The Ethical Course Is To Recommend Infant Male Circumcision — Arguments Disparaging American Academy of Pediatrics Affirmative Policy Do Not Withstand Scrutiny
Restricted accessResearch articleFirst published online December, 2017
The Ethical Course Is To Recommend Infant Male Circumcision — Arguments Disparaging American Academy of Pediatrics Affirmative Policy Do Not Withstand Scrutiny
We critically evaluate arguments in a recent Journal of Law, Medicine & Ethics article by Svoboda, Adler, and Van Howe disputing the 2012 affirmative infant male circumcision policy recommendations of the American Academy of Pediatrics. We provide detailed evidence in explaining why the extensive claims by these opponents are not supported by the current strong scientific evidence. We furthermore show why their legal and ethical arguments are contradicted by a reasonable interpretation of current U.S. and international law and ethics. After all considerations are taken into account it would be logical to conclude that failure to recommend male circumcision early in infancy may be viewed as akin to failure to recommend childhood vaccination to parents. In each case, parental consent is required and the intervention is not compulsory. Our evaluation leads us to dismiss the arguments by Svoboda et al. Instead, based on the evidence, infant male circumcision is both ethical and lawful.
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References
1.
J.S.Svoboda, P.W.Adler, and R.S.Van Howe, “Circumcision Is Unethical and Unlawful,”Journal of Law, Medicine & Ethics44, no. 2 (2016): 263-282.
2.
American Academy of Pediatrics. Task Force on Circumcision, “Circumcision Policy Statement,”Pediatrics130, no. 3 (2012): e756-e785.
3.
B.J.Morris, R.G.Wamai, E.B.Henebeng, A.A. R.Tobian, J.D.Klausner, J.Banerjee, et al., “Estimation of Country-specific and Global Prevalence of Male Circumcision,”Population Health Metrics14, article 4 (2016): 1-13.
4.
B.J.Morris, R.G.Wamai, J.N.Krieger, J.Banerjee, and J.D.Klausner, “Male Circumcision to Prevent Syphilis in 1855 and HIV in 1986 is Supported by the Accumulated Scientific Evidence to 2015: Response to Darby,”Global Public Health12, no. 10 (2017): 1315-1333.
5.
G.Kigozi, M.Wawer, A.Ssettuba, J.Kagaayi, F.Nalugoda, S.Watya, et al., “Foreskin Surface Area and HIV Acquisition in Rakai, Uganda (size matters),”AIDS23 (2009): 2209-2213.
6.
P.M.Werker, A.S.Terng, and M.Kon, “The Prepuce Free Flap: Dissection Feasibility Study and Clinical Application of a Super-thin New Flap,”Plastic and Reconstructive Surgery102, no. 4 (1998): 1075-1082.
7.
C.Darwin. The Origin of Species by Means of Natural Selection (London, UK: John Murray, 1859).
8.
G.Cox, J.N.Krieger, and B.J.Morris, “Histological Correlates of Penile Sexual Sensation: Does Circumcision Make a Difference? (Systematic review),”Sexual Medicine3 (2015): 76-85.
9.
B.J.Morris, and J.N.Krieger, “Does Male Circumcision Affect Sexual Function, Sensitivity, or Satisfaction? A Systematic Review,”Journal of Sexual Medicine10 (2013): 2644-2657; Y.Tian, W.Liu, J.Z.Wang, R.Wazir, X.Yue, and K.J.Wang, “Effects of Circumcision on Male Sexual Functions: A Systematic Review and Meta-Analysis,”Asian Journal of Andrology15, no. 5 (2013): 662-666; V.Homfray, C.Tanton, K.R.Mitchell, R.F.Miller, N.Field, W.Macdowall, et al., “Examining the Association Between Male Circumcision and Sexual Function: Evidence From a British Probability Survey,”AIDS29, no. 11 (2015): 1411-1416.20; D.M.Shabanzadeh, S.During, and C.Frimont-Moller, “Male Circumcision Does Not Result in Inferior Perceived Male Sexual Function — A Systematic Review,”Danish Medical Journal63 (2016): A5245.
10.
See Cox et al., supra note 8.
11.
B.Rappaport, R.D.Mellon, A.Simone, and J.Woodcock, “Defining Safe Use of Anesthesia in Children,”New England Journal of Medicine364, no. 15 (2011): 1387-1390.
12.
A.Taddio, J.Katz, A.L.Herisch, and K.G., “Effect of Neonatal Circumcision on Pain Response During Subsequent Routine Vaccination,”Lancet349 (1997): 599-603.
13.
N.M.Schlosberger, R.A.Turner, and C.E.Irwin, Jr., “Early Adolescent Knowledge and Attitudes About Circumcision: Methods and Implications for Research,”Journal of Adolescent Health13 (1992): 293-297.
14.
M.Calnan, J.W. B.Douglas, and H.Goldstein, “Tonsillectomy and Circumcision: Comparison of two Cohorts,”International Journal of Epidemiology7 (1978): 79.
15.
D.M.Fergusson, J.M.Boden, and L.J.Horwood, “Neonatal circumcision: Effects on Breastfeeding and Outcomes Associated with Breastfeeding,”Journal of Paediatrics and Child Health44 (2008): 44-49.
16.
A.Stenram, G.Malmfors, and L.Okmian, “Circumcision for Phimosis — Indications and Results,”Acta Paediatrica Scandinavica75 (1986): 321-323.
17.
N.Williams and L.Kapila, “Complications of Circumcision.,”British Journal of Surgery80, no. 34 (1993): 1231-1236; S.Moses, R.C.Bailey, and A.R.Ronald, “Male Circumcision: Assessment of Health Benefits and Risks,”Sexually Transmitted Infections74 (1998): 368-373.
18.
N.McIntosh, “Pain in the Newborn, A Possible New Starting Point,”European Journal of Pediatrics156 (1997): 173-177.
19.
Taddio et al., supra note 12; A.Taddio, B.Stevens, K.Craig, P.Rastogi, S.Bendavid, A.Shennan, et al., “Efficacy and Safety of Lidocaine-Prilocaine Cream for Pain During Circumcision,”New England Journal of Medicine336 (1997): 1197-1201.
