Medical Forum / General / General / October 2007
Circumcision doesn't protect gay men against HIV
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Dr. Lippschitz - 11 Oct 2007 07:39 GMT Real headline: Circumcision doesn't protect gay men against HIV
News.com.au October 10, 2007
Circumcision may lower syphilis risk Article from: AAP
CIRCUMSCISION may offer gay men some protection from the sexually transmitted infection syphilis, but researchers are not recommending men get the snip.
As new figures revealed a surge in syphilis rates, a study by Sydney scientists has found that rates of the disease are higher among men who have not had the procedure.
Circumcision did not appear to offer any protection from other sexually transmitted infections like HIV, gonorrhoea, chlamydia or genital warts.
Researchers at the University of New South Wales tracked 1427 homosexual men, two-thirds of whom had been circumcised, over three years with regular testing for infections.
They found no association between infection and circumcision status for any disease except syphilis, they told the Australasian Sexual Health Conference on the Gold Coast today.
Professor Andrew Grulich from the National Centre in HIV Epidemiology and Clinical Research said the reasons for this were still unclear but it may be that the foreskin is particularly susceptible to this virus.
"We also believe that quite a bit of syphilis, up to a third, is being transmitted through oral sex in Australia at the moment," Prof Grulich said.
"If the transmission of the organism is from the mouth then this is something that is different from other infections."
Research released at the same conference this week showed syphilis numbers climbed by a third between 2004 and 2006, when 815 new infections were reported. While numbers are still relatively small, epidemiologists say the rapid rise constitutes an emerging epidemic.
But despite the surge, the results were not strong enough to recommend circumcision for those at risk, the researchers said. "Any intervention like circumcision could only be partially effective so on the basis of this research I wouldn't be out there advocating it," Prof Grulich said.
"We wouldn't want people who are circumcised wrongly thinking that they're safe from it."
bo_dacious@mactan.org - 12 Oct 2007 02:08 GMT >Real headline: Circumcision doesn't protect gay men against HIV > [quoted text clipped - 46 lines] > "We wouldn't want people who are circumcised wrongly thinking that >they're safe from it." Homosexuals are a clear and present danger to society in the United States too:
Men who have sex with men (MSM) and AIDS in 2005
The following data are from 50 states and the District of Columbia.)
* An estimated 19,248 MSM (17,230 MSM and 2,018 MSM who inject drugs) received a diagnosis of AIDS, accounting for 65% of male adults and adolescents and 47% of all people who received a diagnosis of AIDS * An estimated 7,293 MSM (5,929 MSM and 1,364 MSM who inject drugs) with AIDS died, accounting for 60% of all men and 45% of all people with AIDS who died. * Since the beginning of the epidemic, an estimated 517,992 MSM (452,111 MSM and 65,881 MSM who inject drugs) had received a diagnosis of AIDS, accounting for 68% of male adults and adolescents who received a diagnosis of AIDS and 54% of all people who received a diagnosis of AIDS. * Since the beginning of the epidemic, an estimated 300,669 MSM (260,749 MSM and 39,920 MSM who inject drugs) with AIDS had died, accounting for 68% of male adults and adolescents with AIDS who had died and 57% of all people with AIDS who had died. * At the end of 2005, an estimated 217,323 MSM (191,362 MSM and 25,961 MSM who inject drugs) were living with AIDS, representing 67% of male adults and adolescents living with AIDS and 52% of all people living with AIDS.
Sexual Risk Factors
Sexual risk factors account for most HIV infections in MSM. These factors include unprotected sex and sexually transmitted diseases (STDs).
