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Circumcision and HIV

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274: 265:, 38% to 66%) over 24 months if the man was circumcised. The review also found a low incidence of adverse effects from circumcision in the trials reviewed. WHO assessed the trials as "gold standard" studies and found "strong and consistent" evidence from later studies that confirmed the results. In 2020, a review including post-study follow up from the three randomized controlled trials, as well as newer observational studies, found a 59% relative reduction in HIV incidence, and 1.31% absolute decrease across the three randomized controlled trials, as well as continued protection for up to 6 years after the studies began. 375: 128:
in addition to other preventive measures, for the prevention of heterosexually acquired HIV infection in men. Eastern and southern Africa had a particularly low prevalence of circumcised males. This region has a disproportionately high HIV infection rate, with a significant number of those infections stemming from heterosexual transmission. The WHO has made voluntary medical male circumcision (VMMC) a priority intervention in that region since their 2007 recommendations.
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all high priority countries. Furthermore, WHO stated that: "While circumcision reduces a man’s individual lifetime HIV risk, the indirect effect of preventing further HIV transmissions to women, their babies (vertical transmission) and from women to other men has an even greater impact on the population incidence, particularly for circumcisions performed at younger ages (under age 25 years)."
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sexual partners. Male circumcision should never replace other known effective prevention methods and should always be considered as part of a comprehensive prevention package, which includes correct and consistent use of male or female condoms, reduction in the number of sexual partners, delaying the onset of sexual relations, and HIV testing, counseling, and treatment.
171:(KNMG) questioned the applicability of those studies to developed countries. Circumcision has not been included in their HIV prevention recommendations. The KNMG circumcision policy statement was endorsed by several Dutch medical associations. The policy statement was initially released in 2010, but was reviewed again and accepted in 2022. 195: 85:
the HIV virus from the circumcision wound, thus increasing the immediate risk of HIV transmission to female partners. This risk of post-operative transmission presents a challenge, although in the long-term it is possible the circumcision of HIV-infected men helps lessen heterosexual HIV transmission
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The WHO Expert Group on Models To Inform Fast Tracking Voluntary Medical Male Circumcision In HIV Combination Prevention in 2016 found "large benefits" of circumcision in settings with high HIV prevalence and low circumcision prevalence. The Group estimated male circumcision is cost-saving in almost
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In 2011, UNAIDS prioritized 15 high HIV prevalence countries in eastern and southern Africa, with a goal of circumcising 80% of men (20.8 million) by the end of 2016. As of 2020, WHO estimated that 250,000 HIV infections have been averted by the 23 million circumcisions conducted in the 15 priority
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The WHO recommends VMMC, as opposed to traditional circumcision. There is some evidence that traditionally circumcised men (i.e. who have been circumcised by a person who is not medically trained) use condoms less often and have higher numbers of sexual partners, increasing their risk of contracting
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The most recent WHO review of the evidence reiterates prior estimates of the impact of male circumcision on HIV incidence rates. In 2020, WHO again concluded that male circumcision is an efficacious intervention for HIV prevention and that the promotion of male circumcision is an essential strategy,
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Although these results confirm that male circumcision reduces the risk of men becoming infected with HIV, the UN agencies emphasize that it does not provide complete protection against HIV infection. Circumcised men can still become infected with the virus and, if HIV-positive, can infect their
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While the biological mechanism of action is not known, a 2020 meta-analysis stated "the consistent protective effect suggests that the reasons for the heterogeneity lie in concomitant individual social and medical factors, such as presence of STIs, rather than a different biological impact of
253:. All three trials were stopped early by their monitoring boards because those in the circumcised group had a substantially lower rate of HIV incidence than the control group, and hence it was seen as unethical to withhold the procedure, in light of strong evidence of efficacy. In 2009, a 225:
examined 27 studies of circumcision and HIV in sub-Saharan Africa and concluded that these showed circumcision to be "associated with a significantly reduced risk of HIV infection" that could form part of a useful public health strategy. A 2005 review of 37 observational studies expressed
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published his letter, "A possible explanation for heterosexual male infection with AIDS," in October, 1986. By 2000, over 40 epidemiological studies had been conducted to investigate the relationship between circumcision and HIV infection. A meta-analysis conducted by researchers at the
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circumcision." The inner foreskin harbours an increased density of CD4 T-cells and releases increased levels of pro-inflammatory cytokines. Hence the sub-preputial space displays a pro-inflammatory environment, conducive to HIV infection.
