Monday, July 4, 2011

Lisa Russel: Attention Whore Confirmed

In my last post, I criticize USAID champion Lisa Russel for authoring pro-genital mutilation propaganda.

And what is her response? "Oh I'm so insulted. I can't even get through the hate."

How in the world she feels entitled to the victim card is beyond me. How are men supposed to feel for having our bodies insulted and treating them like a disposable piece of trash? But somehow SHE is the victim? Aw, poor baby...

So I thought she was just gonna blow this off, as most circumcision advocates do. What does she really care? I was expecting for this post to simply be another long and boring post in my long list of worthless ramblings. She ignores me, I forget that such a woman called “Lisa Russel” ever existed, and we both go about our business.

Well, word has gotten 'round to me that she actually DID read it, and has decided to, instead of address real and direct questions I pose, play the victim:

"Lisa Russell
My film is causing such a heated debate that I am now getting personal hate press. This one is my fav. "So who is this Lisa Russel person? Does she actually care about humanity and public health? Is she
actually a concerned world citizen, or is she merely an attention whore who finally found somebody to sponsor her?" Wow. Too bad I can't even get to this dude's argument bc I can barely get through the hate."


She means to say she can't even touch my arguments, so she chose to focus on my anger. I'm not going to deny it; the promotion of male genital mutilation, even if it's under the guise of pseudo-medicine makes me angry. This video that disrespects and desecrates males in the name of humanity pisses me off.

When she made this video, she should have known she was going to hear it from guys like me. She should have known that there are men who would not stand by silently while she uses pseudo-science to insult us and slander our bodies.

She needs to stop acting surprised and answer the questions posed to her. She's an adult; she needs to be responsible for her work.

Others who are more restrained and more respectful than I ever could, posted polite but firm comments on her Facebook wall, only to have them deleted. Here are some of the comments she is allowing to remain, however...

"Toni Blackman They say you know you've said something when others have something to say about what you said. #KeepTalkin This Lisa Russell is makin moves and impact"

Yes, that's right Toni. And judging by the fact that somebody, especially Lisa, and you, and others, are saying something about what I've said, I am "makin' moves and impact" too.

"Lisa Russell Thx Toni. You gotta check out the photo he posted of metoo. Side by side with the joker with the caption, "I'm not sure abouteveryone else, but I see a resemblance..." Am thinking of making it myprofile pic. lol."

I guess she's not familiar with trollface? :-) :-) :-)

Aw, I'm sorry Lisa, but I just couldn't resist. I just don't know what to think about somebody who thinks it's gracious and humanitarian to promote male genital mutilation in the name of HIV prevention. The next Foreskin Man comic should be about you. You cannot have my respect if you call yourself a "humanitarian" but yet you're promoting THIS bullshit.

"Kamau Ngigi keep on lisa, dont let them stop you..."

...from riding the circumcision/HIV gravy train, that is. There's money and fame to be made at the expense of others here, Lisa, don't you let somebody holding you to moral standards stop you!

"Brigitte Britt Russell Lisa - making heads turn. His hate makes you noticed by others. Which once they check you out, will only turn into something great!"

And HER hate makes others notice me in turn! You see how that works? Once they check ME out, people can see how absolutely full of shit this Lisa person really is. It looks like this IS turning into something great!

"Amber Peterman If you are not making waves, you are not making change..."

Yes Amber, this is so true. Just look at how far Lisa has taken it! Moving it from what it's supposed to be about (AIDS PREVENTION, HELLO???) to a melodramatic pity party to get everyone's sympathy validation. (cue the violins)

"Amber Peterman cont'... There will always always be haters. If anything, you have encouraged discussion."

So true. I mean look at Lisa! But you know, for as much as I think she is just an attention whore in it for fortune and fame, you are right. She has encouraged discussion. Hopefully there will be actual discussion, and not just one-sided argument.

"Amber Peterman cont'... And remember, for every study, scientific finding, you will find another study or scientist who disagrees!"

Yes, and you must only pay attention to those "studies" and "scientists" that suit you. After all, that is what science is all about, right? Paying attention only to the evidence that supports your cause, as flawed and as biased as it may be, while ignoring and dismissing concrete irrefutable evidence that is devastating to it? Right?

"Russell ‎@amber - that is so true. i had a back and forth with someone who kept referencing scientific study that i then found a study to contradict its findings. i'm basing my beliefs on the research yes but also on my gut and the things i witnessed first hand. thanks for that and everyone else for the love..."

Aw... can't you just feel the love? This is no longer about research and science, it's based on "gut feelings." Real world data shows that circumcision never prevented HIV. But screw this, she’s got “gut feelings.” Look, Lisa, you can present all the "studies" you want. If they fail to correlate with reality, then I'm afraid those studies are suspect.

Tell us Lisa, why did you decide to delete your back-and-forth? Is it because the links to information made you uncomfortable? Is it because you can’t admit that maybe, just maybe there are others that know more than you do? Is it that you don’t want to be made to eat crow for creating a genital mutilation propaganda video based on flawed and biased "research?"

How does circumcision prevent HIV?
Tell us Lisa, since you’re such an expert and you have done all the research, how does circumcision prevent HIV? Have you witnessed the foreskin facilitating HIV transmission first hand? Has it been demonstrably proven that the foreskin actually facilitates HIV transmission, and that removing it “reduces the risk?” Or is this just merely another one of your “gut feelings?”

The answer to this question is, you don't know. Nobody knows. Not even the very authors of the latest circumcision/HIV studies can demonstrate that circumcision prevents HIV transmission. The best they have done is present carefully cherry-picked data from select countries of their liking (leaving out data that didn't conform to their pre-determined conclusion of course), and insist that a lower rate observed in the data they present is attributed to circumcision. The mechanism whereby this happens, however, is always a “gut feeling,” that needs never be fully and concretely explained. Entire mass-circumcision campaigns are being carried out using “studies” that lack a working hypothesis!

Circumcision “studies,” all circumcision “studies,” are based on hypotheses that have never been proven, or that have been completely dis-proven. Their biggest flaw is that they beg the question; circumcision is assumed to prevent disease a priori. For whatever reason, circumcision "researchers" aren't expected to actually prove circumcision prevents anything; it’s perfectly acceptable to conduct statistical analysis based on “gut feelings” that something is true. Correlation, however skewed and farfetched it may be, does equal causation, after all.

Let’s analyze some of the “gut feelings” that have been scientifically blown out of the water:

Toughened Skin Theory
In the early 1980s, long before there were any "studies" in Africa concerning circumcision and HIV, Aaron J. Fink invented the idea that circumcision prevented HIV transmission out of thin air. He presented the first hypothesis for this presenting his “gut feeling” that HIV is sexually transmitted through the moist and supple mucosa of the inside of the foreskin, which, according to him, tears easily. Circumcision was supposed to prevent HIV transmission because it was unable to penetrate the skin of the remaining mucosa and the glans, toughened by keratin layers. This theory has been completely destroyed (see references below).

Dinh, MH; McRaven MD, Kelley Z, Penugonda S, Hope TJ (2010-03-27). "Keratinization of the adult male foreskin and implications for male circumcision.". AIDS 24 (6): 899-906. PMID 20098294. http://www.ncbi.nlm.nih.gov/pubmed/20098294. Retrieved 2011-06-28. "We found no difference between the keratinization of the inner and outer aspects of the adult male foreskin. Keratin layers alone are unlikely to explain why uncircumcised men are at higher risk for HIV infection.".


Dinh, Minh H; Sheila M Barry, Meegan R Anderson, Scott G McCoombe, Shetha A Shukair, Michael D McRaven, Thomas J Hope (2009-12-06), "HIV-1 Interactions and Infection in Adult Male Foreskin Explant Cultures" (PDF), 16th Conference on Retroviruses and Opportunistic Infections, Montreal, Canada, http://retroconference.org/2009/PDFs/502.pdf, retrieved 2011-06-28, "No difference can be clearly visualized between the inner and outer foreskin."

