry about that.

[ml66uk2]

From a USAID report:
"There appears no clear pattern of association between male circumcision and HIV prevalence—in 8 of 18 countries with data, HIV prevalence is lower among circumcised men, while in the remaining 10 countries it is higher."
http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf

The South African National Communication Survey on HIV/AIDS, 2009 found that 15% of adults across age groups "believe that circumcised men do not need to use condoms".
http://www.info.gov.za/issues/hiv/survey_2009.htm

From the committee of the South African Medical Association Human Rights, Law & Ethics Committee :
"the Committee expressed serious concern that not enough scientifically-based evidence was available to confirm that circumcisions prevented HIV contraction and that the public at large was influenced by incorrect and misrepresented information. The Committee reiterated its view that it did not support circumcision to prevent HIV transmission."

The one randomized controlled trial into male-to-female transmission showed a 54% higher rate in the group where the men had been circumcised btw:
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract

ABC (Abstinence, Being faithful, and especially Condoms) is the way forward. Promoting genital surgery seems likely to cost African lives rather than save them.

[ml66uk2]

From a USAID report:
"There appears no clear pattern of association between male circumcision and HIV prevalence—in 8 of 18 countries with data, HIV prevalence is lower among circumcised men, while in the remaining 10 countries it is higher."
http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf

The South African National Communication Survey on HIV/AIDS, 2009 found that 15% of adults across age groups "believe that circumcised men do not need to use condoms".
http://www.info.gov.za/issues/hiv/survey_2009.htm

From the committee of the South African Medical Association Human Rights, Law & Ethics Committee :
"the Committee expressed serious concern that not enough scientifically-based evidence was available to confirm that circumcisions prevented HIV contraction and that the public at large was influenced by incorrect and misrepresented information. The Committee reiterated its view that it did not support circumcision to prevent HIV transmission."

The one randomized controlled trial into male-to-female transmission showed a 54% higher rate in the group where the men had been circumcised btw:
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract

ABC (Abstinence, Being faithful, and especially Condoms) is the way forward. Promoting genital surgery seems likely to cost African lives rather than save them.

[hemusbull]

And now if they cut their own heads, no one ever going to be sick!