Friday, October 11, 2013

People publicly opposing the right of physical integrity of boys

Cemil Çiçek, Turkish Parlament speaker: "Turkish Parliament Speaker Cemil Çiçek has called on the president of the Parliamentary Assembly of the Council of Europe (PACE) to take a step against PACE’s recent resolution adopting a report against the circumcision of young boys without their consent before the age of 14. " - Hurriyet Daily News



Turkish Circumcision


Shimon Peres, President of Israel, "Stressing the great importance of circumcision in Jewish and Muslim religious traditions, Peres remarked that male circumcision has been practiced by Jewish communities for thousands of years and is a fundamental element and obligation in Judaism." - Jerusalem Post



Orthodox Jewish Circumcision including Metzitzah b'Peh - Oral suction


Abe Foxman, Anti-Defamation League: "The resolution’s suggestion for so-called ‘dialogue’ with religious leaders to ‘overcome’ this 4,000-year tradition and to adopt laws requiring a child’s consent, are steps toward de facto prohibition. It is inconceivable that a Jewish community could remain in any country that banned ‘brit mila.’" - Jerusalem Post




 Ronald Lauder, World Jewish Congress president: "the contention that “that the brit mila, which is performed by specially trained circumciser (“mohel”), constitutes an infliction of permanent bodily harm on a baby is wrong and is not supported by any scientific evidence." - Jerusalem Post





 Benjamin Albalas, President of the Central Board of Jewish Communities in Greece: "This is a sign of anti-Semitism, in my opinion" - Jerusalem Post








Moshe Kantor, European Jewish Congress President: "Any suggestion to ban circumcision “sends out a terrible message to European Jews that our practices, and therefore our very presence on this continent, is treated with disdain" - Jerusalem Post




 Menachan Margolin, Brussels-based European Jewish Association: "The writers of this report have made a partial examination, and did not take into consideration the opinions of most experts, including from the World Health Organization, about the positive health aspects of circumcision" - Jerusalem Post


Stephan Kramer, leader of the Zentralrat Der Juden: "the motion was “unacceptable” and that it is “completely insane” to compare female genital mutilation with male ritual circumcision" - Jerusalem Post




Frank Furedi: "The main argument used to justify the anti-circumcision crusade is that the aim is to protect children from a dangerous form of physical violation, a horrific act of parental abuse. Implicitly, this charge is about diminishing the status of parental authority, particularly in the domain of moral values."  - Spiked
Former MK Aryeh Eldad, head of the Professors for a Strong Israel Forum:
"The Council of Europe has found at last the greatest threat to kids in the world,” Eldad said declared. “No, it’s not Assad and his chemical weapons. It’s not Khamenei and his nuclear weapons. They are already considered to be ‘the good guys’ and must’ve already been invited for a party at Catherine Ashton’s place.”
“It’s not even settlements this week,” he continued. “Now what is in their sites – unabashedly – are the foreskins of the Jews in Europe, who insist on circumcising their sons.” http://www.israelnationalnews.com/News/News.aspx/172664#.UlxZnRCnfLd

Absorption and Diaspora Committee chairman Yoel Rozvozov (Yesh Atid): "If necessary, we will instruct embassies to hold circumcision ceremonies on their territory, which is Israeli sovereign territory" http://www.jpost.com/Diplomacy-and-Politics/Circumcision-ceremonies-should-be-held-at-Israeli-embassies-in-Europe-328699

 Antje Jackelén, first female archbishop of the Swedish Church:
"We must show respect for the right to be different."
And then we have to allow Muslims and Jews to circumcise their minor male children, and boys in their religion's name. http://maukonen.wordpress.com/2013/10/15/nya-arkebiskopen-ar-for-konsstympning/

