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1Circumcision, a vaccine against AIDS?Ny famorana ve, vaksinin'ny SIDA?
2In recent years, scientific studies have showed that circumcised men have a dramatically lower risk of contracting HIV, the virus that causes AIDS.Tao anatin'ny taona vitsivitsy dia nampiseho ny dinika sientifika fa ny lehilahy voafora dia ambany kokoa ny mety hahavoa azy ny virus HIV izay mahatonga ny aretina SIDA.
3Many African governments are contemplating encouraging voluntary circumcision alongside more conventional prevention methods.Betsaka ny governemanta afrikana ny mandinika ny famporisihana ny fanaovana didy foitra malalaka miaraka amin'ny fiadiana amin'ny fiparitahan'ny aretina mahazatra.
4Zied, a Tunisian blogger, doctor and public health worker who blogs at zizou from Djerba, tackles this controversial topic in a recent post, “Circumcision: A Vaccine Against AIDS?”Zied, mpitoraka blaogy toniziana, dokotera ary mpiasa amin'ny fahasalaman'ny daholobe dia miblaogy avy any Djerba, miresaka ity anatin'ny lahatsoratra vao ao amin'ny “zizou from djerba“:”Famorana: Vaksiny miaro amin'ny Sida?”
5[Fr][Fr]
6Apres les vaccins, apres les pilules contraceptives, apres les preservatifs, voila venu le temps de la circoncision.
7Eh oui ! plusieurs etudes menees ces dernieres annees ont demontre ce que d'autres ont clame depuis une decennie: La circoncision diminue le taux de transmission du virus du Sida… Elle le diminue de 60% !
8Incroyable hein ! et nous qui nous nous sommes toujours demande pourquoi la region d'Afrique du Nord et du Moyen Orient a eu des taux si bas malgre la faiblesse de leur reponse a cette epidemie ? nous voila face a la reponse: LA CIRCONCISION.
9After vaccines, after contraceptive pills, after condoms, the time has now come for circumcision.Aorian'ny vaksiny, ny pilina tsy mampiteraka, ny fiaro, izao tonga indray ny fanaovana didy foitra.
10Yes!Eny !
11Several studies conducted in recent years have shown what others have claimed [to be true] for decades: circumcision reduces the transmission rate of the AIDS virus…by 60%!Dinika maromaro natao tanatin'ny taona vitsy izao no nampiseho ny efa nolazain'ny sasany efa ampolo taonany : Ny didy foitra dia mampidina ny fiparitahan'ny virosy Sida… Midina 60% ny fiparitahan'ny SIDA amin'ny didy foitra.
12Incredible, no?Tsy mampino e !
13And we, who have always wondered why North Africa and the Middle East have had such a low [transmission] rate despite the weakness of their response to the epidemic.Ary isika dia nanontany tena foana hoe maninona ny Afrika Avaratra sy ny faritra Andrefana Akaiky no manana fiparitahana SIDA ambany, na dia tsy maivana ary ny fiarovana nataony an'io aretina mifindra io ?
14The answer is before us: CIRCUMCISION.Ito ny valiny : NY FAMORANA.
15It is clear that this intervention alone will do nothing.Il est evident que cette intervention, seule, ne sert a rien.
16But in parallel with everything that already exists, we can expect miracles…Rwanda has already begun a large-scale circumcision campaign, while many other countries are in the process of studying and planning similar activities.Mais en parallele a tout ce qui existe deja, on peut s'attendre a des miracles… Le Rwanda a deja commence une campagne de circoncision a large echelle alors que plein d'autres pays sont en train d'etudier et de planifier des activites en ce sens.
17Les opposants a la circoncision sont nombreux et le debat fait rage parmi les scientifiques et aussi dans les spheres religieuses et autres. les uns trouvent que le preservatif reste la seule vrai reponse, d'autres pensent que la circoncision est une pratique barbare qui diminue le plaisir, a part ceux qui trouvent que ce n'est pas ethique de couper la peau du gland a qlq sans son consentement.
18The opponents of circumcision are numerous and the debate rages in the scientific, religious, and other communities.Ca va etre dur de convaincre tout le monde…. Mazafa fa ny didy foitra irery tsy mahavita inona inona.
19Some find that condoms are still the only true response [to the epidemic], others think that circumcision is a barbaric practice that diminishes pleasure, aside from those who think its unethical to cut someone's foreskin without their consent.Fa kosa raha ampitoviana amin'ny efa misy, dia manantena fahagagana… Rwanda efa nanomboka ny famporisihana didy foitra be dia be ary tany hafa koa mandinika sy mitetika ny hanao toa izany. Ny tsy mankasitraka ny didy foitra dia betsaka ary mafana ny ady hevitra eo amin'ny siantifika sy ny mpivavaka ary ny hafa koa.
