Ending Circumcision—act locally, think globally

Yesterday I dropped my grand daughter off at high school and had a half hour window to go and sit in a coffee shop and read the newspaper before my appointments. I make it a firm policy to never pay money for our local newspaper. I’ve been the subject of some of their stories and I learned first hand not to believe anything you read in the Vancouver Sun. I am not above finding the discarded newspapers of other coffee drinkers and reading something mindless, however.

So, I found the front section of the newspaper, got my coffee and prepared to sit in a sunny window and enjoy the moment. On page 2 of the paper was a story about a local doctor who makes over a million dollars a year in his combined business of circumcising babies and sterilizing men. The story is about him going to Rwanda and teaching doctors there his technique for amputating the foreskins of baby boys. I couldn’t believe what I was reading. Needless to say, it wasn’t a relaxing coffee break for me. The item reads like an advertisement for Neil Pollock and the reporter did not do any checking to get another point of view.

Even the governing body of this physician is strongly against circumcision. In the policy statement of the College of Physicians of British Columbia it is stated clearly:
Under the Canadian Charter of Rights and Freedoms and the United Nations Universal Declaration of Human
Rights, an infant has rights that include security of person, life, freedom and bodily integrity. Routine infant male
circumcision is an unnecessary and irreversible procedure. Therefore, many consider it to be “unwarranted
mutilating surgery”.

I sent the following letter to the newspaper reporter:

Dear Mr. Ward,

I was very surprised to read your promotional piece for Neil Pollock in this morning´s paper.  The B.C. College of Physicians and Surgeons has come out strongly against circumcision and it appears that you didn´t read their website policy statement which can be viewed at:

https://www.cpsbc.ca/files/u6/Circumcision-Infant-Male.pdf

No matter what Pollock believes, there is no valid scientific evidence that HIV is prevented by circumcising infants.  (see the references in the letter below).  It is preposterous that Pollock thinks that African babies should undergo an operation that could leave them vulnerable to infection and bleeding.  The man is dangerous.  If he is really doing 2500 circumcisions at $300 each, he is making

$750,000 per annum off the suffering of B.C. baby boys.  If you check the B.C. Medicare website, you will see that he also bills the B.C. medical plan $270,000.  If you want to do an article about Neil Pollock, perhaps you could get Freedom of Information statistics on what the medical plan specifically pays him for?  Or perhaps, do an article about how much pain the newborn boy goes through when Pollock´s anesthetics wear off and his raw, wounded penis is exposed to urine and feces in the diaper i.e. take a photographer and do an article on a week in the life of a family who has just had an infant circumcised.  Or perhaps, interview some of the adult males who are victims of Pollock (and his ilk) and are considering suing their circumcisers for loss of sexual function.

I think you have been duped by a notorious self-promoter.  Please feel free to forward my letter on to Dr. Pollock.  I will be sending it to the College of Physicians and Surgeons and the Minister of Health.  Feel free to contact me in future if you want a different perspective on male genital mutilation.

Gloria Lemay,

Vancouver BC

www.glorialemay.com

Fax to: College of Physicians & Surgeons, fax # 604 733 3503

(end of letter)

_____________________________________________________________

We’ve been dealing with this misinformation campaign for a few years now.  The physicians’ group Doctors Opposing Circumcision has been responding to the erroneous (pseudo) science in a systematic way.This letter was sent to the American Journal of Public Health

http://www.ajph.org/cgi/eletters/99/1/138

RE: MEDICAID COVERAGE OF CIRCUMCISION SPREADS HARM TO THE POOR

According to data reported by Leibowitz et al., lack of Medicaid coverage (and, presumably, private insurance) results in lowered circumcision 

rates.1

We disagree with the authors´

interpretation of these findings and with their concern that poor babies could be deprived of benefits from circumcision. On the contrary, neonatal circumcision places boys at immediate risk for complications,2 methicillin-resistant Staphylococcus aureus,3 and even death.4 Leibowitz et al. should have concluded that poor children are now at lower risk of neonatal circumcision harm. Further, as their data show, it is clearly not just poor children who are not being circumcised. In some US regions, a majority of male babies from all income brackets do not undergo circumcision.