Langerhans Cells Theory
Once the keratin theory was destroyed, “researchers” moved to indict the Langerhans cells, saying that they are the “prime port of entry” for the HIV virus. deWitte has demonstrated that, contrary to circumcision researchers’ “gut feelings,” the Langerhans cells actually help FIGHT the HIV virus, because they release Langherin, a secretion that destroys HIV on contact.

de Witte, Lot; Alexey Nabatov, Marjorie Pion, Donna Fluitsma, Marein AW P de Jong, Tanja de Gruijl, Vincent Piguet, Yvette van Kooyk, Teunis B H Geijtenbeek (2007-03-04). "Langerin is a natural barrier to HIV-1 transmission by Langerhans cells" (PDF). Nature Medicine. doi: 10.1038/nm1541. http://www.circumcisionandhiv.com/files/de_Witte_2007.pdf. Retrieved 2011-06-28.

The quip that “circumcision reduces HIV by 60%” has become pop-science mantra, but scientists and circumcision “researchers” have yet to demonstrably prove that circumcision prevents HIV. Millions are being spent on “mass circumcision campaigns,” and boys and men are being circumcised in Africa, some by force, all using “studies” that are based completely on “gut feelings.”

The Prophecies are Already Coming True
Promoting circumcision in Africa is already proving to be disastrous. Men are already saying that they don’t have to wear condoms, that they are completely immune to HIV, and HIV transmission rates are shown to be rising. Funds for HIV prevention and treatment are already scarce, and humanitarians struggle to keep donors from bailing out on them. Condoms and sex education are cheaper, less invasive, have been conclusively proven to prevent HIV transmission. Oh but let’s continue to trust our “gut feelings” and waste millions on dollars on a dubious mode of "prevention" while we forget about TB and malaria.

The Questions Avoided
In my last post, I ask important questions, but Russel has chosen to ignore them. I repost some of them here for reader reference, and just for good measure:

If circumcision is so effective at preventing HIV, why do the results of the latest “studies” fail to manifest themselves in the real world?
The United States is a country where condoms are widely available and prevention efforts are top notch. It is also a country where 80% of the male population is already circumcised, and yet HIV rates are still high. If circumcision is so effective at "reducing the rate of HIV," why then, are HIV rates in fact higher in America, where the majority of the male population is already circumcised, than in Europe, where the majority of the male population is not?

If circumcision is so effective at "reducing the rate of HIV," why are countries where circumcision is already wide-spread suffering increased HIV transmission rates? Countries like Malaysia, the Philippines, and Israel? (Haaretz reports on Israel's AIDS crisis here, here, here, and here.)

If circumcision is so effective at "reducing the rate of HIV," then why was HIV found to be more prevalent among the circumcised in 6 different African countries?

In Cameroon, where 91% of the male population is circumcised, the ratio of circumcised men vs. intact men who contracted HIV was 4.1 vs. 1.1. (See p. 17) In Ghana "...the vast majority of Ghanaian men (95 percent) are circumcised... There is little difference in the HIV prevalence by circumcision status..." (1.6 vs 1.4 See p. 13) In Lesotho, 23% of the men are circumcised, and the ratio circumcised men vs. intact men who contracted HIV was 22.8 vs 15.2. (p. 13) In Malawi, 20% of the male population is circumcised. The ratio of circumcised vs. intact men who contracted HIV was 13.2 vs 9.5. (p. 10) According to a demographic health survey taken in Rwanda in 2005, the ratio of circumcised vs. intact men who contracted HIV was 3.8 vs 2.1. (See p. 10) And for Swaziland, in a recent demographic health survey (2006-2007), the ratio of circumcised vs. intact men who contracted HIV was found to be 22 vs. 20.(p. 256)

According to none other than USAID, "there appears no clear pattern of association between male circumcision and HIV prevalence—in 8 of 18 countries with data, HIV prevalence is lower among circumcised men, while in the remaining 10 countries it is higher?"

Other studies:
"Conclusions: We find a protective effect of circumcision in only one of the eight countries for which there are nationally-representative HIV seroprevalence data. The results are important in considering the development of circumcision-focused interventions within AIDS prevention programs."

Results: ...No consistent relationship between male circumcision and HIV risk was observed in most countries.

These are real numbers from real countries. They’re not arguing anything one way or another;  they are hard, solid fact. On what “gut feeling” did WHO, UNAIDS, USAID etc. officials decide it would be a good idea to promote circumcision anyway? On what premise have American organizations decided to promote a mode of “prevention” that never worked in our own country?

Would Russel ever promote female genital cutting in the fight against AIDS?
Circumcision advocates always like to frame their advocacy with humanitarianism. Stressing the severity of the HIV/AIDS situation in Africa, they insist circumcision should be promoted because it's "one more tool in the fight against AIDS." It sounds real noble and all, but how far are people actually interested in finding "every tool available out there?" Or does this reasoning stop at male circumcision?

In my last post, I ask what Russel what her stance would be if "studies showed" that female circumcision "reduced the risk of HIV by 60%," but she has decided talking about my "hate" was more important.

I'm going to elaborate on my question here a little bit more, because somebody always has to get dramatic about "how much worse" female circumcision is than male circumcision: The WHO recognizes that there are at least four different levels of severity for female genital cutting. Yes, we all know that infibulation is so much worse than male circumcision, but what if HIV transmission could be reduced by performing surgery that isn’t "as bad?"

What if "scientists and researchers" found a way to remove all that "extra skin," while leaving behind the clitoris and a woman’s ability to orgasm? Would Russel support it then?

People might not be familiar, but what we might consider to be "female genital mutilation" is already practiced in doctors clinics in the West. Some women find that their labia aesthetically displeasing and ask to have them removed in a procedure known as a "labiaplasty." Some women go even further and have the hood of their clitoris removed to permanently expose it in a procedure called "unroofing." This "unroofing" would be precisely what happens in South-East Asian "sunat." So what if "labiaplasties" and "unroofing" were proven to "reduce the risk of HIV by 60%"? Would Russel dare promote it as "another tool in the fight against HIV?"

Believe it or not, there are actually a handful of studies that suggest that female circumcision might "reduce the risk of HIV." See them for yourself here, here and here. Additionally, other studies show that even women who have undergone infibulation, which is the worst kind of female genital cutting, are still able to orgasm. You can see studies here and here. A recent article in Africa came out addressing this same point here. There is at least one study that claims that labiaplasties increase sexual satisfaction in both women and their partners.

Russel might say that "there aren’t enough studies to promote female circumcision," and she might have a point. To which I would ask, would there ever BE enough “studies” that would convince her to promote female circumcision? Would she support "studies" to look further into the matter? What would she think of "studies" where scientists performed labiaplasties on 1,000 women, kept a control group of 1,000 unlabiaplastied women and then followed these groups around to see who got AIDS faster? And then, if scientists saw a "significant reduction in HIV transmission in the labiaplastied women," what would she think if they performed labiaplasties on the remaining 1,000 women on the grounds that "not doing so would be unethical?" Would she fully agree, or would she decry as unethical the fact that somebody thought conducting these “studies” would be acceptable in the first place?

If "studies showed" that labiaplasties provided a "significant reduction in HIV transmission," would Russel get behind them? Would she fully support the WHO for endorsing labiaplasties as HIV prevention policy? Would she fully back "mass labiaplasties" for women?

Is there a number of studies that would ever convince Russel to create a propaganda film that encouraged women to go get their labia and clitoral hood removed? What "reduction rate" would ever convince her to create a film promoting labiaplasties as "another tool in the fight against HIV for those women who request it?" 60%? 70%? 100%? Yes? No? Maybe so?

Russel might say that, even if these "studies" were correct, that promoting them would be a mistake because they would be misused to perpetuate the forced genital mutilation of non-consenting women. That while the studies might only endorse “voluntary female medical circumcision” or “VFMC,” as it might be called, tribal leaders would use WHO endorsement to perform traditional variations of circumcision, which may include infibulation. And she would be correct. But why isn’t this a concern regarding the forced genital mutilation of non-consenting men?