20.
A.Taddio, N.Pollock, C.Gilbert-Macleod, K.Ohlsson, and G.Koren, “Combined Analgesia and Local Anesthesia to Minimize Pain During Circumcision,”Archives of Pediatrics and Adolescent Medicine154 (2000): 620-623.
21.
A.Taddio, C.T.Chambers, S.A.Halperin, M.Ipp, D.Lockett, M.J.Rieder, et al., “Inadequate Pain Management During Routine Childhood Immunizations: The Nerve of It,”Clinical Therapeutics31, Suppl 2 (2009): S152-S167; A.Taddio, M.G.Gurguis, and G.Koren, “Lidocaine-prilocaine Cream Versus Tetracaine Gel for Procedural Pain in Children,”Annals of Pharmacotherapy36 (2002): 687-692.
22.
M.Frisch, and J.Simonsen, “Ritual Circumcision and Risk of Autism Spectrum Disorder in 0- to 9-Year-Old Boys: National Cohort Study in Denmark,”Journal of the Royal Society of Medicine108, no. 7 (2015): 266-279.
23.
B.J.Morris, and T.E.Wiswell, “‘Circumcision Pain’ Unlikely to Cause Autism,”Journal of the Royal Society of Medicine108, no. 8 (2015): 297; I.Sneppen, and J.Thorup, “Fore-skin Morbidity in Uncircumcised Males,”Pediatrics137, no. 5 (2016): e20154340; A.Z.Bauer. PubMed Commons, Comment (2015), available at <http://www.ncbi.nlm.nih.gov/pubmed/25573114> (last visited November 27, 2017).
24.
See Sneppen and Thorup, supra note 23.
25.
A.Z.Bauer, and D.Kriebel, “Prenatal and Perinatal Analgesic Exposure and Autism: An Ecological Link,”Environmental Health12 (2013): 41.
26.
See Bauer et al., supra note 25.
27.
B.Banieghbal, “Optimal Time for Neonatal Circumcision: An Observation-Based Study,”Journal of Pediatric Urology5, no. 5 (2009): 359-362.
28.
See Banieghbal et al., supra note 27.
29.
C.Overgaard, and A.Knudsen, “Pain-Relieving Effect of Sucrose in Newborns During Heel Prick,”Biology of the Neonate75, no. 5 (1999): 279-284; P.Lago, C.Tiozzo, G.Boccuzzo, A.Allegro, and F.Zacchello, “Remifentanil for Percutaneous Intravenous Central Catheter Placement in Preterm Infant: A Randomized Controlled Trial,”Paediatric Anaesthesia18, no. 8 (2008): 736-744.
30.
D.A.Damassa, and J.M.Cates, “Sex Hormone-Binding Globulin and Male Sexual Development,”Neuroscience & Biobehavioral Reviews19, no. 2 (1995): 165-175.
31.
See Banieghbal, supra note 27.
32.
C.T.Russell, and J.Chaseling, “Topical Anaesthesia in Neonatal Circumcision: A Study of 208 Consecutive Cases,”Australian Family Physician25, suppl 1 (1996): 30-34.
33.
C.Smith, and D.P.Smith, “Office Pediatric Urologic Procedures From a Parental Perspective,”Urology55, no. 2 (2000): 272-276.
34.
J.J.Freeman, A.U.Spencer, R.A.Drongowski, C.J.Vandeven, B.Apgar, and D.H.Teitelbaum, “Newborn Circumcision Outcomes: Are Parents Satisfied With the Results?”Pediatric Surgery International30, no. 3 (2014): 333-338.
35.
B.Auvert, D.Taljaard, E.Lagarde, J.Sobngwi-Tambekou, R.Sitta, and A.Puren, “Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk: The ANRS 1265 Trial,”PLoS Medicine2, article e298 (2005): 1112-1122.
36.
R.H.Gray, G.Kigozi, D.Serwadda, F.Makumbi, S.Watya, F.Nalugoda, et al., “Male Circumcision for HIV Prevention in Men in Rakai, Uganda: A Randomised Trial,”Lancet369 (2007): 657-666.
37.
R.C.Bailey, S.Moses, C.B.Parker, K.Agot, I.Maclean, J.N.Krieger, et al., “Male Circumcision for HIV Prevention in Young Men in Kisumu, Kenya: A Randomised Controlled Trial,”Lancet369 (2007): 643-656.
38.
J.Thorup, S.C.Thorup, and I.B.Ifaoui, “Complication Rate After Circumcision in a Paediatric Surgical Setting Should Not be Neglected,”Danish Medical Journal60, no. 8 (2013): A4681.
39.
M.Joudi, M.Fathi, and M.Hiradfar, “Incidence of Asymptomatic Meatal Stenosis in Children Following Neonatal Circumcision,”Journal of Pediatric Urology7, no. 5 (2011): 526-528.
40.
R.S.Van Howe, “Incidence of Meatal Stenosis Following Neonatal Circumcision in a Primary Care Setting,”Clinical Pediatrics (Philadelphia)45 (2006): 49-55.
41.
E.J.Schoen, “Critique of Van Howe RS. Incidence of Meatal Stenosis Following Neonatal Circumcision in a Primary Care Setting,”Clinical Pediatrics (Phila)45 (2006):49-54; Clinical Paediatrics46 (2007): 86.
42.
C.El Bcheraoui, X.Zhang, C.S.Cooper, C.E.Rose, P.H.Kilmarx, and R.T.Chen, “Rates of Adverse Events Associated with Male Circumcision in US Medical Settings, 2001 to 2010.,”JAMA Pediatrics168, no. 7 (2014): 625-634.
43.
P.Cathcart, M.Nuttall, J.van der Meulen, M.Emberton, and S.E.Kenny, “Trends in Paediatric Circumcision and its Complications in England Between 1997 and 2003,”British Journal of Surgery93 (2006): 885-890.
44.
