It’s not the stag party many young men might think of, but coming together with buddies to get vasectomies is a new trend Vancouver’s Dr. Neil Pollock thinks is a good thing.
In a Global News segment recently, four high school pals from Maple Ridge had lunch then headed into Pollock’s office for four vasectomy procedures. The lighthearted approach to the minor surgery with big implications is part of a phenomenon in which men are taking responsibility for family planning, said Pollock.
Dr. Neil Pollock (photo from Pollock Clinics)
“The brosectomy is a larger trend that’s been increasing in popularity over the last few years,” he said. “We did not coin the term. We noticed an increasing amount of people reaching out to book group appointments with their friends, and our team loved the idea. We wanted to support the group by making the appointment fun, comfortable and memorable.”
Any surgery is stress-inducing and men may be squeamish about this one in particular, even though it is quick, painless and easy.
“The brosectomy transforms a potentially anxious appointment into something fun,” said Pollock, who is a familiar face in the Jewish community. “It is understandable for a guy to feel anxious about getting a vasectomy. In addition to concerns about pain and recovery, many men are influenced by stigmas surrounding men’s sexual and reproductive health. Some worry that a vasectomy will strip them of their manhood, or affect their performance in the bedroom, neither of which are accurate, of course.”
A brosectomy turns it into an adventure.
“Friends can support each other leading up to the procedure, and during the recovery period afterwards,” he said. “It creates a positive, safe environment for men to discuss their sexual and reproductive health.”
In contrast with other forms of birth control, a vasectomy makes a lot of sense, Pollock argues.
“A vasectomy offers males the opportunity to demonstrate care and concern for their partner’s best interests by accepting the responsibility of birth control in the relationship,” he said. “We consider a vasectomy the ultimate form of birth control. It is safe, effective and, when performed by experienced physicians, can be done in under five minutes, with extremely high success rates.”
Vasectomy techniques have advanced significantly in recent years, said Pollock, and the minimally invasive technique his office uses features no needles, scalpels, cautery or metal clips. They are much simpler than a parallel birth control operation for women.
“When compared to a vasectomy, tubal ligations are much more invasive and pose a higher risk for serious complications,” Pollock said. “Birth control pills, on the other hand, are a temporary solution and affect hormonal balance, with many users experiencing nausea, headaches, cramps, weight gain and challenges with their menstrual cycle and libido. On top of physical and sexual complications, hormonal changes can also result in emotional instability or mood swings.”
In a brosectomy, the friends arrive together but the vasectomies take place separately.
“The procedures take place back to back, not in one room,” Pollock clarified. “We haven’t gotten that request yet!”
With each procedure taking only a few minutes, the group of four were in and out of Pollock’s clinic in less than an hour.
“We sent them for lunch beforehand, gave them their custom muscle shirts with their faces and ‘Brosectomy 2024’ splashed boldly over front and back, and then performed the procedures,” said Pollock. “Afterwards, the group headed home to begin their recovery. They celebrated with a barbecue steak dinner and a scotch.”
“I didn’t really want to do it alone,” said the ringleader of the foursome who, as Global News put it, took “a trip for the snip.”
Anxieties are natural, Pollock said, and talking with professionals is key to addressing them.
“If you’re worried about getting a vasectomy, or your sexual health in general, we encourage you to talk with people you trust,” he said. “Discussing and addressing your sexual health is important. Pollock Clinics is always here to help.”
Left to right: Pollock Clinics sex therapist Tom Foster and physicians Neil Pollock and Roozbeh Ahmadi. (photo from Pollock Clinics)
While there may be any number of reasons why the frequency of a couple’s intimate sexual contact may wane, it is a critical cornerstone supporting the continuation of a healthy relationship. Often, when a couple is having sex infrequently, or not at all, their relationship becomes vulnerable to anger, detachment, infidelity and divorce. One factor that can come into play regarding a couple and their sex life is erectile dysfunction.
