Wednesday, August 22, 2012

Two Cicumcision News Stories

1.

After a Cologne court ruled that circumcision was illegal, there were those who argued that the decision would not impact Jewish life in Germany. We were cautioned not to jump to conclusions since it was just one court, whose jurisdiction was limited. The reaction of Germany’s political leadership, particularly Chancellor Angela Merkel, was exemplary as the parliament voted to take up a bill legalizing the ritual in the fall. But, as today’s news reveals, the optimists did not count on the willingness of many Germans to support the court.

As the Times of Israel reports, criminal charges have been filed against a rabbi in Northern Bavaria for performing circumcisions. According to the Juedische Allgemeine, a Jewish weekly, the state prosecutor of Hof confirmed that charges had been filed against Rabbi David Goldberg, who serves the community of Upper Franconia for “harming” infants by performing the rite of brit milah, the covenantal ritual at the heart of Judaism. A Hessian doctor that cited the Cologne court’s ruling brought the charges against the rabbi. While the rabbi has not yet been tried, let alone convicted, the spectacle of German courts prosecuting a Jew for practicing Judaism doesn’t just awaken echoes of the Holocaust. It also sounds a warning that the rising tide of anti-Semitism in Western Europe is not a passing phase...



2.

Declining rates of circumcision among infants will translate into billions of dollars of unnecessary medical costs in the U.S. as these boys grow up and become sexually active men, researchers at Johns Hopkins University warned...a team of economists and epidemiologists estimated that every circumcision not performed would lead to significant increases in lifetime medical expenses to treat sexually transmitted diseases and related cancers — increases that far surpass the costs associated with the procedure...in the last decade, studies have increasingly shown that removing the foreskin of the penis has significant health benefits, said Dr. Aaron Tobian, senior author of the new study.

...Circumcision is believed to prevent STDs by depriving pathogens of a moist environment where they can thrive. The inner foreskin has been shown to be highly susceptible to HIV in particular because it contains large numbers of Langerhans cells, a target for the virus.

...If circumcision rates were to fall to 10% — which is typical in countries where insurance does not cover the procedure — lifetime health costs for all the babies born in a year would go up by $505 million. That works out to $313 in added costs for every circumcision that doesn't happen, the report said.
In this scenario, nearly 80% of the additional projected costs were because of medical care associated with HIV infection in men, the team wrote...The analysis comes a week before the American Academy of Pediatrics is scheduled to release a new policy on circumcision. Since 1999, the doctors group has taken a neutral stance on the procedure, saying that "the scientific evidence demonstrates potential medical benefits" but that it's not strong enough to say that circumcision should be routine...A shift in position could boost support for circumcision, since both pediatricians and parents look to the academy for guidance, Leibowitz said.

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