* Having anal sex without a condom continues to be a significant threat to the health of MSM. Unprotected anal sex (barebacking) with casual partners is an increasing concern. Not all the reasons for an apparent increase in unprotected anal intercourse are known, but research points to the following factors: optimism about improved HIV treatment, substance use, complex sexual decision making, seeking sex partners on the Internet, and failure to practice safer sex. Some of these men may be serosorting, or only having sex (or unprotected sex) with a partner whose HIV serostatus, they believe, is the same as their own. Although serosorting between MSM who have tested HIV-positive is likely to prevent new HIV transmission to persons who are not infected, the effectiveness of serosorting between men who have tested HIV-negative has not been established. Serosorting with condom use may further reduce the risk of HIV transmission. However, for men with casual partners, serosorting alone is likely to be less effective than always using condoms because some men do not know or disclose their HIV serostatus. * STDs, which increase the risk for HIV infection, remain an important health issue for MSM. According to the Gonococcal Isolate Surveillance Project, the proportion of gonorrhea-positive test results among MSM increased from 4% in 1988 to 20.2% in 2004. Rates of syphilis among MSM have increased in some urban areas, including Chicago, New York, San Francisco, and Seattle. In the 9 US cities participating in the MSM Prevalence Monitoring Project, the rates of STDs and HIV positivity varied by race and ethnicity but tended to be highest among black and Hispanic MSM. In addition to increasing susceptibility to HIV, STDs are markers for high-risk sexual practices, through which HIV infection can be transmitted.
Unknown HIV Serostatus
Approximately 25% of people in the United States who are infected with HIV do not know they are infected.
* Through its National HIV Behavioral Surveillance system, CDC found that 25% of the MSM surveyed in 5 large US cities were infected with HIV and 48% of those infected were unaware of their infections. * In a recent CDC study of young MSM, 77% of those who tested HIV-positive mistakenly believed that they were not infected. Young black MSM in this study were more likely to be unaware of their infection--approximately 9 of 10 young black MSM compared with 6 of 10 young white MSM. Of the men who tested positive, most (74%) had previously tested negative for HIV infection, and 59% believed that they were at low or very low risk.
Ref: www.cdc.gov <HIV, AIDS, STD, MSM, GISP>
WindingHighway - 12 Oct 2007 02:58 GMT On Oct 11, 9:08?pm, bo_daci...@mactan.org wrote:
> Homosexuals are a clear and present danger to society in the United > States too: Hmmm... and according to the National Institute of Allergy and Infectious Diseases:
" Worldwide, more than 90 percent of all adolescent and adult HIV infections have resulted from heterosexual intercourse." http://www.niaid.nih.gov/factsheets/womenhiv.htm
So by your reasoning, heterosexuals are a "clear and present danger to society" around the world.
What are you going to do about THAT?
Avenger - 12 Oct 2007 03:48 GMT > On Oct 11, 9:08?pm, bo_daci...@mactan.org wrote: > [quoted text clipped - 7 lines] > infections have resulted from heterosexual intercourse." > http://www.niaid.nih.gov/factsheets/womenhiv.htm You're talking about a few thousand females worldwide who caught AIDS by being f.cked up the arse by some bi sexual homo or a man who contracted the disease from a needle or transfusion. Show me ONE case where a male got AIDS from a female by f.cking her.
> So by your reasoning, heterosexuals are a "clear and present danger to > society" around the world. > > What are you going to do about THAT? Bibon - 13 Oct 2007 06:29 GMT >On Oct 11, 9:08?pm, bo_daci...@mactan.org wrote: > >> Homosexuals are a clear and present danger to society in the United >> States too: Men who have sex with men (MSM) and AIDS in 2005
The following data are from 50 states and the District of Columbia.)
* An estimated 19,248 MSM (17,230 MSM and 2,018 MSM who inject drugs) received a diagnosis of AIDS, accounting for 65% of male adults and adolescents and 47% of all people who received a diagnosis of AIDS * An estimated 7,293 MSM (5,929 MSM and 1,364 MSM who inject drugs) with AIDS died, accounting for 60% of all men and 45% of all people with AIDS who died. * Since the beginning of the epidemic, an estimated 517,992 MSM (452,111 MSM and 65,881 MSM who inject drugs) had received a diagnosis of AIDS, accounting for 68% of male adults and adolescents who received a diagnosis of AIDS and 54% of all people who received a diagnosis of AIDS. * Since the beginning of the epidemic, an estimated 300,669 MSM (260,749 MSM and 39,920 MSM who inject drugs) with AIDS had died, accounting for 68% of male adults and adolescents with AIDS who had died and 57% of all people with AIDS who had died. * At the end of 2005, an estimated 217,323 MSM (191,362 MSM and 25,961 MSM who inject drugs) were living with AIDS, representing 67% of male adults and adolescents living with AIDS and 52% of all people living with AIDS.
