Showing posts with label Danish Medical Association. Show all posts
Showing posts with label Danish Medical Association. Show all posts

Monday, January 23, 2017

COPENHAGEN: Danish doctors come out against infant male genital cutting

The Local (Denmark)
December 5, 2016

Danish doctors come out against circumcision

The Danish Medical Association (Lægeforeningen) has recommended that no boys under the age of 18 be circumcised in Denmark.

The association released its recommendation on Friday, saying that circumcision should be “an informed, personal choice” that young men should make for themselves.

In a press release, the group said that when parents have their male children circumcised, it robs the boys of the ability to make decisions about their own bodies and their own cultural and religious beliefs.

“To be circumcised should be an informed, personal choice. It is most consistent with the individual’s right to self-determination that parents not be allowed to make this decision but that it is left up to the individual when he has come of age,” Lise Møller, the chairwoman of the doctors’ association’s ethics board, said.

Lægeforeningen said that male circumcision carries a risk of complications and should only be performed on children when there is a documented medical need.

In making its recommendation, the doctors’ association stopped short of calling for a legal ban on male circumcision, which is legal but relatively rare in Denmark.

“We have discussed it thoroughly, also in our ethics committee. We came to the conclusion that it is difficult to predict the consequences of a ban – both for the involved boys, who could for example face bullying or unauthorized procedures with complications – and for the cultural and religious groups they belong to,” Møller said.

The Danish Health and Medicines Authority (Sundhedsstyrelsen) estimates that somewhere between 1,000 and 2,000 circumcisions are performed in Denmark each year, primarily on Jewish and Muslim boys.

The majority of those procedures occur outside of the public health system and are done in religious ceremonies in the child's home or at private clinics.

There are thought to be an unknown number of circumcisions carried out each year that are not reported. Last year it was revealed that the State Serum Institute (SSI) had kept a database of circumcisions for 19 months despite never receiving legal authority to do so from the Danish Data Protection Agency (Datatilsynet).

That illegally-kept database was deleted in August 2015 but the Health Ministry announced on Monday that beginning in 2017 all circumcisions, regardless of where they take place, will need to be reported to Denmark's national patient registry (Landspatientregistret).

According to a major 2007 study by the World Health Organization, roughly 30 percent of the global male population is circumcised. Of those, roughly two thirds are practising Muslims, while 0.8 percent are Jews.

Male circumcision regularly pops up as the subject of debate in Denmark and polls have shown that upwards of 87 percent of Danes have expressed support for banning the practise on boys under the age of 18.

Female circumcision, also known as female genital mutilation (FGM), is illegal in Denmark.

Monday, January 27, 2014

STOCKHOLM: Swedish doctors want tighter rules for circumcision

Information (Denmark)
26. januar 2014

Svenske læger vil skærpe regler for omskæringer

Det kirurgiske indgreb burde erstattes af en symbolsk omskæring, mener lægeforening. Minister er afvisende.

Den svenske lægeforening mener, at omskæringer kun skal udføres efter samtykke fra drengen.
Anbefalingen støttes af samtlige medlemmer af foreningens etiske udvalg, skriver Svenska Dagbladet.

Hvis politikerne vælger at følge forslaget, vil det være en skærpelse af de nuværende regler for at omskære drengebørn.

Lægeforeningen begrunder sin indstilling med, at risikoen for bivirkninger ved det kirurgiske indgreb er urimelig høj.

Drenge skal tidligst blive omskåret i 12-13 års alderen. Indgrebet, hvor forhuden bliver fjernet, skal foretages på et hospital og først efter, at der er givet information om smerten og de eventuelle risici, som det kan medføre, mener rådet.

At gå så vidt helt at forbyde omskæringer, hvilket diskuteres i Finland, anses ikke for at være realistisk her og nu, skriver Svenska Dagbladet.

Men grundlæggende mener Läkarförbundet, at det kirurgiske indgreb bør erstattes af en symbolsk omskæring. For eksempel i form af en ceremoni af en eller anden slags.

Den mulighed vil lægerne nu drøfte med med jurister og muslimske repræsentanter.

- Vi er ikke religiøse eksperter, men af medicinske grunde kan vi ikke give vores opbakning til et indgreb, hvor man fjerner væv på kønsorganet, når der er så stor en risiko for alvorlige komplikationer, siger Thomas Flodin fra foreningens etiske råd.

Dansk forskning viser, at der opstår komplikationer i fem procent af samtlige omskæringer - også selv om indgrebet er foretaget af sundhedspersonale på hospitaler.

- At en ud af 20 personer lider af en infektion eller blødninger, er en alt for stor risiko. Især når indgrebet ikke er udført af medicinske grunde, siger Thomas Flodin.

Integrationsminister Erik Ullenhag fra Folkpartiet mener, at den gældende lovgivning er tilstrækkelig.
- Jeg har aldrig mødt en voksen mand, der oplevede omskæringen som et overgreb, siger han til avisen.