Brendan O'Neill, editor of Spiked Online and a columnist for The Australian and The Big Issue: " The bonkers transformation of even foreskin possession into a human right captures very well how the lingo of human rights is often used to undermine real rights that people have enjoyed for aeons — in this case the age-old religious right to remove newborn babies’ foreskins, which is cleaved to by Jewish communities in particular, and also by Muslims. So-called children’s rights are often just a battering ram against adults’ rights, against the right of communities to instil in their young certain ways of thinking and believing, as summed up in the dangerous notion that the rights of an eight-day-old baby boy should take precedence over the rights of his parents and their community to express their faith as they see fit." http://www.spectator.co.uk/features/9055801/the-first-cut/

Monday, October 7, 2013

Council of Europe says circumcision violates children's right to bodily integrity. Reaction of biased media



In a matter of days, Norway, Denmark and Sweden expressed their intention to regulate or ban the circumcision of minors. After individual countries, the Nordic ombudspersons (Norway, Denmark, Sweden, Finland and Iceland), joined by Greenland, agreed to work with their governments to achieve a ban of non-therapeutic circumcision of underage boys.


Dorsal slit during neonate circumcision

This was followed by the council of Europe voting and approving a resolution against practices that violate children's right to physical integrity (bodily integrity, genital autonomy), such as female genital mutilation, early surgery on intersex children, forced piercing and tattoos, and yes, circumcision of boys in lack of medical necessity.

Infant circumcision (non-therapeutic)

Genital surgeries on intersex children

Underage tattoos on Coptic Christians

Piercings on non-consenting children

Female genital mutilation

Day of Ashura

Pharaonic circumcision, one of the worst forms of female genital mutilation


 Despite the committed legislative and policy measures which have been taken by Council of Europe member States to protect children from physical, sexual and mental violence, they continue to be harmed in many different contexts. One category is particularly worrisome, namely violations of the physical integrity of children which supporters tend to present as beneficial to the children themselves despite evidently negative life-long consequences in many cases: female genital mutilation, the circumcision of young boys for religious reasons, medical interventions during the early childhood of intersex children as well as the submission to or coercion of children into piercings, tattoos or plastic surgery.
The Parliamentary Assembly should urge member States to promote further awareness in their societies of the potential risks for children's physical and mental health of the above-mentioned procedures. Member States should take legislative and policy measures that help reinforce child protection in this context by giving primary consideration to the best interest of the child.
Council of Europe 

I kept looking for press coverage of this resolution. The day before the debate some Jewish media reported on the upcoming vote. After the approval, there was a day of silence, followed by numerous articles in Jewish sites criticizing it for promoting racism and Antisemitism.

Some blogs, men rights groups, secular groups and atheist groups covered the topic.

The mainstream media remained silent on the topic.

One day later Reuters and Associated Press started reporting, but interesting enough, the articles were not about the resolution or about children's right to bodily integrity. The articles were about Israel criticizing an anti circumcision resolution by an European organization.



Could this be a strange coincidence? An oversight? Or is there somebody or some organizations interested in manipulating opinion to keep the impression of legitimacy over the genital cutting of boys?

For me this was incredibly enlightening how a biased media can manipulate people's opinions on different topics. I hope that aware readers will see behind the veil. The culture is changing and even attempts to conceal this do nothing but reveal the clues to those who keep their eyes wide open.


10 reasons German Socialists want Europe to ban circumcision of male children


Tuesday, September 17, 2013

City Council David Greenfield wants Mohelin to be able to suck babies penises without parental consent after circumcision

In any other instance, this outrageous action of sucking a newborn's penis would constitute sexual abuse. But cut the foreskin in a religious ceremony, and now you are free to do it, and you shouldn't even have to ask the baby's parents if they agree, even if you may be carrying the Herpes virus in your mouth.

Thank you New York City Council David Greenfield for further enabling religious freedom to be used as a excuse for Ritual Abuse of Minors.

Let's remember that this is not just a possibility. Just in April of this year 2 babies were reported to have contracted Herpes because of this ritual, and this infection that can be life threatening or permanently disabling for a newborn.

If this bill is enacted, every new baby infected with HPV by the means of Metzitzah b'Peh should know that this man is responsible for his tragedy.

