Showing posts with label CDC. Show all posts
Showing posts with label CDC. Show all posts

Thursday, March 9, 2017

NYC: More Herpes Circumcision Cases Since de Blasio Lifted Metzitzah B'Peh Regulations

CDC, AAP, NYC Health Department

No one wants to come right out and say it, because doing so gets you labeled an "anti-Semite," but a particularly Jewish tradition, specifically the ultra-orthodox Jewish tradition of sucking a child's freshly circumcised penis to "cleanse the wound," is resulting in the spread of herpes in infants.

No one wants to actually write a law against this, because no governing body wants to be the first to write a law that regulates Jewish practice.

Actually, not too long ago, the NYC Health Department tried to instate a mandate to regulate the practice of metzitzah b'peh, otherwise known as "oral suction."

 Ultra-orthodox mohel sucking on a child's freshly circumcised penis

The mandate, which was supposed to be a measure to protect further boys from being infected, was pretty much toothless to begin with, because all it did was require parents to sign a consent form before allowing a mohel to perform metztizah b’peh on their sons. Furthermore, there was no real penalty or consequences for mohels if they didn't comply.

Despite the mandate being essentially impotent, ultra-orthodox rabbis were intolerant of what they saw as an "unconstitutional, shocking governmental overreach," and they managed to convince NYC Mayor Bill de Blasio to lift the mandate. In exchange for this, however, the ultra-orthodox community vowed to report the cases of herpes that resulted due to metzitzah b'peh, and to name the mohels and rabbis involved as part of a deal.
According to a recent report, there have been six cases of infants contracting herpes as a result of the traditional practice of oral suction, since Mayor de Blasio decided to lift the previously instated mandate.

Two of the mohels involved remain a mystery despite the ultra-orthodox community's agreement to help the city identify, and isolate any mohels responsible for infecting infants with herpes through oral suction.

At least on paper, all cases of neonatal herpes are required to be reported to the city's Health Department shortly after they occur. In response to each case, health officials were supposed to issue a “health alert” notifying medical practitioners in an effort to educate them about the potential hazards of the practice.

It looks like this too, like the policy before it, was mere gesture to keep people happy.

I think the problem here is obvious.

Nobody is willing to call a spade a spade for fear of looking like "the bad guy."

Meanwhile, healthy children are getting infected with herpes, in some cases, resulting in death.

It really must be asked; when deciding these things, whose interests do people really have at heart?

Related Posts:
BUSTED: Agudath Israel of America's Antics Revealed

NEW STUDY: Ultra-Orthodox Mohels Don't Give Babies Herpes

NEW YORK: Two More Herpes Babies, One With HIV

NEW YORK: Metzitzah: Two mohelim stopped after babies get herpes

NEW YORK: Yet Another Herpes Baby

Rabbis Delay NYC's Metzitzah B'Peh Regulations - Meanwhile, in Israel...

While PACE Holds a Hearing on Circumcision, Another Baby Contracts Herpes in NYC

Israel Ahead of New York in Recommending Against Metzitzah B'Peh

New York: Oral Mohel Tests Positive for Herpes

Herpes Circumcision Babies: Another One? Geez!

Mohels Spreading Herpes: New York Looks the Other Way

Circumcision Indicted in Yet Another Death: Rabbis and Mohels are "Upset"

Friday, October 21, 2016

MedPage Today: Circumcision "Cuts HIV" In Africa - STDs Soar In USA



This week, medical news outlet MedPage Today published some interesting, if conflicting reports, regarding the acquisition and prevention of STDs.

Just today, they published an article titled "Mass Circumcision Cut HIV Acquisition," where so-called "researchers" try to give the credit of a recent reduction in HIV cases in a select place in Africa, to, you guessed it, circumcision.

The article is, of course, not saying anything that's exactly new. It touts the obligatory reference to the three major trials that make the claim that "circumcision reduces the risk of HIV transmission by 60%." (The figure given in this article is 50%.)

The article's sole objective seems to be to reiterate the claim that circumcision prevents HIV, the only evidence for this is the assertion that circumcision "is working" in Africa, based on mathematical models.

The article admits "[I]t's impossible to tabulate an infection that doesn't take place."

We are told that the "investigators" used three different mathematical models to estimate the impact of the 2015 numbers over the period from 2008 through 2015.

However, flawed models yield flawed results; the model is based on the unsubstantiated hypothesis that male circumcision reduces HIV transmission.

One of the biggest flaws in the trials on which these models are based, is the lack of a scientifically demonstrable causal link.

Without one, the trials, and thus any models based on them, are baseless; researchers must demonstrate how circumcision reduces HIV transmission in the first place, let alone by any percentage; circumcision may not even have anything to do with the recent drop HIV infection.

At best, the models attempt to forcibly graft circumcision into the HIV reduction equation; without a causal link, it must be asked how circumcision fits into the picture at all.

Even taking the results of the questionable trials at face value, even if circumcision could be said to prevent HIV prevention by the fabled 60% , circumcision would be ineffective at preventing HIV and other sexually transmitted diseases. So ineffective that, in fact, circumcised men and their partners must be urged to continue to wear condoms.

The recent drop in HIV infections might have more to do with the increased mindfulness of safe sex practices, such as faithfulness and condoms, and nothing to do with circumcision at all.

Reports from other parts of Africa note quite the opposite; an increase in HIV infection, in spite of circumcision indoctrination efforts, can be observed. (See here and here.)

And yet in others, promoting circumcision seems to be giving men a false sense of security, causing them to forgo condoms. (See here, here and here.)

It must be asked; are the "researchers" observing "averted infections" in intact men?

Are they monitoring their behaviors to see how they can prevent HIV transmission without the need for surgery?

Is the goal to prevent HIV transmission?

Or to justify the controversial practice of male circumcision?

Is promoting circumcision actually resulting in the opposite effect of increasing the risk of HIV transmission?

It must be noted that the article opens with the following disclaimer:

Note that this study was published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal.

...which begs the question of why MedPage Today is even bothering to give this "study" any attention to begin with.

Meanwhile in the US...
While models "prove" circumcision is "preventing" HIV transmission in select parts of Africa, American organizations, such as the CDC and the CIA tells a different story regarding STD transmission in America.

Just a few days ago, the same medical news source published an article regarding a report by the CDC titled "STDs Hit Historic High: CDC."

While the rate of male infant circumcision in the US has dropped to about 56%, according to the very CDC, the prevalence of adult males circumcised at birth is still about 80%.

