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	<title>Comments for Global Health Hub</title>
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	<link>http://www.globalhealthhub.org</link>
	<description>Global Health &#38; Development blogosphere, forums, events, jobs and more</description>
	<lastBuildDate>Thu, 26 Jan 2012 07:26:44 +0000</lastBuildDate>
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		<title>Comment on USAID engages higher education and research institutions to help solve&#8230; by junaid</title>
		<link>http://www.globalhealthhub.org/2012/01/25/usaid-engages-higher-education-and-research-institutions-to-help-solve/#comment-64985</link>
		<dc:creator>junaid</dc:creator>
		<pubDate>Thu, 26 Jan 2012 07:26:44 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=38697#comment-64985</guid>
		<description>really great step usaid takes...

&lt;a href=&quot;http://www.acadenia.com/universities/panworld-university.asp&quot; rel=&quot;nofollow&quot;&gt;Panworld University&lt;/a&gt;</description>
		<content:encoded><![CDATA[<p>really great step usaid takes&#8230;</p>
<p><a href="http://www.acadenia.com/universities/panworld-university.asp" rel="nofollow">Panworld University</a></p>
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		<title>Comment on Promising and Worrying Attitudes on Male Circumcision by Kenyan Women by Mark Lyndon</title>
		<link>http://www.globalhealthhub.org/2012/01/23/promising-and-worrying-attitudes-on-male-circumcision-by-kenyan-women/#comment-64586</link>
		<dc:creator>Mark Lyndon</dc:creator>
		<pubDate>Tue, 24 Jan 2012 11:55:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=38593#comment-64586</guid>
		<description>From the USAID report &quot;LEVELS AND SPREAD OF HIV SEROPREVALENCE AND ASSOCIATED FACTORS: EVIDENCE FROM NATIONAL HOUSEHOLD SURVEYS&quot;
&quot;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.&quot;
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 &quot;believe that circumcised men do not need to use condoms&quot;.
http://www.info.gov.za/issues/hiv/survey_2009.htm

From the committee of the South African Medical Association Human Rights, Law &amp; Ethics Committee :
&quot;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.&quot;

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 will cost African lives, not save them.</description>
		<content:encoded><![CDATA[<p>From the USAID report &#8220;LEVELS AND SPREAD OF HIV SEROPREVALENCE AND ASSOCIATED FACTORS: EVIDENCE FROM NATIONAL HOUSEHOLD SURVEYS&#8221;<br />
&#8220;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.&#8221;<br />
<a href="http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf" rel="nofollow">http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf</a></p>
<p>The South African National Communication Survey on HIV/AIDS, 2009 found that 15% of adults across age groups &#8220;believe that circumcised men do not need to use condoms&#8221;.<br />
<a href="http://www.info.gov.za/issues/hiv/survey_2009.htm" rel="nofollow">http://www.info.gov.za/issues/hiv/survey_2009.htm</a></p>
<p>From the committee of the South African Medical Association Human Rights, Law &amp; Ethics Committee :<br />
&#8220;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.&#8221;</p>
<p>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:<br />
<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract" rel="nofollow">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract</a></p>
<p>ABC (Abstinence, Being faithful, and especially Condoms) is the way forward.  Promoting genital surgery will cost African lives, not save them.</p>
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		<title>Comment on Exploring How Peru Is Addressing Drug-Resistant TB by Luis Vasquez, MD</title>
		<link>http://www.globalhealthhub.org/2012/01/23/exploring-how-peru-is-addressing-drug-resistant-tb/#comment-64388</link>
		<dc:creator>Luis Vasquez, MD</dc:creator>
		<pubDate>Tue, 24 Jan 2012 00:33:31 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=38410#comment-64388</guid>
		<description>Working with the Pathology Laboratory at Children&#039;s Hospital of WI, the Medical College of WI and the Peruvian NIH.. Very interested in collaboration programs. We are about to evaluate the TB situation in Yantalo, a poor rual jungle community in the Peruvian Amazon.
Kindly send me publications or workshops, etc and ways of multilateral collaborations
Muchas gracias
Luis Vasquez</description>
		<content:encoded><![CDATA[<p>Working with the Pathology Laboratory at Children&#8217;s Hospital of WI, the Medical College of WI and the Peruvian NIH.. Very interested in collaboration programs. We are about to evaluate the TB situation in Yantalo, a poor rual jungle community in the Peruvian Amazon.<br />
Kindly send me publications or workshops, etc and ways of multilateral collaborations<br />
Muchas gracias<br />
Luis Vasquez</p>
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		<title>Comment on Social Media Faster Than Traditional Sources In Tracking Cholera In Haiti,&#8230; by Jason Boies</title>
		<link>http://www.globalhealthhub.org/2012/01/11/social-media-faster-than-traditional-sources-in-tracking-cholera-in-haiti/#comment-61557</link>
		<dc:creator>Jason Boies</dc:creator>
		<pubDate>Fri, 13 Jan 2012 13:05:19 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=37544#comment-61557</guid>
		<description>I completely agree with that sentiment.  Anyone that has actually used Twitter for any amount of time knows just how fast information can travel on that platform.  I remember how quickly the news of the East Coast Earthquake this past summer spread on Twitter that afternoon.