City Council David Greenfield Metzitzah b'Peh (literally, "Oral Suction")

From The Jewish Week:

 “This is one of the most outrageous examples of government intruding into the ability of residents to freely practice their religion without restrictions based on questionable findings." said Greenfield, a Democrat, in his remarks, which were forwarded to the press.

"I continue to be outraged that the city took this incredibly misguided step last year, and will fight until the board reverses its decision or this bill becomes law. It is imperative that every citizen, regardless of their particular religion, be able to practice and worship without the fear of being restricted or targeted by their own government.”

Samantha Levine, deputy press secretary to Mayor Michael Bloomberg, said in an emailed response Tuesday that the city was acting to save lives.

“Health Department investigations of newborns with herpes virus between 2000–2013 have shown that 13 infants contracted the herpes virus when mohelim, or ritual circumcisers, placed their mouths directly on the child’s circumcision wound to draw blood away from the circumcision cut," Levine said.

"Two of these babies died. The city's highest obligation is to protect its children and it is critical for parents to know the risks associated with the practice.”

Wednesday, August 21, 2013

Circumcision by Deborah Tolmach Sugerman, the usual crap

Another day, another circumcision post.

Today's post by Deborah Tolmach Sugermen, MSW, with the JAMA (Journal of American Medicine Association) Network, starts, as they always do, reminding us that the procedure goes back thousands of years in time (in this case, to "prehistoric times").

The article then says that "People worldwide continue to circumcise their sons for hygienic, cultural, and religious reasons". The hygienic reasons are quite debatable, as it is generally accepted that "uncircumcised boys can learn how to clean beneath the foreskin once the foreskin becomes retractable" (after all, it's easier than brushing teeth and more fun). As for cultural and religious reasons, one could also argue that people worldwide continue to circumcise their daughters for cultural and religious reasons (and those who do it argue that it's not mutilation when they prick the hood of the clitoris to draw some blood, a procedure the AAP admitted is "less extensive than the newborn male circumcision commonly performed in the West" in their now retracted Policy Statement on "Ritual Genital Cutting of Minors"), and yet the law in the United States leaves no cultural or religious exceptions for non-therapeutic procedures on a female minor's genitals.

Deborah then writes that "Circumcision in infancy is very safe", which is in contrast with the AAP's assertion that "The true incidence of complications after newborn circumcision is unknown". She then states that "When it is performed by a trained professional under sterile conditions, few babies have complications". I would challenge this statement given that some complications, such as the development of adhesions, buried penis and meatal stenosis, have little to do with the way the procedure is performed. But perhaps we are running into what the AAP considers "differing definitions of “complication” and differing standards for determining the timing of when a complication has occurred (i.e., early or late)".

Parents should be told about these possible post-operative complications (which are not even mentioned in Deborah's article), since they can result in the need for further "revision" surgeries, particularly when the AAP warned about a 119% increase on revision surgeries from 2004 to 2009.

She then states that "There are no long-term studies of the health benefits of children who have been circumcised" - which is particularly striking given that the practice of "medical" circumcision in the United States goes back to 1870, plenty of time for such studies to have been done. In lack of those studies, it could be easily argued that circumcision should be left to be a personal decision of the person, since it's not demonstrated that circumcision improves the health of the children.

Following this, Deborah mentions the African studies on HIV, and uses this to support the idea that "male circumcision provides substantial medical benefits". By contrast, Andrew Freedman, member of the AAP Task Force that wrote the 2012 Policy Statement on Circumcision, has publicly called circumcision a procedure with "modest benefits and modest risks", which shows something that has been known for years, that those interested in promoting circumcision will "dismiss the harm and exaggerate alleged benefits".

