Use of rapid male circumcision tool will help Africa reach HIV prevention goals

In order for Rwanda to reach its HIV prevention goals, the country "need[s] to reach two million men in two years to benefit from the protective effect of [voluntary medical male circumcision] in order to achieve this as part of a comprehensive, combination HIV prevention strategy," Agnes Binagwahois, Rwanda's minister of health, writes in a Washington Post opinion piece. However, "the only method widely approved for funding is the surgical method, which is expensive and impractical for countries lacking physicians and surgical infrastructure," and it would take more than 12 years to reach the country's goal, she says.

However, "[w]e have clinically studied and approved PrePex, [a] non-surgical device for voluntary adult male circumcision that requires no injected anesthesia," can be administered by a trained community health worker in less than five minutes, and was safer than traditional methods in clinical studies, Binagwahois writes. "Such simple solutions can be game-changers in the fight against HIV/AIDS," she continues, adding, "It is time to reinvent the vocabulary for what is possible, and I propose to start talking about RMC, Rapid Male Circumcision, because the device we studied can revolutionize our prevention toolkit in Africa." She concludes, "RMC is not a silver bullet but an extremely powerful tool when promoted in combination with other proven prevention strategies" (12/12).


    http://www.kaiserhealthnews.orgThis article was reprinted from kaiserhealthnews.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.

    Comments

    1. Mark Lyndon Mark Lyndon United Kingdom says:

      Rwandan men are *more* likely to have HIV if they've been circumcised:

      2.1% of intact Rwandan men have HIV
      3.5% of circumcised Rwandan men have HIV

      Other countries where circumcised men are *more* likely to be HIV+ are Cameroon, Ghana, Lesotho, Malawi, and Swaziland.  That's at least six African countries where men are more likely to be HIV+ if they've been circumcised, and yet they're promoting circumcision to prevent HIV.  What will it take to stop this madness?

    2. Craig Garrett Craig Garrett United States says:

      Circumcision to prevent HIV/AIDS does not make sense. Circumcised men still have to use a condom just like intact (uncircumcised) men. The best way to prevent HIV is through education about safe sex, not surgery. Don't let them fool you into getting circumcised - you'll still have to wear a condom every time.

      And for women: don't let a circumcised man have sex with you without a condom. Don't let him fool you into thinking he's immune from HIV.

    3. Hugh7 Hugh7 New Zealand says:

      If this thing is "non-surgical" then hitting you over the head is non-surgical anaesthesisia. It works the same way an Elastrator takes the tail or the goolies off a sheep.

      "RMC is not a silver bullet but an extremely powerful tool when promoted in combination with other proven prevention strategies"

      A traveller came to a farmhouse and offered to make the occupants Nail Soup in return for a night's shelter. He threw a large iron nail in a pot of boiling water and said: “The nail is not a magic bullet but an extremely powerful tool when used in combination with herbs, spices, vegetables, meat and other proven soup ingredients.” The farmer's wife accepted this, and in the morning the traveller went on his way, refreshed after a night in a comfortable bed, minus the Nail, with some gold coins in his pocket and the thanks of the family ringing in his ears for the wonderful Magic Nail that made such delicious Nail Soup.

      Powerful? Less than two years after 5,400 men were circumcised, 64 of them had HIV while 73 others didn't, who MIGHT have if they had not been circumcised. That's not really very powerful.

    4. Hugh7 Hugh7 New Zealand says:

      When Agnes Binagwahois calls PrePex circumcision "rapid", she is referring only to the convenience of the circumcisers. That band, with your dying foreskin, is going to be there for a week. That has got to be sore.

    The opinions expressed here are the views of the writer and do not necessarily reflect the views and opinions of News Medical.
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