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Monday, October 24, 2016

10 Years Later, UNAIDS Still Hell Bent on Circumcising Africa


Is there a god?

Because only he would know what's come over the people at UNAIDS.

It seems that how many men they hornswoggle into getting circumcised, and how many parents they convince to allow doctors to circumcise their children, continues to be the new measure of "success" in reducing AIDS transmission at the WHO/UNAIDS.

Within the past few days, UNAIDS has published not one, not two, but three articles regarding so-called "VMMC" (the catchy acronym that stands for "Voluntary Male Medical Circumcision") on their website.

None of them question the mantra that "circumcision reduces the risk of HIV transmission by 60%" and what it's based on; they just tout it as given fact.

All of them sweep the reader past the fact that, in all actuality, scientists and researchers don't know that circumcision reduces the transmission of HIV at all, let alone by the fabled 60%.

The fact is that not a single scientist or researcher has been able to produce a scientifically demonstrable causal link between the presence of the male foreskin and an increase in HIV transmission.

But even accepting the claim that "circumcision prevents HIV transmission by 60%" at face value, no one seems to be concerned that there would still be that 40% that men and women have to worry about; circumcised men still run the risk of  acquiring HIV.

So ineffective would circumcision be at preventing HIV transmission, that HIV workers must stress to circumcised men and their partners, that circumcision is not protection, and that they still have to use condoms.

Bringing into question the use of promoting circumcision as HIV prevention in the first place.

The Underlying Theme: The Better Mousetrap
After reading each of the articles, I noticed a connecting underlying theme; and that's finding a better way to circumcise more males in a shorter time.

It's a recurring theme; actually, finding more men to circumcise is a problem HIV/AIDS organizations face every year.

Every year, WHO/UNAIDS sends a double-message. On the one hand, they want to let on on how successful their programs are. "Those foreskins are flying," Robert Bailey once assured in the New York Times. On the other hand, their strongest message is that "We still need your help! Don't stop sending us your money!"

Well, not exactly in those words, but you know, just about.

When the "mass circumcision programs" first began, there was an initial surge of men lining up to get circumcised at medical facilities. Initially, circumcision programs were able to claim success, but that has pretty much died down.

The number of men coming forward for circumcision, and parents allowing their children to be circumcised has since plateaued, and now circumcision promoters are at their wit's end trying to encourage more men to get circumcised.

In Swaziland, the "Soka Uncobe" (or "Circumcise and Conquer") campaign was launched with the intention of circumcising 80% of the male Swazi population (that's 200,000 men), but the program ended in failure, as after four years, the program was able to convince only 20% (roughly 34,000 men) of the population to undergo circumcision.

Programs in other countries are also facing the same failure to circumcise the number of men they want, such as in ZimbabweBotswana, Zambia and Kenya.

It is my suspicion that the men who initially did go in to get circumcised, were men who belonged to tribes and cultures where circumcision is already a rite of passage, and who were going to be circumcised anyway. (WHO/UNAIDS doesn't want to talk about this, but circumcision is already quite wide-spread in Africa. It is not too difficult to find men who want to get circumcised, because circumcision is already a rite of passage in many tribes and Muslim communities.)

Perhaps there were a few gullible men here and there who actually bought into the circumcision/HIV propaganda, but on the whole, those who went in were probably only men who couldn't care less about the potential HIV reduction, who said whatever they had to in order to cash in on a free and "safe" circumcision. All of the men who were going to get circumcised have gotten circumcised, so there's no one left, until new tribe or Muslim initiates come of age.

It seems circumcision promoters can't stop asking themselves, "What could be the problem? What has gone wrong? Why aren't men breaking down the doors to have part of their penis cut off?"

"Circumcise or bust!" seems to be the motto.

"We need to do whatever it takes to get as many men and boys circumcised."

And this, I believe, is what's wrong with HIV programs in Africa today. Somehow, progress on the HIV front has come to be measured, not by how much HIV infection has decreased in time, but by how prolific the practice of circumcision has become.

This time, they got it. They really got it.
WHO/UNAIDS has published the following report; "Effective HIV prevention and a gateway to improved adolescent boys & men’s health in eastern and southern Africa by 2021", which would be better labeled "Circumcising More Boys and Men."

The report says that the annual number of "VMMC" needs to increase to 5 million per year. According to the report, the following elements must be achieved:
  • Promoting VMMC as part of a wider package of sexual and reproductive services for men and boys, including comprehensive sexuality education, the use of condoms and communication around gender norms, including positive notions of masculinity.
  • Using new integrated service delivery models. 
  • Using approaches that are tailored for various age groups and locations.
  • Increasing domestic funding to ensure the sustainability of VMM[C] and expanding sexual and reproductive health services for men and boys.
  • Developing new approaches for adolescent and early infant circumcision.
  • Breaking down myths and misconceptions about circumcision.

To me, these read as:
  • Make circumcision as a condition for sex education, condoms, and manhood (e.g. social stigma)
  • Using the latest circumcision technology (e.g. prepex, accucirc etc... business ties anyone?)
  • Find out what it takes to circumcise people of different age groups
  • Make "VMMC" a condition for receiving funds for sex and reproductive health services for men and boys
  • Get 'em while they're young, target the youth and find ways to convince parents to have their children circumcised (WHERE'S THE "VOLUNTARY" IN THAT?)
    Brainwashing people into accepting circumcision by creating myths and misconceptions
In the second article published by UNAIDS, the Bill and Melinda Gates foundation appears to be investing in "research" on how to brainwash the African populace to uptake circumcision more effectively.

Reads the article:
"...while service delivery for VMMC has improved, uptake has stalled. In response, the Bill & Melinda Gates Foundation funded Ipsos Healthcare, a market research company, to investigate how to better understand behavioural and psychographic characteristics of men and boys and the barriers and facilitators within their journey from awareness of the VMMC to uptake."

Circumcision or bust. In other words, they want to see what makes them tick, what buttons they have to push, such that they accept circumcision.

Readers, does this seem "voluntary" to you?

In the third UNAIDS article, it seems they want to target youths by taking them to camps, Jesus Camp style. The article is titled "Protecting men and boys’ health in Swaziland," where "protection" means, making sure they're circumcised.

The article talks about using soccer to get to youth.

There have already been reports of crafty organizers using soccer to attract youth, and then making circumcision a prerequisite for joining.