She then moves on to explain the benefits. Reduction of UTIs (no mention that after the first year, boys have less risk of UTIs than girls regardless of their circumcision status), risk reduction of HIV (no mention that this is only considered to be so for heterosexual transmission from female to male, not for male to male, not for male to female and not through non-sexual paths such as blood transfusions, and that the total risk reduction attributed to circumcision is 1.8% of the already small risk of transmission from female to male, and no mention of condoms and safe sex as better alternatives to HIV prevention), and of course, penile cancer (no mention that penile cancer is a very rare disease that occurs in old age, mostly related to phimosis during adulthood and to HPV, and that according to the AAP's own Technical Report on circumcision "The clinical value of the modest risk reduction from circumcision for a rare cancer is difficult to measure against the potential for complications from the procedure" as 909 to 322,000 circumcisions would be needed to prevent one penile cancer event, at a cost of 2 to 644 complications ranging from mild to severe).

She then goes to explain that "Male circumcision does not appear to affect sexual function, sensitivity, or sexual satisfaction", a statement that has been the subject of an intense information war, with circumcision promoters such as Brian Morris rabidly attacking or willfully dismissing the studies that contradict this view, such as Sorrells (2007), Frisch (2011), Bronselaer (2013), histological studies explaining the anatomy of the foreskin such as Taylor (1996-1999), or Tim Hammond's preliminary poll of men circumcised in infancy or childhood.

The author then says that the AAP recommends that "Doctors talk to parents about the health risks and benefits" (one would hope doctors would be more forthcoming on the actual risks and complications than Deborah, a Master of Social Work who is potentially biased for religious reasons - as it's simple to find that she is a member of the Adath Jeshurum Congregation- has just been) and that "Parents weigh this information together with their religious, ethical, and cultural beliefs and practices".

This final statement deserves a little bit more of attention.

Circumcision is a surgery. It's the excision (amputation) of normal healthy genital tissue with sexual functions (the article doesn't mention that the foreskin is normal sensitive genital tissue or that it has sexual functions).

In most cases this is done for "religious and cultural reasons" (including Deborah's religion).

Religion and culture are not medical indications for surgery.

Circumcision is "elective" surgery, that does not treat a condition, disease or abnormality. But the patient, a minor, is not given the chance to "elect" or "refuse" the procedure.

In a recent article in the Journal of Medical Ethics, Robert Van Howe and Steven Svoboda declare that “When physicians decide whether to do a procedure, they must, and normally do, exclude from their medical decisions non-medical factors regarding the parents’ culture. Contrary to what the AAP suggests, doctors are not cultural brokers. Their duty is promoting and protecting the health of their patients, not following practices lacking a solid ethical and medical foundation.

But Tolmach Sugerman makes no mention of this ethical issue.

Why Deborah? Why?

Sunday, August 18, 2013

Circleaks main site

To all our concerned friends and foes:

Our main site, circleaks.org, is having a small technical inconvenience that should be resolved within the next few days. The site will be back online once this issue is resolved.

Don't panic, stay tuned!

Friday, August 16, 2013

South Africa: 4 year olds child dies after hospital circumcision

Johannesburg - “They killed my child.” These were the pained words of a Germiston father whose son had to be taken off life support on Wednesday evening after he was declared brain dead by two surgeons following a medical circumcision operation a week ago.

Reggie Mokalapa, 39, took his four-year-old son, Gugulethu, to Medicross Germiston for what doctors had assured him would be a “less than two-hour” procedure last Tuesday.

...

On Sunday, monitors showed that Gugulethu’s brain was not responding, and on Monday he was declared brain dead.

On Wednesday, a second doctor confirmed that Gugulethu was brain dead and the family elected for doctors to take him off life support.

“We are always advised to circumcise our children young, and we did this so that he’d be okay in future. Unfortunately, we took him to a slaughterhouse,” said Mokalapa.
 
 
 
 
Rest in Peace, Gugulethu.
 
Please, let's stop cutting minors.
 
WHO, PEFPAR, Bill and Melinda Gates Foundation, UNAIDS, please stop cutting minors.

