Home / 2008 - Episode 11 - Circumcision and HIV
Episode 11 - Circumcision and HIV
Male circumcision is often seen as a matter of choice or tradition, but recent studies have shown that it may have a significant impact on men contracting HIV. Independent tests have shown that men who are circumcised are considerably protected from contracting the virus and circumcision is now considered a viable factor in the prevention in HIV.
Shalom Ncala: Sanibonani!siyanamukela ku Siyayinqoba Beat It! Uhlelo eloma ngubani esihlangene naye lapha ukuze sinqobe izinqinaba esibhekane nazo kuleli gciwane nesandulela ngculaza. Samkela futhi ithimba elisekelayo. Namuhla sizokhuluma ngokuso nesethembiso esenzakalayo ekunciphiseni amathuba okuthola ingculaza kwabesilisa.Ukuphendula imibuzo ngokuphathelene ngokusoka kuyintokozo ukuba sibe no dokotela Trevor Major. (IsiZulu) Hello and welcome to Siyayinqoba Beat! The programme for everyone meeting and beating the challenges of HIV and AIDS. Welcome to the support group. Today we are talking about circumcision and the promise it holds or reducing HIV infection in men. To answer our questions about circumcision we are happy to have Dr Trevor Majoro joining us.
Shalom: (SeSotho) How are you Dr?
Dr Trevor Majoro: (SeSotho) Very well Shalom, yourself?
Shalom: (SeSotho) Very well, thanks for joining us
Trevor: (SeSotho) it's my pleasure.
Shalom: Udaba lwethu lokuqala luphuma eGauteng. Make sibheke ukuthi lusiphateleni (IsiZulu) Our first story today is from Gauteng. Let's go check it out!
Mxolisi Mgobhoza: Namhlanje sise Johannesburg CBD sizothetha no doctor Leshika wase Zuzimpilo Clinic uzokusixelela banzi ngolwaluko ne HIV. Doctor sicela usineke a clear scientific ncazelo ukuthi ulwaluko luwathoba amathuba ukuba umntu abe affected yi HIV? (IsiXhosa) Today we're in the Johannesburg CBD to talk to Dr Leshika from the Zuzimpilo Clinic about circumcision and HIV. Doctor can you give us a clear scientific explanation of how circumcision lowers the risk of contracting HIV in men?
Dr Matato Leshika: (SeSotho) Okay, the foreskin contains a lot of Langerhans cells. These cells make it easy for HIV to get inside the human body. When we circumcise we remove the part of the foreskin that contains these cells. That reduces the changes of getting HIV. We know that people who have foreskins are prone to contracting STIs. So the chance of catching these infections is reduced when the foreskin is removed. People that have STIs are prone to HIV infection and the virus progresses faster from HIV to AIDS.
Mxolisi: Ingaba ukhona umahluko phakathi kolwaluko olwezwe entabeni nolwaluko olwenzwe kwagqirha? (IsiXhosa) Is there a difference between traditional and medical circumcision?
Dr Matato: (SeSotho) There's not much difference between traditional and medical circumcision. As long as it's done correctly, it's fine.
Mxolisi: Ingaba circumcision iyalunika ukhuselo kubantu abangomama? (IsiXhosa) Does circumcision provide protection for women as well?
Dr Matato: There's no direct benefit for woman from male circumcision. The only benefit is that, if we can reduce the chances of men getting HV by 40 to 60 percent, in the long run women will also be protected from getting HIV.
Mxolisi: Njengo gqirha uching aukuthi urhulumente wase South Africa kumele abandakanye ulwaluko njenge strategy sokulwa igciwane lengculaza? (IsiXhosa) As a doctor ,you think that the South African government should include circumcision as one of the strategies to fight HIV/AIDS?
Dr Matato: The South African government should encourage people to be circumcised but singa expect ugovernment ukuthi izaku circumciser amadoda bonke who are sexually active because eventually it will be a logistic nightmare. Image government kufuneka icircumciser bonke amadoda onke ala there will be millions that need circumcision while there are other ways of preventing HIV (IsiZulu) The South African government should encourage people to be circumcised but we shouldn't expect government to circumcise all sexually active men because eventually it will be a logistic nightmare. Image government calling for everyone to come and get circumcised, there will be millions that need circumcision whilst there are other ways of preventing HIV
Mxolisi: Awugcingi ukuba bukhona ubungozi xa abantu becircumcizile bangafuni ukusebenzisa icondoms? (IsiXhosa) Don't you think some men might refuse to use condoms once they're circumcised?