Why don’t "researchers" seem to be concerned that their "studies" will be endorsing brutal circumcision rituals? That tribal leaders will use their studies to perpetuate the forced genital mutilation of boys and men? Why don’t they seem to care that frauds that aren’t even real tribal shamans are taking advantage of the WHO endorsement to cash in on circumcision rituals? That scores of boys and men die in South Africa every year due to tribal initiations involving circumcisions? That countless more lose their penises to gangrene? Why isn’t THIS a concern?

Are boys and men simply that worthless and disposable?

I know that in my last post I made some cutting remarks, but I think they were warranted. Do I "hate" Lisa Russel? Only with the "hate" a Greenpeace activist might have for somebody writing a pseudo-scientific documentary on the benefits and virtues of whaling. Lisa Russel is choosing to ride the circumcision/HIV gravy train for USAID brownie points and promote what is essentially male genital mutilation in the name of humanitarian aid. She needs to know that such endorsement of human rights violation, even if thinly veiled as "medicine" is not going to be taken lightly. She is gravely mistaken if she thinks she can create something like this and not hear back from actual human rights activists.

In spite of my anger, I think I've asked legitimate questions, but Russel has chosen to make this about hurt feelings instead (her own). This demonstrates to me what she really cares about; not about humanity, not about HIV prevention at all. It's all about "me, me, me," and she has just confirmed it. All she cares about is attention and validation for her and her films.

When men in Africa realize that circumcision failed to protect them from HIV, will Russel be there to film their faces of betrayal? When the circumcision/HIV hoax blows over, will she have the courage to film herself admitting that she helped spread lies in the name of disease prevention and humanity? Will she own her words and be responsible? When pressed once again for answers, would she admit she wasn't fully infromed? Or would she once again put on the victim act?

Friday, July 1, 2011

Lisa Russel and USAID DoubleThink

So USAID has found a new champion in Lisa Russel, a supposedly "independent filmmaker" with a "background in humanitarian and international development work." She has recently completed a circumcision/HIV propaganda video which USAID is pushing through one of their groups, AIDSTAR-One.

"In It To Save Lives," her video is called. But is she really?

In a comment to a blog post by Virgin's Richard Branson who is pushing her video, she toots her own horn:

"I can assure you that in the research I have done in preparing for the film and in the personal situations I encountered during making the film, I am 100% behind the efforts in getting the procedure out to as many people as possible. Simply stated, male circumcision can reduce the number of people living with HIV."

How can she "assure" us? Has she seriously done the research? Is she simply not aware that circumcision hasn't prevented HIV anywhere else? Who is this woman, and how can she spew these claims in a way that is so matter-of-fact?

"For those who have bore witness to the devastation that AIDS has had, particularly on the African continent, you might agree with me that if a procedure came along that can decrease the number of people dying from this horrible disease, it should be available for those who request it."

This statement is based on a dubious premise; that circumcision is actually effective at "reducing the risk" of HIV. Real world data shows us that this simply isn't the case. I wonder what this woman's stance would be if this procedure were a variation of female genital cutting. You know? One that removed only those parts of the vulva which are "extra" and whose absence would not affect sexual satisfaction. Something like sunat. Would she back this up if it "came along?" Would she agree that it needs to be made available "for those who request it," or would she have a different take?

 "If you lived in a country like Swaziland, where 1 in 4 people are infected with the virus, wouldn't you fight for a procedure that has scientifically been proven to decrease men's risk by 60%?"

More matter-of-fact pontification. Swaziland may indeed be a country where 1 in 4 people are infected with HIV. It is also a country where HIV transmission is more prevalent among the CIRCUMCISED population. Did she somehow overlook this little detail in her "research?"

Me, personally, if I lived in Swaziland, and somebody told me it's get circumcised or use a condom, and they told me that circumcision "reduces the risk of HIV by 60%, condoms by over 95%, but you'd still have wear a condom if you chose circumcision," I'd choose to screw circumcision and wear a condom. What kind of a stupid question is that? This makes me wonder, if men are "choosing" circumcision in Africa, what are they actually being TOLD?

As Table 14.10 shows, the relationship between HIV prevalence and circumcision status is not in the expected direction. Circumcised men have a slightly higher HIV infection rate than men who are not circumcised (22 percent compared with 20 percent). (p. 256) (PDF available here.)

Russel continues:
"I have met and filmed numerous men, women and children who were dying or lost family members to AIDS - in countries where condoms were widely available and prevention efforts were top notch but HIV rates were still high - and I ask, if people in these countries are voluntarily willing to go through this medical procedure to better protect themselves and their families from AIDS, who are we to tell them they can't?"

Lisa tries to be emotionally emphatic, but she is either misguided, or deliberately begging the question. She attempts to secure acquiescence for what is actually yet to be proven. DOES circumcision prevent AIDS? And if so, how does this happen? The answers to these questions are always foregone conclusion, but the fact of the matter is that not even the very authors of the circumcision "studies" know that circumcision actually prevents AIDS. The best they can do is present a range of carefully selected statistical data and then give the post-hoc/ad-hoc explanation that it was indeed circumcision that prevented HIV. Few people are aware of the fact that the three big African trials all lack a working hypothesis, and that nobody actually knows how circumcision prevents HIV, if at all. It is just assumed it does a priori.

Bigger questions need to be asked. The United States is also a country where condoms are widely available and prevention efforts are top notch. It is also a country where 80% of the male population is already circumcised, and yet HIV rates are still high. If circumcision is so effective at "reducing the rate of HIV," why then, are HIV rates in fact higher in America, where the majority of the male population is already circumcised, than in Europe, where the majority of the male population is not?

UNAIDS, World Health Organization.
 
If circumcision is so effective at "reducing the rate of HIV," why are countries where circumcision is already wide-spread suffering increased HIV transmission rates? Countries like Malaysia, the Philippines, and Israel? (Haaretz reports on Israel's AIDS crisis here, here, here, and here.)

If circumcision is so effective at "reducing the rate of HIV," then why was HIV found to be more prevalent among the circumcised in 6 different African countries?

In Cameroon, where 91% of the male population is circumcised, the ratio of circumcised men vs. intact men who contracted HIV was 4.1 vs. 1.1. (See p. 17) In Ghana "...the vast majority of Ghanaian men (95 percent) are circumcised... There is little difference in the HIV prevalence by circumcision status..." (1.6 vs 1.4 See p. 13) In Lesotho, 23% of the men are circumcised, and the ratio circumcised men vs. intact men who contracted HIV was 22.8 vs 15.2. (p. 13) In Malawi, 20% of the male population is circumcised. The ratio of circumcised vs. intact men who contracted HIV was 13.2 vs 9.5. (p. 10) According to a demographic health survey taken in Rwanda in 2005, the ratio of circumcised vs. intact men who contracted HIV was 3.8 vs 2.1. (See p. 10)  And for Swaziland, in a recent demographic health survey (2006-2007), the ratio of circumcised vs. intact men who contracted HIV was found to be 22 vs. 20.(p. 256)

Just what "research" has Russel actually done? Is she aware of the following studies that contradict the "reduces the risk by 60%" party line? Is she aware that even though USAID is pushing circumcision as HIV prevention, according to none other than USAID, "there appears no clear pattern of association between male circumcision and HIV prevalence—in 8 of 18 countries with data, HIV prevalence is lower among circumcised men, while in the remaining 10 countries it is higher?"

Other studies:
"Conclusions: We find a protective effect of circumcision in only one of the eight countries for which there are nationally-representative HIV seroprevalence data. The results are important in considering the development of circumcision-focused interventions within AIDS prevention programs."

Results: ...No consistent relationship between male circumcision and HIV risk was observed in most countries.

One study which aimed at measuring male to female HIV transmission was ended early, because the results were not looking favorable. The Wawer study showed a 54% higher rate of male-to-female transmission in the group where the men had been circumcised. The figures were too small to show statistical significance, but there will be no larger scale study to find out if circumcising men increases the risk to women. Somehow that's considered unethical, yet it's considered ethical to promote male circumcision while not knowing if the risk to women is increased (by 54%?, 25%?, 80%? - who knows?).

