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In response to increasing rates of heterosexually transmitted HIV should Australia be encouraging circumcision in infant malesIncreasing rates of heterosexually transmitted HIV in Australia are calling significant attention of the national and international experts media and community Some experts suggest the implementation of infant males circumcision to prevent HIV infection based on evidence from studies carried out in the USA and Africa However Australia should not be encouraging infant males circumcision in response to the increasing rates of heterosexually transmitted HIV as there are challenges t0 consider such as insufficient evidence of its effectiveness in preventing heterosexually transmitted HIV in a country where homosexual male transmission is predominant and it is an expensive unsafe and unethical procedure There is no high-quality relevant information available regarding to the association between infant male circumcision in Australia and its protective effects in reduction of heterosexually transmitted HIV In this case encouraging infant males circumcision in response to the increasing rates of heterosexually transmitted HIV without reliable information goes against the principles of evidence-based medicine Nonetheless considering a study on HIV and circumcision conducted in another country for example in Rakai Salamon R 1999 there was no significant protective effect for circumcision after 12 years of age This result strongly suggests that infant male circumcision would not be an effective short-term HIV preventive strategy as it would take more than one decade to determine any effect of the program Another relevant point is that HIV infection in Australia occurs mainly among homosexual men Siegfried Net al 2009 presents statistics showing that in Australia there are 83 of homosexual men living with HIV infection whereas the prevalence of heterosexually transmitted HIV is less than 05 Templeton DJet al 2009 Both data clearly demonstrates that infant male circumcision in response to the increasing rates of heterosexually transmitted HIV in Australia would not create a significant impact in the entire population health because it would not target the majority of people in
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