
This is an actual billboard in Mbabane, Swaziland. I don't know who the three guys are, but they are clearly pleased about being circumcised. The photograph was snapped by my good friend Stephen Mostad on a recent trip to the region. Stephen is a journalist and communications consultant who has been doing contract work for the United Nations. In this capacity he has been fortunate to travel to some pretty exotic places, including Angola, Iran, Gambia and the aforementioned Swaziland. Oh, and he's also been to Vancouver.
If you're interested in seeing some truly amazing pictures of his adventures, surf on over to his website.
Finally, as a physician, I would be remiss not to give at least passing mention to the practice of male circumcision. Although it's not within my area of specialty, the procedure itself remains somewhat controversial. There is data to suggest that neonatal circumcision reduces the risk of transmission of ulcerative STD's such as herpes anywhere from 2 - 7 fold. Additionally, there may be a reduced rate of HIV transmissability amongst circumcised males, but the quality and methods of these studies have been questioned. Circumcision may also reduce the rate of urinary tract infections during the first year of life. Having said all of that, there is evidence that many of the potential risks may be mitigated by good hygeine, and that transmission of STD's has substantially more to do with sexual habits than with circumcision. As a result, there is little in the way of compelling evidence either way. The Canadian Pediatric Society echoes this in its position statement: "The overall evidence of the benefits and harms of circumcision is so evenly balanced that it does not support recommending circumcision as a routine procedure for newborns". If you are an expectant mother (or just a curious guy) and have further questions, you should consult your local family physician or pediatrician.