The latest study in Kenya finds no association between male circumcision and lowered HIV rates:
'Using a population-based survey we examined the behaviors, beliefs, and HIV/HSV-2 serostatus of men and women in the traditionally non-circumcising community of Kisumu, Kenya prior to establishment of voluntary medical male circumcision services. A total of 749 men and 906 women participated. Circumcision status was not associated with HIV/HSV-2 infection nor increased high risk sexual behaviors. In males, preference for being or becoming circumcised was associated with inconsistent condom use and increased lifetime number of sexual partners. Preference for circumcision was increased with understanding that circumcised men are less likely to become infected with HIV.'

So who is this Lisa Russel person? Does she actually care about humanity and public health? Some of us have tried to reach out to her, only to get back the exact same remarks that I show above verbatim. She simply cut and paste. Is Lisa really "in it to save lives?" Or is she in it to make a few bucks? Is she actually a concerned world citizen, or is she merely an attention whore who finally found somebody to sponsor her? Is this really her opinion? Or is she being paid by USAID to toe the party line?

"It's hard to get a man to understand something, when his livelihood depends on his not understanding."
~Upton Sinclair

I'm not sure about everyone else, but I see a resemblance...

The latest "studies" in Africa are a scientific scandal waiting to explode. Circumcision does not prevent HIV. Never has, never will. The promotion of circumcision in Africa is already proving to be disastrous, and when the world finally realizes that the WHO, UNAIDS and American organizations effectively bankrolled the spread of AIDS, not to mention needless genital modification in boys and men, people like Russel will be embarrassed to ever mention the fact that they were directly involved in helping spread these lies.

EDIT (added July 2nd):
I almost forgot to mention, Russel and others keep talking about so-called "VMMC" or "voluntary male medical circumcision." (Does "VMFC" or "voluntary medical female circumcision" exist?) As if stigmatizing "mass circumcision campaigns" like Soka Uncobe weren't enough,  it looks like a law has been proposed in Swaziland to make circumcision compulsory for men. And, it looks like once all the men are circumcised, PEPFAR and UNICEF want the Swazi government to start circumcising children as well. I'm not sure how this can be considered "voluntary" at all.

It is devastating to me that my tax dollars are being used for the deliberate deception of African people, and for the blatant violation of basic human rights. Additionally, I'd never imagine that UNICEF promote and bankroll the genital mutilation of children. Yes, UNICEF too has jumped on the bandwagon, and they are using the latest rubbish "studies" to promote the deliberate abuse of children. This is absolutely despicable. "For those who request it" indeed.

Related article:
Lisa Russel: Attention Whore Confirmed

Monday, June 27, 2011

SWAZILAND: Compulsory Circumcision Law Proposed

So while intactivists are fighting in San Francisco to ban the forced circumcision of healthy, non-consenting infants, officials in Swaziland are trying to make it legally compulsory for all men, under the mistaken belief that circumcision does anything in the fight against HIV.

According to the Swazi Observer, there is a group of women advocating this law, and demanding chiefs cooperate in making sure the law was followed. Men who refused to be circumcised would be fined.

Discussions and lectures were organized by the Swazi Ministry of Health. Apparently Swaziland has a "National Male Circumcision Director." I can't even believe this!

Apparently the women believe that "having all men circumcised would not only help [the men], but the nation at large in that the risks of their wives contracting sexually transmitted diseases would decrease."

What in the WORLD are they feeding these women? Is the Swazi goverment on crack? Don't they know that the studies conflict with reality, and that even if they were 100% accurate, circumcision would not offer women any benefits?

I sense American influence behind this. Perhaps PEPFAR and Bill Gates are frustrated that the much hyped Soka Uncobe campaign is failing to help reach the proposed 80% quota, that now they are twisting Swazi officials arms to get a move on with the mass mutilation campaign?

And they want to do this even though HIV was shown to be more prevalent in circumcised men in this country?

"As Table 14.10 shows, the relationship between HIV prevalence and circumcision status is not in the expected direction. Circumcised men have a slightly higher HIV infection rate than men who are not circumcised (22 percent compared with 20 percent)".

Studies show that circumcision is next to worthless in the fight against HIV. Actually, it's proving to be less than worthless, as it's leading men to believe that they don't have to wear condoms, making the situation worse. The Soka Uncobe campaign was the biggest blunder for the Swazi Ministry of Health because it sent the message that "Circumcise and Conquer" meant once you were circumcised you "conquered" HIV, and you could "conquer" all the women you want.

Circumcision gives men an excuse to be complacent with condoms, which, even if "studies" were correct, outperforms circumcision. And now they want to make circumcision for all the men compulsory?


Precisely what crock have Americans been feeding the men of Swaziland? Or are they simply that gullible?

The day is coming when this drive to mutilate the whole of Africa under the guise of HIV prevention will be seen for the despicable human rights atrocity that it is. Sooner or later America is going to have to be responsible.

How much longer before the world wakes up to this mass genocide being conducted in Africa?

EDIT (added 6-27-2011):
Just imagine. How would this story be reported in the news if it were the opposite? What if officials were pushing for a law that made female circumcision mandatory? What if there were men who wanted their women circumcised? How would that play out?

What if "studies showed" that female circumcision "reduced the risk of HIV" in women? Would American institutions of higher education pay to conduct "studies" to find this out? Would they fly to Africa, circumcise 1000 women and then follow them around to see who got AIDS first? And then use the results to say that "circumcision prevented HIV" in the women who didn't get it? Would they then use these "studies" to pressure the WHO to endorse female circumcision as HIV prevention policy? Would they pressure governments to enact "mass-circumcision campaigns" and compulsory laws?

Why, why, why is this acceptable to do with male circumcision?

Incidentally, "studies show" female circumcision could help "reduce the risk" of HIV here, here, and here. Not to mention that "studies" ALSO show that women who have been circumcised still experience sexual pleasure here and here.

So what are we waiting for! I don't see the WHO, UNAIDS, USAID, PEPFAR etc. getting behind this... Why, they're completely ignoring another "tool" in the fight against AIDS!

(Sorry for the sarcasm...)

One Intactivist's Opinion: The SF Circ Ban Ought Not to Pass

Don't get me wrong. I am against the forced genital cutting of healthy, non-consenting individuals. There is nothing that I would like to see more than to have the practice of circumcising healthy, non-consenting children abolished, and that the individuals that do this be put in jail and/or taken to court by the men who resent this violation upon their bodies.

All in all, I'm glad somebody managed to propose a ban on circumcision, and that it has gone on as far as it has. Never before has our cause garnered this much attention. It was about time somebody did something to put this issue "in your face," and nothing gets people's attention quicker than the proposition to enact legislation.

Up until now, it was rather taboo to talk about circumcision. Questioning circumcision got you labeled an anti-Semite, or it was dismissed as a "non-issue." The only context in which it was acceptable to talk about circumcision was to try and make little "snip-snip" jokes, or to talk about all the "health benefits" of cutting off part of a child's penis. The ethics of performing needless surgery on a healthy, non consenting individual were never addressed. Whenever circumcision is presented in our media, it is always to secure acquiesence to circumcision as an "age old tradition," or "one of many decisions parents have to make for their children." Our opponents would call it a "non-issue" and laugh it off.

Well, they're not laughing anymore.

In fact, religious and (at least on the surface) non-religious groups have begun to coalesce, and are trying to shut down the debate. Could this be it? The beginning of the end?

In my opinion, we've got a long way to go.

The US is simply not ready to handle the fallout of such a ban. Too many parents see this as their "right," and the state would have to deal with the logistics of arresting countless renegade mohels and doctors. There is too much misinformation in our country concerning the normal development of human male genitalia. The normal development and function of the foreskin is hardly taught in American medical curriculum. Too often, the only thing that is ever taught about the foreskin is that it must be cut off at birth, so that's all American doctors ever learn or know.

Assuming the ban was instated tomorrow, parents would still forcibly retract their sons' foreskins because misinformed (or willfully ignorant?) doctors would tell them that this is what they need to do "to clean underneath," causing iatrogenic problems and making the necessity of circumcision a self-fulfilling
prophecy. Knife-happy doctors would still prescribe circumcision for any and every problem, real or percieved, an intact child may have with his penis, and parents would agree to a circumcision because they simply wouldn't know any better. We've still got a long way to go to sway the public in our favor, and to change the flawed curriculum regarding male anatomy.