Dr Matato: (SeSotho) Even with circumcision the basic HIV prevention, which is condoms should be still maintained. Even if you're circumcised you need to use a condom all the time. If you don't use condoms you can still get HIV. So circumcision is not a permanent condom. Even if you're circumcised, a condom is the best way to prevent HIV that is available at present
Shalom: (SeSotho) Doctor can you please explain to us, what exactly are we talking about when we talk about circumcision?
Dr Majoro: (SeSotho) Firstly, when we talk about circumcision, it's important that we first understand how the penis is built. The penis has a piece of skin hanging at its tip is called foreskin. In the foreskin are cells called Langerhans cells. These cells are like doors and windows that allow infections to enter the body. So when we circumcised we remove the foreskin. And as a result when you remove the foreskin you therefore reduce the number of the windows or the doors or opportunity for the virus to enter into the male penal tissue. That is why the chance of contracting HIV is reduced in circumcised men.
Busi Maqungo: Kulencazelo usinika yona yokuba ingakwazi ukuthi iyathobe amathuba okuba umntu oyindoda ayifumane i-HIV but siyazi kanjani ukuthi lonto inobunyani ingaba mhlawumbi kufu yaniswe kanjani ukuthi bukhona ubunyani kulonto leyo ukuba ayathobeka amathuba ukuba mayifumaneke i-HIV?(IsiXhosa) Your explanation says circumcised men have a reduced risk of contracting HIV, but how did we come to know that, was there any research done to prove that circumcision reduces the chances of contracting HIV in men?
Dr Trevor: Kukhona ireseach yenziwe eKenya, kukho iresearch eyenzwe eUganda futhi nala eSouth Africa ikhona eyenzwi la eOranje Farm engazange icedele ngoba besekukhona i-evidence e-obvious ukuthi abantu aba-circumcised kubona irisk yegciwane libangene ibinane kakhulu. Lokho sikubonile yenziwe iresearch futhi siyazi ukuthi iyasebenza. (IsiZulu) Research was done in Kenya, in Uganda and here in South Africa research was done in Orange Farm. It was never completed because there was overwhelming evidence showing that circumcised men are at reduced risk of contracting HIV. Research was done, that's what we found and we know circumcision works.
Busi: Ingaba kungoko kulamazwe a-circumcizer kakhulu okanye ufumane about 100 percent yamadoda akhona aya-circumciser irate ye HIV isezantsi? (IsiXhosa) Is that why in countries where we see an almost 100% circumcision rate we also see low HIV infection rates?
Dr Trevor: Uku circumciser kune impact enkulu ekwehliseni izinga lokuthi umuntu wesilisa ayothele I-HIV. Ingatso ngithi ebantwini aba circumcised amathuba okuthola igciwane mancane kodwa lokho akutsho ukuthi mele baphile nomakanjani bangalisebenzisi ityasi lika mkwenyana noma icondom. (IsiZulu) Circumcision has a huge impact on lowering the risk of men contracting HIV. So I would say that circumcised men have a reduced chance of contracting HIV, but that doesn't give them a right to take risks and not use condoms
Pholokgolo Ramothwala: (SeSotho) I'm thinking of the viewer at home who doesn't have a Dr Trevor close by. What is he thinking when we say that male circumcision reduces the chances of HIV infection?
Luckyboy Mkhondwane: Njengokuba udoctor ekhulumile esithi noma u-circumcizile, i-circumcision yona ngokwayo asiyonto esingayibhiza ukuthi phecelezi yi magic pill. Kufanele ziququqzele ukuthi abesilisa nokuba ba-circumcised baqhubeke basebenzise amacondoms because siyazi sithe kune 50% chance yokuthi ungayi tholi i-HIV. So ukuqhubeka usenzisa icondom futhi kubalulekile ngoba awazi wena ukuthi ungazifumana ukwesiphi na isimo kungathi noma u-circumcised ugcine uzithole sowunayo i-HIV (IsiZulu) Like the doctor said, circumcision is not something that we should think of as the magic pill. Men should still use condoms even if they're circumcised because there's only a 50% chance of not contracting HIV. SO using condoms remains vital because you can still get HIV after circumcision.
