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Brian D. Earp

@briandavidearp

@Yale @UniofOx @hastingscenter: philosophy, cogsci, bioethics, science+medicine, psychedelic policy, sexuality, gender equality, bodily integrity, child rights

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    Brian D. Earp‏ @briandavidearp 13. srp 2019.
    • Prijavi Tweet

    Brian D. Earp je proslijedio/a tweet korisnika/ceBrian D. Earp

    I just want to follow up on this shocking conflict of interest case at @WHO, where the inventor of a newborn circumcision device, after applying for a patent, is invited to co-write the @WHO "manual" for performing newborn circumcision, touting his own device for mass use.https://twitter.com/briandavidearp/status/1149789438966259713 …

    Brian D. Earp je dodan/na,

    Brian D. Earp @briandavidearp
    Wow. @WHO claims 2 have 'voluntary' medical male circumcision (VMMC) program, based on data from studies of sexually active *adults* - but now pushes non-voluntary circ of infants, for which there is no controlled evidence of a protective effect against HIV. Plot thickens ... pic.twitter.com/9WA0R30IdS
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    15:45 - 13. srp 2019.
    • 293 proslijeđena tweeta
    • 425 oznaka „sviđa mi se”
    • Fingolfin200 David Mordecai 🌈 daudatrewa Dad Psycadragon Joseph Saraswati Carol Black Brynley
    31 reply 293 proslijeđena tweeta 425 korisnika označava da im se sviđa
      1. Novi razgovor
      2. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Again, the whole @WHO push for mass circumcision in Africa was based on studies of sexually active adults, circumcised (nominally) with their consent. There is no controlled evidence that newborn circumcision lowers risk of HIV in Africa or anywhere else; & newborns can't consent

        20 proslijeđenih tweetova 94 korisnika označavaju da im se sviđa
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      3. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Suggesting newborn circumcision has no negative effects on sexual outcomes, the device inventor & his @WHO co-authors exclusively cite studies of *adult* circ w/ limited follow-up, including one by Krieger, who ALSO has a patent out for a circ device: https://threadreaderapp.com/thread/1079164114784714752.html …pic.twitter.com/UrLWRx6P6J

        1 reply 10 proslijeđenih tweetova 60 korisnika označava da im se sviđa
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      4. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        In any case, the "null" findings from those adult studies were based on poorly designed self-response questionnaires with vague wording, no attempt to control for socially desirable responding, and other flaws as documented below, from: https://academic.oup.com/ije/article/41/1/312/647866 …pic.twitter.com/Bd0vML2Mem

        1 reply 10 proslijeđenih tweetova 56 korisnika označava da im se sviđa
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      5. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        But never mind. The point I want to make is that @WHO is talking out of both sides of its mouth. In its policy on "FGM," it claims *any* medically unnecessary cutting of female genitalia, including non-tissue-removing pricking, nicking, or piercing, is a *human rights violation.*

        1 reply 14 proslijeđenih tweetova 73 korisnika označavaju da im se sviđa
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      6. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        It doesn't matter if the cutting is done w pain control, if parents believe it's religious, or if it's done in a sterile way (the @WHO *opposes* medicalization for girls). *Any* cutting of female minors is claimed to violate their right to physical integrity & rights of the childpic.twitter.com/GDXGSDhC98

        1 reply 10 proslijeđenih tweetova 63 korisnika označavaju da im se sviđa
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      7. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Now ask yourself, if studies of consensual *adult* female genital cutting (FGC) suggested a partial reduction in risk of diseases better prevented non-surgically, would @WHO simply extrapolate those findings to non-consenting girls & say their rights are no longer violated?

        1 reply 18 proslijeđenih tweetova 72 korisnika označavaju da im se sviđa
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      8. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Would it cite studies of sexual outcomes following consensual *adult* FGC & suggest these directly apply to non-consensual FGC on infant girls? Would it hire the inventor of a FGC device, from a FGC culture, to write a manual for how to perform FGC on infant girls w/ that device?

