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He went on to note, however, Most HIV infections are contracted in the receptive role, so what were talking about is a risk reduction for a small group of men who didnt have a huge risk in the first place.In the study, University of New South Wales researchers recruited 1,400 HIV-negative men, two-thirds of whom were circumcised. But in looking at the men who predominantly took the insertive role in intercourse, there was an 85 percent reduction in the risk of HIV infection if they were circumcised.(The Roman senator Cato was in the habit of ending every speech on any subject with those words - it helped that "must be destroyed" was a single splendid Latin word, "delenda".Eventually the Senate agreed to destroy Carthage, with disastrous consequences for Rome.) Recently, several studies have been published, most from Africa, one from India, claiming to show a link between having an intact penis and a higher risk of HIV infection.Only seven of the 53 HIV infections occurred among insertive partners; the studys model indicated that five of these infections could have been avoided if the men had been circumcised.[No figure for how many of the seven HIV infections were among circumcised insertive men.It is not sufficient to rely on the nail alone to make Nail Soup." In the morning he 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 nail that made such delicious Nail Soup.So it will be when mass circumcision has been "rolled out" and if there is any dent at all in HIV transmission.

It used physical examination to determine circumcision status, and confined itself to churches that had similar views on polygamy and widow inheritance (of their late husbands' brothers as second husbands).

As controls on "psychic" research are tightened, the effects found steadily diminish, and when control is complete, the effects vanish. These results are certainly consistent with the null hypothesis, that circumcision has no effect on HIV acquisition: the confounding factors have just not all been found yet.

Yet as usual, this study advocates that "male circumcision should be seriously considered as an intervention to slow the spread of HIV-1 in uncircumcised populations".

With those precautions, the correlation between circumcision status and HIV acquisition fell to 1.5 (20% of circumcised men had HIV, vs 30% of intact).

With "adequate" genital hygiene, the rate among the intact fell to 26%.

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