159:(CDC). The task force concluded that circumcision may be helpful for the prevention of HIV in the United States. The CDC 2018 position on circumcision and HIV recommended that circumcision should continue to be offered to parents who are 114:
Whether circumcision is beneficial to developed countries for HIV prevention purposes is undetermined. It is not known whether the effect of male circumcision differs by HIV-1 variant. The predominant subtype of HIV-1 in the
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The prevalence of circumcision varies across Africa. Studies were conducted to assess the acceptability of promoting circumcision; in 2007, country consultations and planning to scale up male circumcision programmes took place in
41:(WHO) reiterated that male circumcision is an efficacious intervention for HIV prevention if carried out by medical professionals under safe conditions. Circumcision reduces the risk that a man will acquire HIV and other 1875: 163:
of the benefits and risks, including a potential reduction in risk of HIV transmission. The position asserts that circumcision conducted after sexual debut can result in missed opportunities for HIV prevention.
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overall. Such viral shedding can be mitigated by the use of antiretroviral drugs. Additional research is needed to ascertain the existence and potential risk of viral shedding from circumcision wounds.
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This led to a consensus that male circumcision should be a priority for HIV prevention in countries and regions with heterosexual epidemics and high HIV and low male circumcision prevalence.
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Siegfried N, Muller M, Deeks J, Volmink J, Egger M, Low N, et al. (March 2005). "HIV and male circumcision--a systematic review with assessment of the quality of studies".
186:(part of the human immune system) under the foreskin may be a source of entry for HIV. Excising the foreskin removes what is thought to be a main entry point for the HIV virus. 98:
does not recommend circumcision as protection against male to male HIV transmission, as evidence is lacking in regards to receptive anal intercourse. The WHO also states that
2182: 234:. The authors stated that three randomized controlled trials then underway in Africa would provide "essential evidence" about the effects of circumcision on preventing HIV. 2146: 1865: 1325:
Siegfried, Nandi; Muller, Martie; Deeks, Jonathan J; Volmink, Jimmy (15 April 2009). "Male circumcision for prevention of heterosexual acquisition of HIV in men".
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Joint strategic action framework to accelerate the scale-up of voluntary medical male circumcision for HIV prevention in Eastern and Southern Africa, 2012-2016.
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Information for providers counseling male patients and parents regarding male circumcision and the prevention of HIV infection, STIs, and other health outcomes
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Siegfried N, Muller M, Deeks JJ, Volmink J (April 2009). Siegfried N (ed.). "Male circumcision for prevention of heterosexual acquisition of HIV in men".
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As of 2020, past research has shown that circumcision reduces the risk of HIV infection in heterosexual men, although these studies have had limitations.
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Tobian AA, Adamu T, Reed JB, Kiggundu V, Yazdi Y, Njeuhmeli E (December 2015). "Voluntary medical male circumcision in resource-constrained settings".
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Actor Melusi Yeni was the millionth man to undergo voluntary male medical circumcision at the Sivananda Clinic in KwaZulu-Natal.
1928: 1758: 106:, and that circumcision may be effective at limiting the spread of HIV for MSM if they also engage in vaginal sex with women. 2177: 273: 148: 2608: 523:"Preventing HIV Through Safe Voluntary Medical Male Circumcision For Adolescent Boys And Men In Generalized HIV Epidemics" 2296: 2733: 1973: 793:"WHO and UNAIDS Secretariat welcome corroborating findings of trials assessing impact of male circumcision on HIV risk" 2156: 2046: 1581: 1356:
Farley, Timothy MM; Samuelson, Julia; Grabowski, M Kate; Ameyan, Wole; Gray, Ronald H; Baggaley, Rachel (June 2020).
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There is disputed immunological evidence in support of MC in preventing the heterosexual acquisition of HIV-1.