Circumcision has been near-universal in the US for quite some time now.

Circumcision advocates tout that it "reduces the risk" of countless other STDs, not only HIV, and yet real-world data doesn't correlate with these claims.

According to the CIA World Factbook, the US has a higher HIV prevalence rate than 53 countries where circumcision is rare or not practiced.

In the case of the US, the blame is being put not on the lack of circumcision (80% of adult males are are already circumcised from birth), but on the eroding health systems.

So while near-universal fails to prevent STD transmission, including HIV in the US, somehow we're supposed to believe that it is somehow working miracles in Africa.

Something has got to be wrong with "research" that fails to correlate with reality.

Promoting male circumcision in Africa is a worthless waste of money at best, an unethical disservice which may actually be resulting in an increase of HIV/STD transmission at worst.

Related Posts:
UNITED STATES: Infant Circumcision Fails as STI Prophylaxis

Where Circumcision Doesn't Prevent HIV
Where Circumcision Doesn't Prevent HIV II

CIRCUMCISION "RESEARCH": Rehashed Findings and Misleading Headlines
 
UGANDA: Myths about circumcision help spread HIV

ZIMBABWE: Circumcised men abandoning condoms

Botswana – There is an upsurge of cases of people who got infected with HIV following circumcision.

Zimbabwe – Circumcised men indulge in risky sexual behaviour

Nyanza – Push for male circumcision in Nyanza fails to reduce infections




Friday, September 2, 2016

MALAWI: Christian Health Organization Pushing Male Circumcision


A recent report tells of a Christian health organization in Malawi, doing what they can to upscale male circumcision in the area.

A few things jump out at me.

A Christian Organization? Promoting and Facilitating Circumcision?
First, the fact that this is, at least on the surface, supposed to be a Christian health organization, one apparently run by a Catholic Church.

This is strange, as the New Testament expressly forbids circumcision for gentiles in the New Testament (see Galatians 5), and yet here is this "Christian" organization run by a Catholic Church facilitating precisely that.

Will the Catholic Church also run abortion clinics?

They might as well.

Is the Message Being Lost?
Secondly, this whole program seems to be run under the current alibi for promoting circumcision; preventing HIV transmission.

And yet, the free circumcision program is alluring to men, boys and their parents for other reasons.

Asked about their reasons for participating in the program, they give the following responses, according to the report above:

"At the hospital, trained staff do the circumcision. Besides, they use safe tools and this is important for the boys' health," said a father.

"In Balaka, this is the season of initiation camps when young boys are taken to be circumcised as a rite of passage into adulthood. However, this year is tough. Most of us did not send our children because we cannot afford to pay for them due to the ongoig food crisis in the district," said another father.

"Medical circumcision is safer for the kids than getting what they go through in initiation camps, locally known as ndagala, here thy face the risk of HIV infection as the elders use unsterilised equipment. That aside, the boys are subjected to harsh conditions and some boys die due to inadequate care given after circumcision," laments a mother.

"It is pleasing that parents are realizing the need to get their kids circumcised at a health facility and not initiation camps," said a coordinator for the Christian organization.

It sounds like most people are interested in having the boys circumcised at medical facilities, so as to avoid having them be circumcised in the bush as African tribal traditions call for.

This is a real concern, as every year, scores of boys and men lose their penises to gangrene, and scores of others die in the process, or take their own lives at the prospect of living without their male organs.

(Complications are also a concern when it comes to female circumcision. Somehow, I doubt that suggesting girls and women be circumcised by doctors in the hospital setting would be a welcome solution to the problem.)

So it sounds like these boys and men were already going to be circumcised as a matter of religious or cultural course.

In which case, the Christian health organization isn't "promoting" or "upscaling" circumcision per se; they're merely re-routing circumcisions that were going to take place anyway and taking credit for it, raising new questions altogether. (Is there any real upscaling going on? Are there actually any new men and parents of boys being won over to circumcision? Or is this merely a publicity piece exploiting already existing circumcision adherents? In other parts of the country, circumcision campaigns have failed, where circumcision simply isn't part of the culture. Do a search on Soka Uncobe in Swaziland. A good article can be seen here. [Last Accessed 9/3/2016])

Boys and men are now being circumcised in medical facilities, and I suppose in contrast to the initiation schools in the bush where they risk loss of their organs or death, this could be a good thing, but if they're more concerned at getting circumcised to meet a cultural/tribal requirement, do they even care about the so-called "benefits" of circumcision?

Will they be interested in HIV prevention through condoms?

Or will it send the wrong message that being circumcised is a "win-win" because they get circumcised "safely," they meet their cultural requirement, AND they're "protected" from HIV transmission?"

It just seems like a juncture where the message of HIV prevention could easily be lost.

That circumcision might "reduce the risk" of HIV transmission, but males and their partners should still wear condoms is sketchy enough.

If men and their families are more concerned about being circumcised safely to fulfill their cultural requirement, the importance of HIV prevention and wearing condoms may not even register.

Conclusion
Is this about HIV prevention or culture facilitation/preservation?

This initiative is being paid for by PEPFAR for the supposed purpose of HIV prevention, but is this message lost on those who see this as nothing more than an opportunity to get a free alternative to the mutilations that go on at initiation schools?

What will be the take away message?

"Get circumcised AND were protected from HIV! (So who cares about condoms?)"

Fact: 80% of US males are also circumcised at birth.

Fact: In the 1980s, when the epidemic hit, that number was 90%.

Fact: According to the CIA World Factbook, the US has a higher HIV prevalence than 53 countries where circumcision is rare or not practiced.

Fact: According to USAID, HIV prevalence was found to be higher among *circumcised* men in 10 out of 18 African countries.

Fact: Even if the latest research is correct (and it has many questionable flaws, namely the lack of a scientifically demonstrable causal link, failure to correlate with world data, unconfirmable results, etc...), circumcision would still be ineffective at preventing HIV, so ineffective that circumcised males and their partners must still be urged to wear condoms.

Fact: Circumcision is forbidden to Gentiles under the New Testament.

It must be asked why so much money is being pumped into such a questionable procedure for which more effective, less invasive alternatives are already available.

How is something that never worked for the US going to suddenly start working miracles in Africa?

If circumcised men and their partners must still be urged to wear condoms, what is the point of promoting circumcision?

What's the point of spending millions of dollars promoting a surgery, when that money can be better spent?

Like food and water? (See what one of the parents above had to say.)

Is no one going to question the ethics of promoting what is essentially genital mutilation in a hospital setting?