Does Male Circumcision Affect Sexual Function, Sensitivity, or Satisfaction?- No Morris, it doesn't work that way

So, a new day and the news already report a new study. "Sydney researchers find that contrary to perception circumcision actually increases sexual satisfaction". That Sydney researchers would seem to have nothing else to do but to research circumcision seems strange, until you find the same old name: Same old Professor Brian Morris, author of circinfo.net the most rabid fanatic pro-circumcision site on the web, and who is not a sexologist or a urologist, but a molecular biologist. Oh, also founder of the Circumcision Foundation of Australia and author of the book "In favour of circumcision". Do we need to point any more bias?

But enough with Morris, let's cut to the meat and potatoes and take a look at the abstract. The article is being published on the Journal of Sexual Medicine (how he gets publishers is something we can't really understand).

And what is this "new" research, one would ask? Well, it's nothing but a recycle of the same old papers. In his own words, "A systematic review of published articles retrieved using keyword searches of the PubMed, EMBASE, and Cochrane databases was performed."

From this, 2,675 publications are identified (several of them authored by Morris himself, no doubt), and they are "rated" on their quality level, to conclude that "The highest-quality studies suggest that medical male circumcision has no adverse effect on sexual function, sensitivity, sexual sensation, or satisfaction.". The problem is, what is the criteria for this rating? Which were the "low quality" studies and what did they reveal?

But, at this point we are not even really discussing the meat and potatoes of the subject, are we? Because, how can we evaluate sexual function, sensitivity, sensation and satisfaction, if we don't start by defining what those are and how to measure them? Guess what, Morris didn't.

For being a biologist, Morris willingly overlooks the question of what is sexual function, and skips the topic by going to statistics. Do you see anything wrong there?

Histological studies such as those by John R. Taylor (published in the British Journal of Urology) are evidently ignored, and most likely Sorrells' "Fine-touch pressure thresholds in the adult penis" (also published in BJU) is most likely rated with low quality, given that Morris (and his friend Jake Waskett, a computer programmer) took it upon himself to criticize that paper by distorting, eliminating and reprocessing the data, as pointed out by Hugh Young. In fact in the Daily Telegraph's article, Morris is quoted saying "There are no legitimate studies which have found a lack of sensitivity". Sorry Morris, just because you don't like the findings of Sorrells et al. doesn't mean that it's not legitimate. You can't remove 20,000 soft-touch receptors from an organ and claim that there is no difference in sensitivity.

Circumcision promoters prefer to ignore Sorrells study while paying attention to Payne et al's "Sensation and sexual arousal in circumcised and uncircumcised men" which was based on a similar methodology with a fatal flaw: Payne didn't take sensitivity measures for the foreskin, only for the glans, thus ignoring the main difference between the circumcised and the uncircumcised penis in what can only be called "researcher's bias" or "researcher's prejudice".

Anyway, the question of what constitutes sexual function is not even asked by Morris. Of course that would have to get him to explain about frenulum, ridged band, gliding function (described by Lakshman in the Indian Journal of Surgery in 1980), etc, things that he really doesn't care to talk about... because he doesn't have them.

So let's be clear here.

If sexual function means simply being able to sustain an erection and ejaculate, then, in most cases there would be no difference... except perhaps at an older age (40, 50...) as keratinization of the glans progresses.

But if sexual function means that the penis works as it was intended to work:

  • The foreskin glides over the glans and allows the ridged band and the ridge of the corona to stimulate each other,
  • Pre-ejaculate collects in the subpreputial space for additional lubrication instead of falling down on a useless liquid thread,
  • The intact frenulum and ridged band perceive a lot of sensation and produce tingling sensations and help control the orgasmic threshold,
Then there is no doubt that removing the foreskin changes the function.

Some of the "high quality" studies would have been, no doubt, those by Kigozi et al, in Uganda (including circumcision promoter Ronald Gray) where the men that volunteered for circumcision as part of the "randomized trial" for HIV prevention, were followed up at 6, 12 and 24 months. Participants reported on "sexual satisfaction and function". Of course at 24 months, keratinization wouldn't have been enough to represent a good difference (some men circumcised during the neonatal stage report the effects of keratinization when they are past their 40 or 50 years - but I'm sure Morris would dismiss them as case-studies in the best case, or as being brainwashed by anticircumcision literature on the internet at worse).