So on the one hand, it's exciting for me to learn that there is actually a ban on circumcision on the ballot. Nothing in our country ever got changed because people sat around wishin' and a hopin'. Human rights issues in this country were addressed because somebody had the courage to stand up and question the status quo and to challenge social constructs and expectations. Just imagine what would have never changed if people had never taken action; slavery, women's rights, gay rights etc.

I think that it's a shame that religious interest groups are trying to silence the debate before it even begins. If they are so confident that the ban will be "soundly defeated," then why the need to keep it from the voters? Intactivists need to unite and fight to make sure the ban stays on the November ballot. We can't let religious interest groups derail the democratic process. Last time I checked, church and state are separate, and religious interest groups simply can't intervene and silence debate they don't like.

On the other hand though, I think the ban ought to fail. I believe the ban's real purpose is to bring attention to our cause, and it has served this purpose wonderfully. Realistically, though, we have to admit to ourselves that, at least for now, it could never actually work. If the ban happens to make it to the November ballot, we shouldn't be surprised or disappointed when it's voted down. Rather, we should be thankful for the opportunity to further our cause and keep fighting. We've got a long way to go, and I think it's a mistake to think that our fight would end would that this ban was enacted. America is quick to brag about its own talents but slow to admitting its own mistakes, and in finally getting this country's attention, the fight to educate America has only just begun.

We shouldn't give up the ship just yet; we need to fight for our right to be heard. We should persevere until the very end. But let's keep our feet on the ground; our country is not ready for a ban against circumcision.

"First they ignore you, then they laugh at you, then they fight you, then you win."
~Mahatma Gandhi

DISCLAIMER: What I have expressed in this blog post is my own personal opinion, and does not necessarily reflect the views of all intactivists.

Thursday, June 23, 2011

Doctors Against the SF Circ Ban: Who Are They?

So joining in with religious groups against the circumcision ban in San Francisco are physicians. It seems only obvious that physicians would join against the ban; circumcision is performed routinely in the US, and doctors that do it don't want to get in trouble for it.

Says Brian McBeth MD: "Clearly it affects physicians -- the proposed ban -- is suggesting physicians be jailed for performing what's a routine, commonplace medical procedure."
http://abclocal.go.com/kgo/story?section=news%2Flocal%2Fsan_francisco&id=8205170&status=ok

Ostensibly, the physicians involved are concerned about public health. To defend the circumcision of infants, they spout off a laundry list of supposed "medical benefits" that are supposed to make the practice indispensable.

The problem is, however, that circumcision is not necessary in healthy children. Doctors that circumcise healthy children routinely aren't providing a service that is a requirement for public health. Nor would the ban forbid circumcision if there is actual medical necessity. If this were true, then this ban would clearly be stifling medical practice, and would indeed be placing physicians in an ackward position.

I think the coalition of doctors with religious groups is an intriguing one. Here you have religious groups, many who see the circumcision of children as a religious requirement, and then you have physicians, who, at least on the surface, are concerned about public health. What does one have to do with the other? To people who see the circumcision of children as a religious obligation, how are "health benefits" relevant? Would they consider abandoning the practice if better ways to prevent disease were discovered? And since when do doctors perform surgical procedures to comply with the religious requirement of a patient's parents?

Do doctors honestly care about "public health" and protecting "religious freedom" and "parental choice?" Or do they have other interests to protect under the guise of medicine?

I always ask the following questions: Without medical or clinical indication, can a doctor be performing surgery on a healthy, non-consenting child? Let alone pretend like he can be giving his parents any kind of a "choice?" Doesn't charging to perform non-medical procedures on healthy, non-consenting individuals constitute medical fraud? And, in performing it in healthy, non-consenting children, professional abuse of the child and his parents? If the child is healthy and not in need of any kind of surgery, isn't offering circumcision to his parents the epitome of charlatanism?

Those are questions that I hope would be addressed this November. It seems, though, that doctors like McBeth and religious organizations are working hard to make sure this debate never happens:
http://joseph4gi.blogspot.com/2011/06/cutters-trying-to-silence-debate.html

Brian D. McBeth MD is a voice from the medical field who has joined forces with religious groups against the circumcision ban, including the Jewish Community Relations Council, and the so-called "Committee for Parental Choice and Religious freedom." On June 6th of this year, he wrote to these organizations with a sensationalized anecdote which reveals that the doctor is either extremely biased, he is deliberately misinforming with an intention to deceive, he really is that uninformed when it comes to the proper development of male anatomy, or all of the above.

The following are excerpts from that letter which can be found here:
http://stopcircban.com/downloads/letter_circumcision_ban.pdf

"...I am an emergency physician, and wanted to describe a brief anecdote from the world of emergency medicine that demonstrates the medical value of circumcision and preventable medical illness."

Or so he hopes...

"I practice in a community with a generally low prevalence of infant circumcision. Frequently, I see young boys with urinary tract infections, balanitis and balanoposthitis – infectious conditions seen much more frequently in uncircumcised boys."

Actually, due to a short urinary tract, urinary tract infections are much more common in girls. They're also easy to treat with anti-biotics in boys as they are in girls, and circumcised boys also get UTIs, but this is not mentioned here. It is true, that balanitis and balanoposthitis is much more seen frequently in uncircumcised boys; that's because only uncircumcised boys are capable of getting these conditions. He fails to mention however, that even among uncircumcised boys, these conditions are rare and easily treatable. The fact is he sees ONLY THOSE BOYS who come to him with these conditions, because he is a doctor; he does not see the rest of the boys who don't develop problems with their penises. It's like appendicitis; people with appendices tend to get it. And only people who get it have to see the doctor.

Observe the way he tells his story:

"Two nights ago, I took care of a six year old boy who came in with a case of balanoposthitis, inflammation of the tip of his penis and foreskin which we typically treat simply with an antibiotic or antifungal cream."

Good so far...

"However, his parents had pulled back his foreskin to try to clean underneath, and the foreskin had become stuck in a retracted position, a condition called paraphimosis."

This condition is real and can happen if parents or physicians try to forcibly retract the foreskin of a child.

"The foreskin and glans penis had become markedly swollen and they were unable to bring it back down – the child was in considerable pain, and this condition – if not emergently treated – can result in compromise of blood flow to the penis and necrosis or loss/death of that tissue."

True so far.

"In short, we were able to treat him aggressively with pain medication, sedation and compression techniques, that over a few hour period were successful in relieving the swelling and restoring his foreskin to a safe position. In this case, an emergent surgery was not required, though it sometimes is necessary in these situations."

The circumcision ban would allow for these situations.

 I do not argue that medically every boy needs a circumcision, but certainly this is one dramatic example of a completely preventable medical emergency that resulted in significant pain, emotional distress for patient and family and significant cost with hours of time in an emergency department as well as the risks of a procedural sedation – none of which would have been necessary had he been circumcised."

Actually, none of which would have been necessary had his parents been PROPERLY EDUCATED to not forcibly retract their son's genitals. McBeth is trying to make a rule out of exception.

Let's ask him what the frequency of these conditions are in countries where normal, natural organs are the norm. And let's ask him what other parts of the body does he recommend we cut off our children "to prevent them from getting infected."

Here is the information this doctor seems to be oblivious to:
http://www.nocirc.org/publish/pamphlet6.html

"Again, I laud your efforts to oppose this unconstitutional ban on an accepted medical practice."

Let's briefly forget that at one point, the genital cutting of girls was "accepted medical practice" in this country, as late as 1996. There was specialized equipment manufactured for it and insurance companies such as Blue Shield paid for it. That it is accepted practice, doesn't necessarily make it constitutional. Questioning "accepted medical practice" is the whole point of the ban.

"The proposed bill is an affront to all who believe in religious freedom, and if implemented, would send a message to Jews, Muslims and others that San Francisco, a city long known for diversity and tolerance, no longer welcomes those with these long standing religious traditions."