More and more the word "voluntary" seems to be nothing more than lip service.

Human Rights Violations
The fact that WHO/UNAIDS is effectively endorsing genital mutilation as HIV "prevention" is infuriating.

First off, circumcision simply does not prevent anything, and that promoting circumcision as HIV prevention is already resulting in a false sense of security in men and women, exacerbating the HIV transmission problem:
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


Second, this endorsement is already resulting in the violation of basic human rights. Promoting circumcision as HIV prevention is giving circumcising tribes the green light to forcibly circumcise members of their tribes, and even members of rival tribes:
UGANDA: 220 men forcibly circumcised
UGANDA: HIV campaign confused with circum-rape: no effect on HIV rate
ZIMBABWE: 6 years for kidnapping, forced circumcision
UGANDA: Forced circumcision campaign stopped
UGANDA: Men flee "life-threatening" forced circumcision
UGANDA: Prisoners forcibly circumcised
KENYA: Circumcision forced on men and women - boy dies for refusing
UGANDA: Pretty women entrap intact men for enforced circumcision
SOUTH AFRICA: Taxi drivers fear forced dircumcision

The fact is that circumcision has become a prerequisite in receiving fund from donors. HIV organizations are being given quotas of circumcised males that they must meet in order to receive funds. This is resulting in very underhanded activity.

To increase the number of men being circumcised a year, circumcision promoters have tried everything in the book, from celebrity endorsement, to songs on the radio, to art exhibitions, to patriarchal endorsement, to bribery, to legislative proposition of compulsory circumcision for all (there goes the "voluntary" part of the program...), to making it a requirement to participate in sports, to outright emasculation and body shaming.

In some cases, children are being taken from schools, and even off the streets outright, and being circumcised without their parents' permission.

Programs are already underway to promote male infant circumcision to parents.

Again, is it not obvious that the "voluntary" part of the catchy "Voluntary Male Medical Circumcision" acronym is nothing more than vestigial?

On the bright side, perhaps the UNAIDS articles are good news for the intactivist movement. Perhaps they are a sign of circumcision advocates' despair and frustration, because their plans to circumcise Africa aren't going as swimmingly as they had originally planned.


Perhaps the need to underline that they're struggling to find better ways to spread circumcision, is indicative of the fact that Africans aren't buying the lie that circumcision has anything to do with HIV prevention so easily.

Africans Aren't Stupid
It doesn't take a rocket scientist to figure out why circumcision promoters are having trouble achieving their quotas. You don't need "studies" and "surveys" to figure out why.

Men simply don't see the value of getting circumcised, to undergo a painful, life-altering, permanent surgical alteration, which will permanently change the appearance and mechanics of their penises, if it means they only get "partial protection." Being told that "circumcision reduces HIV transmission by 60%" isn't all that impressive if it means that they still have to wear condoms.

Married men simply don't see the value of getting circumcised if they are faithful to their wives, and therefore not at risk for sexually transmitted HIV.

Women certainly don't want to be made to feel like their man is going out on them with other women. They want to be able to trust their partners with fidelity. So why would they encourage their men to go get circumcised? What can having their husbands go get circumcised mean, other than that they are expecting them to be unfaithful?

That the people up at HIV organizations think that they can actually get away with promoting circumcision the way they do can mean only one of to things; either HIV organizations are dense and stupid, or they believe the African public is.

From an outside, non-African perspective, I simply can't believe the bullshit that western HIV organizations are attempting to feed the people of Africa. Looking at what's going on in Africa, I'm simply insulted as an intact male.

As an intact man, I am expected to believe that, a) circumcision "reduces the likelihood of HIV transmission by 60% (from female to male)," and b) that I still have to wear condoms.


 


I ask, why in the world would any man in the right mind choose to have part of his penis removed, if it meant that one still had to wear condoms?

"60% protetion."

Just what does that mean?

Imagine parachutes that worked only 60% of the time, and malfunctioned the remaining 40%. 


For no discernible rhyme or reason.

Who in the right mind would want parachutes like that?

Is it any wonder HIV organizations are having trouble convincing the masses to accept circumcision as their lord and saviour?

I ask, if I'm not convinced by this argument, why would I expect any other man to be? Let alone the men in Africa?

No intact man in the right mind could ever go for this. Men who are fully informed, men who have been made aware of all the facts simply cannot see any value in undergoing circumcision, and can clearly see that it is complete madness that organizations are spending millions in funds trying to convince other men to part with their foreskins for only "partial protection." If you went around pushing this nonsense in Europe, people would laugh in your face. They're pushing this shit in Africa because they think Africans are gullible idiots.

The only people who see the value in circumcision campaigns are those men and women who already have religious or cultural convictions for the practice of circumcision. They would like circumcision to be a free service, performed at hospitals by trained professionals, as opposed to the African bush, performed by amateurs using crude utensils, where men are more likely to suffer complications, including infection, loss of their organ, and even death. People with religious or cultural convictions for circumcision cannot verily declare this to be the case, so they are more than likely to disguise these convictions and desire to have circumcision as a free service by parroting the circumcision/HIV propaganda. "I am glad I am protected," they will say, when they truly mean to say "I cashed in on a free circumcision, thanks to these HIV programs!" "Everybody should be circumcised in order to prevent HIV infection," they will say, when they mean to say "We want all men to be circumcised and must submit to our tribal or religious tradition."

THE SOLUTION: More Money, More Propaganda
So ten years and several million dollars later, the great scheme to circumcise Africa in the name of HIV transmission hasn't taken off. Africans simply aren't buying it. Worse than that, the risk compensation nightmare intactivists have warned about from the very beginning is coming true.



Men are walking away with the message that condoms aren't necessary once they're circumcised. This false sense of security makes it difficult for female partners to convince them to wear condoms.

The endorsement of circumcision as HIV prevention is seen as a green light for traditional, rite-of-passage circumcision practices, as well as the forced circumcision of men by men in rival circumcising tribes, resulting in infections, loss of genital organs and death, not to mention an increased risk of HIV transmission due to the usage of dirty, crude equipment.

These "mass circumcision campaigns" are a massive failure. But how are circumcision promotion agencies responding? What is their solution?

More money, more propaganda.

"Insanity is doing the same thing over and over again and expecting different results."