Cheers

Jason Boies
</description>
		<content:encoded><![CDATA[<p>I completely agree with that sentiment.  Anyone that has actually used Twitter for any amount of time knows just how fast information can travel on that platform.  I remember how quickly the news of the East Coast Earthquake this past summer spread on Twitter that afternoon.</p>
<p>Cheers</p>
<p>Jason Boies</p>
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		<title>Comment on Social Media Faster Than Traditional Sources In Tracking Cholera In Haiti,&#8230; by Erick Kinuthia</title>
		<link>http://www.globalhealthhub.org/2012/01/11/social-media-faster-than-traditional-sources-in-tracking-cholera-in-haiti/#comment-61070</link>
		<dc:creator>Erick Kinuthia</dc:creator>
		<pubDate>Thu, 12 Jan 2012 07:27:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=37544#comment-61070</guid>
		<description>I agree with you Kaiser.Twitter has become not just a social tool but an informative gadget. With people getting connected via twitter all over the world, people can share information in real time.

Erick Kinuthia
</description>
		<content:encoded><![CDATA[<p>I agree with you Kaiser.Twitter has become not just a social tool but an informative gadget. With people getting connected via twitter all over the world, people can share information in real time.</p>
<p>Erick Kinuthia</p>
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		<title>Comment on The never-ending road to self-improvement by Beat Schindler</title>
		<link>http://www.globalhealthhub.org/2012/01/03/the-never-ending-road-to-self-improvement/#comment-60489</link>
		<dc:creator>Beat Schindler</dc:creator>
		<pubDate>Tue, 10 Jan 2012 12:58:09 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/2012/01/03/the-never-ending-road-to-self-improvement/#comment-60489</guid>
		<description>There is no road to self-improvement. Self-improvement IS the road. In the same way as a rose by any other name is still a rose, and as the desire to end desire is still a desire, the resolve to end improving yourself is still self-improvement. What to suggest to people who abandon responsibilities, families and children, do short cuts, lies and steal, end up in addiction and penal institutions? Quash the urge to be better? It’ll only make you feel inadequate? Gimme a break. Growth IS the natural course of things – when what’s preventing is eliminated. Just be natural? That’s not what the crowds of people ready to completely forfeit personal experience want to hear – now that their guru has declared the natural course of things, unnatural. The world, after all, is a place of wonderment.</description>
		<content:encoded><![CDATA[<p>There is no road to self-improvement. Self-improvement IS the road. In the same way as a rose by any other name is still a rose, and as the desire to end desire is still a desire, the resolve to end improving yourself is still self-improvement. What to suggest to people who abandon responsibilities, families and children, do short cuts, lies and steal, end up in addiction and penal institutions? Quash the urge to be better? It’ll only make you feel inadequate? Gimme a break. Growth IS the natural course of things – when what’s preventing is eliminated. Just be natural? That’s not what the crowds of people ready to completely forfeit personal experience want to hear – now that their guru has declared the natural course of things, unnatural. The world, after all, is a place of wonderment.</p>
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		<title>Comment on David Hume (in 1651) on Globalization and Justice for Distant People and&#8230; by Experimental Mouse</title>
		<link>http://www.globalhealthhub.org/2012/01/09/david-hume-in-1651-on-globalization-and-justice-for-distant-people-and/#comment-60437</link>
		<dc:creator>Experimental Mouse</dc:creator>
		<pubDate>Tue, 10 Jan 2012 10:26:14 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/2012/01/09/david-hume-in-1651-on-globalization-and-justice-for-distant-people-and/#comment-60437</guid>
		<description>Please correct me if I&#039;m mistaken, but David Hume was born in 1711, and died in 1776, so it has been hard for him to write anything in 1651. This minor fact does not detract of course anything from his brilliant thoughts, their actuality and the value of the article written by Amartya Sen.

Experimental Mouse</description>
		<content:encoded><![CDATA[<p>Please correct me if I&#8217;m mistaken, but David Hume was born in 1711, and died in 1776, so it has been hard for him to write anything in 1651. This minor fact does not detract of course anything from his brilliant thoughts, their actuality and the value of the article written by Amartya Sen.</p>
<p>Experimental Mouse</p>
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		<title>Comment on Zambia: Male Circumcision a ‘National Life-Saving Intervention’ by Mark Lyndon</title>
		<link>http://www.globalhealthhub.org/2012/01/03/zambia-male-circumcision-a-national-life-saving-intervention/#comment-57617</link>
		<dc:creator>Mark Lyndon</dc:creator>
		<pubDate>Wed, 04 Jan 2012 12:34:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=36942#comment-57617</guid>
		<description>(I&#039;m posting this again without the links, so sorry if it appears twice)

From the USAID report &quot;LEVELS AND SPREAD OF HIV SEROPREVALENCE AND ASSOCIATED FACTORS: EVIDENCE FROM NATIONAL HOUSEHOLD SURVEYS&quot;
&quot;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.&quot;

The South African National Communication Survey on HIV/AIDS, 2009 found that 15% of adults across age groups &quot;believe that circumcised men do not need to use condoms&quot;.