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found "strong" evidence that the acquisition of HIV by a man during sex with a woman was decreased by 54% (
214:. Aaron J. Fink several months later also proposed that circumcision could have a preventive role when the 1204:"Male circumcision and risk of HIV infection in sub-Saharan Africa: a systematic review and meta-analysis" 2583: 2279: 2207: 2136: 2094: 1838: 1796: 1658: 796: 258: 241:(RCT) were commissioned as a means to reduce the effect of any confounding factors. Trials took place in 238: 231: 156: 20: 2273: 2197: 2187: 1918: 1751: 1694: 1637: 167:
Because the evidence that circumcision prevents HIV mainly comes from studies conducted in Africa, the
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HIV. Newly circumcised men must refrain from sexual activity until the wounds are fully healed.
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Fink AJ (October 1986). "A possible explanation for heterosexual male infection with AIDS".
522: 2770: 2688: 2603: 2578: 2563: 2501: 2453: 2433: 2358: 2353: 2338: 2011: 1709: 1518:"Towards Universal access: Scaling up priority HIV/AIDS interventions in the health sector" 1483:"Male circumcision: global trends and determinants of prevalence, safety and acceptability" 409:"Circumcision as an Intervening Strategy against HIV Acquisition in the Male Genital Tract" 8: 2785: 2760: 2728: 2646: 2618: 2568: 2486: 2476: 2428: 2418: 2408: 2383: 1994: 1968: 1704: 816: 474: 388: 952: 751:
Olapade-Olaopa, Emiola Oluwabunmi; Salami, Mudasiru Adebayo; Lawal, Taiwo Akeem (2019).
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should not be excluded from circumcision services in countries in eastern and southern
1269: 49:. The evidence regarding whether circumcision helps prevent HIV is not as clear among 19:
This article is about male circumcision and HIV. For female circumcision and HIV, see
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Kim HH, Li PS, Goldstein M (November 2010). "Male circumcision: Africa and beyond?".
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Farley TM, Samuelson J, Grabowski MK, Ameyan W, Gray RH, Baggaley R (June 2020).
595: 183: 1131: 937:"Male circumcision for HIV prevention: current research and programmatic issues" 2242: 2026: 210:
noted that low rates of circumcision in parts of Africa had been linked to the
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Sharma, Adhikarimayum Lakhikumar; Hokello, Joseph; Tyagi, Mudit (2021-06-25).
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Experimental evidence was needed to establish a causal relationship, so three
2848: 2222: 2131: 844: 795:(Press release). World Health Organization. February 23, 2007. Archived from 434: 286: 116: 721: 2257: 1948: 1597: 1454: 1409:"'It's hassle-free,' says actor Melusi Yeni about his medical circumcision" 1393: 1342: 1311: 1277: 1227: 1188: 1019: 970: 921: 852: 835: 729: 663: 603: 452: 335: 290: 242: 27: 1139: 1093: 1050: 2161: 2062: 1853: 278: 46: 1458: 1440:"Aspects of male circumcision in sub-equatorial African culture history" 550: 2121: 1963: 1791: 1668: 1374: 645: 323: 194: 119:
is subtype B, and in Africa, the predominant subtypes are A, C, and D.
1077: 53:(MSM). The effectiveness of using circumcision to prevent HIV in the 2227: 2126: 1823: 1771: 351: 343: 307: 303: 138:
World Health Organization, Joint WHO/UNAIDS Statement made in 2007.
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American Academy of Pediatrics Task Force on Circumcision (2012).
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became the 1 millionth VMMC against HIV/AIDS transmission in the
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European and Developing Countries Clinical Trials Partnership
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Overview of relationship between male circumcision and HIV
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Weiss HA, Dickson KE, Agot K, Hankins CA (October 2010).
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from HIV positive women to men in high risk populations.