"Demand creation," say the circumcision "experts," is the key.

HIV promoting organizations are observing what's happening, and their solution is to up the ante, use more coercive tactics to get the men to circumcise themselves "voluntarily."

The problem, the reason they aren't seeing men flocking to get circumcised, according to them, is that men simply don't understand what's good for them.

The women don't either.

The solution is to "understand" "why" people aren't buying it, in order to hit the right buttons, come up with the necessary "studies" that quell people's fears, and people will start banging down the doors.

"Demand Creation": What does it mean?
So how are they going to do it?

How are they going to get 5 million men a year to get circumcised?

"Demand creation" are the buzz words among circumcision promoters. But what do these words mean?

To me this can only mean brainwashing and counterproductive propaganda.

When the goal of HIV organizations is no longer to prevent HIV, when the goal is, instead, to circumcise as many men, boys and children as possible, when the goal is to gain the "acceptance" of circumcision, when the goal is to achieve a quota within a certain time frame, then the only outcome of this is can be lies and deception.

In order to achieve "demand creation," one can expect more attacks on African masculinity.

More coercion through sex appeal.

More "studies" exaggerating the "benefits" of circumcision.

More diseases that circumcision is supposed to cure.

With the promotion of male infant circumcision, there will be more "studies" minimizing the risks and harms of circumcision.

Men and women who fully understand the facts, that circumcision is a painful, permanent alteration which, even if the current "research" were correct, could only provide "partial" protection, that circumcision fails and therefore condoms must still be used, do not, cannot possibly see any value in circumcision.

Men fully aware of the facts do not, cannot be convinced to accept this for themselves.

Parents fully aware of the facts, do not, cannot be convinced to accept this for their children.

Therefore the only possible outcome is that, in order to realize quotas and meet deadlines, the facts must be denied, lies must be told, and the truth must be hidden at all costs.

Therefore the only outcome of "demand creation" is that the public will believe that circumcision prevents HIV transmission, that being circumcised means condoms are disposable, that unsafe sex with a man is acceptable as long as he is circumcised.

Therefore the only outcome of "demand creation" is, necessarily, that the HIV epidemic in African countries will be exasperated.

At the expense of the American taxpayer.

At the expense of the truth.

At the expense of scientific credibility.

At the expense of the human dignity of Africans.

At the expense of African lives.

At the expense of basic human rights of minors.

The problem isn't that African men and women "don't understand" and that they need to be "educated," no. The men and women and Africa understand what circumcision and HIV are. They understand that circumcision, even if the "research" were accurate, could only provide "partial protection," that men would still have to wear condoms, and simply aren't interested.

The problem is that the people at HIV organizations, the people at the American CDC, the people at PEPFAR, the people at Bill and Melinda Gates, the people at the WHO have all lost their senses completely.

It is absolute madness that they've all made it the end goal of the HIV movement to circumcise Africa, if not the world. While precious funds could be put to better use, millions are being squandered on promoting a dubious form of HIV prevention which is already superseded by the cheaper, less invasive, more effective modes of prevention which are condoms and education.

This has stopped being about preventing HIV transmission and stopping AIDS; this has become a human experiment in coercion and brainwashing, adding a whole new layer of ethics being violated.

The word "Voluntary" in "Voluntary Male Medical Circumcision" will be devoid of any meaning.

Meanwhile, Back in the US
It is simply mistaken to assume that a mostly circumcised population automatically translates to a lowered HIV transmission rate, as real-world data indicates.

Meanwhile, the CDC has declared that the US is experiencing record highs in STDs. Not to mention that, according to the CIA World Factbook, the US has a higher HIV prevalence rate than 53 countries where circumcision is rare or not practiced.

Why is this important?

Because what "researchers" are trying to achieve in Africa is already reality in the US; 80% of our male population is already circumcised from birth.

Circumcision has been ingrained in American culture for at least a century. Having intact male organs is already stigmatized and openly made fun of on social media, television and film.

Circumcision never prevented HIV or other STDs in America, but somehow, however, people are expected to believe that it is working miracles in Africa.

Can anyone else not see what's happening in Africa for what it is?

An unethical, waste of money?

Millions are being spent to brainwash Africans of a lie the rest of the world doesn't even believe?

Millions are being spent to forcibly cut the genitals of healthy, non-consenting individuals?

Millions are being spent to instill in African men and women a false sense of security?

Which is actually a disservice in the fight against HIV?

Which can be better spent in sex education?

Food?

Water?

Other much needed medicine?

When are world leaders going to see this half-baked effort to circumcise Africa for what it is?

A massive human experiment?

A monstrous hoax?

A practical joke of epic proportions?

When are world leaders going to call to stop taking advantage of Africans?

Isn't it about time to admit that circumcision doesn't work, it never worked, and even if it ever did work, there would already be better ways to prevent HIV?

Isn't it about time to move on and spend those millions of dollars more productively?

Related Posts:

Where Circumcision Doesn't Prevent HIV II

UNITED STATES: Infant Circumcision Fails as STI Prophylaxis

CIRCUMCISION "RESEARCH": Rehashed Findings and Misleading Headlines

MASS CIRCUMCISION CAMPAIGNS: The Emasculation and Harassment of Africa

Posts on how circumcision may actually be worsening the HIV problem:


Posts on underhanded circumcision "upscale strategies"
BOTSWANA: Men Shunning Circumcision a "Mistery"


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

Posts on Swaziland Soka Uncobe Saga:
Soka Uncobe: Our US Tax Dollars at Work

Soka Uncobe "Official Launch" - Come Again?

Soka Uncobe Ringleaders Getting a Little Desperate?
 
Swazi King: "Better You Than Me"

SWAZILAND: Compulsory Circumcision Law Proposed

Swazi Men Not As Dumb As American Circumcision Advocates Had Hoped

SWAZILAND: American Government Sinks to New Low

Why a U.S. Circumcision Push Failed in Swaziland | PBS NewsHour

Related Link:
NYTimes Plugs PrePex, Consorts With Known Circumfetish Organization

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, May 18, 2014

MASS CIRCUMCISION CAMPAIGNS: The Emasculation and Harassment of Africa

Photo taken from ploscollections.com

It seems organizations intent on seeing the whole of Africa circumcised are growing ever desperate that their "mass circumcision campaigns" aren't working out as they had wished.