Is no one concerned that this is a green light for tribal circumcisions which result in injury and death?

Is no one going to talk about all the mishaps that happen even in the medical setting?

The fact that male circumcision promotion is a stumbling block to activists trying to stop female circumcision?

The fact that this promotion is resulting in the forced circumcision of non-consenting minors?

Even against parental wishes?

The coercion of boys and men to get circumcised?

What is this about?

Is this truly about HIV prevention?

 Or is this about legitimizing, preserving a controversial procedure that is dwindling back home?

(Back home meaning the home country of those pumping money and effort in spreading circumcision in Africa and elsewhere under the guise of public health? PEPFAR? JHPIEGO? Bill and Melinda Gates? The Clinton Foundation? CDC? What do these organizations that are so eager to circumcise millions of males in Africa have in common? They all come from America, where male infant circumcision used to be a common procedure for the majority of newborn makes, and where these numbers are falling and doctors are struggling to convince parents to circumcise their children. So is this about medicine? Or culture preservation? Subplantation? Look at the fine print; these companies' organizations' ultimate goal is to implement infant circumcision in Africa as it exists back home. Never mind this hasn't helped to prevent STDs. What is this really about? Why does the world watch in silence as the US imposes male genital mutilation on Africa under the guise of disease prevention?)

Related Posts:
Where Circumcision Doesn't Prevent HIV

Where Circumcision Doesn't Prevent HIV II
 

MASS CIRCUMCISION CAMPAIGNS: The Emasculation and Harassment of Africa

UNITED STATES: Infant Circumcision Fails as STI Prophylaxis

UGANDA: Myths about circumcision help spread HIV

ZIMBABWE: Circumcised men abandoning condoms

Botswana – There is an upsurge of cases of people who got infected with HIV following circumcision.

Zimbabwe – Circumcised men indulge in risky sexual behaviour

Nyanza – Push for male circumcision in Nyanza fails to reduce infections

JAMA: Lead Article is a "Study" on Bribing Men to Get Circumcised

AFRICA: Creating Circumcision "Volunteers"
 

AFRICA: NGO's Taking Children from School to Circumcise Them Without Parents' Knowledge

MALAWI: USAID-Funded Program Kidnapping Children for Circumcision - Boy Loses Penis

Sunday, September 20, 2015

AFRICA: Boys Circumcised at School Without Parents' Knowledge




As if it weren't enough that male circumcision is being promoted in Africa under the dubious pretext of HIV prevention using questionable "research", and as if it weren't enough that parents are being brainwashed to have their children circumcised, organizations in Africa are taking the liberty of going to schools and circumcising children without their parent's knowledge.

Since "mass circumcision" campaigns began to be rolled out across Africa, promoters of male circumcision were careful to really push that the circumcision of males would be "voluntary," where it can mean that, at least theoretically, men would not be circumcised without their fully informed consent. 'Voluntary" can also mean that parents could "volunteer" their children to be circumcised. (Intactivists, such as myself, contest that a child forcibly circumcised without his own consent is no "volunteer.") "Voluntary Male Medical Circumcision", or "VMMC", it was called, for short.

But now, it seems that "voluntary" doesn't even matter anymore, and organizations are taking it upon themselves to visit schools and circumcising male students without even consulting parents on the matter.

In a recent case, at least 25 boys were circumcised at Oderai Primary School in Soroti sub-county, Soroti District, prompting furious protest by parents, some who were extremely distraught that their children were circumcised without their permission. The boys were circumcised at Soroti Health Centre III in an exercise that was facilitated by NGO Baylor Uganda.

District medical workers came, and a woman filling in for the head teacher (she was away on sick leave) simply authorized them.

When queried, the official in charge of the facility where the boys were circumcised, Harriet Amuat, insisted they were carrying out a government programe and Soroti District administration had signed a partnership with Baylor Uganda to fund the circumcision exercise in Teso sub-region.

The question is, who gave the go-ahead with a "circumcision exercise" that would forcibly circumcise healthy, non-consenting children, completely sidelining their parents?

Who held these talks?

Who made the preposition that children were to be circumcised without informing their parents?

Who accepted?

That's what I'd like to know.

Incidentally, Baylor Uganda is funded by none other than PEPFAR and the CDC. The CDC, a strong partner and supporter of BIPAI’s efforts in Uguanda, provides a majority of the Baylor-Uganda $24 million annual budget, through the U.S. President’s Emergency Plan for AIDS Relief.

American organizations are essentially bankrolling the forced circumcision of healthy, non-consenting children. Some may argue that "parents can give consent," but in this case even parents were disregarded.

Not the first time
This might be dismissed as a "one-time accident," but unfortunately, this is not the first time this has happened; a similar case happened recently in Eldoret, Uasin Gishu, just this April.

In this case, 30 children were forcibly circumcised by NGO Impact Research Development Organisation (IRDO) based in Kisumu, which has a clinic in Eldoret. Apparently the children were lured by strangers into cars with sweets.

Here too, parents protested the fact that their children had been forcibly circumcised without their knowledge.

It appears here too, the NGO has ties with PEPFAR, as evidenced by the "about" tab on their Facebook Page.

In yet an even earlier incident, high school students were being targeted at Embakwe High School.

Here too parents were furious to find that their children came home circumcised.

I cannot find any reference as to who gave the go-ahead, and who financed it in the linked article.

Wrong on so many levels
First off, the "mass circumcision" roll-outs are based on questionable material.

Even if the so-called "research" could be lent any credibility, circumcision would still be considered so ineffective at preventing HIV, that circumcised males and their partners must be urged to wear condoms. There is not a single doctor or "researcher" that can deny this fact.

If adult men wish to be circumcised, even being fully informed, that's one thing, but it is despicable that the procedure is being presented to parents as a "decision."

But lastly, it is simply horrific that children are being forcibly circumcised, completely disregarding their parents, and something needs to be done about it.

Was this an accident?

Or was it deliberate?

Those who authorized programs that go to schools and circumcise children without their parents' knowledge ought to be investigated and held responsible.

Relevant Links:


Saturday, March 7, 2015

FLORIDA: Belligerent Judge Seeks the Circumcision of a 4 Year Old


News of this case had been all over intactivist circles, and as much as I could help it, I didn't want to touch it. But now, the situation in Florida has escalated, and I feel compelled to write about it.

