8 journal of pediatric ethics summer 2017 cultural bias in american medicine: the case of infant male circumcision brian d earp and david m shaw brian d earp, mphil, msc, is associate director. Early infant male circumcision (eimc, performed within the first 60 days of life) has been identified as a key hiv prevention intervention for sustaining the prevention gains anticipated through adult voluntary medical male circumcision (vmmc) [1 – 3. In 2012, the american academy of pediatrics (aap) updated its policy on infant male circumcision, arguing that the benefits of the procedure outweigh the risks in response, medical authorities from europe and canada argued that the aap report exhibited cultural bias in favor of circumcision. Further research is required to assess the feasibility, desirability and cost-effectiveness of circumcision to reduce the acquisition of hiv an article published in the international medical journal the lancet reported the effect of infant circumcision on pain response during subsequent routine vaccination the researchers tested 87.
Circumcision is the surgical removal of the foreskin, which is the skin covering the tip of the penis it’s common in the united states and parts of africa and the middle east but less common in. Whereas circumcision rates have risen in white men to 91%, in black men to 76%, and in hispanic men to 44%, the study authors found an alarming decrease in infants to get the true figures they had to correct hospital discharge data for underreporting. The emerging science demonstrates various health benefits associated with infant male circumcision and adult male circumcision yet rates are declining in the united states the american academy of pediatrics and the centers for disease control and prevention recommend that healthcare providers.
Male circumcision policy ignores research showing benefits evidence didn’t justify infant male circumcision being carried out to prevent illness on male circumcision because it is not. An essay on circumcision making recent provincial and international headlines, the topic of male infant circumcision (herein referred to as mic), brought up in any forum, is considered by some one of the most controversial debates of the century, with personal views ranging from dead set against it to why wouldn’t you. About 10% of uncircumcised infants will require circumcision later in life for medical reasons adult circumcision is more expensive, more difficult, riskier, requires stitches, and causes more suffering than neonatal circumcision.
Infant circumcision has recently attracted controversy with professional groups recommending it and various individuals trying to criminalize it. Is the non-therapeutic circumcision of infant males morally permissible the most recent major developments in this long-simmering debate were (a) the 2012 release of a policy statement and technical report on circumcision by the american academy of. After analysis of almost 40 years of medical research on circumcision, the american academy of pediatrics has issued new recommendations stating that the benefits are not significant enough for. This study showed that neonatal circumcision in male infants is associated with increased pain response in vaccination 4-6 months after surgery the results support our previous finding of a higher pain response in circumcised than uncircumcised male infants during routine vaccination. Early infant male circumcision: systematic review, risk-benefit analysis, and progress in policy early infant male circumcision: systematic review, risk-benefit analysis, and progress in policy school of biomedical sciences and pharmacy, mothers and babies research centre, hunter medical research institute, university of newcastle.
New scientific evidence shows the health benefits of newborn male circumcision outweigh the risks of the procedure, but the benefits are not great enough to recommend routine circumcision for all newborn boys, according to an updated policy statement published by the american academy of pediatrics (aap. Circumcision resource center is a 501(c)(3) nonprofit educational organization with the purpose of informing the public and professionals about the practice of male circumcision our mission is to raise awareness and facilitate healing. Male circumcision is a surgical procedure in which the foreskin is removed from the penis most often, infant boys are circumcised soon after birth.
The american academy of pediatrics has shifted its stance on infant male circumcision, announcing on monday that new research, including studies in africa suggesting that the procedure may protect. The research highlights focused on operational research underway at the research sites where the randomized controlled trials were conducted, infant male circumcision studies, and monitoring and evaluation of devices. Safety research safety research infant male circumcision tends to be safer than adult circumcision because it does not require suturing to stop the bleeding and close the wound complications of infant male circumcisions performed in medical settings are rare and usually minor and treatable, particularly during the first month of life.
Early infant male circumcision (eimc) is a potential key hiv prevention intervention, providing it can be safely and efficiently implemented in sub-saharan africa here, we present results of a randomized noninferiority trial of eimc comparing the accucirc device with mogen clamp in zimbabwe. Circumcision is a surgical procedure to remove the foreskin, the skin that covers the tip of the penis in the united states, it is often done before a new baby leaves the hospital. It was my idea to use fmri and/or pet scanning to directly observe the effects of circumcision on the infant brain the operator of the mri machine in the hospital was a friend of mine and he agreed to allow us to use the machine for research after normal operational hours. Male infant circumcision: a brief overview of the issues a publication of doctors opposing circumcision wwwdoctorsopposingcircumcisionorg where medical research has shown other techniques to be at least as effective and less invasive would be unethical and inappropriate the bma considers that the evidence.