The pretext for promoting male circumcision for all is "HIV prevention," and sprinkled here and there, on various HIV organizations, one can read slogans along the lines of "an AIDS-free world." Or "an AIDS-free generation." "We can achieve it!," spokespeople say. "And the solution is circumcision!"

To begin with, "circumcision prevents HIV" is already a dubious, wishy-washy premise. Promoters of circumcision-as-HIV-prevention are careful in the way they present circumcision. They can't verily say "Circumcision prevents HIV," because it doesn't. They can't also say "Circumcision fails to prevent HIV, so circumcised men still have to wear condoms" either, because that would drive HIV charity donors, not to mention the men they're trying to convince, away.

No. They have to say "circumcision reduces HIV transmission by as much as 60%," that "circumcision is not foolproof" and that it has to be "part of a comprehensive package." They have to gloss over the fact that they've yet to establish a scientifically demonstrable causal link between the presence of the foreskin and increased HIV transmission, and/or between circumcision and decreased HIV transmission. They have to be careful to not bring any attention to the reality that a reduction in HIV transmission has not been observed in other populations where the majority of men are already circumcised, including other parts of Africa, South East Asia (e.g. Malaysia and The Philippines), and the United States.

The dubiousness of circumcision as an HIV prevention method goes further back. Promoters of circumcision would like to pretend as if circumcision were this "brand new innovative technology" that they've only "just found" yesterday, when history tells us that circumcision advocates have been trying to make circumcision relevant to medicine for at least 150 years. The idea that circumcision might do anything to prevent HIV is itself close to 30 years old.

Not to mention the fact that the practice itself has been under fire as far back as Greco-Roman rule; there are other, deep-running convictions to defend circumcision which have absolutely nothing to do with a genuine concern for disease prevention and public health. Circumcision may be an important rite of passage for members of certain tribes, for example. It is considered divine commandment by Jews, Muslims and certain Christian sects (although circumcision is not once mentioned in the Qur'an, and the New Testament says circumcision profits the Christian nothing.)


 Jews have defended the practice of infant circumcision for centuries

With circumcision already being part of the culture in most, if not all, African countries, it's not too hard to find a captive audience that can be wooed by slogans to the effect that circumcision is medically advantageous, and that everyone ought to be circumcised.

Circumcision is already a rite of passage for many tribes and peoples in Africa

I personally suspect that that has been the plan all along; that circumcision promoters aren't the least bit interested in preventing disease, but in reinforcing pre-existing partiality to circumcision, and using it to their advantage in proliferating the practice of circumcision and ensure its continuance, both in Africa and elsewhere.

A Hard Sell
It seems despite their best efforts, circumcision promoters are failing to meet their quotas. "Those foreskins are flying," assures Robert Bailey in the New York Times, but, if reports from Africa are to be believed, not fast enough. Circumcision promoters have tried everything in the book, from celebrity endorsement, to songs on the radio, to art exhibitions, to patriarchal endorsement, to legislative proposition of compulsory circumcision for all (there goes the "voluntary" part of the program...), to bribery.

There was an initial surge of men lining up to get circumcised at medical facilities, but that has pretty much died down, and now circumcision promoters are at their wit's end trying to encourage more men to get circumcised.

In Swaziland, the "Soka Uncobe" (or "Circumcise and Conquer") campaign was launched with the intention of circumcising 80% of the male Swazi population (that's 200,000 men), but the program ended in failure, as after four years, the program was able to convince only 20% (roughly 34,000 men) of the population to undergo circumcision.

Programs in other countries are also facing the same failure to circumcise the number of men they want, such as in Zimbabwe Botswana, Zambia and Kenya.

My suspicion is that the men who did go in to get circumcised, were men who belonged to tribes and cultures where circumcision is already a rite of passage, and who were going to be circumcised anyway. Perhaps there were a few gullible men here and there who actually bought into the circumcision/HIV propaganda, but on the whole, those who went in were probably only men who couldn't care less about the potential HIV reduction, who said whatever they had to in order to cash in on a free and "safe" circumcision. All of the men who were going to get circumcised have gotten circumcised, so there's no one left, until new tribe or Muslim initiates come of age.

And now, it seems, circumcision promoters are asking themselves, "What could be the problem? What has gone wrong? Why aren't men breaking down the doors to have part of their penis cut off?"

"Circumcise or bust!" seems to be the motto.

"We need to do whatever it takes to get as many men and boys circumcised."

And this, I believe, is what's wrong with HIV programs in Africa today. There is something wrong when progress on the HIV front is measured, not by how much HIV infection has decreased in time, but by how prolific the practice of circumcision has become. It is simply mistaken to assume that a mostly circumcised population automatically translates to a lowered HIV transmission rate, as real-world data indicates.

Latest Ploy: Sex Appeal
Circumcision advocates have been trying to use the influence of women to try and see if they could coerce men to go get circumcised. For a while now, programs like PEPFAR have been trying to sell circumcision as "beneficial to women," rather farfetched, as, even if the so-called "research" is correct, circumcision would only reduce HIV transmission from women to men. Actually, research shows that women are 50% more likely to acquire HIV from a circumcised partner, but this fact is ignored. In sub-Saharan Africa, women constitute 60% of people living with HIV, according to none other than the WHO itself. Circumcision promoters, however, still insist that male circumcision eventually benefits women "because less men being infected with HIV means less women will be infected."

To be quite sure that women will be interested in making sure their partner is circumcised, other dubious claims are sprinkled into the mix, such as a claimed reduction in HPV, which exclusively affects women, and other STDs. (Actually, studies are conflicting regarding the HPV claim. The claim falls apart in light of recent data, but circumcision proponents continue to adorn HIV propaganda with it none the less.)

But now, it seems, circumcision promoters are through with trying to use pseudo-scientific alibis to get women to influence the men, and are now turning to flat-out emasculation and harassment.

The following posters are apparently being used as part of the circumcision propaganda going on in Africa:





Even when the Soka Uncobe campaign was underway in Swaziland, promoters tried to appeal to masculinity, implying that circumcision would make them more attractive in the eyes of women.

Is this what it has come to?