Long Story Short
A four year old child is caught in the middle of a court dispute. His parents never married, but long ago, they both agreed to have their male child circumcised and signed a legal contract. The boy is now four years old, he hasn't been circumcised, and despite the legal agreement they made earlier, the mother has changed her mind and does not want her son to undergo needless surgery, as the boy is healthy, there is no medical indication for surgical intervention, and there are risks, including death.

The case has been in Florida courts for the past year or so, and it has culminated in the judge siding with the father, invoking the legal contract signed by both parents, and ordering that the child must be circumcised as the father wishes, against the mother's wishes, irrespective of what the child, now fully conscious and aware of his own body, wants for himself.

We Talk, You Listen: Crippled Early On
Of peculiarity is the fact that the judge sought to disable the mother from defending her case early on. He placed a gag order on her that forbade her from going to the media, or seeking out the funds necessary for her defense. She was not to talk to the boy about what would happen to him. Basically the judge wanted to render her and her child helpless, sitting ducks. I suppose the judge was expecting for the mother to just fold her hands and say "Here! Take the child; he's all yours."

Silenced, forbidden from seeking funds, even talking to her own child, what was this mother supposed to do? It is clear that the judge sought to rig this case in the father's favor from the very beginning. In my opinion, this is a problem in and of itself. How is it fair to strip one side of their defenses?

Intactivists Step In
The judge may have issued this mother a gag order, but this didn't stop intactivist groups from publicizing this child's case on her behalf, and on behalf of that child. Many groups and individuals have worked hard to raise awareness of this case, and to raise funds for this mother's legal expenses in spite of the judge's attempted blackout. They have also staged protests.

The Plot Thickens
At the end of last year, the judge decided the mother didn't have a case, and that plans for the father to have her son circumcised should proceed as detailed in the legal contract signed by both parents. Even so, the mother has tried her best to prolong the legal battle, attempting to extend her son's grace period for as long as she can.

Within the past few months, the father has tried to arrange for the elective procedure to happen. On February 18, 2015, the mother filed a motion for injunction. The judge denied the mother’s motion for an injunction and a hearing was scheduled for March 6, 2015. Two days later, on Friday, February 20, 2015, the judge ordered that the circumcision could proceed without the mother’s consent, in the event the mother refuses.

It is now March 7th, the father has been seeking to have the child circumcised, and now the mother and child are nowhere to be found. The judge has ruled that the mother must appear in court to hand over her son, and she must sign a consent form to have him circumcised by Tuesday, March 10, 2015 at 2PM or face jail time. In addition, he "blames" her for making the case public.

It appears the judge is hell-bent on having this four year old child circumcised, meanwhile trying to paint his mother as some sort of villain for standing up and seeking help on his behalf.

Something is seriously the matter with this judge.

What Happens Now?
Many intactivists feared this would happen. In fact, quite a few cautioned against counseling the mother to take the boy and run, that if there were any chance this boy would be spared needless surgery, fleeing with the child would destroy it.

But I say, what choice did she have? Besides just stand by and watch as her child is taken from her arms to have a stranger needlessly cut off part of his penis? If running is the only way to extend the protection of this child's rights, then I say so be it.

In all honesty, I'm not sure what I, the author of this blog would do if I were in this woman's shoes.

I'd like the reader to try and picture what would happen if this case happened in reverse.

Hypothetical
You have a daughter with someone and you initially agree to have her circumcised. You sign a legal document, and it's binding, as you live in a country where female circumcision is "normal" and socially accepted. You read more information about it and you want to change your mind. You and the person you had your daughter with go to court and the judge sides with that person, citing "research" that says it prevents cancer and STDs, and that it's "very, very safe."

You are to hand over your daughter at a determined date to be circumcised, and you will not see her during her healing period.

WHAT DO YOU DO?

What News Outlets Are Saying
Of course, this case has been in the news since last year, and there are too many articles to quote, so I'll be quoting from the most recent articles, and highlighting points from them that jumped out at me.

From the Daily Mail (UK):
"In a stinging rebuke of the mother, [the judge] said she had successfully dragged out a legal battle and was 'reprehensible' for going missing with the boy and for conduct that has put the 4-year-old in a public spotlight 'making him an object of curiosity and worse'. "
What I find "reprehensible" is that this judge has the nerve of trying to vilify this mother after all he has done, trying to put a gag order on her, hastening the child's circumcision by removing the need for her consent, etc.

What I find "reprehensible" is the audacity of this judge to condemn that this case be made public. 
Why is he so concerned that the public not be aware of his ruling?

"She will only avoid jail on the contempt charge, [the judge] said, if she signs paperwork necessary to schedule the procedure that she initially agreed to in a legal document."
I find it ironic that the judge is basically trying to force this woman to sign consent papers on this child's behalf. "Sign or rot in jail," basically. There goes "consent..." Again, something is seriously the matter with this judge.
"'This child has been placed in a light that provides much too much scrutiny for a little boy,' the judge said. 'I blame no one but the mother for that.'"

This is truly unbelievable.

It is more of a problem for this judge, that this child's case is being scrutinized, and not the fact that he has ordered the child undergo needless surgery at the expense of his bodily integrity, not to mention his basic human rights.

Says the father:

"'She's willing to flee with him and plaster him all over the Internet and do anything she can,' [the father] said. 'She's stated that she's going to do everything that she can to stop it.'"
And he is surprised?

And then, almost as if obligatory, the article concludes:
"The CDC says medical evidence shows benefits clearly outweigh risks, and that circumcision can lower a male's risk of sexually transmitted diseases, penile cancer and urinary tract infections."

What the article doesn't say is that in the end, the CDC can't commit to an actual recommendation for male infant circumcision based on the current body of medical literature.

The trend of opinion on routine male circumcision is overwhelmingly negative in industrialized nations. No respected medical board in the world recommends circumcision for infants, not even in the name of HIV prevention. They must all point to the risks, and they must all state that there is no convincing evidence that the benefits outweigh these risks. To do otherwise would be to take an unfounded position against the best medical authorities of the West.
It must be asked what bearing the half-assed, non-committal CDC statement on male infant circumcision has on a healthy 4 year old who is at zero risk for sexually transmitted disease. Not even the American Cancer Society recommends infant circumcision as a measure to prevent penile cancer, and UTIs are already rare and easily treated.


From a  blog from NewTimes:
"In a hearing held Friday, [the judge] heard testimony from the boy's father, over how [the mother] has fled and vanished with their son. [The father] also asked the court to have [the mother]stop allowing anti-circumcision activists to continue using their son's name and likeness on the internet. She had been ordered to do so in the past but has disobeyed that court order."