“ED is a medical condition where a man is consistently unable to achieve and maintain an erection that allows for satisfactory sexual function. ED is also referred to as impotence,” explained Drs. Neil Pollock and Roozbeh Ahmadi of Pollock Clinics in an email interview with the Independent. “The Canadian Study of Erectile Dysfunction identified 49.4% of men over the age of 40 with ED (Canadian Urological Association erectile dysfunction guideline 2015). By the time men reach the age of 70, almost 70% of them will experience some form of erectile dysfunction.”
Conventional treatment for ED generally involves blocking the symptoms, with medications like Viagra and Cialis. “If pills are not working, the next step is the injection or suppository forms of medications that patients can inject into the penis or infuse into the urethra prior to having intercourse,” said the doctors. “If these medications are not satisfactory, then there is the option of a vacuum erection device that a patient will need to apply to the penis and get an erection through the vacuum created within the tube. If none of the options is satisfactory, then there is the option of surgery, such as penile implant surgery.
“The issue with pills, injection and pump is the fact that all need prior timing and preparation and, in the case of pills, they can cause significant side effects, such as headaches, flushing, upset stomach and visual changes, which a lot of patients cannot tolerate.”
There are many factors that can cause ED. “These include neurological disorders, hormonal imbalance, structural abnormalities, side effects of medications or surgeries, mood disorders,” said the doctors, but “the most important and prevalent one is vascular disease.
“When a man becomes aroused, the brain releases a neurochemical substance to increase the size of blood vessels carrying blood to the penis and reduce the size of the vessels that carry it out,” they explained. “Twin compartments that run the length of the penis, called corpora cavernosa, become flush with blood that is trapped in the shaft. This causes the penis to stiffen and become erect. If blood flow to the penis is inhibited or the blood vessels are clogged or constricted, erection cannot be achieved or maintained.”
High cholesterol and the buildup of arterial plaque, over time, cause blood vessels to narrow, lessening their capability to carry blood. One of the first places men will notice this reduced flow is with ED, which is why ED has been dubbed “the canary in the coal mine” – it can serve as a distress signal three to five years prior to a major heart attack.
Lifestyle choices and health conditions that can also contribute to ED include smoking, obesity, a sedentary lifestyle and chronic alcoholism and/or substance abuse.
“Sexual wellness is essential to men’s health and happiness,” said Pollock and Ahmadi. “It is an integral part of men’s overall wellness as they age. A great number of scientific studies have shown the many benefits of a healthy and active love life, which include living longer, greater well-being and a happier and longer lasting relationship with your partner.”
Pollock Clinics provides a few treatments for ED.
“In the last few years, there are innovative regenerative treatment options to deal with the root cause of the problem, and not just the symptom,” said the doctors. “These new modalities include low-intensity shockwave therapy and platelet-rich plasma therapy [also known as the PRP shot], and are currently used in many countries around the world.”
PRP is created from a patient’s own blood and is commonly used in orthopedics, plastic surgery and sports medicine. “Studies have shown that this penile injection contains several different growth factors that can stimulate the healing of erectile tissue and is a safe and effective option for penile rejuvenation and improvement of erectile function … by enhancing and increasing the blood flow to the erectile tissue, offering a longer lasting desired outcome.
“ED shockwave therapy,” the doctors explained, “also promotes the regeneration of blood vessels in the penile shaft. That, like PRP, leads to longer and more satisfying erections and is accomplished by directing painless energy waves into the shaft of the penis.”
In addition to these two treatments, Pollock Clinics offers therapy, since ED has both physiological and psychological causes.
“Pollock Clinics also has a certified sex therapist to deal with psychogenic issues that might be affecting a man’s sexual health,” said the doctors. The goal of therapy is to provide “strategies to get a patient’s mind working with him instead of against him in a sexual encounter.”
Pollock and Ahmadi strongly encourage men to talk to their own doctor about any health issues they may have and the treatment options available.