Shalom: Ninganyakazi, sizobuya khona manje (IsiZulu) Don't away, we'll be right back.
Shalom: Siyanamukela futhi,k namhlanje sikhuluma ngokusoka nengculaza. Makhesiphontse iso odabeni lethu lwase Goli. (IsiZulu) Welcome back, we're talking about circumcision and HIV. Let's take a look at this story from Johannesburg.
Tumi Moleko: (SeSotho) Hi, today we're in Newtown with Thami and his friends. We're going to talk about circumcision. So guys how do you feel about circumcision, are you for medical or traditional circumcision? Which one do you like, which one have you done?
Young ‘man' 1: Grant grant mina ngi believer kwi traditional circumcision. That's because ukuthi manje name ngingumuntu otraditinal. Kungcono kunomuntu oye esibhedlela umasengikhuluma culturally. (IsiZulu) I believe in traditional circumcision. That's because I've got a traditional background. It's better than going to a hospital in terms of culture.
Young ‘man' 2: (SeSotho) Traditional circumcision is not a good thing because people go to the mountain and there are complications like people dying and I think the hospital is better.
Tumi Moleko: (SeSotho) Have you heard about this new research that says circumcised man have less chances of contracting HIV during sex than an uncircumcised man? Have you heard anything? How do you feel about it?
Young ‘man' 3: Circumcised they say you have 60% less chance of getting the virus but that doesn't mean ukuthi ungaspanisi icondom. Although amaowuthi azakutsela ukuthi mina heysh angiyidli ibanana enekhazi ukuthi ngishaya inyama enyameni. Imean leyo lento ayispani (IsiZulu) Circumcised they say you have 60% less chance of getting the virus but that doesn't mean you don't have to use a condom. Lots of guys say they don't eat a banana with the peel, they want flesh to flesh. It doesn't work like that.
Young ‘man' 4: (SeSotho) What about the other 40%? It's still a huge number when you think of all the people living with HIV/AIDS in the country. Let alone in the country, it's a huge number here in Gauteng. So circumcision has helped a bit, but it's still left for us to make the decision whether we get circumcised or not and whether we have unprotected sex or not, circumcised or not.
Young ‘man' 1: Grand grand kumele uspanise icondom waya waya. Akunakuthi ibanana ayidliwa inekhaza. i-condom yi condom ukuse ube safe nayo nakhona ayikho 100%mara ukuze ube safe kumele usebenzise icondom waya waya. (IsiZulu) The fact is, you have to use a condom. You don't eat a banana with a peel but a condom is a condom. Yes it's not a 100% protection but for you to be safer, you have to use a condom!
Tumi Moleko: (SeSotho) So guys, how many of you have been circumcised and why?
Young ‘man' 3: Ijwabi lami ngalishiya esibhedlela kudala (IsiZulu) They cut my foreskin off at the hospital a long time ago!
Young ‘man' 1: Mina ngibuya khona bayangazi Eastern Cape bangi qaba. If bekuthiwa ngiyitholile le research before bengizokwenza sure ukuthi ngiayaya dar in order ukuthi ngenze amachances amu abe less ekuthole lengciwane lengculaza (IsiZulu) I've been there; they know me in the Eastern Cape.
Young ‘man' 2: (SeSotho) I would also go, because I also want to be safer. At the end of the day, a person can still contract HIV/AIDS it doesn't matter if you're circumcised or not.
Tumi Moleko: (SeSotho) From your own experience do think that girls like circumcised or uncircumcised guys or does it not make a difference?
Young ‘man'5: Because it goes in we batsho nabo bathi iowuthi e-circumcised hayi yona imnandi (IsiZulu) They says it goes in well and it's nicer when the guy's circumcised.
Young ‘man'3: Wena ufila njani ngayo yonke lento ye circumcision? (IsiZulu) Tumi what do you think about this issue of circumcision?