From the committee of the South African Medical Association Human Rights, Law &amp; Ethics Committee :
&quot;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.&quot;

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:

ABC (Abstinence, Being faithful, and especially Condoms) is the way forward.  Promoting genital surgery will cost African lives, not save them.</description>
		<content:encoded><![CDATA[<p>(I&#8217;m posting this again without the links, so sorry if it appears twice)</p>
<p>From the USAID report &#8220;LEVELS AND SPREAD OF HIV SEROPREVALENCE AND ASSOCIATED FACTORS: EVIDENCE FROM NATIONAL HOUSEHOLD SURVEYS&#8221;<br />
&#8220;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.&#8221;</p>
<p>The South African National Communication Survey on HIV/AIDS, 2009 found that 15% of adults across age groups &#8220;believe that circumcised men do not need to use condoms&#8221;.</p>
<p>From the committee of the South African Medical Association Human Rights, Law &amp; Ethics Committee :<br />
&#8220;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.&#8221;</p>
<p>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:</p>
<p>ABC (Abstinence, Being faithful, and especially Condoms) is the way forward.  Promoting genital surgery will cost African lives, not save them.</p>
]]></content:encoded>
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		<title>Comment on Zambia: Male Circumcision a ‘National Life-Saving Intervention’ by Mark Lyndon</title>
		<link>http://www.globalhealthhub.org/2012/01/03/zambia-male-circumcision-a-national-life-saving-intervention/#comment-57607</link>
		<dc:creator>Mark Lyndon</dc:creator>
		<pubDate>Wed, 04 Jan 2012 11:47:08 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=36942#comment-57607</guid>
		<description>From the USAID report &quot;LEVELS AND SPREAD OF HIV SEROPREVALENCE AND ASSOCIATED FACTORS: EVIDENCE FROM NATIONAL HOUSEHOLD SURVEYS&quot;
&quot;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.&quot;
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 &quot;believe that circumcised men do not need to use condoms&quot;.
http://www.info.gov.za/issues/hiv/survey_2009.htm

From the committee of the South African Medical Association Human Rights, Law &amp; Ethics Committee :
&quot;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.&quot;

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 will cost African lives, not save them.</description>
		<content:encoded><![CDATA[<p>From the USAID report &#8220;LEVELS AND SPREAD OF HIV SEROPREVALENCE AND ASSOCIATED FACTORS: EVIDENCE FROM NATIONAL HOUSEHOLD SURVEYS&#8221;<br />
&#8220;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.&#8221;<br />
<a href="http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf" rel="nofollow">http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf</a></p>
<p>The South African National Communication Survey on HIV/AIDS, 2009 found that 15% of adults across age groups &#8220;believe that circumcised men do not need to use condoms&#8221;.<br />
<a href="http://www.info.gov.za/issues/hiv/survey_2009.htm" rel="nofollow">http://www.info.gov.za/issues/hiv/survey_2009.htm</a></p>
<p>From the committee of the South African Medical Association Human Rights, Law &amp; Ethics Committee :<br />
&#8220;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.&#8221;</p>
<p>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:<br />
<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract" rel="nofollow">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract</a></p>
<p>ABC (Abstinence, Being faithful, and especially Condoms) is the way forward.  Promoting genital surgery will cost African lives, not save them.</p>
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		<title>Comment on Zambia: Male Circumcision a ‘National Life-Saving Intervention’ by Hugh7</title>
		<link>http://www.globalhealthhub.org/2012/01/03/zambia-male-circumcision-a-national-life-saving-intervention/#comment-57436</link>
		<dc:creator>Hugh7</dc:creator>
		<pubDate>Tue, 03 Jan 2012 20:47:22 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=36942#comment-57436</guid>
		<description>In 10 of 18 countries for which USAID has figures, more of the circumcised men have HIV than the non-circumcised. In Malaysia, 60% of the population is Muslim (the only circumcised people in that country) but 72% of HIV cases are Muslim. Shouldn&#039;t that at least be explained before blundering on with mass circumcision programmes?

The latest review damning the &quot;circumcision prevents HIV&quot; studies is in the (Australian) Journal of Law and Medicine last month. The ENTIRE basis of the claim is 73 out of 5,400 circumcised men who didn&#039;t get HIV in less than two years, who MIGHT have if they hadn&#039;t been circumcised, while 64 circumcised men DID get it. 

G. Boyle and G. Hill unravel some of the many reasons that may not be cause and effect:
researcher expectation bias;
participant expectation bias;
inadequate double blinding;
lead-time bias;
selection and sampling bias;
attrition bias; and
early termination.
Contacts were not traced so we don&#039;t even know which if any of the men  got HIV from women or even by sex. Non-sexual transmission is a large and unaddressed issue in Africa, and male-male transmission goes largely denied and underreported. 

Women are at several times greater risk than men, and circumcision does NOTHING to protect them. It may even INcrease the risk to women, according to a Ugandan study  (Wawer, et al., Lancet 374:9685, 229-37) it was cut short for no good reason (nothing they could then do or not do would prevent any new infections) before that could be confirmed. 