Although there is no evidence that boys not circumcised at birth are any less healthy than those who are circumcised, there is evidence of the opposite. For example, the HIV rate in America is far higher than in Europe, where males are rarely circumcised.5 The penile cancer rate is no lower in America than it is in Europe.6 A recent study showed that urinary tract infections occurred in 6 of 24 infants circumcised by a physician

(25%) and in 42 of 87 infants circumcised by a religious circumciser; the calculated odds ratio for contracting a urinary tract infection were 2.8 (95% confidence interval=1,9.4).7 A comprehensive cost-utility study found that neonatal circumcision´s complications and consequences increased health care costs 742% beyond the cost of the circumcision itself and therefore is not a justifiable public health measure.8 It concludes that if neonatal circumcision were “cost-free, pain-free, and had no immediate complications, it was still more costly than not circumcising.´´8(p. 584) 

Leibowitz et al. reinforce the overly confident notion, created by the extensive media coverage of 3 randomized clinical trials in Africa, that circumcision is partially effective against HIV. In doing so, they ignore both contradictory evidence and the fact that the trial circumstances are not generalizable to Africa, let alone America.9 Even if male circumcision were somewhat effective in reducing HIV infection among heterosexual adults in certain areas of high HIV prevalence, the leap to recommending population-wide neonatal circumcision in the United States is still unjustifiable.10

With nearly 50 million Americans lacking health insurance, and poor children going without many basic services, it is ethically, morally, and perhaps legally inappropriate that any Medicaid program continues to fund an elective and harmful procedure.

We applaud the 16 states that have recognized that taxpayers should not be spending money on this unnecessary procedure and the other states that are considering dropping Medicaid coverage. No state should be wasting money on infant circumcision.

Lawrence W. Green, DrPH

Ryan G. McAllister, PhD

Kent W. Peterson, MD, FACPM

John W. Travis, MD, MPH

References

1. Leibowitz AA, Desmond K, Belin T. Determinants and policy implications of male circumcision in the United States. Am J Public Health.

2009;99(1):1-7.

2. Williams N, Kapila L. Complications of circumcision.

Br J Surg. 1993;80:1231-1236.

3. Van Howe RS, Robson WLM. The possible role of circumcision in newborn outbreaks of communityassociated methicillin-resistant Staphylococcus aureus.

Clin Pediatr (Phila). 2007;46(4):356-358.

4. Paediatric Death Review Committee. Office of the Chief Coroner of Ontario. Circumcision: a minor procedure?

Paediatr Child Health. 2007;12(4):311-312.

5. The Joint United Nations Programme on HIV/ AIDS/World Health Organization. Annex 2: HIV and AIDS estimates and data 2005 and 2003, 2006 report on the global aids epidemic. Available at:

http://data.unaids.org/pub/GlobalReport/2006/2006_GR_

ANN2_en.pdf. Accessed December 8, 2008.

6. Frisch M, Friis S, Kjaer SK, Melbye M. Falling incidence of penis cancer in an uncircumcised population (Denmark 1943-90). BMJ.

1995;311:1471.

7. Prais D, Shoov-Furman R, Amir J. Is ritual circumcision a risk factor for neonatal urinary tract infections?

Arch Dis Child. Published online: October 6, 2008.

doi:10.1136/adc.2008.144063.

8. Van Howe RS. A cost-utility analysis of neonatal circumcision. Med Decis Making. 2004;24:584-601.

9. Green LW, McAllister RG, Peterson KW, Travis JW.

Male circumcision is not the `vaccine´ we have been waiting for! Future HIV Ther. 2008;2(3):193-199.

10. Sidler D, Smith J, Rode H. Neonatal circumcision does not reduce HIV/AIDS infection rates. S Afr Med J.

2008;98(10):762-766.

