eLetters

20 e-Letters

published between 2000 and 2003

  • HIV and Circumcision: New Factors to Consider
    George Hill

    Dear Editor

    Kebaabetswe et al0. obviously believe the conventional wisdom that heterosexual sex is the major vector for the transmission/reception of human immunodeficiency virus (HIV), and that male circumcision is an effective deterrent to infection.[1]> Based on that belief, they have constructed an elaborate and impressive study of the acceptability of circumcision as a prophylactic measure in Botswana. Fu...

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  • Issues associated with the introduction of circumcision into a non-circumcising society
    Gregory J. Boyle

    Dear Editor

    A team lead by Kebaabetswe propose the introduction of infant circumcision in Botwana, based on:

    1. a survey of its acceptability to Batswana,
    2. its practice in certain Western nations, and
    3. its alleged value in preventing HIV infection.[1]

    There are several medical, psychological, sexual, social, ethical, and legal problems with this pro...

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  • Male circumcision as prophylaxis
    Dennis C Harrison

    Dear Editor

    As a strategy for preventing sexually transmitted infections, surgical reduction of genital tissue has its drawbacks. Taylor et al. found that circumcision removes "an important component of the overall sensory mechanism of the human penis" [1] Winkelmann described the prepuce as a "specific erogenous zone".[2] Fink et al. found a statistically significant decrease in penile sensation following...

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  • Medicine in the real world
    C. Mary Sloper

    Dear Editor

    Thank you for your refreshing piece of research into health care in the real world.

    In 1980 I worked in a deprived area in Kingston, Jamaica on an USAID funded "Adolescent Fertility Project". I treated only young women, many of whom had cervicitis or PID. I always felt that the more valuable part of my work was education. When the women returned to say that their boyfriends had insisted on seve...

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  • Reasons for the nation's failing sexual health
    Trevor G Stammers

    Dear Editor

    In 1997, Professor Adler’s stark assessment of the deterioration of sexual health of the UK [1] laid the blame for it on presumably highly influential (though unnamed) groups attempting "to withhold information on the basis of a particular agenda of family values and morality.[2] At least his 2003 editorial,[2] charting more recent decline on every parameter examined, does not repeat this former unre...

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  • Sexual Health – Health of the Nation
    Ted Hiscock

    Dear Editor

    I am sure it is not pure co-incidence that the editorial 'Sexual Health-Health of the Nation' appears in the same issue as a paper emphasising the missed opportunity of treating sexually transmitted infections in primary care and like Michael Adler, I feel melancholic about the future of the sexual health of our nation. As a GP/Hospital Practitioner in GU Medicine for thirty years, I fail to comprehe...

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  • Sexual dysfunction- the new but successful Cinderella
    David Goldmeier
    Dear Editor

    Michael Adler’s editorial on sexual health - health of the nation - makes pessimistic reading. While it is apparent that the rate of STIs and unwanted pregnancy has increased in the UK over the last 10 years, he fails to mention what has happened to sexual dysfunction (SD) over that period of time. The National Strategy for Sexual Health and HIV document mentions SD a number of times [1]. SD is indeed part of sex...

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  • A new survey to monitor hepatitis B vaccination uptake by men who have sex with men: HepB3.
    Helen L Munro

    Dear Editor

    Despite the long-standing recommendation to vaccinate men who have sex with men (MSM) attending genitourinary medicine (GUM) clinics,[1] coverage of vaccination in this group has been difficult to achieve.[2,3] In a study of GUM attendees, post infection immunity (anti-HBs prevalence) was found to be 31% in homosexual men and vaccine coverage to be 40% in London and only 24% outside London.[4] Yee and Rhodes...

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  • Grading of Gram-stained vaginal smears, Whats new?
    Anona L Blackwell

    Dear Editor

    I read Ison and Hay’s paper concerning validation of grading of vaginal smears with great interest but am concerned there was no mention of earlier work which closely resembles their new grading system.[1]

    The examination of stained specimens of vaginal secretions for diagnosis, research and classification of vaginal pathology has a long and sometimes confusing history. Medline searches date from...

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  • Contact slips when it might be chlamydia
    Peter G Watson

    Dear Editor

    This has been an interesting study of releasing information about the reason for encouraging partner notification. I wonder whether it is possible to have some information about what happened in practice. Presumably, there were some male patients, who had non-gonococcal urethritis diagnosed on their first visit, and, at that time, it was not known whether Chlamydia trachomatis was the cause....

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