Young 'man' 6: Do you prefer a circumcised or uncircumcised guy?
Tumi Moleko: Either way either way, I wouldn't know. It doesn't matter .We will be protected
Shalom: Guys it's moments like these that I'm actually proud to be South African, when young people stand up and speak about issues with a clear understanding. They understand that circumcision is not the best way to prevent HIV. It's always a condom, the one guy stresses it, it has to be there, you have to use a condom. I'm totally proud of what they are saying.
Dr Trevor: Even if circumcision is a 100% correctly done meaning almost the greater part or all of the foreskin is being removed, you still have the chance of getting the infection it's not a guarantee that you will not get it. That's why some people still get infected with the virus even if the circumcision has been done 100% well. So protection is still very important.
Busi: Njengohlobo lento yoba ebesitso ugqirha as long as u circumcizwe kakhle noba yi traditional noba yi medical na. So ke masithi u-circumcised noba lolouphi uhlobo but unga circumcizwa kakhle ngaba still azathobeka na amathuba okuba uyifumane i-HIV? (IsiXhosa) The doctor said it has to be done correctly whether it's traditional or medical. Now let's say you've been circumcised in either way but it was not done correctly, are your chances of contracting HIV still reduced?
Dr Trevor: Uku circumciser kahle kukususwa kwejwabu oluningi kuku circumciser kahle lokho. And mawu circumciser kahle amathuba okuthi uthole igciwane ayancipha. Ukuthi yi traditional noma yi scientific or western lokho akubalulekanga kakhulu. Into ebalulekile yinto yokuthi ijwabu lolu lususwayo lungakanani, noma umnuntu angenza i-circumcision esibhedlela kodwa ingenzwanga kahle, kungasuswanga ujwabu oluningi iriski isesekhona nafuthi inkudlwana. Kubalulekile ukuthi the practice itself yosusa ujwabu yenziwe kahle kususwe ujwabu oluningi. The practitioner may do otherwise partially of fully, but si-encourage ukuthi ibe done in a fully way. Meaning the greater part of the foreskin must be removed ngalo ndlela leyo uhlisa inani kakhulu. (IsiZulu) Correct circumcision means the removal of as much foreskin as possible. If you're circumcised correctly your chances of contracting HIV are reduce. It's not important whether it's traditional, scientifically or Western. The most important thing is the amount of foreskin removed because even if it's done at a hospital, if they don't do to correctly, the risk of contracting HIV remains high. It's important that the greater portion of the foreskin be removed. The practitioner may do it otherwise, partially or fully, but we encourage that it be done fully. Meaning that the greater part of the foreskin must be removed for the risk to be lowered.
Busi: So xalingasuswanga lonke ngokupheleleyo ithetha ukuthi lonto leyo ama Langerhans cells asekhona apho i-HIV izobabhelela khona xa lisusiwqe kodwa lingasukanga kahle (IsIXhosa) So if they don't remove all of the foreskin it means there are some of those Langerhans cells left? If it is removed but not fully?
Dr Trevor: Umalingasuswanga lonke kutsho ukuthi usane portion ekhona efana nama window nalaminyango ebesikhulume ngayo lesithe ngama Lengerhans cells. Kubalukile ukuthi uwasuse onke as much as possible (IsiZulu) Yes it means you still have a portion containing those windows and doors we talked about, the Langerhans cells. That's why it's important to remove as much foreskin as possible.
Andile Madondile: Kodwa masiyivumeni lento singayibalekeli into yokuthi nyani kwabanye because sizintlanga ngentlanga okukuqala. Abanye abantu kwisiko lwabo balisuza lonke ijwabi kodwa kwelinye uhlanga abanye abayenzi lento which is ayenzwa properly kwezinye intlanga uyaqonda. Ewe ndiyayiqonda asino ku focusa kakhulu kwindaba yesiko kwathini kwathini. Kodwa masiyazini into yokuba singabantu sohlukene and ke mna ke ndakuthi ukuze ndi recognize kwindawo yam endisuka kuyo yokuba ndiyindoda ndibe ndeze ngalendlela abantu abadala babeyenze ngayo leyo yinto ekufanele siyijongile (IsiXhosa) Let us no avoid the fact the we have different cultures. Some cultures allow complete removal of the foreskin, but other cultures don't, which means they don't do it properly. I understand this is not about culture but we must acknowledge that we're different and maybe for me to be accepted as a real man where I come from, it means being circumcised the same way as those before I was circumcised.