Please feel free to repost the above information.  Gloria

About gloria

I live and work in Vancouver BC Canada. I've been in the childbirth business for 30 years. I teach midwifery and doula courses both online and in person.
This entry was posted in Intactivism. Bookmark the permalink.

13 Responses to Ending Circumcision—act locally, think globally

  1. Mary Lynn Noll says:

    It doesn’t surprise me that the newspaper doesn’t get both sides of the story. That is the typical lazy style of reporting going on nowadays. It is sad that people will subject their newborn to this sort of monster who makes his blood money off the torture of infants. Does he do female circumcisions too? Why not? Because female circumcision is illegal? Then why not for boys too?

    The fact that male circ is legal, while female is not shows a glaring error of the ‘justice’ system and peoples biased mentality. If it’s unethical to subject baby girls to a clitordectomy, then why is it okay to do basically the same thing to baby boys?

    This double standard is disgusting. I guess it’s okay to torture a baby boy, since he is male. You can use whatever excuse you want, but it is still torture and sexual mutilation of an infant, perpetuated by ignorant medical and religious people.

  2. Avital says:

    Gloria, thank you for being such a faithful voice for baby boys.

  3. karunamayi says:

    Thank you gloria, again and again, for your dedicated work to protect our sons.

  4. Sheila says:

    please let us know if your letter gets published!

  5. Dave says:

    Right on, Gloria, well said!

  6. Mary Lynn Noll says:

    Did you ever get a response to your letter?

  7. Alexis says:

    In 2009 Dr.Pollock also billed MSP over $400,000, most likely for MSP covered vasecotomy procedures. Amazing this man can make soooo much money for messing with male gentalia. Thank you for this post.

  8. James Loewen says:

    Hi Gloria,

    Just reread Pollock’s self serving press release and his trip to Rwanda was partially funded by our tax dollars through the Canadian Institutes of Health Research.

  9. Zasha says:

    I take it you’re not a particular fan of Orthodox (or any branch, really) Judaism, are you?

  10. gloria says:

    I love Judaism and am committed to the wellness of all Jewish infants. The religion is steeped in beautiful wisdom and stories. I believe that the cutting of children’s genitals is a bizarre misinterpretation and no God ever wanted this mutilation to happen. I am so proud of all the Jews who are working to end circumcision with me.

  11. Jared Smith says:

    You anti-circumcision need to get a grip. This goes for the pro-circumcision parents as well. Stop publicly announcing your opinions about major decisions that need to be made by parents. I disagree that people are trying to make people feel bad about their decision to circumcise or not to. It is an intense topic that doesn’t need to be. It is similar to the vaccination topic. I feel that parents have a right to make whatever decision they feel is best for their children. Stop making parents feel like shit for a decision they strongly believe in. Human Rights states that we all have the right to our decisions. Parents are generally doing what they feel best for their child regardless of the situation. I am pro choice and can’t stand people like you that claim parents are mutilating their sons. Get a grip! I a pretty sure that most parents that chose to do it aren’t wanting to hurt them. Read the stats for both sides rather than finding sources that back up only your position. Respect the rights of others!

    • gloria says:

      I’ve let your comment on to my blog, Jared, but don’t think it’s because I agree with you. (And, don’t think I will permit the whole circumfetishist world to post their comments). Yours sounded sincere and I notice it wasn’t accompanied by a self serving website.

      Banning the genital cutting of boys is simply doing what you say—protecting individual rights. NOT the rights of the parents to mutilate but the right of each individual to his/her own body.

      We do not permit anyone to choose to mutilate the genitals of girls in N. America.

      We do not permit parents to scar other parts of a child’s body.

      We do not permit torture of unconsenting minors.

      This is the crux of the matter. Equal rights under the law for boys and girls.

  12. Erin says:

    What if someone has phimosis?

Leave a Reply

Your email address will not be published. Required fields are marked *

*

You may use these HTML tags and attributes: <a href="" title=""> <abbr title=""> <acronym title=""> <b> <blockquote cite=""> <cite> <code> <del datetime=""> <em> <i> <q cite=""> <strike> <strong>