N.Simforoosh, A.Tabibi, S.A.Khalili, M.H.Soltani, A.Afjehi, F.Aalami, et al., “Neonatal Circumcision Reduces the Incidence of Asymptomatic Urinary Tract Infection: A Large Prospective Study with Long-term Follow Up Using Plastibell,”Journal of Pediatric Urology8 (2012): 320-323.
45.
R.A.Yegane, A.R.Kheirollahi, N.A.Salehi, M.Bashashati, J.A.Khoshdel, and M.Ahmadi, “Late Complications of Circumcision in Iran,”Pediatric Surgery International22 (2006): 442-445.
46.
See El Bcheraoui et al., supra note 42.
47.
See Cathcart et al., supra note 43.
48.
See El Bcheraoui et al., supra note 42.
49.
R.V.Pieretti, A.M.Goldstein, and R.Pieretti-Vanmarcke, “Late Complications of Newborn Circumcision: A Common and Avoidable Problem,”Pediatric Surgery International26, no. 5 (2010): 515-518.
50.
D.Bollinger, “Lost Boys: An Estimate of U.S. Circumcision-Related Infant Deaths,”Thymos: Journal of Boyhood Studies4 (2010): 78-90.
51.
B.J.Morris, R.C.Bailey, J.D.Klausner, A.Leibowitz, R.G.Wamai, J.H.Waskett, et al., “Review: A Critical Evaluation of Arguments Opposing Male Circumcision for HIV Prevention in Developed Countries,”AIDS Care24 (2012): 1565-1575.
B.J.Morris, A.D.Wodak, A.Mindel, L.Schrieber, K.A.Duggan, A.Dilly, et al., “The 2010 Royal Australasian College of Physicians Policy Statement ‘Circumcision of Infant Males’ is Not Evidence Based,”Internal Medicine Journal42, no. 7 (2012): 822-828.
56.
See Shabanzadeh et al., supra note 9.
57.
M.Frisch, Y.Aigrain, V.Barauskas, R.Bjarnason, S.-A.Boddy, P.Czauderna, et al., “Cultural Bias in the AAP’s 2012 Technical Report and Policy Statement on Male Circumcision,”Pediatrics131 (2013): 796-800.
58.
J.P.Warren, and J.Bigelow, “The Case Against Circumcision,”British Journal of Sexual Medicine21, no. 5 (1994): 6-8.
59.
I.Solinis, and A.Yiannaki, “Does Circumcision Improve Couple’s Sex Life?”5th Biennial World Congress on Men’s Health & Gender, Journal of Men’s Health & Gender4, no. 3 (2007): 361.
60.
M.Frisch, M.Lindholm, and M.Grønbeck, “Male Circumcision and Sexual Function in Men and Women: A Survey-Based-Cross-Sectional Study in Denmark,”International Journal of Epidemiology40 (2011): 1367-1381.
61.
See Shabanzadeh et al., supra note 9.
62.
R.Harbour, and J.Miller, “A New System for Grading Recommendations in Evidence Based Guidelines,”BMJ323, no. 7308 (2001): 334-336.
63.
See Morris et al., supra note 9.
64.
L.M.Mao, D.J.Templeton, J.Crawford, J.Imrie, G.P.Prestage, A.E.Grulich, et al., “Does Circumcision Make a Difference to the Sexual Experience of Gay Men? Findings from the Health in Men (HIM) Cohort,”Journal of Sexual Medicine5 (2008): 2557-2561.
65.
B.J.Morris, J.H.Waskett, and R.H.Gray, “Does Sexual Function Survey in Denmark Offer Any Support for Male Circumcision Having an Adverse Effect?”International Journal of Epidemiology41 (2012): 310-312.
66.
Task Force on Circumcision. “Cultural Bias and Circumcision: The AAP Task Force on Circumcision Responds,”Pediatrics131 (2013): 801-804.
67.
J.Dias, R.Freitas, R.Amorim, P.Espiridiao, L.Xambre, and L.Ferraz, “Adult Circumcision and Male Sexual Health: A Retrospective Analysis,”Andrologia46, no. 5 (2014): 459-464.
68.
G.A.Bronselaer, J.M.Schober, H.F.Meyer-Bahlburg, G.T’sjoen, R.Vlietinck, and P.B.Hoebeke, “Male Circumcision Decreases Penile Sensitivity as Measured in a Large Cohort,”BJU International111 (2013): 820-827.
69.
See Morris et al., supra note 9.
70.
B.J.Morris, J.N.Krieger, and G.Kigozi, “Male Circumcision Decreases Penile Sensitivity as Measured in a Large Cohort. [Critique of Bronselaer et al. BJU International111 (2013): 820-827]; BJU International1 1 1 (2013): E269-E270.
71.
J.M.Schober, H.F.Meyer-Bahlburg, and C.Dolezal, “Self-Ratings of Genital Anatomy, Sexual Sensitivity and Function in Men Using the ‘Self-Assessment of Genital Anatomy and Sexual Function, Male’ Questionnaire,”BJU International103 (2009): 1096-1103.
72.
See Tian et al., supra note 9.
73.
See Mao et al., supra note 64.
74.
P.K.Hegarty, “Male Circumcision Decreases Penile Sensitivity as Measured in a large Cohort, (Editorial),”BJU Int. 111 (2013): 695-696; Y.Tian, R.Wazir, and K.Wang, “Letter re: ‘Male Circumcision Decreases Penile Sensitivity as Measured in a Large Cohort’,”BJU International112, no. 1 (2013): E2-E3.
75.
J.N.Krieger, S.D.Mehta, R.C.Bailey, K.Agot, J.O.Ndinya-Achola, C.Parker, et al., “Adult Male Circumcision: Effects on Sexual Function and Sexual Satisfaction in Kisumu, Kenya,”Journal of Sexual Medicine5 (2008): 2610-2622.
76.