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WHO disease staging system for HIV infection and disease
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List of HIV/AIDS cases and deaths registered by region
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reservations about the conclusion because of possible
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Newly circumcised HIV infected men who are not taking
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List of countries by HIV/AIDS adult prevalence rate
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President's Emergency Plan for AIDS Relief (PEPFAR)
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Joint United Nations Programme on HIV/AIDS (UNAIDS)
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American College of Obstetricians and Gynecologists
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March 2016. 653: 442: 424: 810: 623: 621: 469:Merson, Michael; Inrig, Stephen (2017). 272: 257:which included the results of the three 206:Valiere Alcena, in a 1986 letter to the 193: 1327:Cochrane Database of Systematic Reviews 883: 572: 109: 2847: 1545: 1075: 1032: 884:Prodger, Jessica L. (September 2017). 785: 268: 174: 2178:Discredited HIV/AIDS origins theories 1740: 1570: 1437: 1406: 1289: 1287: 1146: 1026: 618: 149:American Academy of Family Physicians 1117: 21:Female genital mutilation § HIV 2297:The Freddie Mercury Tribute Concert 1766: 1449:(Review). 7 Suppl (Suppl): 337–60. 1120:The New England Journal of Medicine 953:10.1097/01.aids.0000390708.66136.f4 208:New York State Journal of Medicine, 65: 13: 1284: 1082:New York State Journal of Medicine 122: 14: 2886: 1883:Countries by AIDS prevalence rate 462: 2344:Democratic Republic of the Congo 1904:AIDS-defining clinical condition 1596: 1407:Seeth, Avantika (June 1, 2018). 1220:10.1097/00002030-200010200-00018 859:from the original on 2012-09-20. 373: 1534:from the original on 2008-10-18 1510: 1499:from the original on 2015-07-15 1475: 1431: 1400: 1349: 1258:The Lancet. Infectious Diseases 1153:Szabo R, Short RV (June 2000). 1111: 1100:from the original on 2014-01-10 1078:"AIDS in Third World countries" 1069: 1035:"AIDS in Third World countries" 984:Szabo R, Short RV (June 2000). 977: 943:(Randomized controlled trial). 928: 877: 863: 690:from the original on 2020-09-23 561:from the original on 2021-05-06 217:New England Journal of Medicine 169:Royal Dutch Medical Association 43:sexually transmitted infections 1335:10.1002/14651858.CD003362.pub2 1304:10.1002/14651858.CD003362.pub2 744: 701: 400: 145:American Academy of Pediatrics 1: 2213:Misconceptions about HIV/AIDS 2193:International AIDS Conference 2147:HIV/AIDS in the porn industry 2090:Discrimination against people 1270:10.1016/S1473-3099(05)01309-5 394: 2073:Catholic Church and HIV/AIDS 1954:HIV Drug Resistance Database 1033:Alcena V (19 October 2006). 596:10.1097/MOU.0b013e32833f1b21 259:randomized controlled trials 239:randomized controlled trials 232:randomized controlled trials 7: 2374:Côte d'Ivoire (Ivory Coast) 2208:Media portrayal of HIV/AIDS 2137:List of HIV-positive people 1659:Religious male circumcision 1132:10.1056/nejm198610303151818 366: 357: 157:Centers for Disease Control 60: 10: 2891: 2274:Reports from the Holocaust 2198:International AIDS Society 2188:Elton John AIDS Foundation 757:African Journal of Urology 212:high rate of HIV infection 202:based on 