A major
doctors association in Denmark has recommended ending circumcisions for boys,
saying the procedure should be “an informed personal choice” that young men
make for themselves when they reach adulthood.But the
Danish Medical Association stopped short of calling for a legal ban, saying it
would be difficult to predict the consequences.
“This area
is ethically, culturally and religiously complex, and we worry whether a legal
ban might result in unauthorized circumcisions,” said Lisa Moller, the president
of the association’s ethics committee, which released the new policy statement
last week. “Therefore, we have decided not to take a position on whether male
circumcision should be banned by law.”
The largely
symbolic recommendation, which Ms. Moller said was “intended as a statement of
medical ethics,” says that because circumcision alters a child’s body
permanently and involves “pain and discomfort,” it is ethically unacceptable to
perform one unless the person can provide informed consent.Ms. Moller
said in an email on Thursday that more than 300 of the association’s members
had signed an open letter urging the group “to be more visibly critical towards
the practice of ritual circumcision.”In drafting
the policy, she said, the committee consulted experts on ethics and law from
the University of Copenhagen, as well as “a substantial white paper on ritual
male circumcision authored by the Jewish community in Denmark.” A “bilateral
meeting” with representatives of the Jewish community was scheduled, she said,
but ultimately canceled. The Local, an English-language news site in Denmark,
citing the Danish Health and Medicines Authority, in 2014 said that
approximately 1,000 to 2,000 circumcisions are performed annually, mostly among
the country’s Muslim and Jewish populations.In Denmark,
physicians perform circumcisions, although a “competent assistant,” may do so
with a doctor present, Ms. Moller said.
In recent
years, Danes in public surveys have opposed circumcisions as standard practice.
One poll in 2014 found that nearly three-fourths of the population favored
banning the practice.
According to
a 2007 World Health Organization report, approximately 30 percent of men
globally have been circumcised.The rates in
the United States have fluctuated through the years as advice from medical
associations has changed. Statistics from the past decade suggest a sharp
decline.
The American
Academy of Pediatrics in 2012 said the benefits of circumcising boys outweighed
the risks. That decision replaced an earlier, neutral position on the
procedure, but it also stopped short of recommending circumcision routinely for
all baby boys.
In 2014, the
Centers for Disease Control and Prevention agreed with the academy, citing a decreased
risk of some sexually transmitted infections.
Critics of
the procedure, however, say that it is rarely medically necessary, that
surgical complications can permanently harm boys, and that it can lead to
decreased sensitivity.
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