The East African (Nairobi)

Uganda: Sex Alert - 'Cut' Or Not, Men Spread HIV At Same Rate

Nairobi — Circumcision, which three years ago was shown to protect men from contracting HIV by as much as 60 per cent, has no such benefit for their sex partners, a new study conducted in Uganda has established.

The study involved 922 uncircumcised HIV-positive men aged between 15 and 49 years.

Half of the men were circumcised immediately and the other half left uncut to serve as the control group.

All the men were counselled not to have unprotected sex with their partners, who were nevertheless enrolled to establish how many in each group would get infected.

In total, 90 female partners of the newly circumcised group was enrolled, as were 70 of the control group made up of uncircumcised men.

The women were tracked for two years and tested for HIV to establish infection rates.

The study was carried out in Rakai, Uganda, which has long been considered Ground Zero of the HIV/Aids epidemic in the region.

At the end of the study, 18 per cent of the women in the circumcised group were found to be infected with HIV, compared with 12 per cent in the control group.

This, lead researcher Maria Wawer from America's Johns Hopkins Bloomberg School of Public Health says, shows that male circumcision does not directly protect women partners from contracting the virus.

The results of the study were released at a conference on retroviruses and opportunistic infections held in Boston, USA.

Following the study's key finding, it was stopped early as there was no probability that the data obtained would change.

Circumcision could, however, have a protective effect on women by reducing the prevalence rates in men, Dr Wawer said.

According to Dr Wawer and her colleagues, the fact that most of the infection in the circumcised group occurred within six months of circumcision may be explained by the possibility that some of the men had intercourse without giving time for the circumcision wound to heal properly, thus exposing their partners to HIV-infected blood.

"The possibility of higher risk of transmission in couples who resumed intercourse before complete wound healing cannot be excluded," Dr Wawer said in her report.

The latest findings differ markedly from those obtained in a human papillomavirus study in 2002, which established that circumcised men were less likely to spread the infection than uncircumcised men.

In 2006, studies in Uganda, Kenya and South Africa showed that removal of the foreskin could lower the risk of HIV infection in uninfected men by around 60 per cent.

The minor surgical procedure has since been recommended as a preventive measure, together with the traditional ABC (Abstinence, Being faithful to one partner and use of Condoms).

Aids experts say that circumcision probably lowers infection risk by getting rid of the foreskin, which is rich in special immune cells known as Langerhans, to which HIV is attracted.

Circumcision also ensures that infected fluids are not retained for long.


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Comments 1 to 2 of 2 Post a comment

  • ML
    Aug 3 2009, 17:23

    The headline should have been thatHIV+t men are 50% more likely to infect women if they're circumcised. Eight additional women were infected with HIV during this study, solely because their partners were cut.

    Circumcision is a dangerous distraction in the fight against AIDS. There are six African countries where men are more likely to be HIV+ if they've been circumcised: Rwanda, Cameroon, Ghana, Lesotho, Malawi, and Swaziland. Eg in Malawi, the HIV rate is 13.2% among circumcised men, but only 9.5% among intact men. In Cameroon, the HIV rate is 4.1% among circumcised men, but only 1.1% among intact men. If circumcision really worked against AIDS, this just wouldn't happen. We now have people calling circumcision a "vaccine" or "invisible condom", and viewing circumcision as an alternative to condoms.

    ABC (Abstinence, Being faithful, Condoms) is the way forward. Promoting genital surgery will cost African lives, not save them.

  • foryohjonathan0000
    Aug 20 2009, 11:36

    To all my brothers and sisters; please leaned me your ears. I must say this not because I want my brothers and sisters around Africa and the diaspora to be actively greedy in what will be tomorrow Africa's blessing AND brightest future, OIL. Africa is sitting on a mighty, mercifully and major resource, OIL. AND THIS TO YOU MY BROTHERS AND SISTERS OF AFRICA BELIEVE IT. This was giving not for us to mismanage it but to use it wisely to the advantages, development and benefits for all Africans, and Africa. Therefore, Africa must be ready to really fight those parasitical outsiders who are always ready to destroy and misguided us; ready to guide and protect this mighty resources; or else, a major flame will be burning all around Africa more than what we are seeing in today's Africa. I pray that it doesn't happen and we "Africans" should use this mighty resource WISELY. Therefore, a UNITED STATES Of AFRICA is very important!!!!