Circumcision Now a Matter of "Respect"
Recently, I came across PLoS' Facebook page, on which it was promoting the release of circumcision propaganda articles. Intactivists, such as myself, as well as other concerned people have posted questions on their Facebook page, but it seems the best they or anyone else can do is offer the same canned responses always given. It's always the same "Research shows circumcision to prevent HIV by 60%, but it must be used with condoms" soundbites. When asked for answers, all they can do is post links to other articles that repeat the same thing. "The programs are working. Circumcision reduces HIV transmission. Circumcision is as effective as a vaccine. Our studies show that." They can't seem to offer any real answers to the questions we ask directly though.

What is the demonstrable causal link between the foreskin and increased HIV transmission? Or between circumcision and decreased HIV transmission?
Even if one can be furnished, what does it matter that a man is circumcised if he still has to wear a condom for real protection?
Wouldn't said causal link also apply to female genitals, seeing as the same tissues and cells exist in the vulva as they do in males?
What if a man is faithful to his wife? Why would a faithful couple be encouraged to have the male partner circumcised?
Have HIV organizations considered that males may not want to get circumcised, even given the information?
Are there any information packages prepared for males who do not want to undergo circumcision?
Are women encouraged to support their male partner in being faithful and using condoms if the male doesn't want to get circumcised?
Or is circumcision the only option?
If circumcision is so effective at preventing HIV, why must men still wear condoms?
If circumcision is so effective at preventing HIV, why was HIV found to be more prevalent in circumcised men in 10 out of 18 African countries, according to USAID?
If circumcision is so effective at preventing HIV, why does the United States have a higher HIV prevalence rate than 53 countries where circumcision is rare (e.g. under 20%) or not practiced, according to the CIA Fact Book?
How is something that never worked in a first world country like the United States, going to suddenly start working miracles in Africa?
How is it "voluntary" if there's a quota of 80% of African men?

The photo at the head of this article shows a man in a T-shirt. The T-shirt reads "EARN RESPECT: TEST AND CIRCUMCISE."

Is this what it has come down to?

A man can't be respected unless he is circumcised?

What if he tests, is STD-free, and consistently wears condoms?

This is not enough to earn "respect?"

As an intact man who is STD-free and faithful to his wife, I am insulted. Is what I do not enough? Do I not deserve respect until I have part of my penis cut off? Is this what they call "voluntary?" How is this not outright coercion?

Circumcision/HIV propaganda has gotten out of hand. I think it's about time human rights organizations stepped in and stopped this madness. This isn't HIV prevention, this is outright harassment and humiliation masquerading as medicine and foreign aid.

A Disservice in the Fight Against HIV/AIDS
We intactivists keep saying time and time again; the promotion of circumcision is going to make the HIV/AIDS problem WORSE, because it gives men and women a false sense of security, and an excuse to forgo condoms, which, even given the so-called "evidence," would still supersede circumcision. News outlets and organizations report that men are already saying they don't have to wear condoms, and that it is hard for women to convince emboldened circumcised men to wear condoms. In a Botswana sex scandal, a woman claims that the health minister she slept with couldn't have infected her with HIV because he's circumcised. (The research says SHE can't infect HIM IF she were HIV+.)

In response to questions about risk compensation, circumcision promoters like PLoS and Richard Wamai assert flatly that the evidence for it "doesn't exist," that the evidence that does exist (theirs, of course) says that risk compensation isn't a problem. However, absence of evidence is not equivalent to evidence of absence.

The following articles certainly show that a false sense of security in circumcised males is a problem:

UGANDA: Myths about circumcision help spread HIV

ZIMBABWE: Circumcised men abandoning condoms

Here is evidence of risk compensation that “simply does not exist” – according to some:

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

Providing a dubious form of "protection," which can, and is being perceived in Africa by men and women, as an alternative to the most conclusively effective mode of prevention, condoms, is a disservice in the fight against HIV/AIDS.

If indeed men are walking away with the message that they don't have to wear condoms because they're circumcised, then intactivist predictions were right all along; the promotion of circumcision is spreading HIV/AIDS, and millions, if not billions in precious funds are being squandered on a dubious mode of prevention that is not only not helping, but making things worse, where the money could be better spent on promoting more effective ways of HIV prevention, if not on other, much needed medicine.

A Crime Against Humanity
It is simply despicable that the very idea that circumcision could do anything to prevent HIV transmission was even considered at all. It horrifies me that some people actually took it a step further and decided to test this hunch, with absolutely no demonstrable causal link, by circumcising thousands of men to see which ones would get HIV and which ones would not. One would think that scientists and researchers learned their lesson after Tuskegee. I don't even know what to think, now that entire "mass circumcision campaigns" are being carried out based on dubious "studies" which continue to have no scientific foundation, whose results were ill-conceived and exaggerated, where the claim that circumcision has anything to do with HIV transmission is pure correlation hypothesis.

I ask, what if it could be proven with "research" that the removal of the labia and clitoral hood "reduced the likelihood of HIV transmission" from female to men? The disproven hypothesis that the Langerhans cells facilitate HIV transmission in males, as they are found in the mucosal lining of the foreskin, would also apply to female genitalia, whose mucosal lining is lined with the same cells. In at least one study, it would appear that HIV was less prevalent in circumcised women. And yet, there was no rush to test and see if this worked. No "trials" to circumcise thousands of women to see what "effects" this might have on HIV transmission.

Why?

Because no one is interested in justifying female genital cutting; it is clear to everyone that female circumcision is unethical, and no amount of "research" could be used to justify it. The converse is true with circumcision, where "researchers" are trying to "prove" that male circumcision, particularly the forced circumcision of males, is "ethical" by showing it is "not harmful," even "beneficial" to males. We have this double-standard where the vindication of female genital cutting through "science" and "research" is unacceptable and flatly rejected, but the vindication of male genital cutting is not. No organization would ever approve of similar "trials" in African women as they were in African men. Dissenters would argue that if positive findings were published, advocates of FGM would pounce upon them as vindication, and rightly so.

And yet, this wasn't a concern with male circumcision.

It wasn't a concern that advocates of circumcision would use the "research" to justify forced genital mutilation in boys and men.

I will go as far as to wager that the justification of forced genital mutilation in boys and men is precisely what the "researchers" had in mind.

No, actually, I KNOW for a fact that is what they had in mind; the idea that circumcision could "prevent HIV/AIDS" was actually heavily promoted by Jewish circumcision advocate Aaron J. Fink, out of disdain for policy statements of medical organizations at the time, which were already saying that infant circumcision was harmful. Others jumped on the idea, and they've been trying to "prove" that male circumcision "prevents HIV" ever since.