Circumcision does nothing to protect men who have sex with men, a large and unacknowledged risk in Africa (expecially not in places where even admitting to being gay is dangerous).</description>
		<content:encoded><![CDATA[<p>In 10 of 18 countries for which USAID has figures, more of the circumcised men have HIV than the non-circumcised. In Malaysia, 60% of the population is Muslim (the only circumcised people in that country) but 72% of HIV cases are Muslim. Shouldn&#8217;t that at least be explained before blundering on with mass circumcision programmes?</p>
<p>The latest review damning the &#8220;circumcision prevents HIV&#8221; studies is in the (Australian) Journal of Law and Medicine last month. The ENTIRE basis of the claim is 73 out of 5,400 circumcised men who didn&#8217;t get HIV in less than two years, who MIGHT have if they hadn&#8217;t been circumcised, while 64 circumcised men DID get it. </p>
<p>G. Boyle and G. Hill unravel some of the many reasons that may not be cause and effect:<br />
researcher expectation bias;<br />
participant expectation bias;<br />
inadequate double blinding;<br />
lead-time bias;<br />
selection and sampling bias;<br />
attrition bias; and<br />
early termination.<br />
Contacts were not traced so we don&#8217;t even know which if any of the men  got HIV from women or even by sex. Non-sexual transmission is a large and unaddressed issue in Africa, and male-male transmission goes largely denied and underreported. </p>
<p>Women are at several times greater risk than men, and circumcision does NOTHING to protect them. It may even INcrease the risk to women, according to a Ugandan study  (Wawer, et al., Lancet 374:9685, 229-37) it was cut short for no good reason (nothing they could then do or not do would prevent any new infections) before that could be confirmed. </p>
<p>Circumcision does nothing to protect men who have sex with men, a large and unacknowledged risk in Africa (expecially not in places where even admitting to being gay is dangerous).</p>
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		<title>Comment on Jhpiego’s Kelly Curran discusses efforts to scale up male circumcision by PJ</title>
		<link>http://www.globalhealthhub.org/2011/03/01/jhpiego%e2%80%99s-kelly-curran-discusses-efforts-to-scale-up-male-circumcision/#comment-56124</link>
		<dc:creator>PJ</dc:creator>
		<pubDate>Tue, 27 Dec 2011 15:13:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=13473#comment-56124</guid>
		<description>“What does the frequently cited “60% relative reduction” in HIV infections actually mean? 
 Across all three female-to-male trials, of the 5,411 men subjected to male circumcision, 
64 (1.18%) became HIV-positive.  Among the 5,497 controls, 137 (2.49%) became 
HIV-positive”, so the absolute decrease in HIV infection was only 1.31%, which is not 
statistically significant.”  (Boyle GJ, Hill G. Sub-Saharan African randomised clinical 
trials into male circumcision and HIV transmission: Methodological, ethical and legal 
concerns. J Law Med 2011; 19:316-34.)  See:
 
http://www.salem-news.com/fms/pdf/2011-12_JLM-Boyle-Hill.pdf

From the USAID report &quot;LEVELS AND SPREAD OF HIV SEROPREVALENCE AND ASSOCIATED FACTORS: EVIDENCE FROM NATIONAL HOUSEHOLD SURVEYS&quot;- Findings from the 18 countries with data present a mixed picture of the association between male circumcision and HIV prevalence 
(Table 9.3) . . . In 10 of the countries—Cameroon, Guinea, Haiti, Lesotho, Malawi, Niger, 
Rwanda, Senegal, Tanzania, and Zimbabwe—HIV prevalence is higher among circumcised men.” 
(page 109)  See:
 
http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf
 
The one randomized controlled trial into male-to-female transmission showed a 54% higher 
rate among females in the group where the men had been circumcised.   See:
 
http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract
 
How the circumcision solution in Africa will increase HIV infections
 Robert S. Van Howe, Michelle R. Storms
 DOI: 10.4081/jphia.2011.e4 &#124; Published: 2011-02-11 15:59:52
 
http://www.publichealthinafrica.org/index.php/jphia/article/view/jphia.2011.e4/pdf_22
 
&quot;Langerin is a natural barrier to HIV-1 transmission by Langerhans cells&quot; (Nature 
Medicine- 4 March 2007). This study states, &quot;Langerhans cells (LCs) specifically express 
Langerin . . . LCs reside in the epidermis of the skin and in most mucosal epithelia, 
such as the ectocervix,  vagina and foreskin . . . &quot; Removal of the foreskin (male 
circumcision) removes the langerhans cells that express langerin, the natural barrier to 
HIV-1 transmission.
 
See:   http://www.cirp.org/news/healthday2007-03-05/
 
A study in the March, 2007 issue of the &quot;Annals of Epidemiology&quot; found that circumcision 
is &quot;likely to spread&quot; HIV. See:
 
http://www.afrol.com/articles/24469
 
A study published on June 20, 2007 found that male circumcision is overstated as a 
prevention tool against AIDS. This study found that the key to  understanding the global 
spread of AIDS is the size of the infected prostitute community around the world. See:
 
http://www.eurekalert.org/pub_releases/2007-06/plos-mco062007.php
 
Below are several articles that shed light on the circumcision/HIV  issue. If 
circumcision truly helped prevent HIV, then circumcised men would not need to worry about 
other methods of HIV  prevention. The false sense of security that circumcision  provides 
could increase the incidence of HIV. Already reports are coming out  from Africa about 
men who think they cannot get HIV because they have been circumcised. One Reuters story 
reports the comments of young men in Africa undergoing circumcision.   &quot;&quot;All I know is 
that when I am circumcised, it will not be as easy for me to get infected with HIV/AIDS,&quot; 
said one young man, Kizeja Michael, as he lined up for the operation. People who are 
circumcised are not able to get AIDS,&quot; said his friend, Peter Kibatsi.
 
It is ill advised for circumcision to be championed for large numbers of men when 98.15% 
of the men in the African studies&#039; control group who were not circumcised did NOT 
contract HIV after 24 months. Circumcision did nothing to protect the 22 circumcised men 
who acquired HIV in the Rakai, Uganda study. In addition, researchers made no attempt to 
determine the HIV status of the female partners of the men in these studies, a glaring 
omission that negates the findings.
 
An intact (not circumcised) male who does not engage in risky sexual behavior is far less 
likely to acquire HIV/AIDS than a circumcised male who engages in risky sexual behavior. 
Behavior is the key component in preventing HIV, not circumcision.
 
