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Comment & Response
December 24/31, 2014

Voluntary Medical Male Circumcision in Kenya—Reply

Author Affiliations
  • 1Department of Health Policy and Management, Gillings School of Global Public Health, University of North Carolina, Chapel Hill
  • 2Impact Research and Development Organization, Kisumu, Kenya
JAMA. 2014;312(24):2687. doi:10.1001/jama.2014.15024

In Reply Dr Carmack’s claim is at odds with results of numerous observational studies, meta-analyses, and 3 randomized controlled trials of medical male circumcision in Kenya, South Africa, and Uganda.13 The trials found relative risk ratios of HIV infection that were between 0.40 and 0.49 at 18 to 24 months following circumcision, or a reduction in the risk of HIV acquisition by 50% to 60%.

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