20Ny sasany mihevitra fa ny fiaro no tena valinteny azo antoka, ny hafa kosa mihevitra fa ny didy foitra dia fomba tsy mety fa mampidina ny fahafinaretana, ary ny sasany mihevitra fa tsy mendrika ny manala ny hoditry taovan-dehilahy iray raha tsy ekeny izany.
21It will be difficult to convince everyone…Tena ho sarotra ny handresy lahatra ny olona rehetra….
22Circumcision and IslamNy famorana sy ny fivavahana silamo
23Reader Karim2K asks if Zied is trying to say that, “thanks to the benefits of Islam, body and spirit will be holy” [Fr].Ny mpamaky Karim2K manontany raha manandrana miteny Zied hoe : “ho masina ny vatana sy fanahy, araka ny tombontsoa omen'ny fivavahana silamo” [Fr].
24Muslims are the largest group in the world to practice circumcision, but several readers reject the idea that this as anything to do with promoting Islam.Ny silamo no fivondronan'olona lehibe indrindra eto antany manao didy foitra, ary betsaka ny mpamaky manda ny hevitra hoe fampielezan-kevitra ho an'ny fivavahana silamo izy ity. Mpamaky tsy milaza anarana :
25qui a parlé d'Islam? la circoncision est aussi pratiquée par les juifs….
26An anonymous reader:.alors arrétez cette stigmatisation!
27who is talking about Islam? circumcision is also practiced by the Jews…. so stop with this stigmatization!Fa iza no miresaka momba ny Silamo ? Ny Jiosy koa manao didy foitra.
28Another reader excerpts the Wikipedia article on circumcision, noting that it was practiced in ancient Egypt, and is also stil customary among certain Christian sects.Ajanony ity fametrahana anarana manavakavaka ! Mpamaky hafa indray maka santionany ao amin'ny lahatsoratra Wikipedia momba ny famorana, milaza fa ny tany Egypta tranainy, dia nanao famorana, ar koa mbola fanao ity fomba ity amin'ny sekta kristiana sasany.
29Not a silver bulletNot a silver bullet Tsy fanafody fahagagana akory
30Of course, the oft-cited risk of promoting circumcision in conjunction with AIDS prevention is that some men might dangerously misconstrue the message and think that if they are circumcised, they don't need to use condoms.Ny lazaina matetika fa manahirana hampiasaina ny famorana amin'ny fiadiana ny fielezan'ny SIDA dia ny mety hiheveran'ny lehilahy sasany fa raha voafora izy dia tsy mila mampiasa fiaro.
31Reader Tarek address exactly this point:Ny mpamaky Tarek dia milaza hoe :
32I think it is dangerous to make people think that circumcision prevents transmission.Je pense qu'il est dangereux de faire croire au gens que la circoncision prévient la transmission. Elle ne fait que réduire le risque.
33It only reduces the risk.Mandoza ny mampino olona fa tsy mampiely SIDA ny famorana.
34Zied, realizing he may have given exactly this impression, offers a partial correction by quoting an email he received from a reader named Isabelle:Mampihena fotsiny ny mety fielezan'ny aretina izy io. Zied, nahita fa mety nampino izany, nanome fanitsiana ampahany raha mampita imailaka azony tamin'ny mpamakyhoe Isabelle :
35“I had the same thought about HIV transmission when I heard all the brouhaha in Djerba about it being useless to use condoms since a recent study showed that circumcised men risk nothing. This is completely false.“Je m'étais fait la même réflexion concernant la transmission du VIH en entendant le bruit qui court a Djerba qu'il était inutile de mettre des préservatifs puisqu'une récente étude démontrait que les hommes circoncis ne risquaient rien.
36Ce qui est totalement faux, une étude en cours étudie cela et il a juste été démontré que la circoncision “semblerait” en effet atténuer les risques de transmission pour l'homme circoncis uniquement et en aucun cas pour sa ou ses partenaires du fait de la sensibilité particulière du virus à la déssiccation entre autres.”
37A study underway is examining just that issue and it was shown merely that circumcision would only “appear” in effect to diminish the risks of transmission for the circumcised man, and in no way for his partner or partners, because of the virus's particular sensitivity to dryness among other factors.Nieritreritra io mihitsy aho momba ny fielezan'ny VIH raha nandre ny tsaho ato Djerba milaza fa tsy ilaina intsony ny manao fiaro satria nisy dinika nampiseho fa ny lehilahy voafora dia tsy ho voa. Izay diso tanteraka, misy dinika eo ampijerena io, ary ny hita fotsiny dia hoe “toa” mampihena ny fielezan'ny virus fotsiny ho an'ny lehilahy ny famorana, ary tsy nisy mihitsy hoe mampihena ny fielezana ho an'ny miray ara-nofo aminy satria misy fahamainana ohatra.