The United States has a long history and experience with circumcising millions
 of men in the past century under hygienic medical conditions. This has NOT prevented 
circumcised males from acquiring HIV. Instead, the United States has one of the highest 
rates of HIV in the developed world, despite the fact that male circumcision in the U.S. 
has been widespread here. This is in contrast to Europe and other locations around the 
world where male circumcision is rare and HIV rates are relatively low.

If the African studies had not been stopped early and long-term results had been 
obtained, the HIV infection rate might very well have become statistically insignificant 
between the circumcised and non-circumcised groups. The number of cases in each period 
for each group is small, so their relative sizes are affected greatly by random 
variation. It appears from the data that the rate of infection is lower among the 
circumcised men in the first 18 months following circumcision, but that there&#039;s little 
difference beyond 18 months. (And it should be noted that the circumcised men were 
required to refrain from sexual activity for six  weeks during the healing process, and 
the intact men were not.)
 
The decision to terminate the studies early prevented any future comparison of the 
progression of HIV in the circumcised and control groups and the very real possible 
invalidation of the alleged &quot;proof&quot;. The decision to circumcise the control group removed 
any future comparison between the circumcised and a control group. In valid research, a 
control group is necessary as a comparison. Several of the researchers have a religious 
or cultural bias in favor of the practice and appear to be more interested in promoting 
circumcision than they are in preventing HIV. (Daniel Halperin&#039;s grandfather was a mohel, 
or Jewish ritual circumciser.)
 
One man in Africa appears to have more common sense than many of those promoting 
circumcision. &quot;Jackson Dlamini, 25, a strapping man taking a break from weight training 
at a local gym, told IRIN he was considering circumcision as a way to protect himself 
from HIV/AIDS. When told that counsellors at Mbabane Government Hospital would advise him 
to carry on using condoms even  after the operation, Dlamini said, &quot;It is painful to get 
circumcised.  If I have to wear a condom anyway, what is the point?&quot;&quot;
 
&quot;HIV infection and circumcision: cutting through the hyperbole&quot; THE JOURNAL OF THE ROYAL 
SOCIETY FOR THE
 PROMOTION OF HEALTH, Volume 125, Number 6: Pages 259-265, November 2005
 http://www.cirp.org/library/disease/HIV/vanhowe2005a/
 
Why Most Published Research Findings are False - John Ioannidis 
http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1182327
 Published online 2005 August 30
 
Why Is HIV So Prevalent In Africa? - Michael Fumento 
http://www.fumento.com/disease/aids2005.html
 
