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Herpes & Circumcision - Is there a link?
 

by John Trout

The death of one infant boy from herpes and the infection of two other baby boys who contracted herpes shortly after a rabbi circumcised them, has focused attention on an ancient practice that is still used in some Orthodox Jewish communities as they circumcise babies. New York City health officials are investigating whether the mohel who operated on the three boys had infected them. The city's legal department has been granted a temporary restraining order against the mohel, Rabbi Yitzhak Fischer, until the investigation is complete. 

Under Jewish law, a mohel — someone who performs circumcisions — draws blood from the circumcision wound. Most mohels do it by hand, but Fischer uses a rare practice where he uses his mouth. 

Fischer practices a custom called metzitzah b'peh — loosely translated as oral suction — that is still considered an integral part of the brit milah in some parts of the Orthodox Jewish world (mainly but not exclusively among Chasidim). It's not known if Fischer carries the herpes virus, but the restraining order forbids him from practicing metzitzah b'peh, and demands that he wear surgical gloves when he performs a circumcision. 


The Talmud describes the process of removing the baby boy's foreskin in three steps: The foreskin is cut, the mucous layer underneath is removed with a flick of the mohel's fingernail and then the blood is removed through oral suction. Often the first two steps are combined, and the fingernail motion is abandoned in favor of a surgical clamp. 

In the third step, the mohel traditionally takes a sip of wine in his mouth, quickly sucks the blood off through the wine and spits the mixture into a bowl to be discarded. That is metzitzah b'peh. The custom of metzizah is thousands of years old. But experts said that these days, many mohels breathe in through a sterile tube to draw the blood instead of using their mouths directly on the wound, although in some Orthodox sects, the oral practice is mandatory, however it usually depends on the preference of the parents, and that depends on their particular religious community. Some estimate that "tens of thousands" of circumcisions using metzitzah b'peh have been done in recent years, with very few adverse results. 

Not true, concluded a panel of researchers who wrote:

"Ritual Jewish circumcision that includes metzitzah with direct oral-genital contact carries a serious risk for transmission of the herpes simplex virus from mohels to infant," concluded a research paper signed by 12 medical doctors and Ph.D. researchers and published in the August 2004 issue of the medical journal Pediatrics. The paper examined the cases of eight young babies who had developed herpes within two weeks of their circumcisions. 

One of the researchers was Rabbi Moses Tendler, who holds a doctorate in biology and teaches biology at Yeshiva University, teaches rabbinical students at Y.U.'s seminary. Rabbi Tendler, a pulpit rabbi who also specializes in Jewish medical ethics, minced no words when discussing metzitzah b'peh. 


"What people don't understand is how widely disseminated the herpes virus is. Statistics say that 80 percent of the adult American population carries it, as you well know from how many people in their lives acquire a cold sore," he said. 

"It's an omnipresent danger, and for an infant, in the early days before his immune system kicks in, it's not necessarily localized. It can be a systemic infection. "I'm particularly disturbed that once this information becomes available, the mohelim don't do what they're told," Tendler continued.


A lawyer for the rabbi told the New York Daily News that his client is cooperating with officials, although it's not clear if he has submitted to a blood test.

This article is part of a free educational series of articles written by John Trout, on the subject of the herpes virus. To get the complete series, simply send a blank email to: herpes@newsabout.info

Article Source: http://www.herpes-pics.com/
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