See Frisch et al., supra note 60; Mao et al., supra note 64; Krieger et al., supra note 75; J.Richters, A.M.Smith, R.O.de Visser, A.E.Grulich, and C.E.Rissel, “Circumcision in Australia: Prevalence and Effects on Sexual Health.,”International Journal of STDs and AIDS17 (2006): 547-554; G.Kigozi, S.Watya, C.B.Polis, D.Buwembo, V.Kiggundu, M.J.Wawer, et al., “The Effect of Male Circumcision on Sexual Satisfaction and Function, Results from a Randomized Trial of Male Circumcision for Human Immunodeficiency Virus Prevention, Rakai, Uganda,”BJU International101 (2008): 65-70; E.O.Laumann, C.M.Masi, and E.W.Zuckerman, “Circumcision in the United States. Prevalence, Prophyactic Effects, and Sexual Practice,”JAMA277 (1997): 1052-1057.
77.
See Tian et al., supra note 9.
78.
See Frisch et al., supra note 60.
79.
See Morris et al., supra note 70.
80.
A.J.Barros, and V.N.Hirakata, “Alternatives for Logistic Regression in Cross-Sectional Studies: An Empirical Comparison of Models that Directly Estimate the Prevalence Ratio,”BMC Medical Research Methodology3 (2003): 21; A.Savu, Q.Liu, and Y.Yasui, “Estimation of Relative Risk and Prevalence Ratio,”Statistics in Medicine29 (2010): 2269-2281.
81.
See Morris et al., supra note 9.
82.
G.Kigozi, I.Lukabwe, J.Kagaayi, M.J.Wawer, B.Nantume, G.Kigozi, et al., “Sexual Satisfaction of Women Partners of Circumcised Men in a Randomized Trial of Male Circumcision in Rakai, Uganda,”BJU International104, no. 11 (2009): 1698-1701.
83.
J.R.Cortés-González, J.A.Arratia-Maqueo, and L.S.Gómez-Guerra, “[Does Circumcision Has an Effect on Female’s Perception of Sexual Satisfaction?] (Article in Spanish),”Revista de Investigacion Clinica60 (2008): 227-230.
84.
See Kigozi et al., supra note 82; Cortés-González et al, supra note 83; M.L.Williamson, and P.S.Williamson, “Women’s Preferences for Penile Circumcision in Sexual Partners.,”Journal of Sex Education and Therapy14 (1988): 8-12; J.Badger, “Circumcision. What You Think,”Australian Forum2, no. 11 (1989): 10-29; J.Badger, “The Great Circumcision Report Part 2,”Australian Forum2, no. 12 (1989): 4-13; R.C.Bailey, R.Muga, R. Poulussen, and H.Abicht, “The Acceptability of Male Circumcision to Reduce HIV Infections in Nyanza Province, Kenya,”AIDS Care14, no. 1 (2002): 27-40; J.R.Cortés-González, J.A.Arratia-Maqueo, R.Martínez-Montelongo, and S.Gómez-Guerra, “[Does Circumcision Affect Male’s Perception of Sexual Satisfaction?]. [Article in Spanish],”Archivos Espanoles Urologia62 (2009): 733-736; Adam & Eve, AdamAndEve.com Asks Women: Do You Prefer a Circumcised or Uncircumcised Penis? available at< http://www.prnewswire.com/news-releases/adamandevecom-asks-women-do-you-prefer-a-circumcised-or-uncircumcised-penis-246386151.html>. Adam & Eve. Hillsborough, North Carolina, USA (2014).
85.
See Laumann et al., supra note 76; Kigozi et al., supra note 82; Cortés-González et al, supra note 83; Williamson and Williamson, supra note 84.
86.
S.Collins, J.Upshaw, S.Rutchik, C.Ohannessian, J.Ortenberg, and P.Albertsen, “Effects of Circumcision on Male Sexual Function: Debunking a Myth?”Journal of Urology167, no. 5 (2002): 2111-2112.
87.
M.P.Kafka, “The DSM diagnostic criteria for paraphilia not otherwise specified,”Archives of Sexual Behavior39, no. 2 (2010): 373-376.
88.
American Psychiatric Association. “Diagnostic & Statistical Manual 5th Revision (DSM-5), available at <http://www.dsm5.org/Pages/Default.aspx> (2013) (last accessed Jul 30, 2016).
89.
P.C.Mohl, R.Adams, D.M.Grier, and K.A.Sheley, “Prepuce Restoration Seekers: Psychiatric Aspects,”Archives of Sexual Behavior10 (1981): 383-393.
90.
D.Schultheiss, M.C.Truss, C.G.Stief, and U.Jonas, “Uncircumcision: A Historical Review of Preputial Restoration.,”Plastic and Reconstructive Surgery101 (1998): 1990-1998.
91.
M.A.Koyle, A.Barqawi, J.Wild, M.Passamaneck, and P.D.Furness, 3rd, “Pediatric Urinary Tract Infections: The Role of Fluoroquinolones,”Pediatric Infectious Diseases Journal22, no. 12 (2003): 1133-1137; T.To, M.Agha, P.T.Dick, and W.Feldman, “Cohort Study on Circumcision of Newborn Boys and Subsequent Risk of Urinary Tract Infection,”Lancet352 (1998): 1813-1816.
92.
C.H.Chon, F.C.Lai, and L.M.Shortliffe, “Pediatric Uri-nary Tract Infections,”Pediatric Clinics of North America48 (2001): 1441-1459.
93.
H.G.Rushton, and M.Majd, “Pyelonephritis in Male Infants: How Important is the Foreskin?,”Journal of Urology148 (1992): 733-736; T.L.Stull, and J.J.LiPuma, “Epidemiology and Natural History of Urinary Tract Infections in Children.”Medical Clinics of North America75 (1991): 287-297.
94.
P.Sureshkumar, M.Jones, R.G.Cumming, and J.C.Craig, “Risk Factors for Urinary Tract Infection in Children: A Population-Based Study of 2856 Children,”Journal of Paediatrics and Child Health45 (2009): 87-97.
95.
B.J.Morris, and T.E.Wiswell, “Circumcision and Lifetime Risk of Urinary Tract Infection: A Systematic Review and Meta-Analysis,”Journal of Urology189, no. 6 (2013): 2118-2124.