Neil Pollock, chair of the Jewish Federation annual campaign. (photo from Jewish Federation of Greater Vancouver)
There’s just under one month left to contribute to the Jewish Federation of Greater Vancouver annual campaign, which supports dozens of local community organizations, as well as partner agencies in Israel and overseas. The Jewish Independent spoke to this year’s campaign chair Neil Pollock via email about his reasons for being involved, and the importance of the campaign to the community.
JI: You’ve taken over the general chair position from Harvey Dales. I know you’ve done so much community work, but did he offer you any advice specific to the campaign that you could share?
NP: Harvey is a good friend, and working as his wingman for a few years before succeeding him as campaign chair was a tremendous learning experience for me. Harvey is, as we all know, a terrific leader and great asset to this community. In fact, if I recall correctly, it was at one of his last meetings as chair that Harvey inspired the concept for our new face-to-face incentive, which has been so well supported by donors and canvassers.
This year, every time a donor meets with their canvasser in person, an additional $500 will be donated to the campaign. It’s an important way we’re engaging in genuine conversations about our community and its needs, as well as donors’ values and interests. It’s also a key way in which we’re growing the campaign. If anyone reading this wants to meet face to face, but doesn’t have a canvasser, just contact the Federation office and they’ll set it up for you.
JI: What motivated you to take on the position of general chair?
NP: I thought I might be able to help out the community a little, and I was honored to be asked to serve. My wife, Michelle, and I have made a very conscious effort to live and practise our Jewish values – especially tikkun olam, chesed and tzedakah. We do this through our volunteer work in the community, and in our home with our children. It’s made our kids more aware of the responsibility we all share in building a better, stronger community, and of all of us being responsible for each other.
JI: The campaign theme is “Securing Our Future.” What does that mean to you in terms of the Jewish community?
NP: The theme has a few meanings. In one sense, it’s about community continuity and engaging the next generation – two of the priority areas for our work. We need to continue to fund young adult programming through Hillel and Axis. We also need to support innovative new Jewish education programs that will reach the more than 850 children in underserved areas who aren’t currently receiving any Jewish education. We live in this incredible city, but the cost of living is so high that many people are struggling with how they can stay connected Jewishly. Nearly half of community members are living outside the city of Vancouver, and funding new programs that reach them where they live is critical to their community involvement.
In a very literal sense, it’s about making sure everyone in our community feels safe. Our Federation has been very proactive in terms of security, conducting a community-wide training program and providing grants for security upgrades, but security is an ongoing need in our community. We need to increase funding for our community institutions so they remain safe, and ensure emergency preparedness.
What some people might not realize is that, every year, Jewish Federation receives more requests for support than there is funding available. On top of that, there are critical programs and services that need more funding than they currently receive. If we want to secure our community’s future, we need to close these gaps while at the same time addressing the issues of affordability and accessibility.
JI: Are there any special projects/ causes that the campaign is hoping to fund?
NP: We’re seeing a real shift in our community that’s creating issues of affordability and accessibility. More and more families are moving to underserved communities outside of the city of Vancouver. It’s just too expensive for them here. When they move, they become beyond the reach of most of our community institutions. We need to find new ways to make community accessible for them. For many of those who live close to the centre of Jewish community life, the cost of doing so is creating other barriers, notably affordability. The high cost of living here has a direct impact on the ability of regular families to engage in Jewish life. These are the issues Federation is addressing through the campaign and in coordination with its partner agencies.
JI: What is the campaign goal this year?
NP: Last year, we reached a record result of $8 million – and we are determined to surpass that. As community needs continue to grow and evolve, so must our response, so must the campaign.
JI: Until when does the campaign run?
NP: The campaign runs from September through to the end of November, which is very short, compared to other communities. One of the reasons we’re able to raise funds in such a condensed period is the incredible work of our canvassers. Supporting them in their work is something I’m passionate about, and we’re putting special emphasis on that this year. We’ve worked with a group of generous supporters to develop a new incentive: for every new canvasser who joins our team, an extra $1,000 will be donated to the campaign. Twice the mitzvah!