1999–2001 figures 198:Map showing prevalence of 189: 143:In the United States, the 18: 2824: 2794: 2746: 2714: 2664: 2655: 2627: 2462: 2319: 2310: 2233:Treatment Action Campaign 2170: 2055: 1987: 1949:Tuberculosis co-infection 1891: 1812:disease progression rates 1779: 1718: 1688:Ethical and legal aspects 1687: 1651: 1625: 1604: 1171:10.1136/bmj.320.7249.1592 1002:10.1136/bmj.320.7249.1592 903:10.1186/s12981-017-0167-6 890:AIDS Research and Therapy 770:10.1186/s12301-019-0005-2 527:World Health Organization 426:10.3390/pathogens10070806 90:Men who have sex with men 51:men who have sex with men 39:World Health Organization 1959:Innate resistance to HIV 1929:Neurocognitive disorders 1447:Health Transition Review 1076:Alcena V (August 1986). 2280:AIDS–Holocaust metaphor 2263:Gay Men's Health Crisis 1939:Opportunistic infection 722:10.1038/nrurol.2015.253 263:95% confidence interval 2870:Prevention of HIV/AIDS 2107:HIV-affected community 2047:HIV and homosexual men 1626:History and prevalence 836:10.1542/peds.2012-1990 381:Human sexuality portal 294: 203: 141: 79:antiretroviral therapy 2287:Silence=Death Project 2085:Criminal transmission 2005:Multiple sex partners 276: 197: 130: 2609:United Arab Emirates 2080:Circumcision and HIV 2037:City of Hope Patient 1797:structure and genome 110:Regional differences 30:reduces the risk of 2860:Circumcision debate 2157:AIDS Memorial Quilt 1969:HIV-positive people 557:. August 22, 2018. 475:Springer Publishing 389:Reproductive health 269:Society and culture 228:confounding factors 175:Mechanism of action 57:is not determined. 2734:Dominican Republic 2117:HIV/AIDS denialism 2042:Women and HIV/AIDS 2032:The London Patient 1899:Signs and symptoms 1807:CDC classification 1664:Early Christianity 1617:Surgical procedure 1557:2017-07-29 at the 1375:10.1002/jia2.25490 1057:on 10 January 2014 947:(Suppl 4): S61-9. 819:"Technical Report" 646:10.1002/jia2.25490 295: 204: 200:HIV/AIDS in Africa 2842: 2841: 2820: 2819: 2742: 2741: 2223:The SING Campaign 2112:HIV/AIDS activism 2100:Cost of treatment 2022:Timothy Ray Brown 2017:World AIDS Museum 1734: 1733: 1652:Religious aspects 1525:Who/Unaids/Unicef 1210:(Meta-analysis). 2882: 2812:Papua New Guinea 2662: 2661: 2317: 2316: 1761: 1754: 1747: 1738: 1737: 1591: 1584: 1577: 1568: 1567: 1562: 1549: 1543: 1542: 1540: 1539: 1533: 1522: 1514: 1508: 1507: 1505: 1504: 1498: 1487: 1479: 1473: 1472: 1470: 1469: 1463: 1457:. 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1354: 1350: 1329:(2): CD003362. 1323: 1319: 1298:(2): CD003362. 1292: 1285: 1254: 1250: 1242: 1214:(15): 2361–70. 1200: 1196: 1151: 1147: 1116: 1112: 1103: 1101: 1074: 1070: 1060: 1058: 1031: 1027: 982: 978: 933: 929: 882: 878: 869: 868: 864: 815: 811: 802: 800: 791: 790: 786: 749: 745: 706: 702: 693: 691: 687: 680: 676: 675: 671: 626: 619: 580: 573: 564: 562: 549: 548: 541: 532: 530: 521: 520: 495: 485: 477:. p. 379. 467: 463: 405: 401: 397: 379: 372: 369: 360: 271: 255:Cochrane review 192: 177: 140: 137: 125: 123:Recommendations 112: 92: 68: 63: 55:developed world 24: 17: 12: 11: 5: 2888: 2878: 2877: 2872: 2867: 2862: 2857: 2840: 2839: 2837: 2836: 2831: 2825: 2822: 2821: 2818: 2817: 2815: 2814: 2809: 2804: 2798: 2796: 2792: 2791: 2789: 2788: 2783: 2778: 2773: 2768: 2763: 2758: 2752: 2750: 2744: 2743: 2740: 2739: 2737: 2736: 2731: 2726: 2720: 2718: 2712: 2711: 2709: 2708: 2707: 2706: 2696: 2691: 2686: 2681: 2676: 2671: 2665: 2659: 2653: 