Dr Trevor: The most important thing is the actual practice, the actual way the circumcision is done. I think many people are bogged down whether traditional one is good or the western one is good. The skill of the person who removes the foreskin is far much more important that knowing whether they are traditional or not, because we know as I said you could have somebody removing it in a clinic and not removing it properly. So basically what we are saying is it is important that the circumcision must be well done and if it is traditional done then people who know how to do it traditionally must teach those who don't do it well. Even in the Western way the same thing must happen to ensure that the standard of the circumcision is in such a way that there is effective and efficient reduction f risk of infection.
Busi: Mna I'm just wondering intobana ingaba ikhona indlela estandard kuwo omabini lamacala traditional or scientific way ukwenziwa kwe circumcision. Andazi nokuba ndifuna ukuthi kuzaku trainer abantu bonke ngendleal enye both ugqirha ne ngcibibayenze ngohlobo olunye ukuthi natsi indlela elungileyo yokuyenza, I don't know ukuba niyayifumana? (IsiXhosa) I'm just wondering if we can have a standard between the two camps, traditional and scientific circumcision a standard of circumcising. Perhaps doctors and Ingcibi could be trained to perform circumcision in a standard mafocusnner. I don't know if it's possible?
Dr Trevor: Ifocus yethu kufuneka sibheke ipatient yethu or icleint yethu lo kunguyena ocircumcizwayo. Inkinga manje yinto baa bantu bayalwa. Odokotela besilungu bafuna ukuba right odokotela besintu bafuna ukuba right. Kanti indaba ingalo ucircumcizwayo. Manje kufanele ukuthi both camps zibheke ukuthi ye siphi istardand esingcono for lo abantu bona bazikhohlwe ngoba abantu bayathanda ukuziphakamisa. Umuntu anakekelwe ngendlela efanele, iforerskin yakhe isuswe yonke kwenziwe sure ukuthi amagerms ayalwiswa ukuthi lomuntu angabi ne infection ekuyona eyiproblem kaningi. (IsiZulu) Our focus should be on the patient or client, the person being circumcised. The problem is that we are fighting. Medical doctors want to be right and traditional practitioners are pulling to their side. Whereas the issue is about the person being circumcised. Now both camps should be looking for middle ground and forget about themselves. People should be cared for, the foreskin should be removed fully and we should make sure that we fight all the germs that could cause infection.
Shalom: Ninganyakazi Siyabuya khona manje (IsiZulu) don't go away, we'll be right back.
Shalom: Siyanamukela futhi ku Siyayinqoba Beat It! Namhlanje sidigida udaba lokusoka kanye negciwane lesandulela ngculaza. Lolu daba lulandelayo lusuka eKhayelitsha eNtsonalanga Koloni. (IsIZulu) Welcome back to Siyayinqoba Beat It! Today we're talking about circumcision and HIV. Our next story is from Khayelitsha in the Western Cape.
Luvuyo Nibe: Molweni namhlanje sise Khayelitsha ko W section sizothetha no Simnikiwe nabazali bakhe nge circumcision. Wazi ntoni ngolwalukho? (IsIXhosa) Hi, today we're in Khayelitsha in W Section to talk to Simnikiwe and his parents about circumcision. What do you know about circumcision?
Simnikiwe Mjika: Ndiyayazi nje ukuba kuyayiwa entabeni kuyo kwaluka, kufuneka kuqala utsongwe ngugqirha uteste notesta ukuba awunayo i-HIV izinto ezinjalo. Bendingekayi mna ukuyozitsekitsa kwagqirha. (IsiXhosa) I know that before you go to the mountain for circumcision you must first go to the doctor and get tested for HIV and other things like that. I haven't been to the doctor myself.
Vuyo: Unazo injongo zokuyokusitsekisha kwagqirha? (IsiXhosa) Are you planning to go at all?