Danish Study- Male circumcision leads to a bad sex life- November 14, 2011
 
http://sciencenordic.com/male-circumcision-leads-bad-sex-life
 
Circumcised men have more difficulties reaching orgasm, and their female partners 
experience more vaginal pains and an inferior sex life, a new study shows.</description>
		<content:encoded><![CDATA[<p>“What does the frequently cited “60% relative reduction” in HIV infections actually mean?<br />
 Across all three female-to-male trials, of the 5,411 men subjected to male circumcision,<br />
64 (1.18%) became HIV-positive.  Among the 5,497 controls, 137 (2.49%) became<br />
HIV-positive”, so the absolute decrease in HIV infection was only 1.31%, which is not<br />
statistically significant.”  (Boyle GJ, Hill G. Sub-Saharan African randomised clinical<br />
trials into male circumcision and HIV transmission: Methodological, ethical and legal<br />
concerns. J Law Med 2011; 19:316-34.)  See:</p>
<p><a href="http://www.salem-news.com/fms/pdf/2011-12_JLM-Boyle-Hill.pdf" rel="nofollow">http://www.salem-news.com/fms/pdf/2011-12_JLM-Boyle-Hill.pdf</a></p>
<p>From the USAID report &#8220;LEVELS AND SPREAD OF HIV SEROPREVALENCE AND ASSOCIATED FACTORS: EVIDENCE FROM NATIONAL HOUSEHOLD SURVEYS&#8221;- Findings from the 18 countries with data present a mixed picture of the association between male circumcision and HIV prevalence<br />
(Table 9.3) . . . In 10 of the countries—Cameroon, Guinea, Haiti, Lesotho, Malawi, Niger,<br />
Rwanda, Senegal, Tanzania, and Zimbabwe—HIV prevalence is higher among circumcised men.”<br />
(page 109)  See:</p>
<p><a href="http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf" rel="nofollow">http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf</a></p>
<p>The one randomized controlled trial into male-to-female transmission showed a 54% higher<br />
rate among females in the group where the men had been circumcised.   See:</p>
<p><a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract" rel="nofollow">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract</a></p>
<p>How the circumcision solution in Africa will increase HIV infections<br />
 Robert S. Van Howe, Michelle R. Storms<br />
 DOI: 10.4081/jphia.2011.e4 | Published: 2011-02-11 15:59:52</p>
<p><a href="http://www.publichealthinafrica.org/index.php/jphia/article/view/jphia.2011.e4/pdf_22" rel="nofollow">http://www.publichealthinafrica.org/index.php/jphia/article/view/jphia.2011.e4/pdf_22</a></p>
<p>&#8220;Langerin is a natural barrier to HIV-1 transmission by Langerhans cells&#8221; (Nature<br />
Medicine- 4 March 2007). This study states, &#8220;Langerhans cells (LCs) specifically express<br />
Langerin . . . LCs reside in the epidermis of the skin and in most mucosal epithelia,<br />
such as the ectocervix,  vagina and foreskin . . . &#8221; Removal of the foreskin (male<br />
circumcision) removes the langerhans cells that express langerin, the natural barrier to<br />
HIV-1 transmission.</p>
<p>See:   <a href="http://www.cirp.org/news/healthday2007-03-05/" rel="nofollow">http://www.cirp.org/news/healthday2007-03-05/</a></p>
<p>A study in the March, 2007 issue of the &#8220;Annals of Epidemiology&#8221; found that circumcision<br />
is &#8220;likely to spread&#8221; HIV. See:</p>
<p><a href="http://www.afrol.com/articles/24469" rel="nofollow">http://www.afrol.com/articles/24469</a></p>
<p>A study published on June 20, 2007 found that male circumcision is overstated as a<br />
prevention tool against AIDS. This study found that the key to  understanding the global<br />
spread of AIDS is the size of the infected prostitute community around the world. See:</p>
<p><a href="http://www.eurekalert.org/pub_releases/2007-06/plos-mco062007.php" rel="nofollow">http://www.eurekalert.org/pub_releases/2007-06/plos-mco062007.php</a></p>
<p>Below are several articles that shed light on the circumcision/HIV  issue. If<br />
circumcision truly helped prevent HIV, then circumcised men would not need to worry about<br />
other methods of HIV  prevention. The false sense of security that circumcision  provides<br />
could increase the incidence of HIV. Already reports are coming out  from Africa about<br />
men who think they cannot get HIV because they have been circumcised. One Reuters story<br />
reports the comments of young men in Africa undergoing circumcision.   &#8220;&#8221;All I know is<br />
that when I am circumcised, it will not be as easy for me to get infected with HIV/AIDS,&#8221;<br />
said one young man, Kizeja Michael, as he lined up for the operation. People who are<br />
circumcised are not able to get AIDS,&#8221; said his friend, Peter Kibatsi.</p>
<p>It is ill advised for circumcision to be championed for large numbers of men when 98.15%<br />
of the men in the African studies&#8217; control group who were not circumcised did NOT<br />
contract HIV after 24 months. Circumcision did nothing to protect the 22 circumcised men<br />
who acquired HIV in the Rakai, Uganda study. In addition, researchers made no attempt to<br />
determine the HIV status of the female partners of the men in these studies, a glaring<br />
omission that negates the findings.</p>
<p>An intact (not circumcised) male who does not engage in risky sexual behavior is far less<br />
likely to acquire HIV/AIDS than a circumcised male who engages in risky sexual behavior.<br />
Behavior is the key component in preventing HIV, not circumcision.</p>
<p>The United States has a long history and experience with circumcising millions<br />
 of men in the past century under hygienic medical conditions. This has NOT prevented<br />
circumcised males from acquiring HIV. Instead, the United States has one of the highest<br />
rates of HIV in the developed world, despite the fact that male circumcision in the U.S.<br />
has been widespread here. This is in contrast to Europe and other locations around the<br />
world where male circumcision is rare and HIV rates are relatively low.</p>
<p>If the African studies had not been stopped early and long-term results had been<br />
obtained, the HIV infection rate might very well have become statistically insignificant<br />
between the circumcised and non-circumcised groups. The number of cases in each period<br />
for each group is small, so their relative sizes are affected greatly by random<br />
variation. It appears from the data that the rate of infection is lower among the<br />
circumcised men in the first 18 months following circumcision, but that there&#8217;s little<br />
difference beyond 18 months. (And it should be noted that the circumcised men were<br />
required to refrain from sexual activity for six  weeks during the healing process, and<br />
the intact men were not.)</p>
<p>The decision to terminate the studies early prevented any future comparison of the<br />
progression of HIV in the circumcised and control groups and the very real possible<br />
invalidation of the alleged &#8220;proof&#8221;. The decision to circumcise the control group removed<br />
any future comparison between the circumcised and a control group. In valid research, a<br />
control group is necessary as a comparison. Several of the researchers have a religious<br />
or cultural bias in favor of the practice and appear to be more interested in promoting<br />
circumcision than they are in preventing HIV. (Daniel Halperin&#8217;s grandfather was a mohel,<br />
or Jewish ritual circumciser.)</p>
<p>One man in Africa appears to have more common sense than many of those promoting<br />
circumcision. &#8220;Jackson Dlamini, 25, a strapping man taking a break from weight training<br />
at a local gym, told IRIN he was considering circumcision as a way to protect himself<br />
from HIV/AIDS. When told that counsellors at Mbabane Government Hospital would advise him<br />
to carry on using condoms even  after the operation, Dlamini said, &#8220;It is painful to get<br />
circumcised.  If I have to wear a condom anyway, what is the point?&#8221;"</p>
<p>&#8220;HIV infection and circumcision: cutting through the hyperbole&#8221; THE JOURNAL OF THE ROYAL<br />
SOCIETY FOR THE<br />
 PROMOTION OF HEALTH, Volume 125, Number 6: Pages 259-265, November 2005<br />
 <a href="http://www.cirp.org/library/disease/HIV/vanhowe2005a/" rel="nofollow">http://www.cirp.org/library/disease/HIV/vanhowe2005a/</a></p>
<p>Why Most Published Research Findings are False &#8211; John Ioannidis<br />
<a href="http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1182327" rel="nofollow">http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1182327</a><br />