2652: 2650: 2649: 2644: 2639: 2637:United 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1946: 1944:Superinfection 1941: 1936: 1931: 1926: 1924:Cardiomyopathy 1921: 1916: 1911: 1906: 1901: 1895: 1893: 1889: 1888: 1886: 1885: 1880: 1879: 1878: 1876:Teens / Adults 1873: 1863: 1862: 1861: 1856: 1851: 1846: 1841: 1836: 1831: 1821: 1820: 1819: 1814: 1809: 1804: 1799: 1794: 1783: 1781: 1777: 1776: 1764: 1763: 1756: 1749: 1741: 1732: 1731: 1729: 1728: 1722: 1720: 1716: 1715: 1713: 1712: 1707: 1702: 1697: 1691: 1689: 1685: 1684: 1682: 1681: 1676: 1671: 1666: 1661: 1655: 1653: 1649: 1648: 1646: 1645: 1640: 1635: 1629: 1627: 1623: 1622: 1620: 1619: 1614: 1608: 1606: 1602: 1601: 1594: 1593: 1586: 1579: 1571: 1564: 1563: 1544: 1509: 1474: 1430: 1399: 1348: 1317: 1283: 1248: 1245:on 2014-01-10. 1194: 1145: 1110: 1068: 1025: 976: 927: 876: 862: 809: 784: 743: 716:(12): 661–70. 700: 669: 634:J Int AIDS Soc 617: 584:Curr Opin Urol 571: 539: 493: 483: 461: 398: 396: 393: 392: 391: 385: 384: 368: 365: 359: 356: 270: 267: 191: 188: 176: 173: 135: 124: 121: 111: 108: 91: 88: 67: 64: 62: 59: 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1598:Circumcision 1547: 1536:. 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Retrieved 488: 470: 464: 456: 416: 412: 402: 361: 336:South Africa 300: 296: 291:South Africa 243:South Africa 236: 215: 207: 205: 182: 178: 166: 151:(AAFP), the 142: 131: 126: 113: 93: 76: 72: 69: 36: 28:circumcision 25: 2807:New Zealand 2679:El Salvador 2584:Philippines 2554:North Korea 2507:China (PRC) 2472:Afghanistan 2162:Product Red 2063:AIDS orphan 1919:Nephropathy 1854:vaccination 1041:(Comment). 279:Melusi Yeni 47:vaginal sex 2849:Categories 2519:East Timor 2492:Bangladesh 2482:Azerbaijan 2404:Mozambique 2389:Madagascar 2122:Red ribbon 1964:Serostatus 1892:Conditions 1844:prevention 1834:management 1792:Lentivirus 1638:Prevalence 1561:WHO. 2014. 1538:2008-10-16 1503:2008-10-16 1490:Who/Unaids 1468:2009-03-23 1260:(Review). 1161:(Review). 1122:(Letter). 1104:2014-01-10 1088:(8): 446. 1084:(Letter). 1061:10 January 1045:(8): 446. 992:(Review). 823:Pediatrics 803:2007-02-23 712:(Review). 694:2021-05-26 636:(Review). 565:2021-05-26 553:(Report). 533:2021-05-24 419:(7): 806. 395:References 324:Mozambique 2802:Australia 2756:Argentina 2716:Caribbean 2694:Nicaragua 2684:Guatemala 2594:Sri Lanka 2529:Indonesia 2312:Locations 2253:"Free Me" 1979:Pregnancy 1974:Nutrition 1829:diagnosis 896:(1): 49. 845:0031-4005 779:208085886 435:2076-0817 413:Pathogens 2865:HIV/AIDS 2771:Colombia 2689:Honduras 2604:Thailand 2579:Pakistan 2564:Malaysia 2502:Cambodia 2454:Zimbabwe 2434:Tanzania 2359:Ethiopia 2354:Eswatini 2339:Botswana 2228:Solidays 2127:Safe sex 2068:Religion 2012:Timeline 1934:Pruritus 1871:Children 1849:research 1824:HIV/AIDS 1802:subtypes 1719:Category 1555:Archived 1529:Archived 1494:Archived 1492:. 2007. 1455:10173099 1394:32558344 1343:19370585 1312:19370585 1278:15766651 1236:21857086 1228:11089625 1189:10845974 1098:Archived 1020:10845974 971:21042054 922:28893286 857:Archived 853:22926175 738:10432723 730:26526758 685:Archived 664:32558344 604:20844437 559:Archived 453:34201976 367:See also 358:Programs 352:Zimbabwe 344:Tanzania 308:Eswatini 304:Botswana 293:in 2018. 