What the medical profession has to do with religious practice is beyond me. In 1996, a federal ban on ALL female genital cutting was enstated, without religious exception. Last year, the AAP tried to endorse a "ritual nick" for girls, but was quickly forced to back-pedal after a world outcry. The AAP admitted that the "ritual nick" wouldn't be as severe as male infant circumcision.

The fact of the matter is that there is already a federal ban on female circumcision, and there is no exception for “religious,” “traditional” or “cultural” reasons. Female circumcision is a custom in certain African tribes, and it is observed as “Sunnah” by Muslims all over the world, including different countries in Africa, Egypt, Indonesia, Malaysia and Singapore. The federal ban criminalizes female circumcision in any way, shape or form, and it infringes on the “parental rights” and “religious freedoms” of people from these countries, and yet nobody seems to mind.

I ask, since when is religion relevant to medical science? What is the reason this doctor has decided to side with religious groups against this ban?

"Medically, there is a great deal of research that supports a role for circumcision in preventing the infections mentioned above, as well as penile cancer, cervical cancer and the spread of HIV."

Medically, surgery should only be performed when it is necessary to the physical health of the person on whom it is performed because of a clear, compelling, and immediate medical need where other, less-destructive alternative treatment has failed.

Medically, there is no other part of the body that is cut off to "prevent infection." In most other cases, disease is treated with anti-biotics unless the tissue is damaged beyond repair.

Medically, doctors are supposed to fully inform parents on the proper care of their son's bodies.

Medically speaking penile cancer is already an extremely rare condition which is limited to older men with bad hygiene who smoke, and circumcised men still get penile cancer. Cervical cancer is caused by HPV, which is transmitted by both circumcised and uncircumcised men. Some studies show that circumcision "might reduce the risk" by "up to 28-30%," but even if these claims were accurate, that leaves 60%. In other words, circumcised or not, men would still have to wear condoms.

While we're sharing anecdotes, I'm rather active on Facebook, and I've met quite a few ladies out there who tell me that they got HPV from their circumcised partners. The moral of the story being that circumcision is not effective at preventing HPV transmission. This is just a lame excuse on a laundry list to try and justify infant genital mutilation.

Children are at absolute zero risk for sexually transmitted HIV, and even if the latest "studies" were correct, circumcision would be so ineffective at preventing HIV, that the very authors of the studies themselves cannot stress the use of condoms enough. In light of the fact that there is already better, more effective measures against disease, circumcision is a moot point, especially in children who do not engage in sex, and who, when older, would still have to learn to wear a condom anyway.

Readers may be interested to know, that the latest "studies" in circumcision and HIV fail to correlate with the real world, the biggest smoking gun being our own country: Circumcision hasn't stopped HIV in the US.
http://data.unaids.org/pub/Report/1998/19981125_global_epidemic_report_en.pdf

And, it hasn't stopped other STDs either.
http://www.reuters.com/article/2009/01/13/us-infections-usa-idUSTRE50C5XV20090113?pageNumber=1&virtualBrandChannel=0

In America, the majority of the male population is circumcised, approximately 80%, while in most countries in Europe, circumcision is uncommon. Despite these facts, our country does poorly.
http://www.advocatesforyouth.org/index.php?option=com_content&task=view&id=419&Itemid=177

One would expect for there to be a lower transmission rates in the United States, and for HIV to be rampant in Europe; HIV transmission rates are in fact higher in the United States, where most men are circumcised, than in various countries in Europe, where most men are intact. It is telling that the HIV epidemic struck in our country in the 1980s, 90% of the male population was already circumcised.

In short, doctors like McBeth are grasping at strings and straws to defend their profession.

"The medical community as well as those who believe religious and cultural freedom of practice and expression should stand united to defeat this proposed ban on circumcision."

It would appear as if Brian McBeth is trying to be an objective voice of reason, and that from his story, he is genuinely concerned for the well being of children, though it boggles my mind why anybody in the medical community would be against the ban, if they would still be permitted to perform circumcision when and if the procedure were medically necessary.

Initially, the only explanation that I could think of was that the ban would affect those doctors who collect a  stipend from performing non-medical circumcisions on healthy, non-consenting infants.

"It's hard to get a man to understand something, when his livelihood depends on his not understanding."
~Upton Sinclair

As it turns out, though, Brian McBeth is in fact Jewish, and a certified mohel at that.
http://www.sfbaymohel.com/About_Dr.html


Brian McBeth, his wife and their son just after his ritual circumcision;
maybe it's my intactivist bias, but that poor child looks like he's in pain...

It is generally well accepted that an "authority" needs to be objective and impartial, and that an audience can only evaluate information from a source if they know about conflicts of interest that may affect the objectivity of the source. Identification of a conflict of interest is appropriate, and concealment of a conflict of interest is a problem.

Upon first impression, most people might actually think that Brian McBeth is indeed an unbiased, objective and impartial doctor who is genuinely interested in public health, and is not in any way connected with the religious groups with whom he has joined forces.

I think that it is dishonest and misleading that this doctor fails to mention the fact that he is in fact Jewish, and a ritual circumciser himself. He fails to mention this in his letter, and he fails to mention this in this interview.
http://abclocal.go.com/kgo/story?section=news%2Flocal%2Fsan_francisco&id=8205170&status=ok

In my opinion, religious groups against the circumcision ban are engaging in a deceptive tactic. It seems to me they're trying to create an illusion of a "coalition" of religious groups and objective medical practitioners, where there is actually not.

I must ask, of the physicians that have banded with religious groups, how many are actually using their medical authority to defend other interests? How many double as Jewish mohels and are trying to come off as impartial medical practitioners? Why have religious groups against the ban deemed it necessary to have, or at least appear to have, the voice of doctors behind them?

My speculation is that even religious groups have come to realize that "religious freedom" and "parental choice" are beginning to fail as rationale for the forced circumcision of healthy, non-consenting infants. "Religious freedom" and "parental choice" simply aren't enough to justify the the circumcision of boys anymore. A pseudo-medical front is necessary to avoid the same scrutiny as female circumcision. The difference between male and female circumcision seems to be "potential medical benefits." "Benefits" which the child may never need nor want, and which can actually already be better achieved by more effective, less invasive means. "Benefits" which are irrelevant to those who view circumcision as a religious requirement.

Wednesday, June 22, 2011

Cutters Trying to Silence Debate

So a ban on circumcision is set to appear on the ballot in San Francisco this November, but religious interest groups are trying to silence the debate before it even happens.
http://www.prnewswire.com/news-releases/adl-joins-in-san-francisco-lawsuit-challenging-anti-circumcision-ballot-initiative-124371623.html

According to PR Newswire, The Anti-Defamation League (ADL) is teaming up with doctors (presumably circumcisers of children) and Jewish and Muslim families in a lawsuit against the circumcision ban, which call upon the state Department of Elections to remove it from the ballot on the grounds that "the City of San Francisco would have no power to enact the ordinance if approved by voters."

They cite Calfiornia Business and Professions Code, saying that municipalities cannot "prohibit a healing arts professional licensed within the state... from engaging in any act or performing any procedure that falls within the professionally recognized scope of practice of that license."

That circumcision is indeed an act that falls within "professionally recognized scope of practice," however, is at the crux of the argument. Female genital cutting was conducted by professionals in this country, and was perfectly legal until it was banned by federal law in 1996.

Says ADL Associate Director in San Francisco Nancy Appel: "Existing California law is clear... only the state can make rules about medical procedures and this initiative violates that law."

That is, of course, assuming that the circumcision of healthy, non-consenting minors is legit medical procedure. The ban on circumcision challenges this assumption.

The ADL and other religious interest groups want a judge to intervene before the November election to "spare the city and its residents from wasting resources debating and voting on an ordinance that cannot become law."

As if circumcising healthy, non-consenting children weren't a "waste of resources," not to mention medical fraud, professional abuse, and the violation of basic human rights...

Even if the ban fails to pass, this is a debate that needs to take place. The fact that these groups are working hard to stop the debate before it even happens demonstrates how important the debate actually is.

