theage.com.au
Australia
Stephen Cauchi
June 7, 2009
THE Royal Australasian College of Physicians has flagged it will not change its policy against circumcision despite evidence the procedure can prevent the spread of HIV and other sexual diseases.
The college, which represents physicians and pediatricians in Australia and New Zealand, has adopted the position that “there is no medical indication for routine neonatal circumcision” since 2004.
But it has been reviewing this stance in part following recent scientific research suggesting that the risk of HIV infection could be dramatically reduced by the practice.
Three trials conducted in South Africa, Kenya and Uganda between 2005 and 2007 showed conclusively, according to the World Health Organisation, “that male circumcision reduces the risk of heterosexually acquired HIV infection in men by approximately 60 per cent”.
Further research, published this year in the New England Journal of Medicine, has found that circumcision can reduce the transfer of human papillomavirus — the chief cause of cervical cancer in women — by 35 per cent, and herpes simplex virus — the chief cause of herpes — by 25 per cent.
The journal said the findings underscored “the potential public health benefits of the procedure”.
The college, which began its review in 2006 and was supposed to come out with a revised policy at the end of 2007, will not do so until the end of this year, as it considers the new evidence.
It is estimated that 10 to 20 per cent of male infants are circumcised in Australia.








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