Dr. Neil Pollock, second from the left, in Haiti. (photo from Neil Pollock)
Vancouver-based Dr. Neil Pollock has recently returned from a mission to Haiti, where he trained surgeons in newborn male circumcision to help fight against HIV.
Among other benefits, “circumcision reduces AIDs transmission by 60 percent and that would reduce a man’s risk of acquiring HIV. The reason is, the foreskin has receptor cells that selectively bind the HIV virus and promote its uptake into the body. So, by removing the foreskin, you remove the portal of entry for the virus,” explained Pollock, who specializes in circumcision and adult vasectomy.
Pollock was approached to lead the Haiti mission by Dr. Jeffrey Klausner, a medical doctor and professor of medicine at UCLA, specializing in infectious disease. Klausner volunteers with GHESKIO, a nongovernmental organization run out of the Centre for Global Health at Weill Cornell Medical College in partnership with the Haitian government.
In a phone interview with the Independent, Klausner said that, around 2007/08, “evidence became very clear that circumcision was a highly effective prevention intervention for HIV and the first priority was to get adolescents and young men circumcised. And, over time, we scaled up progress for newborns.”
After moving from South Africa to Los Angeles, Klausner started working in various countries. It was in Haiti in March 2012 that he connected with GHESKIO. He said it was one of the first NGOs to respond to the AIDs crisis in the early 1980s. Through GHESKIO, he was introduced to Haiti’s first lady, Sophia Martelly, in Washington, D.C., at the International AIDs Conference. Klausner said that, when talking to Martelly about the prospect of introducing newborn circumcision to Haiti, she said, “Absolutely, we’d love to do that, but we don’t have the resources, we don’t have the technical expertise, so we really need to rely on people like you to help us.”
Klausner returned to GHESKIO and worked to organize “a physical place, the proper clean procedure room … certain types of equipment and supplies and autoclaves, sterilized surgical equipment, and the tab was running into tens of thousands, about $50,000…. Once we had the supplies and materials, then the next step was to get the training, and I’m not a surgeon. I contacted the head of circumcision programs in Kenya, a guy named Robert Bailey.”
Bailey directed Klausner to Pollock. Klausner said he was “encouraged by [Pollock’s] enthusiasm and … set up a training program for May 2014.” (see jewishindependent.ca/vancouver-doctor-will-train-doctors-in-haiti-in-circumcision) However, the mission had to be postponed to November, as just days before they were set to depart, an “outbreak of chikungunya fever hit, which is a rare [virus] that causes fever, joint pain, and about one of 100 people can get lifelong arthritis.” In addition, “there was a fire in a supply room and we lost some of the tables we had bought and one of the autoclaves,” and “a box of supplies went missing.”
Despite these and other challenges in organizing and executing the mission, such as difficulties in communication due to power outages and poor internet connections, Klausner said, “I have been doing international work, research and programs for 25 years now and [obstacles are] par for the course. This actually went smoother than many other projects [in which] I have been involved.”
For the Haiti mission, said Klausner, “We had to make sure there were at least 200 parents and babies that were already pre-examined, pre-consented, pre-educated and prepared” because for “a training program like this to be successful you really need to do between 50 to 100 [surgeries] a day in a short period with a lot of cases to make sure the people you are training learn, and learn effectively so they can go on and do this independently and confidently.”
Pollock said he had “arranged to train two surgeons, in case one of them did not have the aptitude to succeed – in the end, one did not, and it was difficult of course to tell him that, but it was clear that it would not be safe to pass him and enable him to operate on patients.”
With the use of the technique he taught in Haiti, said Pollock, recovery time will be reduced compared to current Haitian practices “because there is so little trauma caused during surgery.”
Klausner offered three measures for the mission’s success. “One is the actual conduct of safe, well-done circumcision on the babies that Dr. Pollock and his colleague Pierre Crouse did. That’s an achievement in itself: they did over 100 infants in two and a half days. The second part is that the surgeon and the teams that were trained, they continue to do it themselves, so they have done an additional 100 since we left. And then the third piece is that we have trained the trainers, and now other teams are being trained” to perform the surgery.