Simnikiwe: Ja ndingaya ukuyo zitsekitsa kwagqirha. Like ndiyabona nasezi tivini bayafa abakwetha phana. So mna ndiyacinga indlela yokukwazi ukuzikhusela vele nje ndihambe ndiye ekliniki ndiyoku testa. Ndizibone ukuba ok ndilungekile na ukuba ndingaya entabeni. (IsiXhosa) Yes I will get checked out. I've seen initiates dying up there on TV so I think that for me to be on the safe side I have to go to the clinic and get tested, so that I can see if I'm fit enough to go to the mountain.
Nomziwoxolo Mjika: Njengoba unyana wam ezakoluka ndinoloyiko nexhala ngoba zininzi izinto ezenzekayo zokufa kwabakwetha entabeni. Nyani ke njengokuba sikhe sive ke ukuba kufuneka beqale kugqirha mna ndiyayithanda lonto andinanxaki ngaske nyani aqale kwagqirha umntwan wam ahlolwe enziwe yonke lonto ngugqirha. The athi xa ebuya hamba nyani izifo zikhona angekhe uyazi. Akukho lula uvele nje umthathe uyomolusa engadibenga nogqirha kuyanyanzeleka kulemihla siphila kuwo. (IsiXhosa) I'm a bit scared and worried about my son going to the mountain because things happen up there and initiates die. I'm glad that they have to go see the doctor first. I wish for my son to go see a doctor as well because with these infections you can never be sure. You can't just send them to the mountain with out consulting a doctor first. It's not that easy in this day and age.
Boy Mjika: Into eseyi sentyenziswa ngoku phakuthi leyo yavumelana nabantu. Ayiselulo olahlobo lakuqala kuthiwe inkwenkwe ivele iyokoluka ingakhange ihlolwe into bana isigulo sayo siyintoni. (IsiXhosa) This is the way things are done nowadays, it was agreed upon by the people. It's not like in the old days. No boy will be circumcised without a clean bill of health.
Nomziwoxolo: Okokuqala kufuneka eziphethe kakhuhle until ade oluke abeyindoda and then akarhaqazi anaghambe lala nabantwana babantu ukuba uyalala asebenzise icondom. (IsiXhosa) He must behave until he becomes a man and must not sleep around. If he does sleep around he must use a condom.
Vuyo: Icondom ingaba uyayisebenzisa? (IsiXhosa) Do you use a condom?
Simnikiwe: Ha'a andiyisebenzisi icondom. (IsiXhosa) No I don't use a condom.
Vuyo: Kutheni ungayisebenzisi (IsiXhosa) why not?
Simnikiwe: Andinayo intombazana. Ukubuya kwam ehlathini ndizakuyisebenzisa icondom ukwenzela ndingakwazi ukusuleleka kwi HIV/AIDS. (IsiXhosa) Because I don't have a girlfriend. When I come back from the mountain I'm going to use condoms to protect myself against HIV/AIDS.
Shalom Ncala: Andile yazi kukho into ethethwe ngumama ka Simnikiwe yokuthi abafana abaningi bebesiye entabeni kwenzeke izinto eningi abanye babuye sebejonile, ukuthi iyamthusa yena lonto that is why afuna ukusa umtwana wakhe eklinink. I need another perception yomnye umntu ukuthi ndikwazi uku understander ukuthi what are the causes of death xa umuntu esentabeni? (IsiZulu) Andile, Simnikiwe's mother said something about how things happen in the mountain and that initiates die. She said she was scared and that she wants her son to go to the clinic. I just need someone else's perception so I can understand what the main causes of death are in the mountain.
Andile: Kwezinye indawo uyofumaniseka ukuba ingcibi isebenzisa iblade eyi one kubo bonke abantwana bobayi hundred and nto ingakhange ibe isterilized. So it goes back kulanto ibithethathwa ngu Busi ukuthi itranings siyafuneka kwaba bantu because si end up abanye abantu besuleleka yi HIV. Omnye uthola i-HIV ngoske abe pha entabeningelaxesha yena ebengena nto (IsiXhosa) In some places you find that the Ingcibi uses one blade to cut all the boys without sterilizing the blade. So it goes back to the training that Busi mentioned earlier because some people end up getting HIV through circumcision.