Much media attention is given to the fact that girls and women suffer FGM by amateurs in the African bush. Attention is brought to the fact that FGM is performed using crude instruments such as glass shards and rusty blades. Attention is brought to the fact that girls are abducted to be circumcised. Attention is brought to the fact that FGM results in death. But little attention is given to the fact that boys and men being circumcised in Africa suffer the exact same predicaments.

In criticizing Sara Johnsdotter and Lucrezia Catania, Hussein Ghanem said that their research, which showed that FGM isn't as detrimental as often portrayed, "played right into the hands of people who defend female genital cutting." But for whatever reason, this wasn't a concern when the WHO endorsed male circumcision as HIV prevention.

Yes, they try very hard to sell the slogan "Voluntary Male Medical Circumcision," as if adding the words "voluntary" and "medical" are supposed to make the fact that male genitals are being cut any more rosy. Somehow, I don't think the words "Voluntary Female Medical Circumcision" could ever be successfully juxtaposed.

But are people aware that boys and men are being forcibly circumcised in Africa? Are they aware that the pretext of "HIV prevention" is being used by some tribes to abduct and forcibly circumcise men in rival tribes? Are they aware that men are going around stopping men, asking them to take down their pants to see if they're circumcised? No doubt some may see this as "poetic justice" for the harassment Jews experienced in the Holocaust. Was this not a concern? Or was this actually an intended consequence to "create demand" for so-called "Voluntary Male Medical Circumcision?"

Here is a list of reports of boys and men being forcibly circumcised:

UGANDA: 220 men forcibly circumcised

UGANDA: HIV campaign confused with circum-rape: no effect on HIV rate


ZIMBABWE: 6 years for kidnapping, forced circumcision

UGANDA: Forced circumcision campaign stopped


UGANDA: Men flee "life-threatening" forced circumcision

UGANDA: Prisoners forcibly circumcised


KENYA: Circumcision forced on men and women - boy dies for refusing

UGANDA: Pretty women entrap intact men for enforced circumcision


SOUTH AFRICA: Taxi drivers fear forced dircumcision

Are people aware that, as in FGM, boys and men also die as a result of their initiation? That boys and men are also being circumcised out in the African bush with crude utensils by amateurs? That many boys and men do in fact lose their penises to gangrene, forcing them to live their life in shame? Why are these facts only a problem when we talk about female circumcision?

Here is a list of reports of boys and men suffering complications, or dying as a result of annual initiation rites:

EASTERN CAPE: Doctor who showed botched circumcisions defended, attacked


SOUTH AFRICA: 27 die from circumcision

SOUTH AFRICA: 29 die: ANC wants faster inquiry


SOUTH AFRICA: 23 die from circumcision

SOUTH AFRICA: Nearly 80 circumcision deaths

SOUTH AFRICA: More than 15 die from circumcision


SOUTH AFRICA: 33 die from circumcision

SOUTH AFRICA: More than 20 die from circumcision


SOUTH AFRICA: "Time to stop this practice"

FREE STATE, SOUTH AFRICA: Four more circumcision deaths


SOUTH AFRICA: Hospitals running out of beds for botched circumcisions


EASTERN CAPE: Circumcision deaths resume: 15 this season

EASTERN CAPE: 42 Circumcision deaths in three weeks

EASTERN CAPE: 20 circumcision deaths

The WHO endorsement of circumcision as HIV prevention has served to embolden forced circumcision wars among rival tribes, and to endorse traditional initiation practices which put the lives of boys and men in danger.

Would the WHO ever endorse female circumcision, even if this were "research-based?"

No. For the reason that they know that it would result in the de facto endorsement of human rights violations. They would not do anything that would "play into the hands of FGM advocates."

So why the different set of rules for male circumcision?

Why the blind eye and deaf ear to the forced MGM inflicted on boys and men? 

Out of Touch
Eight years following the WHO endorsement of circumcision as HIV prevention, and millions of dollars later, African men aren't too keen on the idea of cutting off part of their genitals, and organizations intent circumcising the whole of the African male population seem to be puzzled and frustrated that their programs simply aren't taking off as they would have liked. Here and there one can read articles about circumcision promoters and organizations thinking out loud, asking themselves "What went wrong?"

I've read articles on the PEPFAR website. I've seen videos and articles published by the Bill and Melinda Gates Foundation. I've seen articles published in peer reviewed journals. "Studies" and "research" on the "feasibility" of circumcision scale-up projects, the "acceptability" of circumcision, attitudes in men and women, their views of circumcision.

Instead of seeking to better educate Africans about the sexual transmission of STDs, it seems, promoters are intent in looking for the best way to brainwash them into both, believing circumcising their men and boys is desirable, and that they need to continue using conventional methods of STD prevention, such as fidelity and condoms.

The buzz words going around in circumcision/HIV circles is "demand creation." These words ought to strike audiences as odd, because one would think that the magic words "reduces HIV by 60%" would be a good enough incentive for men to go out and get circumcised, would they not?

"If you build it, they will come" didn't work. And millions have been squandered in ad campaigns all over Africa. In some areas, promoters are turning to bribery.

What could be the problem?

Africans Aren't Stupid
It doesn't take a rocket scientist to figure out why circumcision promoters are having trouble achieving their quotas. You don't need "studies" and "surveys" to figure out why.

Men simply don't see the value of getting circumcised, to undergo a painful, life-altering, permanent surgical alteration, which will permanently change the appearance and mechanics of their penises, if it means they only get "partial protection." Being told that "circumcision reduces HIV transmission by 60%" isn't all that impressive if it means that they still have to wear condoms.

Married men simply don't see the value of getting circumcised if they are faithful to their wives, and therefore not at risk for sexually transmitted HIV.

Women certainly don't want to be made to feel like their man is going out on them with other women. They want to be able to trust their partners with fidelity. So why would they encourage their men to go get circumcised? What can having their husbands go get circumcised mean, other than that they are expecting them to be unfaithful?

That the people up at HIV organizations think that they can actually get away with promoting circumcision the way they do can mean only one of to things; either HIV organizations are dense and stupid, or they believe the African public is.