 Published online 2005 August 30</p>
<p>Why Is HIV So Prevalent In Africa? &#8211; Michael Fumento<br />
<a href="http://www.fumento.com/disease/aids2005.html" rel="nofollow">http://www.fumento.com/disease/aids2005.html</a></p>
<p>Danish Study- Male circumcision leads to a bad sex life- November 14, 2011</p>
<p><a href="http://sciencenordic.com/male-circumcision-leads-bad-sex-life" rel="nofollow">http://sciencenordic.com/male-circumcision-leads-bad-sex-life</a></p>
<p>Circumcised men have more difficulties reaching orgasm, and their female partners<br />
experience more vaginal pains and an inferior sex life, a new study shows.</p>
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		<title>Comment on Job: Access to Finance Rwanda &#8211; Programme Manager, Rwanda by gilbert</title>
		<link>http://www.globalhealthhub.org/2011/02/15/job-access-to-finance-rwanda-programme-manager-rwanda/#comment-54076</link>
		<dc:creator>gilbert</dc:creator>
		<pubDate>Wed, 14 Dec 2011 16:26:03 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/2011/02/15/job-access-to-finance-rwanda-programme-manager-rwanda/#comment-54076</guid>
		<description>well provided thanks</description>
		<content:encoded><![CDATA[<p>well provided thanks</p>
]]></content:encoded>
	</item>
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		<title>Comment on Job: Access to Finance Rwanda &#8211; Programme Manager, Rwanda by gilbert</title>
		<link>http://www.globalhealthhub.org/2011/02/15/job-access-to-finance-rwanda-programme-manager-rwanda/#comment-54075</link>
		<dc:creator>gilbert</dc:creator>
		<pubDate>Wed, 14 Dec 2011 16:25:02 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/2011/02/15/job-access-to-finance-rwanda-programme-manager-rwanda/#comment-54075</guid>
		<description>i was needing the informations about finance health service in rwanda</description>
		<content:encoded><![CDATA[<p>i was needing the informations about finance health service in rwanda</p>
]]></content:encoded>
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		<title>Comment on Scaling Up Mobile Health: Elements Necessary for the Successful Scale Up of&#8230; by GHHub</title>
		<link>http://www.globalhealthhub.org/2011/12/08/scaling-up-mobile-health-elements-necessary-for-the-successful-scale-up-of/#comment-53686</link>
		<dc:creator>GHHub</dc:creator>
		<pubDate>Mon, 12 Dec 2011 19:20:36 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/2011/12/08/scaling-up-mobile-health-elements-necessary-for-the-successful-scale-up-of/#comment-53686</guid>
		<description>We have fixed the link, though healthunbound has had trouble with their RSS. Please let us know if you continue to have this problem.</description>
		<content:encoded><![CDATA[<p>We have fixed the link, though healthunbound has had trouble with their RSS. Please let us know if you continue to have this problem.</p>
]]></content:encoded>
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		<title>Comment on Health Market Highlights: Kenya by Pierre Oven</title>
		<link>http://www.globalhealthhub.org/2011/10/11/health-market-highlights-kenya/#comment-52954</link>
		<dc:creator>Pierre Oven</dc:creator>
		<pubDate>Fri, 09 Dec 2011 23:35:32 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=30558#comment-52954</guid>
		<description>I like the helpful info you provide in your articles. I will bookmark your blog and check again here regularly. I am quite sure I’ll learn many new stuff right here! Best of luck for the next!</description>
		<content:encoded><![CDATA[<p>I like the helpful info you provide in your articles. I will bookmark your blog and check again here regularly. I am quite sure I’ll learn many new stuff right here! Best of luck for the next!</p>
]]></content:encoded>
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	<item>
		<title>Comment on Can we design a heart-healthy home? Disease and the built environment by Barton Warga</title>
		<link>http://www.globalhealthhub.org/2011/11/24/healthyhome/#comment-52953</link>
		<dc:creator>Barton Warga</dc:creator>
		<pubDate>Fri, 09 Dec 2011 23:33:07 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=33224#comment-52953</guid>
		<description>Simply want to say your article is as astounding. The clearness in your post is just excellent and i can assume you are an expert on this subject. Fine with your permission allow me to grab your RSS feed to keep up to date with forthcoming post. Thanks a million and please continue the enjoyable work.</description>
		<content:encoded><![CDATA[<p>Simply want to say your article is as astounding. The clearness in your post is just excellent and i can assume you are an expert on this subject. Fine with your permission allow me to grab your RSS feed to keep up to date with forthcoming post. Thanks a million and please continue the enjoyable work.</p>
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		<title>Comment on Scaling Up Mobile Health: Elements Necessary for the Successful Scale Up of&#8230; by Roos Korste</title>
		<link>http://www.globalhealthhub.org/2011/12/08/scaling-up-mobile-health-elements-necessary-for-the-successful-scale-up-of/#comment-52833</link>
		<dc:creator>Roos Korste</dc:creator>
		<pubDate>Fri, 09 Dec 2011 16:08:46 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/2011/12/08/scaling-up-mobile-health-elements-necessary-for-the-successful-scale-up-of/#comment-52833</guid>
		<description>Hi. I can&#039;t find out how to open this blog post (&#039;Scaling Up Mobile Health: Elements Necessary for the Successful Scale&#039;). I met this problem frequently last couple of weeks. When I click on &#039;healtunbound&#039; I go to another page and when I click on &#039;read more&#039; (&#039;about Scaling Up Mobile.....&#039;) then I go back to this page and so on. What do I miss?</description>
		<content:encoded><![CDATA[<p>Hi. I can&#8217;t find out how to open this blog post (&#8216;Scaling Up Mobile Health: Elements Necessary for the Successful Scale&#8217;). I met this problem frequently last couple of weeks. When I click on &#8216;healtunbound&#8217; I go to another page and when I click on &#8216;read more&#8217; (&#8216;about Scaling Up Mobile&#8230;..&#8217;) then I go back to this page and so on. What do I miss?</p>
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		<title>Comment on Job: SolidarMed seeks Country Coordinator &#8211; HIV, Maternal and Community&#8230; by celmira Magno</title>
		<link>http://www.globalhealthhub.org/2011/01/28/job-solidarmed-seeks-country-coordinator-hiv-maternal-and-community/#comment-52674</link>
		<dc:creator>celmira Magno</dc:creator>
		<pubDate>Thu, 08 Dec 2011 17:34:55 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/2011/01/28/job-solidarmed-seeks-country-coordinator-hiv-maternal-and-community/#comment-52674</guid>
		<description>Newly qualified Nurse  with previous community experience and strong interest in HIV retroviral treatments prevention of vertical transition and Women’s health and TB.  Spent Two   months working in Mozambique with DREAM Community  of Santo Egidio Project caring for people with HIV and TB.  Worked as interpreter to the Portuguese community in Peterborough .</description>
		<content:encoded><![CDATA[<p>Newly qualified Nurse  with previous community experience and strong interest in HIV retroviral treatments prevention of vertical transition and Women’s health and TB.  Spent Two   months working in Mozambique with DREAM Community  of Santo Egidio Project caring for people with HIV and TB.  Worked as interpreter to the Portuguese community in Peterborough .</p>
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		<title>Comment on UNAIDS and PEPFAR Mount Campaign for Medical Male Circumcision Scale-Up in&#8230; by Mark Lyndon</title>
		<link>http://www.globalhealthhub.org/2011/12/06/unaids-and-pepfar-mount-campaign-for-medical-male-circumcision-scale-up-in/#comment-52523</link>
		<dc:creator>Mark Lyndon</dc:creator>
		<pubDate>Wed, 07 Dec 2011 19:47:54 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/?p=35414#comment-52523</guid>
		<description>From the USAID report &quot;LEVELS AND SPREAD OF HIV SEROPREVALENCE AND ASSOCIATED FACTORS: EVIDENCE FROM NATIONAL HOUSEHOLD SURVEYS&quot;
&quot;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.&quot;
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 &quot;believe that circumcised men do not need to use condoms&quot;.
http://www.info.gov.za/issues/hiv/survey_2009.htm