        1 reply 13 proslijeđenih tweetova 62 korisnika označavaju da im se sviđa
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      9. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Presumably not. And yet @WHO - the very same @WHO claiming that the tiniest "nick" of a girl's genitals violates her fundamental human rights - has published a 132-page INSTRUCTION MANUAL for how to perform medically unnecessary genital cutting on non-consenting boys. Let's see:

        19 proslijeđenih tweetova 72 korisnika označavaju da im se sviđa
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      10. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        The first step is to restrain the boy by strapping him into a device that immobilizes his struggling limbs (or you can just pin them down yourself, see Figure 6.1). All subsequent photos from @WHO manual here https://apps.who.int/iris/bitstream/handle/10665/44478/9789241500753_eng.pdf;jsessionid=E38B6CE8234EC3D3E6FA3DF18B76EF05?sequence=1 …pic.twitter.com/ZmYDXKyeKf

        15 proslijeđenih tweetova 47 korisnika označava da im se sviđa
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      11. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Once he's properly restrained, you need to figure out where the corona of his glans is. To do this, you "palpate" (that is, manipulate with your fingers) his penis until it becomes erect -- see Figure 6.5 of @WHO manual here -- so you can better distinguish the tiny structures.pic.twitter.com/m3g2RAh3cl

        10 proslijeđenih tweetova 40 korisnika označava da im se sviđa
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      12. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Now, the foreskin is adhered to the head of the penis at birth, in something like the way your fingernail is adhered to your finger. So if you want to get the foreskin off, you have to dilate the opening & then shove a blunt probe between the foreskin & glans to tear them apart.pic.twitter.com/PNd4PdK6cI

        1 reply 11 proslijeđenih tweetova 43 korisnika označavaju da im se sviđa
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      13. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        The next step depends on which clamp you plan to use. If you use the Mogen clamp, you can apply it at this point (Figure 8.6). Then you take a razor or scalpel and just slice across the surface, hopefully avoiding the glans. You then "liberate" the glans as depicted in Figure 8.7pic.twitter.com/9xNnTYfnB1

        1 reply 10 proslijeđenih tweetova 40 korisnika označava da im se sviđa
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      14. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Alternatively, you might use the Gomco clamp -- the one most commonly used in American hospitals -- which is a bit gruesome and requires the use of a safety pin. "For optimal results, the safety pin should be pierced through the full thickness of the foreskin." See Figure 8.14.pic.twitter.com/rQuMQnQbSX

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        13 proslijeđenih tweetova 41 korisnik označava da mu se sviđa
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      15. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Now, I thought "piercing" was a form of FGM Type IV on the @WHO typology. It doesn't matter what part of the vulva you pierce, or whether you do it with pain control; as long as it's medically unnecessary, it's defined as "mutilation" by the @WHO and is a human rights violation.

        1 reply 11 proslijeđenih tweetova 46 korisnika označava da im se sviđa
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      16. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Not so for boys. Piercing is just one part of the procedure, after the tearing apart of foreskin & glans. With Gomco clamp, you then crush foreskin, cutting off its blood supply. But sometimes you need more room to work with, in which case you can slit the foreskin with scissors:pic.twitter.com/IvYoFGisV4

        19 proslijeđenih tweetova 47 korisnika označava da im se sviđa
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      17. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Of course, all of this tearing, crushing, slitting, and piercing carries risks. You might "deglove" the penis as depicted in Figure 10.1 of the @WHO instruction manual. Additional deglovings depicted in Figures 10.2 and 10.3.pic.twitter.com/X05OLERW9w

        1 reply 12 proslijeđenih tweetova 44 korisnika označavaju da im se sviđa
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      18. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Adhesions are also sometimes a problem. As is "trapped penis." See these pictures here.pic.twitter.com/sj95iV1DH4

        1 reply 11 proslijeđenih tweetova 42 korisnika označavaju da im se sviđa
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      19. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        There's also a fairly high risk of meatal stenosis (pathological narrowing of the urethral opening); skin bridges might also form, with unsightly scarring on the penis that will affect the boy for the rest of his life.pic.twitter.com/cKV84UQBh3

        1 reply 12 proslijeđenih tweetova 40 korisnika označava da im se sviđa
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      20. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Now, it is often argued that these risks are not all that common. But as surgeon Hutson argues in @JME_BMJ "The most fundamental principle of surgery is no operation should be done if there's no disease [else] no complication whatsoever can be tolerated." https://jme.bmj.com/content/30/3/238 …pic.twitter.com/A2abu63Nlq

        1 reply 21 proslijeđeni tweet 52 korisnika označavaju da im se sviđa
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      21. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        The @WHO needs to get its house in order, fast, or it will lose all credibility on this issue. How does it expect to convince groups that practice BOTH female & male genital cutting together (this is virtually all groups that practice FGC) that FGC is *human rights violation* ...