From an outside, non-African perspective, I simply can't believe the bullshit that western HIV organizations are attempting to feed the people of Africa. Looking at what's going on in Africa, I'm simply insulted as an intact male.

As an intact man, I am expected to believe that, a) circumcision "reduces the likelihood of HIV transmission by 60% (from female to male)," and b) that I still have to wear condoms.


 


I ask, why in the world would any man in the right mind choose to have part of his penis removed, if it meant that one still had to wear condoms?

I ask, if I'm not convinced by this argument, why would I expect any other man to be? Let alone the men in Africa?

No intact man in the right mind could ever go for this. Men who are fully informed, men who have been made aware of all the facts simply cannot see any value in undergoing circumcision, and can clearly see that it is complete madness that organizations are spending millions in funds trying to convince other men to part with their foreskins for only "partial protection." If you went around pushing this nonsense in Europe, people would laugh in your face. They're pushing this shit in Africa because they think Africans are gullible idiots.

The only people who see the value in circumcision campaigns are those men and women who already have religious or cultural convictions for the practice of circumcision. They would like circumcision to be a free service, performed at hospitals by trained professionals, as opposed to the African bush, performed by amateurs using crude utensils, where men are more likely to suffer complications, including infection, loss of their organ, and even death. People with religious or cultural convictions for circumcision cannot verily declare this to be the case, so they are more than likely to disguise these convictions and desire to have circumcision as a free service by parroting the circumcision/HIV propaganda. "I am glad I am protected," they will say, when they truly mean to say "I cashed in on a free circumcision, thanks to these HIV programs!" "Everybody should be circumcised in order to prevent HIV infection," they will say, when they mean to say "We want all men to be circumcised and must submit to our tribal or religious tradition."

THE SOLUTION: More Money, More Propaganda
So eight years and several million dollars later, the great scheme to circumcise Africa in the name of HIV transmission hasn't taken off. Africans simply aren't buying it. Worse than that, the risk compensation nightmare intactivists have warned about from the very beginning is coming true.


Men are walking away with the message that condoms aren't necessary once they're circumcised. This false sense of security makes it difficult for female partners to convince them to wear condoms.

The endorsement of circumcision as HIV prevention is seen as a green light for traditional, rite-of-passage circumcision practices, as well as the forced circumcision of men by men in rival circumcising tribes, resulting in infections, loss of genital organs and death, not to mention an increased risk of HIV transmission due to the usage of dirty, crude equipment.

These "mass circumcision campaigns" are a massive failure. But how are circumcision promotion agencies responding? What is their solution?

More money, more propaganda.


"Insanity is doing the same thing over and over again and expecting different results."


"Demand creation," say the circumcision "experts," is the key.

HIV promoting organizations are observing what's happening, and their solution is to up the ante, use more coercive tactics to get the men to circumcise themselves "voluntarily."

The problem, the reason they aren't seeing men flocking to get circumcised, according to them, is that men simply don't understand what's good for them. The women don't either. The solution is to "understand" "why" people aren't buying it, in order to hit the right buttons, come up with the necessary "studies" that quell people's fears, and people will start banging down the doors.

In Swaziland, the US wants to spend another 24.5 million to attempt to circumcise the male Swazi population again. This time, they're through with the "voluntary" part of the slogan, and they have their eyes set on newborns. (There is zero evidence that newborn circumcision does anything to reduce HIV transmission, not to mention the reality that is the United States of America, where 80% of US males are circumcised from birth, and yet the United States has a higher HIV prevalence rate than 53 countries where circumcision is rare [under 20%] or not practiced, according to he CIA Factbook.)

Because, apparently, enough money hasn't been squandered in circumcision campaigns as it is.

"Demand Creation": What does it mean?
Currently "demand creation" are the buzz words among circumcision promoters. But what do these words mean? To me this can only mean brainwashing and counterproductive propaganda.

When the goal of HIV organizations is no longer to prevent HIV, when the goal is, instead, to circumcise as many men, boys and children as possible, when the goal is to gain the "acceptance" of circumcision, when the goal is to achieve a quota within a certain time frame, then the only outcome of this is can be lies and deception.

In order to achieve "demand creation," one can expect more attacks on African masculinity. More coercion through sex appeal. More "studies" exaggerating the "benefits" of circumcision. More diseases that circumcision is supposed to cure. With the promotion of male infant circumcision, there will be more "studies" minimizing the risks and harms of circumcision. (Is it any wonder that the CDC has already published a "study" saying when the best time to circumcise male is?)

Men and women who fully understand the facts, that circumcision is a painful, permanent alteration which, even if the current "research" were correct, could only provide "partial" protection, that circumcision fails and therefore condoms must still be used, do not, cannot possibly see any value in circumcision. Men fully aware of the facts do not, cannot be convinced to accept this for themselves. Parents fully aware of the facts, do not, cannot be convinced to accept this for their children. Therefore the only possible outcome is that, in order to realize quotas and meet deadlines, the facts must be denied, lies must be told, and the truth must be hidden at all costs.

Therefore the only outcome of "demand creation" is that the public will believe that circumcision prevents HIV transmission, that being circumcised means condoms are disposable, that unsafe sex with a man is acceptable as long as he is circumcised.

Therefore the only outcome of "demand creation" is, necessarily, that the HIV epidemic in African countries will be exasperated.

At the expense of the American taxpayer.

At the expense of the truth.

At the expense of scientific credibility.

At the expense of the human dignity of Africans.

At the expense of African lives.

At the expense of basic human rights of minors.

The problem isn't that African men and women "don't understand" and that they need to be "educated," no. The men and women and Africa understand what circumcision and HIV are. They understand that circumcision, even if the "research" were accurate, could only provide "partial protection," that men would still have to wear condoms, and simply aren't interested.

The problem is that the people at HIV organizations, the people at the American CDC, the people at PEPFAR, the people at Bill and Melinda Gates, the people at the WHO have all lost their senses completely.

It is absolute madness that they've all made it the end goal of the HIV movement to circumcise Africa, if not the world. While precious funds could be put to better use, millions are being squandered on promoting a dubious form of HIV prevention which is already superseded by the cheaper, less invasive, more effective modes of prevention which are condoms and education.