Klausner’s and Pollock’s efforts in combating HIV and AIDs received notice from some high-profile celebrities. “I was quite surprised to get a text from Sean Penn on the day after we landed in Port-au-Prince that he wanted to come down and meet and observe what myself and my team were doing and discuss synergies between our global interests in promoting health care,” said Pollock. Penn was joined by Charlize Theron, “who was also interested in discussing collaborative efforts in association with her foundation helping improve health care for the people in her native country of South Africa.”
Klausner said, “I have been working in eastern South Africa, KwaZulu-Natal province … with the public health leaders there to introduce a similar effort where we would train surgeons, create a permanent resource, such as a training program, to expand the number of trained doctors or medical officers in newborn circumcision.” In that province, he said, “40 percent of people have HIV infection” and “75 percent of women aged 30 have HIV. So, right now, that part of South Africa … is in a complete, out of control, HIV epidemic. I helped introduce adult circumcision there, but I think, to have greater impact in the long term, we need to introduce newborn circumcision.”
He added, “I believe Dr. Pollock had a very positive experience [in Haiti] and I suspect he is optimistic about the possibility to go and do it again elsewhere.”
David Chilton, second from the right, with Josh, Michelle and Dr. Neil Pollock. (photo by Robert Albanese Photography)
More than 650 people attended the Jewish Family Service Agency’s 10th annual Innovators Lunch on May 1. This year’s keynote speaker was Wealthy Barber author and Dragons’ Den investor David Chilton.
JFSA board chair Joel Steinberg welcomed attendees to the event, which took place at the Hyatt Regency Vancouver, and introduced Beth Israel Rabbi Jonathan Infeld to make the HaMotzi. The rabbi explained the blessing and connected it to JFSA, describing the agency as “God’s partner in sustaining the most needy in our community, working together and bringing God’s blessing down from heaven and providing it in a real way.”
In his thanks and remarks, Steinberg noted how the Innovators Lunch had grown over the years, generating “significant funds for many important programs and services provided by JFSA.” Through corporate sponsorships, ticket sales and donations, this year’s lunch raised a record amount – more than $315,000, JFSA director of development and communications Audrey Moss told the Independent Monday.
The annual video, introduced by JFSA executive director Charlotte Katzen, not only highlighted the services offered by JFSA – this year focusing on mental health counseling and outreach – but celebrated the driving force behind the Innovators event, Naomi Gropper Steiner z”l, whose “dream, vision and tireless efforts” helped launch it. As the program noted, “Naomi was a remarkable person who dedicated her exceptional talents to helping others.”
Event chair Jackie Cristall Morris echoed those sentiments in her comments and offered thanks to all those who contributed to the lunch as she invited Dr. Neil Pollock to the podium. He and his wife Michelle were this year’s event angel donors, matching dollar for dollar any new gifts or portion of increased gifts, up to $20,000. “I can see that every additional dollar that I give helps to make the life of someone in need, in our local community, a little bit better. That is why we decided to offer the matching gift opportunity for the JFSA this year,” he said. Pollock praised JFSA as “a lifeline” for many, and encouraged everyone to give outside of their comfort zone, reassuring them that it would not change their circumstances, but would help change the lives of JFSA clients.
Shay Keil of Keil Investment Group at ScotiaMcLeod, which co-sponsored the lunch with Austeville Properties, introduced Chilton, who proceeded to entertain the audience with several jokes and stories, all of which had a humorous element. He started off bemoaning Fifty Shades of Grey’s unseating of The Wealthy Barber as Canada’s all-time bestselling book. He then recounted what happened when he first returned to public speaking after a brief retirement, during which he was engaged in various projects, including homeschooling his kids for a few years.
