It is a lengthy document, worth reading in full. I'll just highlight here what I think are the most interesting recommendations:
- With respect to HIV prevention, MC should be framed as one of several partially effective risk-reduction alternatives for heterosexual men that should be used in combination for maximal protection.
- Recommendations for infant and adolescent/adult MC should be framed as interventions to promote genital health and hygiene, including HIV, STI, and UTI prevention and other outcomes.
- Recommend reimbursement for MC by public and private insurers to ensure equal access across states, to all socioeconomic groups, and in special settings (e.g., military or prisons).
- In collaboration with other HHS agencies and health insurers, assess public and private insurance coverage for elective neonatal MC.
- Medical benefits outweigh risks for infant MC, and there are many practical advantages of doing it in the newborn period.
- Benefits and risks should be explained to parents to facilitate shared decision-making in the newborn period.
CDC, AAP, and others should make/update recommendations about infant circumcisions for HIV and broader health concerns.
- Develop educational resources about infant circumcision for parents, practitioners, and the public.