Beyond Circumcision
Circumcision does not, cannot stop HIV transmission. Even if the research is accurate, circumcision fails to prevent HIV transmission, which is why circumcised males must still be urged to wear condoms. There is no doctor, researcher or HIV organization that can deny this fact. Circumcision is a stop-gap at best, and scientists and researchers need to be looking for other, better ways to prevent HIV. Or, at least they're supposed to be.

Are circumcision scientists and researchers thinking of a time where HIV can be stopped in less invasive ways, without surgery? Is there a time in their minds when there will be a method of HIV prevention so effective circumcision can be discontinued? What non-cutting way are "researchers" looking into? Or is circumcision all they got?

Has anyone up at the WHO, up at PEPFAR, etc. stopped to consider that maybe perhaps the men aren't stupid and don't WANT to be circumcised?

Here's a question I've got to ask; do these "mass circumcision campaigns" offer men alternatives?

Have "researchers" considered the possibility men may not want to get circumcised despite the much touted "benefits," that "60%" may not be all that convincing, and that they're just going to have to accept that some men may not want to get circumcised?

Do HIV information packages that are given the men and women include the option NOT to circumcise?

Something that reads along these lines:

"Circumcision only provides partial protection against HIV in the event a couple decides to have unprotected sex, or if you are male and plan on having casual sexual encounters without condoms. If you are a faithful man, if your partner is a faithful man, circumcision may not be appropriate for you. For men who are faithful to their partners, and/or use condoms consistently, not circumcising is an option."

These are the facts.

I somehow doubt that men and women in Africa will be give them, seeing as knowing these facts will defer them from opting in favor of circumcision, and HIV organizations are given quotas for funds from PEPFAR, Bill and Melinda Gates, etc.

HIV organizations, what's plan B?

Or is circumcision all you have?

Is it just that HIV organizations are spending millions in precious funds on a dubious, invasive, expensive form of HIV prevention that nobody wants?

When condoms are already cheaper, less invasive, and more worlds more effective?

Circumcision Promotion vs HIV Prevention: What Is the Objective of HIV Organizations?
It is clear that the HIV movement has been hijacked by mad individuals with the twisted world view that all boys and men in the world ought to be circumcised. Instead of the prevention of HIV transmission, their goal has become to circumcise boys and men in and outside of Africa at all costs.

The actions of circumcision advocates at HIV organizations, their resolve to keep spending millions on promoting circumcision, even after having previously spent millions more, indicate that they believe Africans are incapable of deductive reasoning. A separate experiment is being carried out in Africa, with African men, women and children as guinea pigs. This is not about how much HIV can be prevented, but about how people can be more effectively brainwashed, about just how gullible and stupid people can be, and what they could be manipulated into doing.

Look at the latest in circumcision "research." It focuses on "acceptability" and "feasibility." It has nothing to do with HIV prevention mechanisms; the research is in how people can be more efficaciously brainwashed. It's almost as if they've given up on researching for an actual HIV solution. All their eggs are in the circumcision basket. Circumcision promoters are taking advantage of the impoverished state of African nations in order to conduct social experiments on them.

There is a problem when the slogan to promote circumcision is no longer "reduce your chances of contracting HIV prevention," but has been replaced with "become popular with women" and "last longer in bed." There is a problem when HIV organizations are more concerned with "demand creation" for a dubious mode of HIV prevention with human rights implications, than they are in making sure Africans understand how they can be HIV/AIDS free.

There is a problem when millions of dollars are being pumped into a mode of prevention that men don't want, and for good reason. There is a problem when the goal of circumcision promotion replaces HIV prevention.

The goal of HIV organizations needs to be brought back into focus, which is to prevent HIV and find a cure. If the end goal is to make sure everyone is circumcised, regardless of whether or not HIV is being prevented, not to mention other medical problems where precious funds are needed, then HIV organizations seriously need to reevaluate their priorities.

Conclusion
The promotion of male circumcision as HIV prevention is not based in science, but on unproven, or even disproven theories and correlation hypothesis based on exaggerated numbers. There is no scientifically demonstrable causal link between the foreskin and increased HIV transmission, and conversely, between circumcision and decreased HIV transmission. Without it, the campaigns in Africa are belief-based, not science-based medicine.

Real world data does not support the claim circumcising 80% of the male population results in decreased HIV transmission.

It is simply irrefutable that circumcision does not, cannot prevent HIV transmission. Circumcision fails to prevent HIV, and no doctor, researcher or scientist can deny this fact; this is the reason why circumcised men must still be urged to wear condoms.

The promotion of male circumcision is doing more harm than good, as it is a dubious form of HIV prevention which is being seen as an alternative to more effective sex practices, such as abstinence, fidelity and condoms.

The promotion of male circumcision is resulting in the violation of basic human rights of boys and men in and out of Africa; rival tribes are forcibly circumcising each other, boys and men are being abducted and forcibly circumcised, and the forced circumcision of minors is being promoted.

The promotion of male circumcision is resulting in yearly massacre in Africa, where WHO endorsement is seen as a green light for traditional rites of passage.

The promotion of male circumcision is resulting in the humiliation and sexual harassment of men who are not circumcised and do not want to be circumcised.

The promotion of male circumcision is a gross waste of funds which could be being put to better, more productive use.

The promotion of male circumcision is a sexist, misandrist, mean-spirited attack on male sexuality, upon African males, upon children in other parts of the world, and the male sex in general, and the WHO should have NEVER endorsed it.

The "mass circumcision campaigns" have got to be stopped. The WHO needs to retract it's recommendation of male circumcision as HIV prevention, and the forced circumcision of healthy, non-consenting individuals needs to be recognized for the mutilation and violation of basic human rights it is.

I call on reputable scientists, researchers, doctors and medical organizations with a conscience, to speak out and demand that the WHO retract their endorsement of circumcision as HIV prevention, and to call out that these "mass circumcision campaigns" be brought to a halt.

Update (5/27/2014):
Latest ploy in Zimbabwe: "Circumcision makes you smarter."

"We have campaigns that are specifically targeting adolescents, people in schools — so during school holidays we are doing massive mobilisations on mass media... "So get smart, get circumcised. Male circumcision is not only HIV prevention intervention, but it is improving hygiene, you are cleaner, you are smarter.'"
~Dr. Karin Hatzold, deputy head of Population Services International (PSI) Zimbabwe

If circumcision makes you smarter, what does this imply if you have a foreskin? Are African boys and men aware they're basically being slapped in the face?