His first tour was for CIBC, he said, speaking to the company’s high-end wealth-management clients, and it started in Victoria. It was an elderly crowd. He joked, “The average age was deceased…. I normally talk about save 10 percent and max your RRSP; these people were too old for RIFs. I didn’t know what to say.” When he finished his speech, two elderly women asked his advice on their portfolio. “‘Well,’ he said, ‘I can’t answer that here. I don’t know your risk tolerance level, your pension involved, your income needs, your age, your health, I’d have to ascertain all that before I can give you any advice.’ And the second lady cut in and said, ‘Please just give us a broad general counsel.’ And I said, ‘Well, do you mind me asking how old are you two?’ She said, ‘We’re twins … we’re 93.’ I said, ‘Oh my, I’d spend it.’”
When the laughter subsided, Chilton shared a couple of funny stories about the beginning of his career. One happened at the start of his tour for The Wealthy Barber. He was waiting at the Calgary airport for a flight and visited the bookstore. Seeing his book on display, he offered to sign some copies, only to have the clerk want to know why he would want to do that, not believing that the 25-year-old in front of her could have written it.
The entire season of Dragons Den is filmed in 21 days and, for these 21 days, the dragons must always wear the same clothing because the decision as to which pitches form each individual show are made only after all the filming is complete.
Chilton spoke of how he became involved in Dragons’ Den (“I’ve had so much fun doing the show”), how it has changed his life (he’s no longer always asked whether it’s best to pay off one’s mortgage or max one’s RRSP, but rather whether his fellow dragon, Kevin O’Leary, is really a jerk), how it attracts very passionate fans, some of whom are inspired to go into business, and a few of his favorite entrepreneurs and most profitable or surprising investments. He also shared other tidbits. He explained, for example, that the entire season is filmed in 21 days, over which they see 230 pitches. For these 21 days, the dragons must always wear the same clothing because the decision as to which pitches form each individual show are made only after all the filming is complete, and there needs to be continuity within each show.
Outside of Dragons’ Den, Chilton has invested in other businesses. Notably, he helped cookbook authors Janet and Greta Podleski – after about a year of them wooing him. He spoke with obvious fondness and admiration for the sisters, who almost went bankrupt (paying their mortgage with credit cards!) before they saw success. Their first book, Looneyspoons, spent almost two years on the national bestseller list and sold 850,000 copies in Canada alone. They have since published more cookbooks and expanded into other food-related ventures.
Chilton ended his speech with a call for perspective. Describing himself as always being in a good mood, he noted that this isn’t the case with many others. “People say that Canada’s national pastime is hockey, but I’d argue, after 25 years on the road, it’s complaining. Everywhere you go,” he said, “people whine about absolutely nothing. It is amazing to me how many people voluntarily decide to be in a bad mood about a trivial matter.”
An economist by training, Chilton said, “I believe the number one thing holding back productivity in many people’s lives is their whining and complaining, they’re always focused on something negative and it’s usually something trivial. People have lost perspective. In Canada, we have lost the ability to discern the difference between a minor inconvenience and a major problem. A long lineup at Tim Horton’s is not a major problem, but it spins people into bad moods for hours. It’s crazy. Look around the world right now and what’s happening in so many places, Ukraine obviously, but think about Syria. We’re talking about a relatively wealthy developed country disintegrating right in front of our eyes, and it’s happening everywhere in the world.”
“I’m telling you right now, if you are healthy and you live in Canada, especially if you live here [in Vancouver], it doesn’t get any better than right here and right now. You’ve got to step back and see how fortunate we are. It’s that perspective, I think, that leads to more generosity, more community involvement, all of that.”
Not only are Canadians better off relative to most other countries, but to previous centuries. “We are living such better lives than at any point in history. It’s crazy that people don’t notice that. And I’m not talking back to medieval times, I’m talking 20 and 40 years ago, one or two generations. Everything, and I repeat, everything is way better now than it was then, everything.” He gave many examples – cars, phones (which now have “more computing power than the entire Apollo 11 mission”), air travel, television, wages, home sizes and building materials, health care. “I’m telling you right now, if you are healthy and you live in Canada, especially if you live here [in Vancouver], it doesn’t get any better than right here and right now. You’ve got to step back and see how fortunate we are. It’s that perspective, I think, that leads to more generosity, more community involvement, all of that. That’s what days like this are all about.”
