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Correspondent: PRESIDENT OF THE UNIVERSITY OF ALBERTA March 28, 1998 Dr Roderick Fraser
Dear Dr Fraser I would like to raise questions about the appropriateness of a medical study that was carried out recently under the auspices of the University of Alberta. The study compared several different methods of pain control for infant male circumcision. I enclose an information package containing further details. None of the 52 infants involved in the study required medical treatment, yet all underwent surgery to remove an erotogenic part of the reproductive system. The study was not halted until some infants in the placebo group were traumatized to the point of danger. According to the researchers, the placebo group represented standard practice. Similar researchconducted previously in Torontodrew criticism from Drs Margaret Somerville and David Alwin. A copy of the letter they wrote jointly to the New England Journal of Medicine is included in the information package. A child cannot be subjected to invasive surgery unless the surgery confers a medical benefit; the law seems clear on that point. The Canadian Paediatric Society concluded in 1996, after an exhaustive review of the literature, that neonatal circumcision confers no net medical benefit. Hence it appears that neonatal circumcision, like forced sterilization or female genital mutilation, cannot be legally performed. The act of removing normal body parts without medical need and without the consent of the person undergoing the surgery also appears to breach the provisions of international treaties to which Canada is a State Party. For instance, Article 7 of the International Covenant on Civil and Political Rights, ratified by Canada in May, 1976, provides that No one shall be subjected to torture or to cruel, inhuman or degrading treatment or punishment. In particular, no one shall be subjected without his free consent to medical or scientific experimentation.Given the current shortfall in funding for medical research, and the precarious state of our health care system in general, I am wondering why we are paying people to refine a surgical procedure that not only removes a specific erogenous zone to no particular advantage, but also seems to endanger children's health, flout the law of the land, and wink at international treaty obligations. I would appreciate hearing your comments. Sincerely
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