It's high time the taboo behind this subject was dropped in this country, and that a procedure that affects more than 1.3 million male children a year were discussed openly.

Shame on the ADL and their affiliates for wanting to silence debate.

"I may not agree with what you say, but I will fight to the death for your right to say it."
~Voltaire.

Sunday, June 19, 2011

Circumcision is Child Abuse: A Picture Essay

There has got to be something very tragic, and very wrong, with a society impaired by its own cultural blinders. It is very disconcerting that while human rights advocates fly half-way around the globe to decry the genital mutilation of girls and women, the very same people display a willful ignorance to the genital mutilation of boys in their own countries. While their cameras faithfully bring back images of girls being restrained as they have part of their genitals forcibly cut off, they somehow fail to capture images of the boys who are enduring the same in the very same countries.

Every so often, we'll see pictures of the forced genital cutting of boys in the media, however the tone in presentation is different. While the presentation of the images of forced female genital cutting encourage an audience to deplore the actions depicted, the presentation of the images of forced male genital cutting encourage an audience to accept what they see in the scope of "cultural relativism." "Horror and torture" for girls and women, "the preservation of age-old coming-of-age tradition" in boys. Why the sexist double-think?

It is a glaringly obvious inconsistency to defend the forced genital cutting of one sex, but condemn it in the other, yet when advocates of human rights point out this inconsistency, we are often met with hostility. "How dare you compare male and female circumcision," retort some, especially those defending male infant circumcision, "they're not the same thing!" This is said in a matter-of-fact tone, as if these claims were immediately self-evident.

I must ask, on what are they basing these assertions? Of the people that make these claims, how many of them have actually witnessed a male circumcision, let alone a female one? Can these claims actually be substantiated, or do they expect us to take their word for it at face value? What double-think are they using to condemn the abuse of female children, while defending the abuse of male children?

Girls remember, boys don't
It is often said that female circumcision is worse because it is performed at an age when the girl will be old enough to remember.

Girl "receives" sunat, at a "free" circumcision event in Bandung, Indonesia, west of Java.

In people's minds, male circumcision is justified, because to their knowledge, it is performed in babies, when boys will be less likely to remember the pain and trauma. But are these same people aware that in other cultures, boys are circumcised at older ages? What is their reaction in these cases?


In the Philippines circumcision is a rite of passage known as "tuli." Most males undergo "tuli" as preteens, particularly during their school summer break from March to May. Here, boys in Marikina, east of Manila,  "receive" their "free" circumcisions.

Male circumcision is a religious ritual
The forced circumcision of boys is often defended as a "religious tradition." This argument doesn't seem to hold when defending the forced circumcision of girls, however. For better or for worse, the circumcision of girls is ALSO seen as a "religious tradition," and in some cases, it is seen as a religious duty.


Kurdish girl being circumcised

The image above is horrific. Most would decry what is being depicted here as child abuse, and rightly so. But would this be the same reaction if the sex of the child in this picture were different?


Muslim boy being circumcised

In Islamic tradition, boys are traditionally circumcised at older ages. Does this picture of a Muslim boy being circumcised rouse the same horror and disgust as the picture before? Why? Why not? What is the mental reasoning of why what is happening in these pictures is not the exact same thing?

What's being compared?
When people say "female circumcision is worse," what are they actually saying? What are they comparing male infant circumcision to? In order to sensationalize female genital cutting, but downplay male genital cutting, advocates of circumcision always compare the circumcision of babies to the infibulation of women. The fact of the matter is that there are actually quite a few variations of female circumcision. The kind of female circumcision most people know, where all external genitalia is removed and the vaginal opening is stitched up, known as Pharaonic circumcision or infibulation, is actually the worst kind of female genital cutting, and it accounts for only 15% of cases globally. Even the World Health Organization acknowledges that there are many kinds of female circumcision, and not every kind removes the clitoris. Would we be more accepting of the kind of female genital cutting that was equivalent to or less severe than male infant circumcision?

In Indonesia, Malaysia and Singapore, the Islamic circumcision ritual for girls ranges from rubbing turmeric on the genitals, to pricking the clitoris to draw a symbolic drop of blood. In other instances, the procedure is more invasive, involving what WHO classifies as “Type I” female genital mutilation, defined as excision of the clitoral hood, called the prepuce, with or without incision of the clitoris itself. The amount of flesh removed, if any, is described by circumcisers as being "the size of a quarter-grain of rice, a guava seed, a bean, the tip of a leaf, the head of a needle." They use a small pair of sterilized scissors to cut a piece of the clitoral prepuce "about the size of a nail clipping." In some areas, they do cut the clitoris itself. In these countries, surveys show that over 95% of the female population undergoes some sort of genital cutting procedure, and the women seem to be doing fine.

In Indonesia, an infant girl undergoes "sunat" to fulfill religious and cultural tradition.

Not too far away, an infant boy undergoes circumcision for precisely the same reasons.
(Notice the mother: "Shh! Quiet!")

It is only through sexist double-think that we allow ourselves to feel disgust for only one of these pictures.

There may readers that delude themselves yet. Their minds will simply refuse to allow for male and female circumcision to connect. Groping for an alibi to keep them separate, and groping for reasons to continue to justify one while condemning the other, they cling to whatever they can find.

The reasoning may go something like this:
"Well, it may be true that boys in other cultures suffer, but at least where I come from, boys are circumcised at hospitals, in sterile environments, with clean utensils, by professionals, and local anesthetic. They won't remember anything because they're circumcised as babies."

Perhaps a boy circumcised as a newborn may not remember his circumcision. But is pain and whether or not it is remembered really the problem? Could we make the forced female genital cutting of girls more acceptable if it happened at hospitals in sterile environments with pristine utensils by the most caring of professionals? Would female circumcision be more acceptable if it were performed in a baby girl, when she would be least likely to remember? Or would it still be child abuse?

Because it is precisely what is happening right here:

A baby in South-East Asia undergoes "sunat"
Original Text: "It happens so fast, with a bismillah and a snip,
a little bit blood and that's it, Zahra dah sunat!
She didn't cry even a drop, in fact giggling2 lagi.
I guess it wasn't painful for her, alhamdulillahh.."


The slit clitoris if you can find it (on the lower blade)

You can read the whole thing here:
http://aandes.blogspot.com/2010/04/circumcision.html
Another blog:
http://malaysiansupermummy.blogspot.com/2010/10/sunat-baby-girl.html
And a parenting forum here:
http://www.mummysg.com/forums/f40/have-you-sunat-your-girls-29826/

The following is an excerpt from a parenting forum in South-East Asia (the last link above). If you asked me, it reads just like something right out of CafeMom, but regarding girls instead of boys. I've underlined the parts that jump out at me:

A_LIM: Have you Sunat your girls?
My husband is Malay and I am expecting a girl. My husband said he wants our girl to be sunat . What does this involve? and where can I do it? I have heard of male circumcision and my two boys from a previous marriage who have been circumcised. But I have never heard of female circumcision? he also said I should consider doing myself is that possible at my age?

Like your thoughts

NursMama: Re: Have you Sunat your girls?
yah... i also dont know how to explain how its done although i witnessed both my gals' procedures myself both done at different clinics by female Muslim doctors...

dont think it's like the cutting for boys.... it's more minimal.... baby can recover by the next day?

as for yourself..... errrrrrmmm... i'm not sure.... you might wanna ask the doctors wther its ok or not? i can give you the clinics address/no if you want

Ros0818: Re: Have you Sunat your girls?
hi hi
Yup, i brought my girl to d same doc; Dr Elly Sabrinadont worry. It will be very fast & quick!
It's done within a few seconds...  I brought my baby der when she's about 2mths old. Doc will then give you a cream to apply on your baby. My girl recovers very fast. She gave a quick shriek during the process but after that she's fine. She never even cry after that. you can just give the doctor a call if you want to find out more.

nora23: Re: Have you Sunat your girls?
Went to Dr Balkis at Bedok. My 1st gal was then 6 mths old. It was very fast and only a pint of blood. My gal didnt cry and everything was per normal seconds after e sunat. Planning to bring my 2nd gal when she is 6 mths too.

