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Research Article

The Potential Impact of Male Circumcision on HIV in Sub-Saharan Africa

  • Brian G Williams mail,

    To whom correspondence should be addressed. E-mail: williamsbg@who.int

    Affiliation: World Health Organization, Stop TB Department, Geneva, Switzerland

    X
  • James O Lloyd-Smith,

    Affiliations: Department of Environmental Science, Policy, and Management, University of California Berkeley, Berkeley, California, United States of America, Center for Infectious Disease Dynamics, Pennsylvania State University, University Park, Pennsylvania, United States of America

    X
  • Eleanor Gouws,

    Affiliation: Joint United Nations Programme on HIV/AIDS (UNAIDS), Policy, Evidence, and Partnerships Department, Geneva, Switzerland

    X
  • Catherine Hankins,

    Affiliation: Joint United Nations Programme on HIV/AIDS (UNAIDS), Policy, Evidence, and Partnerships Department, Geneva, Switzerland

    X
  • Wayne M Getz,

    Affiliation: Department of Environmental Science, Policy, and Management, University of California Berkeley, Berkeley, California, United States of America

    X
  • John Hargrove,

    Affiliation: South African Centre for Epidemiological Modelling and Analysis, Stellenbosch, South Africa

    X
  • Isabelle de Zoysa,

    Affiliation: World Health Organization, Family and Community Health, Geneva, Switzerland

    X
  • Christopher Dye,

    Affiliation: World Health Organization, Stop TB Department, Geneva, Switzerland

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  • Bertran Auvert

    Affiliations: INSERM, Saint Maurice, France, University of Versailles-Saint Quentin, Faculté de Médecine Paris-Ile-de-France-Ouest, Saint Maurice, France, Assistance Publique-Hôpitaux de Paris, Hôpital Ambroise Pare, Boulogne, France

    X
  • Published: July 11, 2006
  • DOI: 10.1371/journal.pmed.0030262

Reader Comments (5)

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Apparent statistical contradiction in your findings

Posted by plosmedicine on 30 Mar 2009 at 23:57 GMT

Author: Denny Packard
Position: Assistant Prof. of English
Institution: U. of Delaware & Univ. of Paris 6
E-mail: denny@udel.edu
Submitted Date: July 11, 2006
Published Date: July 19, 2006
This comment was originally posted as a “Reader Response” on the publication date indicated above. All Reader Responses are now available as comments.

The biggest reservation I have about your paper (and similar research) is the fact that the industrialized nation with the highest rate of HIV infection is ALSO the same country with the highest rate of male circumcision, namely the United States of America.

Does this not contradict your findings that male circumcision can reduce HIV infection? In the U.S. it would appear that circumcision has just the OPPOSITE effect if, in fact, there is a genuine link between circumcision and HIV infection. (Most European countries where male circumcision is very rare also have much lower rates of HIV infection than in the U.S.)

Sincerely,

Denny Packard

No competing interests declared.