96.
See El Bcheraoui et al., supra note 42.
97.
J.B.Chessare, “Circumcision: Is the Risk of Urinary Tract Infection Really the Pivotal Issue?”Clinical Pediatrics (Philadelphia). 31, no. 2 (1992): 100-104.
98.
See Frisch et al., supra note 57.
99.
V.A.Jagannath, Z.Fedorowicz, V.Sud, A.K.Verma, and S.Hajebrahimi, “Routine Neonatal Circumcision for the Prevention of Urinary Tract Infections in Infancy,”Cochrane Database Systematic Reviews11 (2012): CD009129.
100.
A.Nayir, “Circumcision for the Prevention of Significant Bacteriuria in Boys,”Pediatric Nephrology16 (2001): 1129-1134.
101.
B.J.Morris and A.A.Tobian, “Legal Threat to Infant Male Circumcision,”JAMA Pediatrics167, no. 10 (2013): 890-891.
102.
A.Bryce, A.D.Hay, I.F.Lane, H.V.Thornton, M.Wootton, and C.Costelloe, “Global Prevalence of Antibiotic Resistance in Paediatric Urinary Tract Infections Caused by Escherichia coli and Association with Routine Use of Antibiotics in Primary Care: Systematic Review and Meta-Analysis,”BMJ352 (2016): i939.
103.
L.J.Anyanwu, E.Kashibu, C.P.Edwin, and A.M.Mohammad, “Microbiology of Smegma in Boys in Kano, Nigeria,”The Journal of Surgical Research173, no. 1 (2012): 21-25.
104.
M.Iwamoto, Y.Mu, R.Lynfield, S.N.Bulens, J.Nadle, D.Aragon, et al., “Trends in Invasive Methicillin-Resistant Staphylococcus aureus Infections,”Pediatrics132, no. 4 (2013): e817-e824.
105.
D.F.M.Looke, T. ThomasGottlieb, C.A.Jones, and D.L.Paterson, “Gram-Negative Resistance: Can We Combat the Coming of a New ‘Red Plague’?”Medical Journal of Australia198 (2013): 243-244.
106.
A.Pallett and K.Hand, “Complicated Urinary Tract Infection: Practical Solutions for the Treatment of Multiresistant Gram-Negative Bacteria,”The Journal of Antimicrobial Chemotherapy65, Supplement 3 (2010): iii25-iii33.
107.
M.Arshad, and P.C.Seed, “Urinary Tract Infections in the Infant,”Clinics in Perinatology42, no. 1 (2015): 17-28, vii.
108.
D.Prais, R.Shoov-Furman, and J.Amir, “Is Ritual Circumcision a Risk Factor for Neonatal Urinary Tract Infections?”Archives of Diseases in Childhood94 (2009): 191-194.
109.
O.Toker, S.Schwartz, G.Segal, N.Godovitch, Y.Schlesinger, and D.Raveh, “A Costly Covenant: Ritual Circumcision and Urinary Tract Infection,”Israel Medical Association Journal12, no. 5 (2010): 262-265.
110.
D.A.Christakis, E.Harvey, D.M.Zerr, C.Feudtner, J.A.Wright, and F.A.Connell, “A Trade-off Analysis of Routine Newborn Circumcision,”Pediatrics105 (2000): 246-249.
111.
National Weather Service, National Oceanic and Atmospheric Administration, US Department of Commerce, “ How dangerous is lightening?”available at <http://www.lightningsafety.noaa.gov/odds.shtml> (last visited November 27, 2017).
112.
R.S.Malek, J.R.Goellner, T.F.Smith, M.J.Espy, and M.R.Cupp, “Human Papillomavirus Infection and Intraepithelial, In Situ, and Invasive Carcinoma of Penis,”Urology42, no. 2 (1993): 159-170; E.J.Schoen, “The Relationship Between Circumcision and Cancer of the Penis,”CA: A Cancer Journal for Clinicians41 (1991): 306-309; E.J.Schoen, “Neonatal Circumcision and Penile Cancer. Evidence That Circumcision is Protective is Overwhelming,”BMJ46 (1996): 313; E.J.Schoen, M.Oehrli, C.J.Colby, and G.Machin, “The Highly Protective Effect of Newborn Circumcision Against Invasive Penile Cancer,”Pediatrics105, article e36 (2000): 1-4; N.L.Larke, S.L.Thomas, I.Dos Santos Silva, and H.A.Weiss, “Male Circumcision and Penile Cancer: A Systematic Review and Meta-Analysis,”Cancer Causes Control22 (2011): 1097-1110; J.R.Daling, M.M.Madeleine, L.G.Johnson, S.M.Schwartz, K.A.Shera, L.A.Wurscher, et al., “Penile Cancer: Importance of Circumcision, Human Papillomavirus and Smoking in In Situ and Invasive Disease,”International Journal of Cancer116 (2005): 606-616.
113.
F.X.Bosch, G.Albero, and X.Castellsagué, “Male Circumcision, Human Papillomavirus and Cervical Cancer: From Evidence to Intervention,”Journal of Family Planning and Reproductive Health Care35 (2009): 5-7.
114.
B.J.Morris, R.H.Gray, X.Castellsague, F.X.Bosch, D.T.Halperin, J.H.Waskett, et al., “The Strong Protection Afforded by Circumcision Against Cancer of the Penis,”Advances in Urology Article ID 812368 (2011): 1-21.
115.
See Moses et al., supra note 17.
116.
H.F.Tsen, H.Morgenstern, T.Mack, and R.K.Peters, “Risk Factors for Penile Cancer: Results of a Population-Based Case-Control Study in Los Angeles County (United States),”Cancer Causes & Control12 (2001): 267-277.
117.
G.Micali, M.R.Nasca, D.Innocenzi, and R.A.Schwartz, “Penile Cancer,”Journal of the American Academy of Dermatology54 (2006): 369-391.
118.
M.Kochen, and S.McCurdy, “Circumcision and Risk of Cancer of the Penis. A Life-Table Analysis,”American Journal of Diseases of Childhood134 (1980): 484-486.
