Intended for healthcare professionals

Feature Competing Interests

Centers for Disease Control and Prevention: protecting the private good?

BMJ 2015; 350 doi: (Published 15 May 2015) Cite this as: BMJ 2015;350:h2362

Re: Centers for Disease Control and Prevention: protecting the private good?

This information is very telling and raises concerns over the recently published CDC Recommendations for Routine Infant Circumcision and suggestions by physicians to boys and men for later life circumcision to prevent HIV/AIDS. These recommendations fly in the face of the scientific evidence they themselves submitted to justify them. The studies relate to the also spurious studies justifying the campaign to circumcise African men for that purpose.

It is apparent that strong pressure from the American Academy of Pediatrics is behind their recommendations, as they mimic the AAP's own 2012 reversal of their prior policy statement that RIC was not recommended. It is also apparently the case that these reversals follow a drastic drop in RIC in the USA, with significant economic impact on doctors and hospitals, as well as industries that supply the surgical equipment for this medically unnecessary procedure on healthy genital tissue of minors, the most commonly performed surgery in the U.S.

This bears further investigation as to the financial and lobbying dynamics behind these policies and recommendations.

I know for one, I no longer have confidence in the positions and recommendations of the CDC.


David J. Biviano, Ph.D.

Competing interests: No competing interests

02 June 2015
David J Biviano
1810 S. Koren, Spokane Valley, WA 99212