HIV /AIDS:ROLE OF CIRCUMCISSION ;ONLY FOR EPIDEMIC AREA -A POLICY BUT CANNOT REPLACE SAFE SEX USING CONDOM/NEEDLE EXCHANGE OF DRUG USER
HIV /AIDS:ROLE OF CIRCUMCISSION ;ONLY FOR EPIDEMIC AREA -A POLICY BUT CANNOT REPLACE SAFE SEX USING CONDOM/NEEDLE EXCHANGE OF DRUG USER
PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033 DELHI –NCR,INDIA
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Should All Males be Circumcised? How Policy Could Control the HIV/AIDS Epidemic:Following the recent study that found circumcision reduces risk of HIV transmission, another debate remains--whether the practice is recommended for all males, specifically for those living in HIV-prevalent regions.
When a recent study found a how circumcision could offer protection from HIV transmission by changing the microbiota, bacterial composition living on the penis, it prompted parents to give the ritual a second look. The study lead by the Translational Genomics Research Institute found that circumcision changes the ecology of the bacteria residing around and under the foreskin of the penis. This could in turn influence the kinds of immune cells present in the area and reduce the number of targets HIV infects.
"I think that in certain regions of the world, in which HIV prevalence reaches a certain threshold level and the bulk of transmission is occurring through heterosexual contact then circumcision might be a policy recommendation that individuals can take," said Amesh Adalja MD, a board certified infectious disease physician, at the University of Pittsburgh Medical Center."I don't think that this rises to a policy level recommendation for the United States."
According to the Centers for Disease Control and Prevention, more than 1.1 million people are living with HIV in the United States. This number is significantly small compared to regions such as Sub-Saharan Africa where the number of adults and children living with HIV or AIDS is 22.9 million.
Studies have shown that the prevalent needle exchange programs and practicing use of condoms have dramatically reduced the risk of HIV transmission in the United States, possibly a reason why it's not among the countries with high HIV prevalence rates. Another reason why, which remains to be studied, is the number of men already circumcised in America is already high.But for regions where needle exchanges or men who have sexual intercourse with other men are low, circumcisions would not have a strong impact on HIV transmission.This benefits shown in the new study could be more beneficial for men in heterosexual relationships because it could prevent contracting HIV from their partner.
SO,CICUMCISSION CAN BE DONE TO NEW BORN BUT SHOULD BE DONE IN STRICT MEDICAL SUPERVISION NOT BY QUACKS IN HOME IN WIDELY PREVALENT AREA OF HIV TRANSMISSION BUT SAFE SEX USING CONDOM OR OTHER PREVENTIVE MEASURES AS NEEDLE EXCHANGE BY INTRAVENOUS OR INTRAMUSCULAR DRUG USERS ARE BETTER PRACTICES AND THEY MUST BE CARRIED FIRST AND THAN IF THIS IS PRACTICED IN NEW BORN THEN IT IS GOOD,BENEFIT OF IT IN ADULT IS QUESTIONABLE.
PROF.DRRAM ,HIV/AIDS,SEX DISEASES,SEX WEAKNESS & ABORTION SPECIALIST
profdrram@gmail.com,+917838059592,+919832025033 DELHI –NCR,INDIA
FOLLOW ON FACE BOOK:www.facebook.com/drramkumar
FOLLOW ON TWITTER:www.twitter.com/profdrram
Should All Males be Circumcised? How Policy Could Control the HIV/AIDS Epidemic:Following the recent study that found circumcision reduces risk of HIV transmission, another debate remains--whether the practice is recommended for all males, specifically for those living in HIV-prevalent regions.
When a recent study found a how circumcision could offer protection from HIV transmission by changing the microbiota, bacterial composition living on the penis, it prompted parents to give the ritual a second look. The study lead by the Translational Genomics Research Institute found that circumcision changes the ecology of the bacteria residing around and under the foreskin of the penis. This could in turn influence the kinds of immune cells present in the area and reduce the number of targets HIV infects.
"I think that in certain regions of the world, in which HIV prevalence reaches a certain threshold level and the bulk of transmission is occurring through heterosexual contact then circumcision might be a policy recommendation that individuals can take," said Amesh Adalja MD, a board certified infectious disease physician, at the University of Pittsburgh Medical Center."I don't think that this rises to a policy level recommendation for the United States."
According to the Centers for Disease Control and Prevention, more than 1.1 million people are living with HIV in the United States. This number is significantly small compared to regions such as Sub-Saharan Africa where the number of adults and children living with HIV or AIDS is 22.9 million.
Studies have shown that the prevalent needle exchange programs and practicing use of condoms have dramatically reduced the risk of HIV transmission in the United States, possibly a reason why it's not among the countries with high HIV prevalence rates. Another reason why, which remains to be studied, is the number of men already circumcised in America is already high.But for regions where needle exchanges or men who have sexual intercourse with other men are low, circumcisions would not have a strong impact on HIV transmission.This benefits shown in the new study could be more beneficial for men in heterosexual relationships because it could prevent contracting HIV from their partner.
SO,CICUMCISSION CAN BE DONE TO NEW BORN BUT SHOULD BE DONE IN STRICT MEDICAL SUPERVISION NOT BY QUACKS IN HOME IN WIDELY PREVALENT AREA OF HIV TRANSMISSION BUT SAFE SEX USING CONDOM OR OTHER PREVENTIVE MEASURES AS NEEDLE EXCHANGE BY INTRAVENOUS OR INTRAMUSCULAR DRUG USERS ARE BETTER PRACTICES AND THEY MUST BE CARRIED FIRST AND THAN IF THIS IS PRACTICED IN NEW BORN THEN IT IS GOOD,BENEFIT OF IT IN ADULT IS QUESTIONABLE.
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