As if she could stop other groups from doing what they want... As if she or he had any command over it... In the past she was ordered that she was not to make the case public. This didn't mean that others weren't free to do so on her and that poor child's behalf. She didn't disobey anything. That judge has a problem for trying to put a lid on this case.

"During his testimony, [the father] detailed an incident where [the mother] burst into a doctor's office where the child was being examined in order to schedule a procedure. [The father] said she "threw a tantrum" and yelled at the medical staff that she had not given consent for the boy to be examined by the doctor. [The father] said their son, who had witnessed the outburst, was "visibly shaken." He also claimed that the boy had expressed fear over getting a circumcision. [The father] hinted on the stand that this was due to Hironimus' using "scare tactics" on the boy, though he didn't make clear what those tactics might've been."

And why shouldn't this mother have been outraged that her child was being examined for surgery without her consent? It's telling how now the judge, the lawyer and everyone involved on the father's behalf is trying to make the mother look like a villain. Yes, I'm sure it was the mother and her "scare tactics," and not the fact that the child is awaiting someone to come and cut off part of his penis, that scared the child.

Really, dad? Some father YOU are...

"[The judge]said he expected that, although [the mother] was ordered not to allow the boy's name and likeness to be taken from her personal Facebook and used on these websites, she did anyway. 'I expected this to happen,' [the judge] said during his ruling, 'that the child's likeness would be used, making him an object of curiosity on the Internet.'"

But why would he expect that? And why would he want to preempt it with a gag order?

Is it the child that the judge fears would be an object of curiosity? Or was it circumcision? Or the fact that it was going to happen on a 4 year old without any medical indication whatsoever?

"Moreover, [the judge] said that he had heard enough testimony from doctors that circumcision is safe. 'I have heard testimony from doctors that there are zero cases of penile cancer in circumcised males, but there have been some cases in uncircumcised males,' [the judge] said. 'I've also heard testimony from doctors that there are less cases of STDs in circumcised males than in uncircumcised males.'

That circumcised males are immunized against penile cancer is simply categorically false. One must wonder why sexually transmitted disease is a concern in a four year old, and why he couldn't decide what STD prevention methods he would like to employ for himself as a sexually active adult.

"[The judge], saying he wanted to 'rein in this case,' also added that circumcision is 'short, under local anesthesia, and, at this stage of the boy's life, very, very safe.'"

So now,  judge is some sort of certified doctor. Yes, I'm sure he must have a degree in pediatric medicine, especially where urology and surgery are concerned.

Is he dense or is he deliberately missing the point?

Would female circumcision be justified to do in a girl if it "reduced cancer and sexually transmitted diseases," and rendered "very, very safe?"

I gleaned the following from The Sun Sentinel, and it seems telling of people's ignorance on the matter:
"[The father] has said he decided to pursue the circumcision in December 2013 when the boy was 3, after he said he noticed his son was urinating on his leg. The father on Friday said the boy's pediatrician had diagnosed a condition called phimosis, which prevents retraction of the foreskin."
If the reporter at The Sun Sentinel is to be believed, readers are being asked to just ignore the legal document the father has to go on. This is no longer about disputing the validity of a legal agreement, but about whether or not circumcision is medically indicated in the child.

The father wasn't intent on circumcising this child at the time he signed the legal document in question, he decided in 2013 he would like to circumcise his son.

Yes, let it be heard here that urinating on one's leg is a sign of phimosis, and not of childhood urinary incontinence. Is this some kind of joke?

It appears now that the father is seeking to use pseudo-medicine to circumcise this perfectly healthy child.

Phimosis? Dad? When medical literature indicates that a child's foreskin does not necessarily retract in infancy? But could remain non-retractile up until late teens?

Seriously.

Scraping the bottom of the barrel.

'There is no reason this case has to have gone this far, under these circumstances, drawing this much attention to a little boy,' [the judge] said. 'There is just no reason.'

The judge is right. He could have just told the father the mother reconsidered, she is as much a parent of the child as he is, and she has every right to change her mind and intervene for her child.

I think what the judge means to say here is that he wishes attention to circumcision, particularly the circumcision of a healthy, non-consenting four year-old. Weren't drawn.

By now, I think he should be aware that the cat's out of the bag, and a gag-order is not going to stuff it back in.

"The most recent federal statistics indicate circumcision is waning in popularity across the country, but a national pediatricians' group says the health benefits of the procedure for newborn males are greater than the risks."

The national pediatricians' group in question is the AAP, and though yes, they did try to repeat the sound-bite  that "the health benefits of circumcision outweigh the risks," many times, in the end, they couldn't commit to a recommendation, citing, in their very own article that, "the benefits are not great enough."

Despite what the CDC and AAP have to say on the matter, it remains true and irrefutable fact that no respected medical organization recommends infant circumcision based on current medical literature.


How can it be?
The judge has made a very true point; how is it that this case has gone on as far as it has?

It must be asked, without medical or clinical indication, how is it doctors can legally be performing non-medical surgery on healthy, non-consenting minors? Let alone be giving parents any kind of "choice" in the matter?

How is it that whether or not this child will undergo surgery depends on a written agreement, and not on the presence or absence of medical necessity?

How is it the court can order a mother to relinquish her son, and her voice to protect that son from needless surgery?

There is seriously something very wrong with courts in so-called 1st world developed countries that would allow this to happen.

All Wanted Secrecy - But WHY?
The father, the judge in this case, the father's lawyers have all tried to put a lid on this case. The judge put a gag order on the mother forbidding her to go to the media, or to seek out funds for her legal expenses. The father in particular was hoping to prevent the boy from becoming a poster boy for human rights activists who opposed the forced circumcision of healthy, non-consenting minors.

But why?

Why was the judge complicit in trying to keep this case under wraps?

It is said that only those who do evil hate the light, and avoid it, lest their deeds should be reproved. They clench their fists and gnash their teeth when anybody dares shine light on them. It is those who speak the truth, and fear not the truth who don't fear the light. Lo, they come to it and stand in it that their deeds may be made manifest.

The judge also ordered the media not to release the name of the child, and also asked reporters to be "sensitive" about identifying the parents, "Not in deference to me, but in deference to the protection of the individuals involved."

Just whom does the judge want to "protect?" And why? Certainly not the boy. The boy and his well-being are his least concern. He's talking about the "protection" the father who would be surely hated for his actions. And he is most definitely talking about himself, who would be seen as nothing more than an enabler of the deliberate violation of this child's basic human rights.