For more information about JFSA, call 604-257-5151 or visit jfsa.ca.
Dr. Neil Pollock instructs a team of surgeons in Rwanda on carrying out his technique of circumcision. (photo from Dr. Neil Pollock)
Dr. Neil Pollock specializes in circumcision, from newborn to adult, and adult vasectomy. As a leading expert in circumcision, he has traveled around the world to train physicians and, this summer, he will head to Port-au-Prince, Haiti, to teach a team of doctors in medical newborn and infant circumcision.
“After carrying out 50,000 infant circumcisions and traveling recently to Turkey, China and Africa to exchange ideas, I have evolved my technique to make it applicable to infants, children, teenagers and adults,” Pollock told the Independent in a recent interview. “I have developed a technique to do circumcision in this older age group under local anesthetic without using sutures and using, instead, a cyanocrylate skin glue that closes the wound. Being able to do the procedure under local anesthetic and with skin glue instead of a general anesthetic in hospital provides for a much simpler, easier, quicker, safer and improved cosmetic outcome for patients.”
This method, he said, is unique. “I’m unaware of this approach being used anywhere in [Canada] except in my clinics. The older age group is currently requesting circumcision for reasons like reduction in disease transmission, preference of their partners and improved hygiene.”
In 2008, Dr. David Patrick was the head of the B.C. Centre for Disease Control. Pollock said he was asked by his colleague “to teach my surgical techniques for circumcision in Rwanda, where they were using scissors and stitches, without anesthetic, and their surgeons desperately required training in an alternative quick, safe and painless infant circumcision technique that would be accepted by their population. In coordination with their surgeons, I planned with my team a five-day surgical training mission that year and flew to Rwanda. I have been in contact with these surgeons by email since my trip and they have informed me that they are using my technique effectively and safely throughout the country now.
“The impact of our humanitarian effort became known in the international medical community, which led to Dr. Jeffrey Klausner, professor at [the University of California, Los Angeles] Medical School, contacting me recently and asking me to essentially replicate the work I did in Rwanda, but this time in Port-au-Prince, Haiti, where they are being overwhelmed by the number of patients requiring treatment for AIDS and would receive huge benefit from introducing a preventative strategy to reduce AIDS transmission, such as infant circumcision, which will reduce the risk of their circumcised infants later contracting AIDS when they hit sexual age, by over 60 percent. Its impact and effectiveness has been referenced metaphorically to be like a vaccine.” Circumcision, he added, “works to reduce AIDS by removing the portal of entry of the virus, which is the foreskin.”
Klausner, a professor of medicine in the division of infectious diseases and the program in global health at UCLA, is an advocate in the use of medical male circumcision for the prevention of sexually transmitted diseases and HIV. He volunteers with GHESKIO, an organization run out of the Centre for Global Health at Weill Cornell Medical College in partnership with the Haitian government. Operating primarily in Port-au-Prince, their work is supported by Haiti’s first lady and has a mission to combat HIV and improve conditions of maternal and child health. GHESKIO will host Pollock’s training in Port-au-Prince.
Raised in Winnipeg, Pollock explained that he decided to become a doctor “because I had a strong interest in sciences, medicine and surgery from a young age.” Early in his career, he decided to create a special focus on circumcision and vasectomy, and built a highly focused practice and a well-tested – and respected – technique.
“My interest in developing a safe, quick and painless approach to circumcision for the medical community in B.C. arose initially from some of the rabbis approaching me approximately 20 years ago and encouraging me to become a mohel in Vancouver,” Pollock said.
The benefits of newborn and infant circumcision are many, but the rates of the procedure vary from region to region, and remain contentious to those opposed to what’s seen as elective (non-consenting) surgeries for babies.
Pollock noted, “The most important change recently in how the medical community has come to view circumcision is expressed in the … consensus statement from the American Academy of Pediatrics released in late 2012 declaring that ‘the medical benefits of infant circumcision outweigh the risks.’ This is the strongest statement of support ever issued by the American Academy of Pediatrics.
