Voluntary Medical Male Circumcision: Modeling the Impact and Cost of Expanding Male Circumcision for HIV

(19, 24, 46)]. 41. The choice of discount rate had the biggest effect on the incremental cost-effectiveness ratio. The incremental cost-effectiveness ratio for the base case analysis for white males was $87,792. Accessed 21 June 2007. Murphy and his parents attended a naming ceremony — instead of a bris — for the baby. However, this does not guarantee a large population impact, which would be the only rationale for recommending its large scale use.

Most of the participants were foreign born and more than half of both men and women had a monthly income less than $1,000. Male sex partners were categorized as main or casual partners. Atlanta, GA: U.S. But aren’t circumcised men cleaner? We project the total cost of these cases in 2010 dollars is $79,178,100 discounted to time of infection and $31,847,300 discounted to birth year. More recently, circumcision has become a somewhat controversial topic as the medical benefits have come under question. Groups opposed to circumcision, like Intact America, say the health benefits of circumcision in the U.S.

“His body, his choice” and “Foreskin is not a birth defect” are among the hundreds of negative comments in the Federal Register against a proposed policy by the Centers for Disease Control and Prevention to advise that males of all ages be circumcised for health reasons. The Centres for Disease Control and Prevention (CDC), the national public health institute of America, stops short of recommending circumcision for all male newborns, but points to scientific evidence that supports the procedure. Individuals select these answers for a variety of reasons that are well summarized in the report Design, Development and Testing of the NHIS Sexual Identity Question2, specifically in Table 2. Nearly one in five British boys is currently circumcised, compared with four in every five in the US. The Ugandan researchers have attributed this interesting finding to underreporting of sexual activity and overreporting of condom usage2. Whatever marginal gain individuals may receive from male circumcision must be in the context of informed consent and voluntariness. Instead, a tiny cut is made as a symbolic gesture after a topical anesthetic is administered.

The CDC’s newly proposed recommendations  hint at some of these human rights concerns. The practice can also be found among some ethnic groups in South America. In those countries, mostly in sub-Saharan Africa, where HIV prevalence is at epidemic levels, HIV was once rare or nonexistent. It gradually became the cultural norm, and in the 1950s and 1960s surpassed 80 percent. The MC rate under the current context strategy (79%) reflected characteristics of current adult men who were born before the rate decrease during the past 20 years and who are currently experiencing risks from MC-reduced STIs.2,3 The impact of uncertainty in input parameters, including cost, incidence, and preventative efficacy, was assessed using univariate and probabilistic sensitivity analyses. Most are immigrants who have been in the United States differing periods of time, spanning several generations to several months. Consequently, prevention of HIV transmission is very important.

When Slate’s Troy Patterson wrote a piece thoughtfully weighing circumcision’s pros and cons, he was attacked for supporting a “barbaric practice” of “mutilation” that “ought to be illegal.” A lighthearted Dear Prudence column suffered the same fate. “They asked, ‘Do you want a bar mitzvah?'” He did, but in order to do so he had to, in his words, “Get the skin cut off my dick.” His parents told him if he did, they would give up pork in a show of solidarity. The research examining IMC reveals that HCPs do not always discuss this procedure with expectant parent(s) or guardian(s). Centers for Disease Control and Prevention (CDC) recommends that men consider circumcision as an additional measure, along with safe sex, to prevent HIV. IntactAmerica – a leading voice of the rising ‘intactivist’ movement – note that ‘the foreskin is a normal, sensitive, and useful body part. The Bloodstained Men are a 501(c)(3) non-profit recognized by the state of California and operate as an education and outreach organization within the intactivist movement. It drops the risk of heterosexual HIV acquisition by about 60 percent.

Circumcision May Lower Urinary Infection Risk  Circumcision: Learn the Pros and Cons of This Procedure Don Powell, I’ve done more first aid on myself than any doctor ever hasWritten 44w ago Now let me be specific here. If it is not needed for medical reasons, there is an increasing trend for parents to weigh up the risks and benefits before getting the procedure done. Methods: To roll out MMC to a non-circumcising population of Northern Uganda from June 2011 as a strategy to increase access and prevent the spread of HIV/AIDS. In fact, I had never heard of any debate over it until I met my husband, who is Brazilian. The 8-member AAP task force, they say, reviewed evidence that has been called into question.