Presidential Advisory Council on HIV/AIDS Prevention Subcommittee
International Subcommittee Motion Resolution #4:
Presidential Advisory Council on HIV/AIDS (PACHA)
Thirty-second Council Meeting
Hubert Humphrey Building
200 Independence Avenue, S.W.
Washington, DC 20201
International Subcommittee Meeting
February 28, 2007, 12:00 noon – 1:30 p.m.
Subcommittee Members Present
Robert Redfield, M.D., Subcommittee Chair
Robert Bollinger, M.D., M.P.H.
Edward Green, Ph.D.
Franklyn Judson, M.D., M.P.H.
Robert Kabel, M.D.
Ram Yogev, M.D.
Subcommittee Member Absent
Rev. Herbert Lusk
The Subcommittee held an extensive discussion on the President’s Emergency Plan for AIDS Relief (PEPFAR).
The Subcommittee discussed presenting a resolution to the full Council on the value of recommending circumcision for heterosexual HIV-negative men. Subcommittee members discussed how circumcision would be practiced in locations such as rural Africa, where it would be difficult to monitor supervision and infection control practices.
Subcommittee members questioned whether the Council should consider a single resolution that would recommend circumcision for heterosexual HIV-negative men throughout the world. Members agreed that separate resolutions for domestic and international settings comprised the most logical approach to the issue.
The resolution was offered by the International Subcommittee and passed by unanimous consent of the Council.
INTERNATIONAL RESOLUTION ON MALE CIRCUMCISION
WHEREAS prevention of new HIV infection remains a critical component of global HIV care, treatment, and prevention efforts; and
WHEREAS evidence-based data should drive support for intervention efforts; and
WHEREAS male circumcision of men not infected with HIV has been associated with a significantly lower risk for HIV infection in international observational studies and in three recently completed randomized, controlled clinical trials , , ; and
WHEREAS the impact of male circumcision of HIV-positive men on transmission of HIV infection to their sexual partners remains uncertain; and
WHEREAS circumcision, given appropriate training and appropriate medical equipment and facilities, is a safe procedure;
BE IT RESOLVED that the Presidential Advisory Council on HIV/AIDS (PACHA) recommends that circumcision of adult heterosexual HIV-negative men be supported in settings where the procedure can be performed safely and where the regional epidemiology supports favorable risks, costs, and overall benefits.
BE IT FURTHER RESOLVED that the PACHA also recommends that the President’s Emergency Plan for AIDS Relief and other U.S.-supported global HIV prevention programs include circumcision for HIV-negative heterosexual males as a component of a broader comprehensive HIV prevention program.
Passed by unanimous consent. February 28, 2007.
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