They all know they are engaging in deliberate child abuse through forced genital mutilation, and they do not want the light of scrutiny shone on them.

That is why they wanted to have concluded this case in secret.

Who Are the Players? What's at Stake?
The judge, the father, the father's lawyers etc. would all prefer for there to be a media black out regarding this case.

And this is precisely why I'm going to mention the parents' names right here in my blog. (They are no secret, as the names have appeared in other previous news sources.)

This is four-year old Chase.


This is the poor boy caught in the crossfire between his parents. He is not sick, he is not suffering any kind of illness that indicates surgical treatment. Yet the court has ordered that he needs to undergo surgery, the sole reason being the appeasement of his father. This is the child whose penis is in question. And yet, he is but a bystander in the whole case. No one seems to be bothered, no one seems to be interested in what he has to say regarding the future of his own body. That is, except human rights activists who are fighting for his cause.

Heather Hironimus is Chase's mother, here they are pictured together.



This is Dennis Nebus is Chase's father.



And this is Judge Jeffery Dana Gillen, the judge who appears to have made it his life's mission to see to it that Chase undergoes circumcision.




It must be asked, why in the world would a judge be concerned that this case not be made public? Is it the child's well-being he is concerned about? Or is it something that runs a bit deeper?

I can only speculate, but I think that this judge knows that siding with the mother and recognizing the fact the boy is healthy, and that circumcision is medically unnecessary, will open up a can of worms across the country, perhaps even the world. More and more circumcision is a hot-button issue in this country, and this judge and others may be working to prevent any kind of precedent that says a child's rights ought to be recognized, or even that a child should be spared in the event that parents cannot come to an agreement.

The judge may even have his own personal agenda. I speculate that the judge is himself circumcised, possibly a father to circumcised children, and he is taking the father's side, and placing himself in the father's shoes. Methinks the judge would himself be devastated if his wife would intervene on behalf of his male children and refuse to allow anyone to circumcise them.

Based on the fact that he was invited to be a speaker for career day at the Donna Klein Jewish Academy, where all invited speakers are prominent Jews in the community, it has been speculated in intactivist circles that he may be Jewish, and thus have a religious conviction to make sure this case falls through for the mother, and is a victory for the father. In a recent case in Israel, a mother succeeded in preventing her son from undergoing circumcision, much to the chagrin of the child's father, and the rabbinical court who wanted that child circumcised. Perhaps this judge wants to prevent a similar precedent in the US? It is possible the Academy may have made an exception and decided to invite a non-Jew to address the students, but doubtful given that one of the main goals of the event seems to be laud accomplishments made by Jewish members.

At any rate, one way or another, I suspect the judge of having a dog in the race, and is abusing his position of power to make sure things go his way. He ought to be relieved from this case, and it should be seen by other judges. This man is proving to be arrogant and belligerent, and it is clear that he could care less for the well-being of this child.

"A Personal Choice"
Circumcision advocates like to bandy about these words when it comes to defending parents who are adamant that their children be circumcised, but it seems their very meaning is lost on them, because they seem to be, either intentionally, or deliberately, leaving out the person whose genitals are in question.

If the child were actually suffering a condition, it would be a different matter, as treatment is necessary, and parents would be faced with having to make a decision.

But otherwise, why is the child and his own express wishes completely ignored?

In essence, the courts are treating this child like a slave in a business transaction between owners. Perhaps even worse; he's being treated like cattle to be branded.

No "personal choice," no basic human rights, no human dignity for this child.

The Bottom Line
The foreskin is not a birth defect. Neither is it a congenital deformity or genetic anomaly akin to a 6th finger or a cleft. Neither is it a medical condition like a ruptured appendix or diseased gall bladder. Neither is it a dead part of the body, like the umbilical cord, hair, or fingernails.

The foreskin is not "extra skin." The foreskin is normal, natural, healthy, functioning tissue, present in all males at birth; it is as intrinsic to male genitalia as labia are to female genitalia.

Unless there is a medical or clinical indication, the circumcision of a healthy, non-consenting individuals is a deliberate wound; it is the destruction of normal, healthy tissue, the permanent disfigurement of normal, healthy organs, and by very definition, infant genital mutilation, and a violation of the most basic of human rights.

Without medical or clinical indication, doctors have absolutely no business performing surgery in healthy, non-consenting individuals, much less be eliciting any kind of "decision" from parents.

There is something seriously wrong with the courts in Florida, or any court that would allow the elective, non-medical circumcision on a healthy, non-consenting individual, especially a four year old child, where the child will be old enough, fully aware, and fully conscious of what would happen to his body, and who will remember this event for the rest of his life.

The court system is broken if the rights of a healthy, non-consenting individual are tramped.




This is the face of a Muslim child just before he undergoes a ritual circumcision. In Muslim traditions, children are circumcised at much later ages. Notice the comfort money he has been given. Notice where his hands are. Notice the look of fear and despair in his face. No one used "fear tactics" to scare this child. He knows what's coming, and he is scared. I can only imagine that if Chase is forcibly circumcised, his face too will look something like this just before. My heart breaks just to think about it.

May there be justice for this poor child.

 "Who will cry for the little boy, he cried himself to sleep
Who will cry for the little boy, who never had it for keeps
Who will cry for the little boy, who walked on burning sands
Who will cry for the little boy, the boy inside a man
Who will cry for the little boy, who knew well hurt and pain
Who will cry for the little boy, who died and died again 
Who will cry for the little boy, a good boy he tried to be
Who will cry for the little boy, who cries inside of me"
From the movie Antwone Fischer

SOMEBODY has got to stand up for this boy and mother. Somebody has got to be their voice.

SHAME on this judge for taking this mother's voice away, and for disregarding the voice of the boy whose body is in question.

SHAME on him for abusing his position of power.

Related Posts:


The Circumcision Blame Game

OUT OF LINE: AAP Circumcision Policy Statement Formally Rejected

USA: Centers for Disease Control to Mirror American Academy of Pediatrics

Saturday, February 21, 2015

NEW HAMPSHIRE: Bill to Defund Circumcision Heard - Dissenters Included Planned Parenthood and a Rabbi


A bill that would prohibit Medicaid from funding the non-therapeutic circumcision of infants was heard by a house committee in New Hampshire very recently. Predictable dissent ensued.

18 states have cut Medicaid funding for the elective, non-therapeutic procedure, and Republican Keith Murphy sponsored the bill, asserting that New Hampshire should join them.