        1 reply 17 proslijeđenih tweetova 55 korisnika označava da im se sviđa
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      22. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        no matter how slight, no matter what the reason, no matter what part of the vulva is affected, no matter what the risk profile, no matter what social or religious benefits might follow, so long as it's medically unnecessary, if it simultaneously *encourages* such cutting of boys?

        1 reply 12 proslijeđenih tweetova 49 korisnika označava da im se sviđa
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      23. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        And not only encourages, but actually publishes and distributes a 132-page, step-by-step instruction manual for how to cut boys' genitals without their consent, in ways that are MORE invasive than some forms of WHO-defined FGM? And when the authors of that manual have clear COIs?

        1 reply 13 proslijeđenih tweetova 47 korisnika označava da im se sviđa
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      24. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        It is time @WHO stopped pretending to be a neutral 'scientific' authority on this issue. Circumcision promotors within @WHO are small coterie of die-hard devotees from practicing cultures whose close collaborations & power-positioning are well documented: http://cesp-2016.vjf.inserm.fr/wp-content/uploads/productions/12_Giami_GPH_2015.pdf …pic.twitter.com/rrInLlaQck

        1 reply 17 proslijeđenih tweetova 61 korisnik označava da mu se sviđa
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      25. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        And the opponents of FGC are not neutral either: the funding for @WHO anti-FGC policy comes from Western political funders who have stated mission to "eradicate" all forms of non-Western FGC, based on grossly homogenizing assumptions about such FGC rooted in sloppy scholarship.

        1 reply 9 proslijeđenih tweetova 43 korisnika označavaju da im se sviđa
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      26. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        Hodzic has done brilliant work showing how data on FGC are "massaged" by @WHO officials to get the results expected by anti-FGC funders https://www.researchgate.net/publication/260139821_Ascertaining_Deadly_Harms_Aesthetics_and_Politics_of_Global_Evidence …pic.twitter.com/7S8sYW2KOo

        1 reply 10 proslijeđenih tweetova 45 korisnika označava da im se sviđa
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      27. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        And I have a piece showing systematic contradictions, failures of reasoning, selective use of evidence, etc., in the @WHO policy on "FGM" that should make it hard for anyone to take that organization seriously as a source of evidence on non-Western FGC.https://kiej.georgetown.edu/editors-pick-june-2016-brian-earps-between-moral-relativism-and-moral-hypocrisy-reframing-the-debate-on-fgm/ …

        1 reply 8 proslijeđenih tweetova 47 korisnika označava da im se sviđa
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      28. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        See also this coverage in the @nytimes from some years back: https://tierneylab.blogs.nytimes.com/2008/01/28/cultural-imperialism-at-the-who/ … ... My hope is that scholars who work on these issues will say enough is enough, and it is time for a new policy that respects all children's right to genital integrity, regardless of race or sexpic.twitter.com/lXNtbaZ8Kd

        12 proslijeđenih tweetova 57 korisnika označava da im se sviđa
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      29. Brian D. Earp‏ @briandavidearp 13. srp 2019.
        • Prijavi Tweet

        cc @JohnTierneyNYC

        2 proslijeđena tweeta 26 korisnika označava da im se sviđa
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      30. Brian D. Earp‏ @briandavidearp 2. sij
        • Prijavi Tweet

        P.S. if you find these kinds of explainer threads valuable please consider supporting my ability to make them herehttps://www.patreon.com/user?u=10127829 

        0 replies 1 proslijeđeni tweet 8 korisnika označava da im se sviđa
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