119.
See Schoen et al. (2000), supra note 112.
120.
B.J.Morris, A.Mindel, A.A. R.Tobian, C.A.Hankins, R.H.Gray, R.C.Bailey, et al., “Should Male Circumcision be Advocated for Genital Cancer Prevention?”Asian Pacific Journal of Cancer Prevention13 (2012): 4839-4842; B.J.Morris, and J.H.Waskett, “Circumcision Reduces Prostate Cancer Risk,”Asian Journal of Andrology14 (2012): 661-662; J.L.Wright, D.W.Lin, and J.L.Stanford, “Circumcision and the Risk of Prostate Cancer,”Cancer118 (2012): 4437-4443; A.R.Spence, M.C.Rousseau, P.I.Karakiewicz, and M.E.Parent, “Circumcision and Prostate Cancer: A Population-Based Case-Control Study in Montreal, Canada,”BJU International114, no. 6b (2014): E90-98.
121.
N.Pabalan, E.Singian, H.Jarjanazi, and A.Paganini-Hill, “Association of Male Circumcision with Risk of Prostate Cancer: A Meta-Analysis,”Prostate Cancer and Prostatic Diseases18, no. 4 (2015): 352-357.
122.
M.S.Wachtel, S.Yang, and B.J.Morris, “Countries with High Circumcision Prevalence Have Lower Prostate Cancer Mortality,”Asian Journal of Andrology18 (2016): 39-42.
123.
P.K.Drain, D.T.Halperin, J.P.Hughes, J.D.Klausner, and R.C.Bailey, “Male Circumcision, Religion, and Infectious Diseases: An Ecologic Analysis of 118 Developing Countries,”BMC Infectious Diseases6 (2006): article 172: 171-110.
124.
X.Castellsague, F.X.Bosch, N.Munoz, C.J.Meijer, K.V.Shah, S.de Sanjose, et al., “Male Circumcision, Penile Human Papillomavirus Infection, and Cervical Cancer in Female Partners,”New England Journal of Medicine346, no. 15 (2002): 1105-1112.
125.
M.J.Wawer, A.A. R.Tobian, G.Kigozi, X.Kong, P.E.Gravitt, D.Serwadda, et al., “Effect of Circumcision of HIV-Negative Men on Transmission of Human Papillomavirus to HIV-Negative Women: A Randomised Trial in Rakai, Uganda,”Lancet377 (2011): 209-218.
Morris et al., supra note 4; Morris et al., supra note 51; S.Moses, N.J. D.Nagelkerke, and J.F.Blanchard, “Commentary: Analysis of the Scientific Literature on Male Circumcision and Risk for HIV infection,”International Journal of STDs & AIDS10 (1999): 626-628; N.O’Farrell, and M.Egger, “Circumcision in Men and the Prevention of HIV Infection: a ‘Meta-Analysis’ Revisited,”International Journal of STDs & AIDS11 (2000): 137-142; B.J.Morris, “Boyle and Hill’s Circumcision ‘Phallusies,’”BJU International110 (2012): E153-E154; B.J.Morris, “Scientific Evidence Dispels False Claims About Circumcision,”Canadian Urological Association Journal8, no. 11-12 (2014): 396-397; B.J.Morris, “Commentary on Article by Earp Entitled: Do the Benefits of Male Circumcision Outweigh the Risks? A Critique of the Proposed CDC Guidelines,”Frontiers in Pediatrics3 (2015): 88; B.J.Morris, G.Barboza, R.G.Wamai, and J.N.Krieger, “Circumcision is a Primary Preventive Against HIV Infection: Critique of a Contrary Meta-Regression Analysis by Van Howe,”Global Public Health (2016): 1-11 (Epub ahead of print Apr 4); B.J.Morris, C.A.Hankins, A.A.Tobian, J.N.Krieger, and J.D.Klausner, “Does Male Circumcision Protect Against Sexually Transmitted Infections? Arguments and Meta-Analyses to the Contrary Fail to Withstand Scrutiny,”ISRN Urology2014 (2014): article 684706, 684701-684723; B.J.Morris, A.A. R.Tobian, C.A.Hankins, J.D.Klausner, J.Banerjee, S.A.Bailis, et al., “Veracity and Rhetoric in Pediatric Medicine: A Critique of Svoboda and Van Howe’s Response to the AAP Policy on Infant Male Circumcision,”Journal of Medical Ethics40 (2013): 463-470; B.J.Morris and J.N.Krieger, “The Literature Supports Policies Promoting Neonatal Male Circumcision in North America,”Journal of Sexual Medicine12, no. 5 (2015): 1305; B.J.Morris, J.H.Waskett, R.H.Gray, D.T.Halperin, R.Wamai, B.Auvert, et al., “Exposé of Misleading Claims that Male Circumcision will Increase HIV Infections in Africa,”Journal of Public Health in Africa. 2 e281 (2011): 117-122; R.Wamai, and B.J.Morris, “‘How to Contain Generalized HIV Epidemics’ Article Misconstrues the Evidence,”International Journal of STD & AIDS22 (2011): 415-416; R.G.Wamai, B.J.Morris, R.C.Bailey, J.D.Klausner, and M.N.Boedicker, “Male Circumcision for Protection Against HIV infection in Sub-Saharan Africa: The Evidence in Favour Justifies the Implementation now in Progress,”Global Public Health10, no. 5-6 (2015): 639-666; R.G.Wamai, B.J.Morris, R.C.Bailey, J.D.Klausner, and M.N.Boedicker, “Debating Male Circumcision for HIV Prevention: A One-sided Argument Does not Represent a Legitimate ‘Controversy’ Analysis—Reply to de Camargo et al.,”Global Public Health. 10, no. 5-6 (2015): 672-678; R.G.Wamai, B.J.Morris, J.H.Waskett, E.C.Green, J.Banerjee, R.C.Bailey, et al., “Criticisms of African Trials Fail to Withstand Scrutiny: Male Circumcision does prevent HIV Infection,”Journal of Law & Medicine20, no. 1 (2012): 93-123; R.G.Wamai, H.A.Weiss, C.Hankins, K.Agot, Q.A.Karim, O.Shisana, et al., “Male Circumcision is an Efficacious, Lasting and Cost-effective Strategy for Combating HIV in High-prevalence AIDS Epidemics: Time to Move beyond Debating the Science,”Future HIV Therapy2 (2008): 399-405; J.Banerjee, J.D.Klausner, D.T.Halperin, R.Wamai, E.J.Schoen, S.Moses, et al., “Circumcision Denialism Unfounded and Unscientific [Critique of Green et al., “Male Circumcision and HIV Prevention: Insufficient Evidence and Neglected External Validity”],”American Journal of Preventive Medicine40 (2011): e11-e12; M.J.Bates, J.B.Ziegler, S.E.Kennedy, A.Mindel, A.D.Wodak, L.S.Zoloth, et al., “Recommendation by a Law Body to ban Infant Male Circumcision has Serious Worldwide Implications for Pediatric Practice and Human Rights,”BMC Pediatrics 13 Article 136 (2013): 1-9; B.J.Morris, J.N.Krieger, and J.D.Klausner, “Critical Evaluation of Unscientific Arguments Disparaging Affirmative Infant Male Circumcision Policy,”World Journal of Clinical Pediatrics5, no. 3 (2016): 251-261.
128.
See Morris et al., supra note 51; S.L.Sansom, V.S.Prabhu, A.B.Hutchinson, Q.An, H.I.Hall, R.K.Shrestha, et al., “Cost-Effectiveness of Newborn Circumcision in Reducing Lifetime HIV Risk Among U.S. Males,”PLoS One5 (2010): e8723; L.Warner, K.G.Ghanem, D.R.Newman, M.Macaluso, P.S.Sullivan, and E.J.Erbelding, “Male Circumcision and Risk of HIV Infection Among Heterosexual African American Men Attending Baltimore Sexually Transmitted Disease Clinics,”Journal of Infectious Diseases199 (2009): 59-65; D.Chemtob, E.Op de Coul, A.Van Sighem, Z.Mor, F.Cazein, and C.Semaille, “Impact of Male Circumcision Among Heterosexual HIV Cases: Comparison Between Three Low Prevalence Countries,”Israel Journal of Health Policy Research4, article 36 (2015): 31-38.
129.
See Bates et al., supra note 127.
130.
B.E.Rivin, D.E.Diekema, A.C.Mastroianni, J.N.Krieger, J.D.Klausner, and B.J.Morris, “Critical Evaluation of Adler’s Challenge to the CDC’s Male Circumcision Recommendations,”International Journal of Children’s Rights24 (2016): 265-303.
131.
R.Kelishadi, “To the Readers,”International Journal of Preventive Medicine. 1, no. 1 (2010): I; Johns Hopkins University, “Hippocratic Oath,” Modern version, available at <http://guides.library.jhu.edu/c.php?g=202502&p=1335759)> (last visited November 27, 2017).
132.
B.J.Morris, J.H.Waskett, J.Banerjee, R.G.Wamai, A.A. R.Tobian, R.H.Gray, et al., “A ‘Snip’ in Time: What is the Best Age to Circumcise?”BMC Pediatrics12, article20 (2012): 1-15.
C.E.Introcaso, F.Xu, P.H.Kilmarx, A.Zaidi, and L.E.Markowitz, “Prevalence of Circumcision Among Men and Boys Aged 14 to 59 Years in the United States, National Health and Nutrition Examination Surveys 2005-2010,”Sexually Transmitted Diseases40, no. 7 (2013): 521-525.
136.
See Morris et al. (2016), supra note 127.
137.
See Rivin et al., supra note 130.
138.
J.S.Svoboda. “A Treatise From the Trenches: Why are Circumcision Lawsuits so Hard to Win?” in G.Denniston, etc., ed. Circumcision and Human Rights, (Berlin, Germany: Springer; 2009): 201-217.
Queensland Law Reform Commission (QLRC), Circumcision of Male Infants Research Paper, Brisbane, 1993, available at <http://www.cirp.org/library/legal/QLRC/09.html> (last visited November 27, 2017)
141.
B.Bates, and B.J.Morris, “Legal Arguments Opposing Infant Male Circumcision Are Flawed,”Internal Medicine Journal42 (2012): 1281-1282.
J.S.Svoboda, and R.S.Van Howe, “Out of step: fatal flaws in the latest AAP policy report on neonatal circumcision,”Journal of Medical Ethics39 (2013): 434-441; P.W.Adler, “The Draft CDC Circumcision Recommendations: Medical, Ethical, Legal, and Procedural Concerns,”International Journal of Children’s Rights24 (2016): 237-262.
145.
See Morris et al. (2013), supra note 127; Rivin et al., supra note 130.
DeutscherBundestag, “ Drucksache 17/11295. Gesetzentwurf der Bundesregierung. Entwurf eines Gesetzes über den Umfang der Personensorge bei einer Beschneidung des männlichen Kindes,”available at <http://dipbt.bundestag.de/dip21/btd/17/112/1711295.pdf> (last visited November 27, 2017). The right of parents to consent to a medically not indicated circumcision of a minor who cannot consent himself has been inserted into the family law section of the German Civil Code, § 1631d. (2012) (last visited November 27, 2017); DW news-service, Circumcision Remains Legal in Germany, available at <http://www.dw.de/circumcision-remains-legal-in-germany/a-16399336> (last visited November 27, 2017).; M.Chambers, “Circumcision Ban Overturned in Germany,”Germany, available at <http://www.theglobeandmail.com/news/world/circumcision-ban-overturned-in-germany/article6288050/> (last visited November 27, 2017).
148.
N.Stafford, “German Ethics Council Backs Religious Circumcision if Specific Conditions Met,”BMJ345 (2012): e5789.
149.
See Bates et al. (2013), supra note 127; Rivin et al., supra note 130; A.J.Jacobs, “The Ethics of Circumcision of Male Infants,”Israel Medical Association Journal15 (2013): 60-65.