(Microsoft translation)
26 January, 2014

Swedish physicians will sharpen rules for circumcision

The surgical procedure should be replaced by a symbolic circumcision, doctors believe. Minister is dismissive.

The Swedish Medical Association believes that circumcision [should be] performed only after consent from the boy.

The recommendation is supported by all the members of the Association's Ethics Committee, Svenska Dagbladet writes.

If politicians choose to follow the proposal, it will be a tightening of the rules currently in force [concerning] circumcising of baby boys.

The Danish Medical Association justifies its recommendation [on the basis] that the risk of side effects from the surgery is excessive.

Boys may be circumcised [at] 12-13 years of age, at the earliest. The procedure, in which the foreskin is removed, must be carried out at a hospital and only after [parents are] given information about the pain and the possible risks it can cause, according to the Council.

To go so far as to completely prohibit circumcision, [being] discussed in Finland, is not considered to be realistic here and now, Svenska Dagbladet writes.

But the Medical Association fundamentally believes that the surgery should be replaced by a symbolic circumcision, for example, in the form of a ceremony of some sort.

They will now discuss the option with doctors, lawyers and Muslim representatives.

"We are not religious experts, but for medical reasons, we cannot give our backing to an intervention where one removes tissue from the genital organ, when there is such a high risk of serious complications," says Thomas Flodin from the Association's ethical Council.

Danish research shows that there will be complications for five percent of all circumcision, even if the procedure is carried out by health care professionals in hospitals.

"For one in 20 people to suffer from an infection or bleeding is too great a risk, especially when the surgery is not performed on medical grounds," says Thomas Flodin.

Integration minister Erik Ullenhag of the Liberal Party believe that the existing legislation is adequate.

"I have never met an adult man who experienced circumcision as an assault," he told the newspaper.

COPENHAGEN: Medical Association "fundamentally opposed" to infant circumcision

Lægeforeningen
21. januar 2014

Omskæring skal altid foregå på lægelige behandlingssteder

Det er helt uacceptabelt at tillade omskæring på drengebørn under to måneder andre steder end på et lægeligt behandlingssted, mener Lægeforeningen, som opfordrer Sundhedsstyrelsen til at ændre reglerne.

Sundhedsstyrelsen anbefaler i et udkast til revideret vejledning om omskæring, at drenge, der er ældre end to måneder får indgrebet foretaget på et lægeligt behandlingssted. Denne regel bør naturligvis også gælde for de allermindste børn, som gennemgår dette operative indgreb.

”Drenge, der er yngre end to måneder, har naturligvis også krav på den større sikkerhed, som det giver, at indgrebet foretages på et lægeligt behandlingssted. Omskæring kan som alle andre indgreb medføre komplikationer, og derfor er det vigtigt, at operationen foregår i rammer, der beskytter barnet bedst muligt – uanset alder. Det bør Sundhedsstyrelsen sikre i den nye vejledning,” siger Mads Koch Hansen, formand for Lægeforeningen.

Omskæring bør være et personligt valg
Han understreger, at Lægeforeningen er grundlæggende imod omskæring af drenge, hvis ikke der er en lægelig grund som f. eks. forhudsforsnævring til, at indgrebet foretages.

”Det er meget indgribende, at voksne kan bestemme, at nyfødte skal gennemgå et operativt indgreb, som ikke er lægeligt begrundet, og hvis effekt er livsvarig. Når en dreng når myndighedsalderen, kan han selv tage stilling, men indtil da må hensynet til individets ret til selvbestemmelse veje tungest,” siger Mads Koch Hansen.

Danish Medical Association (Microsoft translation)
21 January, 2014

Circumcision should always be performed in medical treatment facilities

It is totally unacceptable to allow circumcision of male infants less than two months at locations other than a medical treatment facility, according to the Medical Association, calling on the Board of Health to change the rules.

[The Board] recommends [in] draft revised guidelines on circumcision [of] boys who are older than two months [that they] have surgery performed at a medical treatment facility. This rule should of course also apply to the youngest children who undergo these surgical interventions.

"Boys who are younger than two months are, of course, entitled to the greater security it provides [when] the operation is performed at a medical treatment facility. Circumcision like any other interventions lead to complications, and therefore it is important that the operation takes place in a framework that protects the child as [much as] possible - regardless of age. The Board of Health should ensure [this] in the new guide," says Mads Koch Hansen, president of the Association.

Circumcision should be a personal choice
He stresses that the Medical Association is fundamentally opposed to male circumcision unless there is a medical reason, such as phimosis, for carrying out the operation. [And phimosis can not be diagnosed in early childhood.]

"It's very intrusive that adults may decide that the newborn is to undergo a surgical procedure that is not medically justified and [whose] power is lifelong. When a boy [reaches] the age of majority, he may even decide, but until then the requirements of the individual's right to self-determination prevail," says Mads Koch Hansen.