In sunat process, nothin is done on e clitoris. Only a small part of e clitorial HOOD is snipped. The Dr even showed me e snipped hood, very very tiny fraction.

As for adult female muslim convert, I dont think its necessary to sunat. But its not wrong for you to do it either. Its best you consult muslim female doctors on e procedures and healing.

A_LIM: Re: Have you Sunat your girls?
Thanks all.

I actually decided to go for Sunat. It is available for adults, so I thought I would go before I do it to my daughter. I think I will be in a better position to know if it is ok for her after my surgery. My hubby is also happy Im doing it.

They told me it will take about 15 - 20 mins. They did not explain fully what they intended to do, but they said something about cutting the hood of my clitoris, and said they would not touch the clitoris
itself.

Has anyone been through this as an adult or young girl?

haffa: Re: Have you Sunat your girls?
Hello mummies...

Auni had her sunat done last Tuesday. I brought her to Dr Adidah's Clinic located in Tampines. I didn't see what the doc did coz didn't have the heart to but my sister saw through the whole procedure which took about 5mins. Auni cried a bit only but i felt sorry for her . I was so glad it was over..phew.

A_LIM: Re: Have you Sunat your girls?
Did sunat a week ago. Actually very mild. They basically removed about a third of your hood and leave the clitoris in tact. So basically your clitoris is exposed rather than covered by the hood. No pain and recovered in under a week.

Thanks for everyone for there help

tika: Re: Have you Sunat your girls?
yup stonston yer right. different families, different customs. there is absolutely nothing wrong with that. I guess i failed to see to some Muslim families, customs are just as important as religion. To each his own aye.

Does any of this sound familiar? This is quite a contrast to the horror I am told female circumcision is supposed to be. There's not a doubt in my mind that if I showed this to parents discussing their son's circumcisions in an American forum, these same parents would be horrified. Their cultural blinders would not allow them to consider that there is anything wrong with what they have allowed to happen to their own children. It is only through carefully engineered double-think that we allow ourselves to justify what happens to boys in our own culture, while condemning what happens to girls in other cultures.

So in the end, what is it?
What is it that makes female circumcision "worse" and "not comparable" to male circumcision?

Some may yet expound:
"Female circumcision is different from male circumcision, because it is meant to subjugate women and control their sexualities."

Closer inspection reveals that in our culture, this was precisely the reason it was done to boys.

"...with regard to circumcision, one of the reasons for it is... the wish to bring about a decrease in sexual intercourse and a weakening of the organ in question, so that this activity be diminished and the organ be in as quiet a state as possible...
The bodily pain caused to that member is the real purpose of circumcision...
...violent concupiscence and lust that goes beyond what is needed are diminished. The fact that circumcision weakens the faculty of sexual excitement and sometimes perhaps diminishes the pleasure is indubitable. For if at birth this member has been made to bleed and has had its covering taken away from it, it must indubitably be weakened." ~Rabbi Moses Maimonides

"A remedy [for masturbation] which is almost always successful in small boys is circumcision...The operation should be performed by a surgeon without administering an anesthetic, as the brief pain attending the operation will have a salutary effect upon the mind... In females, the author has found the application of pure carbolic acid to the clitoris an excellent means of allaying the abnormal excitement." ~Dr. John Harvey Kellogg

But in the end, is "intention" what defines abuse? Because for better or for worse, just like parents who circumcise their boys, parents who circumcise their daughters have the best of intentions.

Yet others may say:
"Female circumcision completely eliminates a woman’s ability to orgasm."

Closer investigation reveals that women who have undergone infibulation, which is the worst kind of female genital cutting, are still able to orgasm:
http://www3.interscience.wiley.com/journal/118496293/abstract
http://www.newscientist.com/article/dn2837-female-circumcision-does-not-reduce-sexual-activity.html
http://www.ncbi.nlm.nih.gov/pubmed/17970975

To sensationalize female circumcision, others will say:
"In Africa, women are often circumcised unsanitary conditions, with crude materials such as rusty blades or glass shards. They are performed by amateurs, they are left with impaired sexualities and sometimes they bleed to death."

But they will fail to mention that in Africa, boys and men endure the same thing. They will fail to mention that every year, scores of men bleed to death, or commit suicide, because their penises fail to heal properly and fall off due to gangrene. Some men live the rest of their lives with stumps where their penises used to be. Oh, but never mind them. It's a time-honored right of passage, and circumcision has been proven to protect against disease. Well... at least they won't get any more STDs, right?

Finally, some will say:
"Studies show male circumcision could have health benefits. The same is not true for female circumcision."

But what if it were? At least on the surface, advocates of male infant circumcision seem to care about a myriad of "health benefits." But let's examine this line of thinking further: what if female genital cutting offered the same "benefits?" Would we consider them? What if "studies showed" that removing a girl's clitoral hood and "redundant labia," could "help prevent HIV transmission?"

Because there are few studies that show precisely this:
http://www.ncbi.nlm.nih.gov/pubmed/1442755
http://www.thebody.com/content/art12238.html
http://www.ias-2005.org/planner/Abstracts.aspx?AID=3138

Additionally:
"Female circumcision results in a reduction of infections resulting from microbes gathering under the hood of the clitoris"
"Attacks of herpes and genital ulcers are less severe and less harmful with women who have been circumcised"
http://www.themuslimwoman.com/hygiene/femalecircumcision.htm
http://www.islamictreasures.com/manners-of-welcoming-the-new-born-child-in-islam-sku16723.html

How supportive would we be of further "research" into the matter? What would we think if the National Institutes of Health, Johns Hopkins, the CDC etc., funded "research" in female genital cutting in Africa? What about countries where female circumcision isn't as "severe?"

Is there a number of "potential medical benefits" that would ever cause us to re-consider female circumcision? Would there ever be enough studies to convince us to submit our daughters to have part of their genitals removed? How much would be acceptable for us to remove from our daughter’s genitals? What if "studies showed" that female circumcision could be performed without removing the clitoris or a woman's ability to orgasm? What if all that was removed were a little "flap of skin" 10x smaller than the foreskin? What if it were proven to be "cleaner" and cut back on the fish smell? What if "studies showed" that circumcising your daughter "reduced the risk" of prostate cancer in her male partner? Would we consider it then?

But let's ask a different question, would circumcision advocates be interested in finding alternatives to circumcision? Would they support research in finding alternative ways to provide the same "medical benefits" as male circumcision? What if doctors and scientists announced “We have great news! This new vaccine offers the same protections as circumcision and more! Now we don't have to circumcise babies anymore!" How would circumcision advocates react? Would they let out a sigh of relief, or would they panic? Would they gladly abandon the practice? Or would they scramble looking for other "reasons" to do it? The answers to these questions would speak volumes.

The fact of the matter is that neither the allegations of "medical benefits" nor the production of numerous "studies" would never be enough to justify the forced genital cutting of girls. Why this double-standard when it comes to the circumcision of boys? There are better, more effective, less invasive ways to treat and prevent disease. Instead of investigating these, instead of seeking to make the practice of forcibly cutting off part of a healthy, non-consenting boy's penis obsolete, why are we spending millions of dollars on "studies" to find ways to make the practice a requirement?

Conclusion
So in the end, which do you cut?
In the fetus, both male and female genitals develop from the same genital tubercle.
On the left is a male fetus, on the right a female.

Who is the monster?
On the left, a ritual circumciser of boys,
on the right, a ritual circumciser of girls,
both of them proudly displaying the tools of their trade.

Which child gets your sympathy?
A girl and a boy as they undergo ritual circumcision.

And does age really change anything?

Do we actually care about any "medical benefits?" Or is that merely an empty excuse? Is pain and whether it could be remembered or not really the problem? Isn't the principle of taking a healthy, non-consenting child and cutting off part of that child's genitals, the exact same principle?

Circumcision is child abuse. No matter what age, no matter what sex.

The New York Times wrote an excellent article on the kind of female circumcision performed in Indonesia, "A Cutting Tradition." Read the article here: