chlamydia transmission The American Academy of Pediatrics has shifted its stance on infant male circumcision, announcing on Monday that new research, including studies in Africa suggesting that the procedure may protect heterosexual men against H.I.V., indicated that the health benefits outweighed the risks.
But the academy stopped short of recommending routine circumcision for all baby boys, saying the decision remains a family matter. The academy had previously taken a neutral position on circumcision.
The new policy statement, the first update of the academy's circumcision policy in over a decade, appears in the Aug. 27 issue of the journal Pediatrics. The group's guidelines greatly influence pediatric care and decisions about coverage by insurers; in the new statement, the academy also said that circumcision should be covered by insurance.
The long-delayed policy update comes as sentiment against circumcision is gaining strength in the United States and parts of Europe. Circumcision rates in the United States declined to 54.5 percent in 2009 from 62.7 percent in 1999, according to one federal estimate. Critics succeeded last year in placing a circumcision ban on the ballot in San Francisco, but a judge ruled against including the measure.
In Europe, a government ethics committee in Germany last week overruled a court decision that removing a child's foreskin was "grievous bodily harm" and therefore illegal. The country's Professional Association of Pediatricians called the ethics committee ruling "a scandal."
A provincial official in Austria has told state-run hospitals in the region to stop performing circumcisions, and the Danish authorities have commissioned a report to investigate whether medical doctors are present during religious circumcision rituals as required.
Officials with the Centers for Disease Control and Prevention in Atlanta, which for several years have been pondering circumcision recommendations of their own, have yet to weigh in and declined to comment on the academy’s new stance. Medicaid programs in several states have stopped paying for the routine circumcision of infants.
"We're not pushing everybody to circumcise their babies," Dr. Douglas S. Diekema, a member of the academy’s task force on circumcision and an author of the new policy, said in an interview. "This is not really pro-circumcision. It falls in the middle. It’s pro-choice, for lack of a better word. Really, what we’re saying is, 'This ought to be a choice that's available to parents.' ”
But opponents of circumcision say no one — not even a well-meaning parent — has the right to make the decision to remove a healthy body part from another person.
chlamydia transmission While new cases of HIV have continued to decline, other documented instances of sexually transmitted diseases are on a continuous multi-year rise in San Francisco and across California.
Some local clinics are attempting to combat the spike with additional testing methods for syphilis, gonorrhea and chlamydia that involve checks of the throat and rectum — steps not currently endorsed as essential by the U.S. Food and Drug Administration.
In an effort set to launch next month, The City’s Magnet Clinic is using a public grant to sign up and notify high-risk individuals that it’s time for their regular checkups. And to underscore the importance of paying attention to a serious issue, the “pilot” messages will go beyond dry medical terminology.
“Syphilis, like the ’80s, is back — especially with guys who bareback,” one potential text will read. “Get to Magnet every three months if condoms aren’t your thing.”
Steve Gibson, director of Magnet Clinic, said the edgy reminders are designed to garner more trust and increase visits from gay men, which The City’s Department of Public Health has identified as the highest-risk group for STDs along with adolescent minorities.
“They’re tailored toward gay men,” Gibson said of the new messages. “In order for people to read it, it has to be relevant to them.”
Susan Philip, the health department’s director of STD prevention, said Magnet and others are key partners for combating this year’s rise in infections, which are outpacing 2011’s already troubling total. According to the most recent data in June, 1,278 cases of gonorrhea have been reported so far this year, compared with 1,015 in the same time period of 2011. The figures for chlamydia are similar, with 2,412 cases this year compared with 2,288 last year.
Total syphilis cases, which are broken into four categories, rose by 100 — from 392 to 492 — in the first half of 2012 compared with the same time period in 2011. Of those cases, Philip said, data show 60 percent are seen in HIV-positive gay men, many of whom find each other and have unprotected sex. While the HIV transmission is moot, syphilis often occurs as a result, Philip said.
The local figures are underscored by recently released California Department of Health data that show syphilis cases increased 18 percent statewide, with 80 percent of those impacted being gay men. Philip said more education is in order.
“We’re really trying to have a comprehensive approach to make sure HIV and STDs are seen as a comprehensive unit,” Philip said. “We do have concerns, and we want the rates to go down.”
chlamydia transmission is the most common sexually transmitted disease (STD) in Finland and the number of reported cases is growing by the year.
Experts say the roughly 14,000 new annual infections are mainly contracted inside the country’s borders. Fifteen years ago, new infections numbered around 9,000.
Pekka Ruuska from the infectious disease unit at Kainuu Central Hospital says men are more likely to notice signs of infection than women, who may mistake symptoms for menstruation cramps. In some women chlamydia can cause complications leading to infertility.
In Finland, the STD is most prevalent among 15-24 year-old women and 20-29 year-old men.
Women are twice as often diagnosed with the disease than men.
There are actually many diet plans released right here currently which in turn requires the particular dilemma: You ought to what type is effective? Properly, if you would like save your valuable money, receive simply forty five just a few seconds from the stressful time that will understand this kind of document right here plus read more about the top internet eating habits containing furnished wonderful outcomes pertaining to hundreds of thousands!
Which in turn Eating plans TEND NOT TO Operate?
Newest eating plans plus super star eating plans. Future dilemma.
Severely, these different types of diet plans will be pricey mainly because these people opposed to the 2 incredibly points this make sure quick fat loss.... increasing your current fat burning capacity plus right food intake. Exactly how can be very low calorie, very low fats, plus very low carbohydrate RIGHT food intake?! You would like a lot of fat laden calories each day to stop delaying straight down your current fat burning capacity, you are able to will need a lot of balanced fatty acids each day to aid your current cardiovascular and metabolize fats, and you also absolutely balanced sweets (fiber) through the afternoon pertaining to electricity including a balanced digestion!
Hear, I recognize your current distressed. I will feel anyone gritting your current tooth outside of disappointment when you possess tried using range eating plans previously and so they possess most of hit a brick wall (that's almost certainly las vegas dui attorneys was enthusiastic that will understand this kind of article). Properly Im right here to inform anyone this you will find there's diet regime that can operate for getting anyone quick fat loss. This kind of diet regime could be the calorie changing technique made through the #1 internet diet regime, Fat reduction five idiots.
You'll find an array of eating habits away below these days that encourages this issue: Can you be sure what design functions? Effectively, to save your valuable money, require simply just 1 out of 3 a few moments through your chaotic day time for you to study the following write-up below and also read nore about the very best on the web diet system who has presented remarkable effects to get large numbers!
That Diet plans DON'T Do the job?
Latest diet plans and also star diet plans. Following issue.
Significantly, individuals varieties of eating habits are usually costly for the reason that many people not in favor of both pretty stuff of which assurance speedy slimming.... improving a person's stamina and also suitable eating plan. Precisely how is definitely reduced calorie, reduced excess fat, and also reduced carbo SUITABLE eating plan?! You'll need some unhealthy calories every day to counteract decreasing affordable a person's stamina, you possibly can require some healthy and balanced fat every day to assist a person's cardiovascular system so to metabolize excess fat, also , you undoubtedly healthy and balanced carb supply (fiber) through in a given period to get vigor and also a healthy and balanced gi tract!
Tune in, I'm sure a person's aggravated. I could perception people gritting a person's your teeth beyond discouragement reside have got tested out selection of diet plans in past times and in addition they have got most bad (that's likely dui attorney las vegas have been determined for you to study the following article). Effectively Now i'm below to see people of which the good news is eating routine that could do the job to acquire people speedy slimming. The following eating routine may be the calorie going program developed by #1 on the web eating plan, Weight loss four idiots.