From the committee of the South African Medical Association Human Rights, Law &amp; Ethics Committee :
&quot;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.&quot;

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 will cost African lives, not save them.</description>
		<content:encoded><![CDATA[<p>From the USAID report &#8220;LEVELS AND SPREAD OF HIV SEROPREVALENCE AND ASSOCIATED FACTORS: EVIDENCE FROM NATIONAL HOUSEHOLD SURVEYS&#8221;<br />
&#8220;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.&#8221;<br />
<a href="http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf" rel="nofollow">http://www.measuredhs.com/pubs/pdf/CR22/CR22.pdf</a></p>
<p>The South African National Communication Survey on HIV/AIDS, 2009 found that 15% of adults across age groups &#8220;believe that circumcised men do not need to use condoms&#8221;.<br />
<a href="http://www.info.gov.za/issues/hiv/survey_2009.htm" rel="nofollow">http://www.info.gov.za/issues/hiv/survey_2009.htm</a></p>
<p>From the committee of the South African Medical Association Human Rights, Law &amp; Ethics Committee :<br />
&#8220;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.&#8221;</p>
<p>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:<br />
<a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract" rel="nofollow">http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)60998-3/abstract</a></p>
<p>ABC (Abstinence, Being faithful, and especially Condoms) is the way forward.  Promoting genital surgery will cost African lives, not save them.</p>
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		<title>Comment on A Bit of Context on the Fair Trade Kerfuffle by Jon Danzig</title>
		<link>http://www.globalhealthhub.org/2011/12/06/a-bit-of-context-on-the-fair-trade-kerfuffle/#comment-52307</link>
		<dc:creator>Jon Danzig</dc:creator>
		<pubDate>Tue, 06 Dec 2011 21:19:18 +0000</pubDate>
		<guid isPermaLink="false">http://www.globalhealthhub.org/2011/12/06/a-bit-of-context-on-the-fair-trade-kerfuffle/#comment-52307</guid>
		<description>We were the first to import ethically sourced coffee to the UK back in 1976.  It was years before Fairtrade started... But we created a stir when we imported almost 3 tonnes of instant coffee from Tanzania to the UK to help support manufacturing in the Third World.  Last month BBC radio interviewed me about our pioneering &#039;Campaign Coffee&#039;, that helped to start the idea of ethically sourced coffee in Great Britain.  The broadcast is now available on YouTube (4 minutes):
 
http://youtu.be/4qiHw40CubY</description>
		<content:encoded><![CDATA[<p>We were the first to import ethically sourced coffee to the UK back in 1976.  It was years before Fairtrade started&#8230; But we created a stir when we imported almost 3 tonnes of instant coffee from Tanzania to the UK to help support manufacturing in the Third World.  Last month BBC radio interviewed me about our pioneering &#8216;Campaign Coffee&#8217;, that helped to start the idea of ethically sourced coffee in Great Britain.  The broadcast is now available on YouTube (4 minutes):</p>
<p><a href="http://youtu.be/4qiHw40CubY" rel="nofollow">http://youtu.be/4qiHw40CubY</a></p>
]]></content:encoded>
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