Agencies recommend circumcisions for men

Other protections should still be used, a member of UNAIDS said.
GENEVA (AP) -- Heterosexual men should be circumcised because of compelling evidence it reduces their chances of contracting HIV by up to 60 percent, U.N. health agencies said Wednesday.
But men should still use condoms and other protection against the virus, said the World Health Organization and UNAIDS, the U.N. agency that coordinates the global fight against the AIDS virus.
"We must be clear," said Catherine Hankins of UNAIDS. "Male circumcision does not provide complete protection against HIV."
Besides condoms, men and women should use protections such as abstinence, delaying the start of sexual activity and reducing the number of sexual partners, she said.
Otherwise, they could develop a false sense of security and engage in high-risk behavior that could undermine the partial protection provided by male circumcision, the agencies said.
Men also should be warned that they are at a higher risk of being infected with HIV if they resume sex before their circumcision wound has healed, which can take six weeks. Likewise, an HIV-positive man can more easily pass the disease to his partner if the wound has not healed.
Additional research
More research is needed to determine whether male circumcision will cut the transmission of HIV to women or reduce HIV infection in homosexual intercourse, the statement said.
"It probably does, but we don't have sufficient research now to confirm that," said Dr. Teguest Guermo of WHO. "We will be doing some more research on that."
The recommendations were based on a conference in which experts discussed three trials -- in Kenya, Uganda and South Africa -- that produced strong evidence of the risk reduction resulting from heterosexual male circumcision.
"Based on the evidence presented, which was considered to be compelling, experts attending the consultation recommended that male circumcision now be recognized as an additional important intervention to reduce the risk of heterosexually acquired HIV infection in men," a joint statement said.
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