150.
United Nations Human Rights Office of the High Commissioner for Human Rights, Convention on the Rights of the Child. 44/25 20 November 1989, available at <http://www.ohchr.org/en/professionalinterest/pages/crc.aspx> (last visited November 27, 2017).
151.
See Bates et al.; Rivin et al.; Jacobs et al., supra note 149.
152.
Cornell University Law School, Legal Information Institute, “18 U.S. Code 116 — Female Genital Mutilation, available at <https://www.law.cornell.edu/uscode/text/18/116> (last visited November 27, 2017).
153.
See Rivin et al., supra note 130.
154.
See Morris and Tobian, supra note 101; Rivin et al., supra note 130.
155.
See Jacobs, supra note 149; D.Benatar, and M.Benatar, “How Not to Argue About Circumcision,”American Journal of Bioethics3 (2003): W1-W9; P.A.Clark, J.Eisenman, and S.Szapor, “Mandatory Neonatal Male Circumcision in Sub-Saharan Africa: Medical and Ethical Analysis,”Medical Science Monitor13, no. 12 (2007): RA205-213; D.Benatar, “Evaluations of Circumcision Should be Circumscribed by the Evidence,”Journal of Medical Ethics. 39, no. 7 (2013): 431-432; J.Mazor, “The Child’s Interests and the Case for the Permissibility of Male Infant Circumcision,”Journal of Medical Ethics39 (2013): 421-428; A.J.Jacobs, and K.S.Arora, “Ritual Male Infant Circumcision and Human Rights,”American Journal of Bioethics15, no. 2 (2015): 30-39; J.C.Bester, “Ritual Male Infant Circumcision: The Consequences and the Principles Say Yes,”American Journal of Bioethics15, no. 2 (2015): 56-58.
156.
M.Brusa, and Y.M.Barilan, “Cultural Circumcision in EU Public Hospitals — An Ethical Discussion,”Bioethics23, no. 8 (2009): 470-482.
157.
Royal Courts of Justice, Sir James Mumby, “In the matter of B and G (Children) (No 2), Neutral Citation number: [2015] EWFC 3, Case Number LJ13C00295, 14 January 2015, available at <https://www.judiciary.gov.uk/wp-content/uploads/2015/01/BandG_2_.pdf> (last visited November 27, 2017).
158.
High Court of Justice, Family Division, “Re L and B (children), Neutral Citation Number: [2016] EWHC 849 (Fam), 5 April 2016, Mrs Justice Roberts, available at <http://www.bailii.org/ew/cases/EWHC/Fam/2016/849.html> (last visited November 27, 2017)
159.
See U.N. CRC, supra note 150.
160.
D.P.Fidler, “Challenging the Classical Concept of Custom: Perspectives on the Future of Customary International Law,”German Lawbook of International Law39 (1996): 198; J.L.Goldsmith, and E.A.Posner, “A Theory of Customary International Law,”University of Chicago Law Review66 (1999): 1113; M.A.Chinen, “Game Theory and Customary International Law: A Response to Professors Goldsmith and Posner,”Michigan Journal of International Law23 (2001): 143, 178; J.L.Goldsmith, and E.A.Posner, “Understanding the Resemblance Between Modem and Traditional Customary International Law,”Virginia Journal of International Law40 (2000): 639-640; P.Kelly, “The Twilight of Customary International Law 40,”Virginia Journal of International Law40 (2000): 449-450; A.Y.Guzman, “Saving Customary International Law,”Michigan Journal of International Law115 (2005-2006): 27; E.Kadens and E.A.Young, “How Customary is customary International Law?”William & Mary Law Review54 (2012-2013): 885.
United Nations, Human Rights, Office of the High Commissioner, Human Rights Committee, “Monitoring Civil and Political Rights., available at <http://www.ohchr.org/EN/HRBodies/CCPR/Pages/CCPRIndex.aspx> (last visited November 27, 2017).
See Introcaso et al., supra note 135; Centers for Disease Control and Prevention, “Trends in In-Hospital Newborn Male Circumcision — United States, 1999-2010”Morbidity and Mortality Weekly Report (MMWR)60 (2011): 1167-1168.
M.C.Alanis, and R.S.Lucidi, “Neonatal Circumcision: A Review of the World’s Oldest and Most Controversial Operation,”Obstetrical and Gynecological Survey59 (2004): 379-395.
M.R.Giannetti, “Circumcision and the American Academy of Pediatrics: Should Scientific Misconduct Result in Trade Association Liability,”Iowa Law Review85, no. 4 (2000): 1507-1568.
176.
B.J.Morris, S.A.Bailis, and T.E.Wiswell, “Circumcision Rates in the United States: Rising or Falling? What Effect Might the New Affirmative Pediatric Policy Statement Have?”Mayo Clinic Proceedings89, no. 5 (2014): 677-686.
177.
See Cox et al., supra note 8; Morris and Krieger, supra note 9; Shabanzadeh et al., supra note 9; Tian et al., supra note 9; Homfray et al., supra note 9.
178.
See Cox et al., supra note 8.
179.
See Kafka et al., supra note 87; American Psychiatric Association, supra note 88.
180.
See Mohl et al., supra note 89.
181.
See El Bcheraoui et al., supra note 42.
182.
A.A.Leibowitz, K.Desmond, and T.Belin, “Determinants and Policy Implications of Male Circumcision in the United States.,”American Journal of Public Health99, no. 1 (2009): 138-145.
183.
B.J.Morris, S.A.Bailis, J.H.Waskett, T.E.Wiswell, and D.T.Halperin, “Medicaid Coverage of Newborn Circumcision: A Health Parity Right of the Poor,”American Journal of Public Health99 (2009): 969-971.
184.
L.G.Gutwein, J.F.Alvarez, J.L.Gutwein, D.W.Kays, and S.Islam, “Allocation of Healthcare Dollars: Analysis of Non-neonatal Circumcisions in Florida,”The American Surgeon79, no. 9 (2013): 865-869.