Dr. Trevor: Indaba yezinto ezisetyenziswayo ibalulekile. Akufanele ukuthi i-instrument eyodwa isetyenziswe ebantwini abaningi. Umuntu nomuntu makasetyenziselwe nge instrument yakhe. Okanye umangabe loo instrument ikona uku- sterilizwa then isterilizwe ke mara akukho correct ukuthi uzosika lo uthatha loo instrument leyo futhi uphinde usike loo ngoba manje mawenza njalo ungathatha ukugula kalo unike lo, uthathe oka loo ukunike lo. Futhi kubalulekile ukuthi before umuntu a-circumciswa kubhekwe i-health condition yawekhe yonke ukuthi lomuntu uphile kahle nah ngoba ukuba kungenzwanga lokho kungenzeka ukuthi une-infection and aphinde akhatwe phayana kuphinde kungene amanye amagciwane futhi a-end up enalento sithi yi septicemia okutso ukuthi amagciwane esecwele wonke lomzimba ukuphola kubenzima ke beseke umntu uyavuvuka abenazo zonke izinkinga ezinye ezingenza ukuthi zithathe impilo yakhe (IsiZulu) The issue of cutting instruments is vital. One instrument must never be used on all the boys. There must be a cutting instrument foe each and everyone unless it is possible to sterilize that one instrument. It is not correct to use one instrument on everybody because by so doing, you might be passing infections from one person to another. It's important that before a person is circumcised their overall health condition is checked. If that doesn't happen and that person has an infection and we cut him, other germs will come and the person will end up with septicemia (blood poisoning). That is hard to treat and the person will develop a host of problems that may lead to death.
Luckyboy: Mina into endiyicabangayo if abantu besilisa benga encourage ukuthi ukusoka ibeyinto like esiyayo siyoyenza kungasinceda kakhulu ukuthi sihlise izinga le HIV la eSouth Africa. Ngoba uyazi ukuthi sesivile ukuthi amathuba okuthi abantu besilisa bathole i-HIV angehla ade avike ku 50%, uma kungenzakala ukuthi abantu besilisa abambalwa abaphila ne HIV nabantu besifazane abaphila neHIV bazabambalwa ngoba umntu wesilisa uyakwazi ukuthi athelele umntu wesifazane. Ngichabanga ukuthi yenye yendlela ekufuneka siyiseenzise kuma prevention strategies ethu ukuthi sehlise izinga le HIV (IsiZulu) I think that if we can encourage more men to go for circumcision, that will help us lower the rate of HIV prevalence in South Africa. Like we heard, the risk of men contracting HIV cab be reduced by up to 50%, so if have less men living with HIV, we will also have less women because sometimes women are infected by men. So I really think circumcision should be one of our prevention strategies in the fight against HIV.
Dr Trevor: I would like to see a situation where decision makers especially in terms of health issues agree at a particular point to say circumcision should be made available for free for those who want to have it done, especially in public hospitals or institutions of health. Then the honors will rest on the people to choose on whether they want it or not. So we hope that the powers that be, will make it freely available to the people so that those who want to have it done they can have it done.
Shalom Ncala: Ukusoka yindlela entsha futhi ebalulekile kakhulu ezincaningweni zengculaza. Ukusokwa ngo dokotela kunganciphisa amathuba ekutholeni ingculaza kwabesilisa ngama-percent angamashumi amahlanu. Kodwa ke akusiyona kuphela indlela yokuzivikela ngokwayo. Abesilisa abasokiwe kumele futhi basebanzise ityase lomkweyana. Khumbula zivikele uvikele nabanye .Siyabonga bakwethu kutsho lukhulu kuthi ukuzwa ngani sinxusa ukuthi nisithumele indaba zenu nenifisa ukuphawula ngakho, kuleli kheli livele umabona kude. Size sibonane ngeveki elizayo futhi salani kahle. Bye (IsiZulu) Circumcision is the latest and most significant discovery in HIV science. Medical circumcision can reduce the chance of men contracting HIV by 50 percent. However, this is not a prevention method on its own. Men who are circumcised still need to use condom. Remember protect yourself and protect others. Thanks guys, we love hearing from you, drop us a line at the details on your screen now. Until next week, stay well. Bye