Dr. Neil Pollock in Rwanda with an infant post-circumcision. (photo from Dr. Neil Pollock)
“The benefits of circumcision are multiple; they include reduction in the risk of urinary tract infection, which can lead to kidney infection and renal failure, reduced risk of cancer of the penis, cancer of the cervix in partners, reduced risk of balanitis (which is infection of the foreskin), and other foreskin-related problems, like phimosis.” As well, circumcised males also experience a “reduction of multiple sexually transmitted diseases, like HPV, herpes and AIDS transmission. The latter is exponentially more important in places like Haiti and Africa, where a large number of the population has AIDS in comparison to other regions of the world where AIDS is less common.” Possible risks include “bleeding and infection,” he added, “but, in experienced hands, risks are extremely low.”
Rwanda and Haiti share a history of national trauma, which has led in both countries to poor health outcomes. In 1994, at least 800,000 Rwandans were massacred by their countrymen in a genocide. In 2010, Haiti, already the victim of more than two centuries of extreme poverty, dictatorships and U.S.-led military interventions, experienced a 7.0 earthquake that resulted in the deaths of more than 100,000, and displaced 1.5 million of the tiny country’s 10 million people. Since then, Haitians have been hit by serious outbreaks of preventable disease, including cholera, tuberculosis and AIDS. According to the United Nations, life expectancy is 61 years for men and 64 for women.
The health challenges that Haitians are very similar to those experienced in Africa, and the training is seen as critical in addressing those obstacles. “Like there was in Rwanda, there is a need to train surgeons in Haiti to carry out a quick, safe and painless infant circumcision technique,” Pollock explained. “In regards to what accounts to gaps in circumcision rates, there may be a deficiency in trained surgeons to carry out the surgery in an acceptable manner, along with variations in social and cultural norms that influence the choice to have circumcision.”
The ultimate intention of the training, Pollock said, is “to set up a national program accepted by the population, to introduce infant circumcision safely and effectively, and have it evolve to become a widespread practice throughout the country, thereby reducing the transmission of multiple diseases, including AIDS.”
Pollock’s visit to Haiti will involve intensive training. “My goal is to carry out a similar plan to what we executed in Rwanda. I worked with physicians there weeks ahead to set up a surgical schedule of 20-to-30 infants per day, over four-to-five days of operating. After working with doctors on models that I brought to demonstrate the technique and do the primary teaching, they moved to assist me with the surgeries and eventually carry them out under my supervision on the infants booked for circumcision.”
The training in Haiti, part of a nongovernmental public health initiative, will be partially supported by charitable donations. “The commitment from my end for Haiti will include a week away from my practice and the commitment to help raise the $25,000 for the mission to take place. The plan is to raise $25,000 from the Vancouver community in the next seven days or so as to be able to launch the teaching mission in Haiti by the end of the summer. During the week in Haiti, I will train two physicians, who will then train other physicians once our team leaves. I will maintain follow-up with these physicians to help them manage any issues that should arise.” The goal is to create a sustainable public health campaign and donated funds not only will go towards covering the costs for the week, but also for “the next 500 infants once we leave.”
Readers who would like to donate to the effort “will support an initiative, which will undoubtedly over the years save thousands and thousands of lives,” Pollock said. “It’s intended that Haiti will become a training centre for circumcision in the Caribbean. It is likely that my technique, once taught in Haiti, will soon be shared with multiple countries throughout the Caribbean, multiplying its effect to save lives throughout the entire region. So, I’m asking readers and members of the community to reach deep and consider making a financial donation to help us raise $25,000 in the next [several] days to allow this mission to proceed.”
To make a donation, contact Dr. Neil Pollock at 604-644-5775 or [email protected]. “We will make it very easy for people to donate, and make arrangements for their cheques (made payable to the Vancouver Foundation) to be picked up by our team,” he said. Donations can also be mailed to 4943 Connaught Dr., Vancouver, B.C., V6M 3E8.