283:province 161:informed 136:—  61:Efficacy 2795:Oceania 2786:Uruguay 2761:Bolivia 2729:Jamaica 2647:Ukraine 2619:Vietnam 2487:Bahrain 2477:Armenia 2429:Senegal 2419:Nigeria 2409:Namibia 2384:Lesotho 2171:Culture 2152:HIV.gov 1995:History 1988:History 1669:Judaism 1633:History 1385:7303540 1180:1127372 1140:3762636 1094:3463895 1051:3463895 1011:1127372 962:4233247 913:5594533 655:7303540 612:2158164 444:8308621 328:Namibia 316:Lesotho 190:History 2776:Guyana 2766:Brazil 2674:Mexico 2669:Canada 2642:Russia 2629:Europe 2614:Turkey 2549:Jordan 2512:Yunnan 2497:Bhutan 2449:Zambia 2444:Uganda 2424:Rwanda 2394:Malawi 2369:Guinea 2329:Angola 2321:Africa 2268:ACT UP 2056:Social 1774:topics 1705:Forced 1700:Ethics 1453:  1414:News24 1392:  1382:  1341:  1310:  1276:  1234:  1226:  1187:  1177:  1138:  1092:  1049:  1018:  1008:  969:  959:  920:  910:  851:  843:  777:  736:  728:  662:  652:  610:  602:  529:. 2020 481:  451:  441:  433:  348:Zambia 340:Uganda 332:Rwanda 320:Malawi 277:Actor 251:Uganda 104:Africa 2724:Haiti 2574:Nepal 2544:Japan 2524:India 2414:Niger 2379:Kenya 2364:Ghana 2349:Egypt 2334:Benin 1679:Jesus 1674:Islam 1532:(PDF) 1521:(PDF) 1497:(PDF) 1486:(PDF) 1462:(PDF) 1443:(PDF) 1243:(PDF) 1232:S2CID 775:S2CID 734:S2CID 688:(PDF) 681:(PDF) 608:S2CID 312:Kenya 247:Kenya 26:Male 2781:Peru 2559:Laos 2539:Iraq 2534:Iran 2464:Asia 2399:Mali 2302:Ayds 1859:PrEP 1772:AIDS 1451:PMID 1422:2022 1390:PMID 1339:PMID 1308:PMID 1274:PMID 1224:PMID 1208:AIDS 1185:PMID 1136:PMID 1090:PMID 1063:2014 1047:PMID 1016:PMID 967:PMID 941:AIDS 918:PMID 849:PMID 841:ISSN 726:PMID 660:PMID 600:PMID 479:ISBN 449:PMID 431:ISSN 350:and 249:and 94:The 83:shed 81:can 1787:HIV 1780:HIV 1768:HIV 1710:Law 1612:HIV 1380:PMC 1370:doi 1331:doi 1300:doi 1266:doi 1216:doi 1175:PMC 1167:doi 1163:320 1159:BMJ 1128:doi 1124:315 1006:PMC 998:doi 994:320 990:BMJ 957:PMC 949:doi 908:PMC 898:doi 831:doi 827:130 765:doi 718:doi 650:PMC 642:doi 592:doi 439:PMC 421:doi 285:of 100:MSM 96:WHO 2851:: 1523:. 1488:. 1445:. 1424:. 1411:. 1388:. 1378:. 1366:23 1364:. 1360:. 1337:. 1306:. 1286:^ 1272:. 1230:. 1222:. 1212:14 1206:. 1183:. 1173:. 1157:. 1134:. 1096:. 1086:86 1080:. 1043:86 1037:. 1014:. 1004:. 988:. 965:. 955:. 945:24 939:. 916:. 906:. 894:14 892:. 888:. 855:. 847:. 839:. 825:. 821:. 773:. 763:. 761:25 759:. 755:. 732:. 724:. 714:12 658:. 648:. 638:23 632:. 620:^ 606:. 598:. 588:20 586:. 574:^ 542:^ 525:. 496:^ 487:. 473:. 455:. 447:. 437:. 429:. 417:10 415:. 411:. 354:. 346:, 342:, 338:, 334:, 330:, 326:, 322:, 318:, 314:, 310:, 306:, 289:, 245:, 1770:/ 1760:e 1753:t 1746:v 1590:e 1583:t 1576:v 1541:. 1506:. 1471:. 1396:. 1372:: 1345:. 1333:: 1314:. 1302:: 1280:. 1268:: 1262:5 1218:: 1191:. 1169:: 1142:. 1130:: 1107:. 1065:. 1022:. 1000:: 973:. 951:: 924:. 900:: 833:: 806:. 781:. 767:: 740:. 720:: 697:. 666:. 644:: 614:. 594:: 568:. 536:. 423:: 23:.

Index

Female genital mutilation § HIV
circumcision
human immunodeficiency virus (HIV) transmission
World Health Organization
sexually transmitted infections
vaginal sex
men who have sex with men
developed world
antiretroviral therapy
shed
WHO
MSM
Africa
United States
American Academy of Pediatrics
American Academy of Family Physicians
American College of Obstetricians and Gynecologists
Centers for Disease Control
informed
Royal Dutch Medical Association
Langerhans cells

HIV/AIDS in Africa
high rate of HIV infection
New England Journal of Medicine
London School of Hygiene & Tropical Medicine
confounding factors
randomized controlled trials
randomized controlled trials
South Africa

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