A Tale of Two Studies: Medical Male Circumcision, Ischaemic Heart Disease

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This week: Economic Incentives for Voluntary Medical Male Circumcision, and Lifestyle Counselling for Ischaemic Heart Disease

Reena and Amol want you to:

1. Understand that medical male circumcision is effective in reducing transmission of HIV and other sexually-transmitted infections.

2. Recognize that an economic incentive designed to compensate people for ancillary costs and lost wages is modestly effective in improving rates of voluntary medical male circumcision.

3. Recognize that the weight of evidence after numerous studies, including the Inter99 RCT, suggests that there is no benefit to routine population level screening for cardiovascular disease followed by counselling for lifestyle intervention.

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The papers

Thirumurthy H, Masters SH, et al. Effect of Providing Conditional Economic Compensation on Uptake of Voluntary Medical Male Circumcision in Kenya: A Randomized Clinical Trial. JAMA 2014, Jul. 20 Epub.  (PubMed).

Jørgensen T, Jacobsen RK, et al. Effect of Screening and Lifestyle Counselling on Incidence of Ischaemic Heart Disease in General Population: Inter99 Randomised Trial. BMJ 2014 Jun 9;348:g3617. (PubMed).

Other Papers Mentioned:

Siegfried N, Muller M, et al. Male circumcision for prevention of heterosexual acquisition of HIV in men. Cochrane Database Syst Rev, 2009 Apr 15;(2):CD003362.

Krogsbøll LTJørgensen KJ, et al. General Health Checks in Adults for reducing morbidity and mortality from disease: Cochrane systematic review and meta-analysis. BMJ 2012 345:e7191. (PubMed).

Good Stuff


Greenhouse; as seen on Washington Post, Daily Dot


Foodtruck with a difference: Converted bus brings fresh produce to low-income neighborhoods, Dave LeBlanc, The Globe and Mail, July 10, 2014.

Food Share: Mobile Good Food Market.

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