Sexual Risk Factors
Sexual risk factors account for most HIV infections in MSM. These factors include unprotected sex and sexually transmitted diseases (STDs).
* Having anal sex without a condom continues to be a significant threat to the health of MSM. Unprotected anal sex (barebacking) with casual partners is an increasing concern. Not all the reasons for an apparent increase in unprotected anal intercourse are known, but research points to the following factors: optimism about improved HIV treatment, substance use, complex sexual decision making, seeking sex partners on the Internet, and failure to practice safer sex. Some of these men may be serosorting, or only having sex (or unprotected sex) with a partner whose HIV serostatus, they believe, is the same as their own. Although serosorting between MSM who have tested HIV-positive is likely to prevent new HIV transmission to persons who are not infected, the effectiveness of serosorting between men who have tested HIV-negative has not been established. Serosorting with condom use may further reduce the risk of HIV transmission. However, for men with casual partners, serosorting alone is likely to be less effective than always using condoms because some men do not know or disclose their HIV serostatus. * STDs, which increase the risk for HIV infection, remain an important health issue for MSM. According to the Gonococcal Isolate Surveillance Project, the proportion of gonorrhea-positive test results among MSM increased from 4% in 1988 to 20.2% in 2004. Rates of syphilis among MSM have increased in some urban areas, including Chicago, New York, San Francisco, and Seattle. In the 9 US cities participating in the MSM Prevalence Monitoring Project, the rates of STDs and HIV positivity varied by race and ethnicity but tended to be highest among black and Hispanic MSM. In addition to increasing susceptibility to HIV, STDs are markers for high-risk sexual practices, through which HIV infection can be transmitted.
Unknown HIV Serostatus
Approximately 25% of people in the United States who are infected with HIV do not know they are infected.
* Through its National HIV Behavioral Surveillance system, CDC found that 25% of the MSM surveyed in 5 large US cities were infected with HIV and 48% of those infected were unaware of their infections. * In a recent CDC study of young MSM, 77% of those who tested HIV-positive mistakenly believed that they were not infected. Young black MSM in this study were more likely to be unaware of their infection--approximately 9 of 10 young black MSM compared with 6 of 10 young white MSM. Of the men who tested positive, most (74%) had previously tested negative for HIV infection, and 59% believed that they were at low or very low risk.
Ref: www.cdc.gov <HIV, AIDS, STD, MSM, GISP>
>Hmmm... and according to the National Institute of Allergy and >Infectious Diseases: [quoted text clipped - 5 lines] >So by your reasoning, heterosexuals are a "clear and present danger to >society" around the world. No, your "WORLD PROBLEM" for heterosexuals is limited to Africa. The problem in the US is with promiscuous homosexual males as I clearly pointed out in my original post (and have re-posted here in since you so cowardly deleted it). Your fallacy of "heterosexual world problem" is just some more homo-bull-sh.t.
>What are you going to do about THAT? What are Africans going to do about that. The US sent them 15 BILLION DOLLARS for a kick start. If you 're so concerned about AIDS in other countries maybe you should head to Africa...soon.
flaviaR@verizon.net - 12 Oct 2007 11:14 GMT > Homosexuals are a clear and present danger to society in the United > States too: Yes, we know exactly what really frightens you homophobes.
http://brucemulkey.com/2006/05/
Susan
Avenger - 12 Oct 2007 11:54 GMT >> Homosexuals are a clear and present danger to society in the United >> States too: > > Yes, we know exactly what really frightens you homophobes. Yeah, judophiles
> http://brucemulkey.com/2006/05/ > > Susan Bibon - 13 Oct 2007 06:32 GMT >> Homosexuals are a clear and present danger to society in the United >> States too: > >Yes, we know exactly what really frightens you homophobes. Not nearly as much as does all the states passing laws against homosexual marriage frightens homosexuals.
>Susan
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