As with many politicians, Murphy's heart is in the right place, but his stated reasons as to why New Hampshire should cut Medicaid funding, have made the bill easy to shoot down by dissenters.

According to a recent news article, Murphy "firmly believes circumcision is dangerous – potentially, very dangerous."

Distraction from the issue
Murphy is quoted saying "One hundred and seventeen children a year, on average, die from circumcision complications. In fact it’s one of the leading causes of neonatal male deaths."

It must be said that, although intactivists know that circumcision is responsible for infant deaths, we also know that, because hospitals are not required to release information regarding infant deaths related to infant circumcision, and because doctors do their best to hide deaths due to circumcision by deliberately misattributing them to other causes, we can't know for sure, and any figure given is an estimate at best.

It is really sad that Murphy isn't anything in the way of a medical doctor who is well-versed in the risks and complications of circumcision, for someone who is could attest to the fact that the risks of male infant circumcision include infection, hemorrhaging, partial or full ablation, and yes, even death, are very real.

It is a real shame that attention from the fact circumcision is medically unnecessary in healthy, non-consenting newborns, and that Medicaid funds could be put to better use, has to be diverted to disputing the validity of one particular figure which is at best, a modest estimate, given reality.

Same old rationale
In opposition to the proposed bill, Planned Parenthood was ready to fire back that "[C]ircumcision carries public health benefits, including lowered risk of urinary tract infections and some sexually transmitted diseases." (This response isn't too surprising, given that they've already been trying to pass the lack of a foreskin as "normal," and they're busy pushing circumcision on Africans...)


This despite the fact that not a single respected medical organization in the world recommends the circumcision of infants based on the current body of medical literature.


Our very own AAP stated in their latest policy statement in 2012 that the so-called "benefits" of circumcision were "not great enough to recommend routine circumcision for all male newborns."

Even the CDC shies away from an actual recommendation in their latest release, dumping the onus of responsibility, as the AAP did 2 years prior, on parents.

It  needs to be asked, if the so-called "benefits" of circumcision are "not great enough to recommend routine circumcision for all male newborns," how is it something that should be funded by Medicaid?

What do respected medical organizations in other industrialized nations have to say?

Circumcision fails to prevent disease transmission. So ineffective is circumcision at preventing sexually transmitted disease, that circumcised men must still be urged to wear condoms. This is a fact that no doctor, or "researcher" can deny.

How is circumcision even a consideration, where urinary tract infections and sexually transmitted disease are better thwarted by antibiotics and condoms respectively?

The trend of opinion on routine male circumcision is overwhelmingly negative in industrialized nations. No respected medical board in the world recommends circumcision for infants, not even in the name of HIV prevention. They must all point to the risks, and they must all state that there is no convincing evidence that the benefits outweigh these risks. To do otherwise would be to take an unfounded position against the best medical authorities of the West.

One Jay Smith, a retired family physician, speaking on behalf of the New Hampshire Public Health Association defended: "Basically, I think we just feel that it’s bad public policy to remove a procedure from Medicaid that is still approved for other insurance," said Smith.

Really doc? You don't think it's bad public policy for public funding to cover non-medical, non-therapeutic elective procedures, especially on healthy, non-consenting minors?

Even a rabbi weighs in, saying that cutting Medicaid funding for male infant circumcision would discriminate against low-income Jews. (Right, because the proposed bill would deny only Jewish parents of male children a Medicaid handout.)

Staying on topic
Murphy brings up a very good reason why circumcising infants should be a concern, but the risk of death and the rate of infant deaths related to circumcision are a distraction from the conversation that should be happening, and a diversion from the questions that need to be asked.

1. What is the purpose of Medicaid?

2. Why should Medicaid give handouts to doctors who perform elective, non-medical surgery on healthy, non-consenting individuals?

3. Shouldn't public coffers cover only treatment and procedures for which there is clear medical indication?

4. Without medical or clinical indication, can doctors even be performing surgery in healthy, non-consenting individuals? Let alone be eliciting any kind of "decision" from parents? Let alone expect to be reimbursed by public monies?

5. What other elective, non-medical, non-therapeutic procedures on healthy, non-consenting individuals, should Medicaid be expected to cover?

The bottom line
The foreskin is not a birth defect. Neither is it a congenital deformity or genetic anomaly akin to a 6th finger or a cleft. Neither is it a medical condition like a ruptured appendix or diseased gall bladder. Neither is it a dead part of the body, like the umbilical cord, hair, or fingernails.

The foreskin is not "extra skin." The foreskin is normal, natural, healthy, functioning tissue, present in all males at birth; it is as intrinsic to male genitalia as labia are to female genitalia.

Unless there is a medical or clinical indication, the circumcision of a healthy, non-consenting individuals is a deliberate wound; it is the destruction of normal, healthy tissue, the permanent disfigurement of normal, healthy organs, and by very definition, infant genital mutilation, and a violation of the most basic of human rights.

Without medical or clinical indication, doctors have absolutely no business performing surgery in healthy, non-consenting individuals, much less be eliciting any kind of "decision" from parents, and much less expect to be reimbursed.

Medicaid money could be better spent on medical treatment that is actually needed, instead of controversial elective surgery on healthy, non-consenting individuals.

New Hampshire, and eventually all 50 states should cut Medicaid funding for elective, non-medical, non-therapeutic circumcision, especially in healthy, non-consenting minors, and put it to better use.

Related Posts:
PLANNED PARENTHOOD: Mutilated is the New "Normal"

CIRCUMCISION DEATH: Yet Another One (I Hate Writing These)

OUT OF LINE: AAP Circumcision Policy Statement Formally Rejected

USA: Centers for Disease Control to Mirror American Academy of Pediatrics

Tuesday, December 2, 2014

USA: Centers for Disease Control to Mirror American Academy of Pediatrics



Just the other day, I had finished giving my predictions as to what the Canadian Paediatric Society may be planning to do on their next position statement on circumcision, and just today I read that a release of a statement from the Center for Disease Control, with "guidelines" on circumcision, is eminent.

I'm not going to say much on this post, as it's pretty much the same thing I think of the CPS.

It looks like the CDC is getting ready to do exactly what the AAP did, and that's go on forever about HIV and other "benefits." I predict that, as the AAP did in 2012, the CDC will short of a recommendation, because they know that this would be taking an unfounded position against modern medicine.

The fact is that the trend of opinion on routine male circumcision is overwhelmingly negative in industrialized nations. No respected medical organization recommends infant circumcision based on the current body of medical literature.