But given that this is nothing but a "systematic review" of existing literature, then comes the question of what's the relevance of this paper. Why did Morris even bothered looking for all these articles and writing a new paper based on no new research whatsoever?

Circumcision promoters have suffered some backslash in the recent years. In 2011 the International Journal of Epidemiology published Morten Frisch's "Male circumcision and sexual function in men and women: a survey-based, cross-sectional study in Denmark" which concluded that "Circumcision was associated with frequent orgasm difficulties in Danish men and with a range of frequent sexual difficulties in women, notably orgasm difficulties, dyspareunia and a sense of incomplete sexual needs fulfilment." In spite of the expected anonymity of reviewers, Morris outed himself as one of the reviewers, as the one reviewer opposing the publication of Frisch's study, when he asked the members of his mailing list to write letters to the editor protesting the publication of the article. Quite unethical on his part.

In 2013 BJU published Bronselaer's "Male circumcision decreases penile sensitivity as measured in a large cohort", a study in Belgium, which concluded that "This study confirms the importance of the foreskin for penile sensitivity, overall sexual satisfaction, and penile functioning. Furthermore, this study shows that a higher percentage of circumcised men experience discomfort or pain and unusual sensations as compared with the uncircumcised population. Before circumcision without medical indication, adult men, and parents considering circumcision of their sons, should be informed of the importance of the foreskin in male sexuality". Strangely for a study that suggest negative consequences of male circumcision, Reuters covered the study so it reached several global news outlets. In some of the media, particularly in American news sites, a critique by circumcision promoter Aaron Tobian (Johns Hopkins University college of Ronald Gray) was included in an attempt to "balance" the information (or reduce the impact of the study, we could say).

And this would be the reason why circumcision promoters needed some "new" publication to "find" that circumcision "does not affect -or actually increases- sexual satisfaction", even if it means just recycling all the old articles, even the old and utterly debunked excuse of a "study" by Masters and Johnson from 1966 (here explained and refuted by Hugh Young).

So this is the issue. Awareness of the consequences of male circumcision has been growing. It was already reported in 1997-1999 by Tim Hammond. The past two years have seen two European articles denouncing the reported loss of sensitivity and sexual consequences of circumcision for European males and their partners. 2012 also saw the results of the Global Survey of Circumcision Harm. There is also growing awareness of the possibility of Non-Surgical Foreskin Restoration for men who feel harmed by their circumcision and wish to recover some of the function of their lost foreskin.

So obviously, circumcision promoters are not happy, especially when African men are not rushing to get circumcised as they expected them to. Aaron Tobian prepared the path for the AAP's new Policy Statement on Circumcision by publishing his "findings" (actually a computer simulation applying premises from African data to the United States) that healthcare cost would increase if circumcision rates continue decreasing. Of course even if this was true, this unethical paper is only putting a price tag on a valuable part of the male genitalia, and most of the public could see through it. More was needed, so Professor Morris did what he knows how to do: review old information to produce new publications, while denying everything that doesn't fit his model of the world.

Well, Professor Morris, it doesn't work that way. You can't deny the changes in function by simply refusing to discuss function. Good try though.

One thing we appreciate of Morris "study", and it would be pointing us to his coauthor, Krieger JN. Professor John Krieger from the University of Washington. We'll definitively be learning more about Krieger's work, such as his previous 2008 study on "Adult Male Circumcision: Effects on Sexual Function and Sexual Satisfaction in Kisumu, Kenya", which no doubt is one of the studies reviewed in this new publication, it's not like Morris has been known for self-referencing his own publications, what's the cost of sharing that trick with his coauthor?

One final thought is, why is it that European males report sexual difficulties related to their circumcision while African males don't? And why is it that the perception of African males would be more relevant to English speaking countries than the perception of European males?

But let's listen to Brian Morris for a moment, let his words give you an idea of his character. He would be quite amusing if he didn't think he was being serious.