tag:blogger.com,1999:blog-8229878121183426722.post4939967890449329099..comments2023-10-08T12:27:04.050+03:00Comments on HIV in Kenya: Circumcision: Non-Paternalistic Public Health is Possible in Africa, Isn't It?Simonhttp://www.blogger.com/profile/13522180315970081603noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-8229878121183426722.post-15256749360825744122012-02-25T13:19:41.541+03:002012-02-25T13:19:41.541+03:00Simon,
My name is Robert O'Hara and I am the ...Simon,<br /><br />My name is Robert O'Hara and I am the news director for A Voice for Men, a website that deals with men's rights and male issues. Recently I published a couple of articles concerning the drive to circumcise 28 million men in Southern Africa over the next four years. <br />I am very interested in gaining a contact with someone who is familiar with the program who is living in Africa and has first hand knowledge of what is going on. <br />Please email me at vfm_news@yahoo.com I would really like to get in touch with you!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8229878121183426722.post-10054113615107464872012-02-17T07:25:55.581+03:002012-02-17T07:25:55.581+03:00Petit Poulet: true enough but they have other, far...Petit Poulet: true enough but they have other, far more commercially viable 'solutions' to play with so I don't see why circumcision is still so high up the agenda. There are PrEP and 'treatment as prevention', for example. But perhaps they are not really intended for developing countries, only wealthy Western countries.Simonhttps://www.blogger.com/profile/13522180315970081603noreply@blogger.comtag:blogger.com,1999:blog-8229878121183426722.post-88258448437757925632012-02-16T18:56:02.166+03:002012-02-16T18:56:02.166+03:00The power of money. They could only hold out so lo...The power of money. They could only hold out so long. The HIV industry knows they have to implement circumcision as quickly as possible before it becomes apparent that it doesn't works and may make things worse. They have had a window of 5 years now, and may feel that they are running out of time.Petit Pouletnoreply@blogger.comtag:blogger.com,1999:blog-8229878121183426722.post-80678783677196192592012-02-14T13:13:19.108+03:002012-02-14T13:13:19.108+03:00Much of what you say may be true, however blood te...Much of what you say may be true, however blood tests are not likely to pose a very high risk of HIV transmission and transfusions are common, but not widespread enough to explain a huge proportion of HIV infections, though bigger than it should. As for the probability figures you cite, they are hotly contested. But whatever figures are correct, probability of infection through certain medical procedures would often be far higher than that through heterosexual sex.<br /><br />The correlations between malaria and HIV are only partial: the area in Northeastern province in the malaria map is not a high HIV prevalence area. On the contrary, that province has the lowest prevalence in the country. The area in Western province, especially the very high malaria prevalence area, also does not correspond to especially high HIV prevalence. Nairobi, which has the second highest HIV prevalence by province, has very low malaria prevalence (though the highest level of bednet ownership in the country). And while Coastal province, especially Mombasa, has high HIV prevalence, the area on the border between Coastal and Eastern province, as far as I know, is not a high HIV prevalence area.<br /><br />I think the claim is that malaria (and other diseases) facilitates sexual HIV transmission; but this doesn't explain high prevalence of HIV in low malaria prevalence areas. I don't think those currently writing about malaria and HIV are paying too much attention to the possible role of malaria treatment in HIV transmission; personally, I am interested in both.Simonhttps://www.blogger.com/profile/13522180315970081603noreply@blogger.comtag:blogger.com,1999:blog-8229878121183426722.post-44600160746205802112012-02-14T13:06:54.268+03:002012-02-14T13:06:54.268+03:00Anonymous writes:
If you get malaria, you'll...Anonymous writes:<br /><br /><br />If you get malaria, you'll need a blood test and possibly blood transfusion. If this happens at an unsanitary health care facility, then you're 1,800 times more likely to get HIV than a man having unprotected vaginal sex with a HIV+ woman.<br /><br />http://en.wikipedia.org/wiki/HIV#Transmission<br /><br />Am I correct?<br /><br />Malaria-endemic parts of Kenya have a high HIV prevalence rate.<br /><br />Malaria prevalence map<br /><br />http://kenya.usaid.gov/programs/health/72<br /><br />HIV prevalence map<br /><br />http://www.hivspatialdata.net/?page=comments&blogid=8Simonhttps://www.blogger.com/profile/13522180315970081603noreply@blogger.comtag:blogger.com,1999:blog-8229878121183426722.post-53950761158267098282012-02-14T12:36:41.982+03:002012-02-14T12:36:41.982+03:00If you get malaria, you'll need a blood test a...If you get malaria, you'll need a blood test and possibly blood transfusion. If this happens at an unsanitary health care facility, then you're 1,800 times more likely to get HIV than a man having unprotected vaginal sex with a HIV+ woman.<br /><br />http://en.wikipedia.org/wiki/HIV#Transmission<br /><br />Am I correct?<br /><br />Malaria-endemic parts of Kenya have a high HIV prevalence rate.<br /><br />Malaria prevalence map<br /><br />http://kenya.usaid.gov/programs/health/72<br /><br />HIV prevalence map<br /><br />http://www.hivspatialdata.net/?page=comments&blogid=8Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8229878121183426722.post-85369624997195479272012-02-13T14:58:28.823+03:002012-02-13T14:58:28.823+03:00Not all uncircumcised men live in malaria areas, n...Not all uncircumcised men live in malaria areas, nor do all circumcised men live in non-malaria areas. What you say is possible, or malaria plays a part in both sexual and non-sexual transmission.<br /><br />Here's a paper where the assumption that HIV is mainly sexually transmitted but the risk is increased by malaria:<br /><br />http://www.ncbi.nlm.nih.gov/pubmed/21224274<br /><br />Other research shows that malaria has declined substantially in several countries because the malaria carrying mosquitoes have been dying out. Kenya is one of the countries but the health services there insist it's because of their eradication programs!<br /><br />They also insisted that drops in HIV prevalence in the early 2000s were a result of their prevention programs with hadn't really started then and wouldn't have reduced prevalence anyway, the most they would have done was reduce incidence, had they started on time and been widespread enough.Simonhttps://www.blogger.com/profile/13522180315970081603noreply@blogger.comtag:blogger.com,1999:blog-8229878121183426722.post-49233752257417338442012-02-13T14:52:11.143+03:002012-02-13T14:52:11.143+03:00This comment has been removed by the author.Simonhttps://www.blogger.com/profile/13522180315970081603noreply@blogger.comtag:blogger.com,1999:blog-8229878121183426722.post-84386604177622677232012-02-13T14:38:07.844+03:002012-02-13T14:38:07.844+03:00*more likely ...*more likely ...Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-8229878121183426722.post-19497279168262326572012-02-13T14:26:52.813+03:002012-02-13T14:26:52.813+03:00Could the reason why uncircumcised men in Kenya ha...Could the reason why uncircumcised men in Kenya have a much higher HIV prevalence rate than circumcised men be because uncircumcised men mostly live in malaria-endemic areas and are therefore more like to get malaria and seek treatment at an unsanitary health facility?Anonymousnoreply@blogger.com