The reason the 2012 AAP statement didn't culminate in a recommendation is because they knew full well that doing so would result in a loss of respect and credibility. The CDC will more or less fall along those lines. Of course they will overblow the dubious HIV/circumcision claims, but like the AAP, will continue to say "the parents should decide."

Get ready for more of the same rehashed BS.

UPDATE: A Preview
The latest on the CDC webpage (note the highlights...):

Status of CDC Male Circumcision Recommendations

Some recent reports have speculated about the Centers for Disease Control and Prevention's (CDC's) upcoming public health recommendations on male circumcision for HIV prevention in the United States.

It is important to note that the recommendations are still in development and CDC has made no determination at this time about the final content. CDC is employing a deliberative, evidence-based process for developing the circumcision recommendations, which allows for both external and internal CDC experts to provide input. CDC will also publish draft recommendations for public comment before the content will be finalized.

With respect to infant circumcision, it is important to recognize that many options are still being considered in this process, including simply recommending that health-care providers educate parents about the potential benefits and risks to ensure that parents have the information they need to make an informed decision.

In developing its recommendations, CDC is also considering whether circumcision should be recommended for heterosexual adults at high risk for HIV infection in the United States, as well as whether there is sufficient scientific evidence to make any recommendations for men who have sex with men.

Whatever the content may include, CDC's final circumcision recommendations will be completely voluntary. While CDC has not yet determined if male circumcision should be recommended for any population, ultimately the decision will rest with individuals and parents. CDC's public health imperative is to provide the best possible information on the risks and benefits to help inform those decisions.

 "Voluntary..." (Chuckle...)


Related Posts:
CANADA: Canadian Paediatric Society - Monkey See, Monkey Do?


AAP: New Statement Over-Hyped by US Media?

AAP: Around the Bush and Closer to Nowhere
OUT OF LINE: AAP Circumcision Policy Statement Formally Rejected

External Links:
To Cut or Not to Cut: CDC Poised to Offer Circumcision Guidance

Sunday, October 28, 2012

Rabbis Delay NYC's Metzitzah B'Peh Regulations - Meanwhile, in Israel...


After looking the other way for the longest time, the New York City Health Department finally decided to do something to address the issue of orthodox mohels spreading herpes through the practice of oral suction after ritual circumcision, also known as "metzitzah b'peh."

Or, at least, do something to look busy.

What did the New York City Health Department do to protect further boys from being infected?

They issued a mandate that would require parents to sign a consent form before allowing a mohel to perform metztizah b’peh on their sons.

According to Deputy Commissioner Jay K. Varma, the health commission would impose penalties at its own discretion. They would respond to public complaints and investigate the claims, (Because this has happened in the past? Do you seriously need a special law that requires parents to sign a waiver to do this?) and that repercussions could range from a phone call or a formal warning letter, to fines of up to $2,000 for each violation. (Again, when has this happened, and shouldn't this be standard procedure for ANY time a child is being put in danger? What happened in 2006 when Thomas Frieden was Health Commissioner?)

The mandate is basically worthless; there is no actual ban or regulation of metzitzah b'peh, and mohels would face no penalties whatsoever if the waivers were not signed. (I ask, what ultra-orthodox Jewish parent doesn't know the health implications of what is probably their most cherished religious tradition?)

But despite the new mandate being essentially impotent, ultra-orthodox rabbis were intolerant of what they see as an "unconstitutional, shocking governmental overreach." According to Rabbi William Handler, leader of Traditional Bris Milah, a self-proclaimed group formed to “protect Jewish ritual circumcision,” this mandate is "the first step in completely taking away traditional bris milah from the Jewish people in New York City.”

To prevent this mandate from taking effect, several rabbis and Jewish organizations, including Agudath Israel of America and the International Bris Association, filed a lawsuit at the Federal District Court in Manhattan. They accuse mayor Bloomberg of "blood libel," and the New York City Health Department of "trying to enforce erroneous opinions on the people of New York City." They claim the city lacks “any definitive proof” that metzitzah b’peh “poses health risks of any kind," despite the fact that the CDC found a total of 11 baby Jewish boys in NYC were infected with herpes.

Well, as they say, the squeaky wheel gets the grease, and it looks like the very vocal rabbis have gotten their wish.

New York City agreed to a brief stay in the enforcement of the above mandate, so that the plaintiffs who filed the lawsuit in Manhattan can submit a motion for a preliminary injunction.

The implementation of the city’s regulation, originally set to begin Oct. 21, has been pushed back until Nov. 14. 

Meanwhile, in Israel...
While rabbis were successful in holding back a law that does basically nothing to stop ultra-orthodox mohels from putting boys at risk for herpes transmission, the Israel Ambulatory Pediatric Association is calling for an end to the practice of metzitzah b'peh.

Going beyond a mere (and optional) waiver form as proposed in New York City, the Israel Ambulatory Pediatric Association is calling on Israel’s Health Ministry to require maternity wards and clinics to advise parents against metzitzah b’peh.

They are recommending that mohels, or ritual circumcisers, use a tube to take the blood from the circumcision wound, preventing direct contact with the infant’s incision.

Note the strange difference; in New York, officials want to take a "hands off" approach, going as far as highlighting the fact they neither ban nor are regulating how the practice is performed. In Israel, IAPA calls on Israel's Health Ministry to full on advise parents against the practice, and for the practice to be regulated.

Why an Israeli organization is displaying less reservation in regulating a Jewish religious practice than one in New York is beyond me. I would expect more for the Israeli organization to tread lightly on the issue, not the other way around.

Special Pleading
 The angry rabbis in New York try to act as if "religious freedom" is absolute, and government treats all religious practices as "off limits." Government intervenes in religious practices and beliefs all the time. Polygamy and child marriage is illegal, for example. In many states now, parents may not refuse to take their children to the hospital on the basis of "religious beliefs." And, since 1996, all forms of female genital cutting in healthy, non-consenting minors, including a "ritual nick" as proposed by the AAP in 2010, are punishable by law.

So while polygamists, perpetrators of child sex, circumcisers of girls etc., face the law, even in the so-called name of "religious freedom," circumcisers of boys get special kid-glove treatment, especially if they happen to be ritual circumcisers that put boys in extra danger by putting their mouths on the wounds they create.

Because pointing out the reality that cutting a child's penis and then placing one's mouth on it puts a child in danger and DOING something about it constitutes "blood libel," and would "upset" those who engage in the practice.