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Another study, of men who have sex with men (MSM), in New York City, Philadelphia and Los Angeles, found 74% of Black and 33% of Latino men were circumcised [Millett et al., 2007].

that to establish a defense on the ground of insanity, it must be clearly proved that, at the time of the committing of the act, the party accused was laboring under such a defect of reason, from disease of the mind, as not to know the nature and quality of the act he was doing; or if he did know it, that he did not know he was doing what was wrong." have been a standard test for criminal liability in relation to mentally disordered defendants in common law jurisdictions ever since, with some minor adjustments.

In New York City NYC HANES data show circumcision rate to be 74.5% in US born men and 36.8% in men born elsewhere [Mc Kinney et al., 2008].

Rate was 59.8% in men born 1970-1984, 58.4% for those born 1950-1969, and 49.7% for those born before 1950.

The decline was apparent in all racial group It should be noted that the San Francisco Bay Area is the heartland of the anti-circumcision movement, being where it started and where its leadership and main activists reside.

Clearly this cohort of San Francisco residents differs from the rest of the USA, where circumcision rates are much higher.

(See ‘Socio-sexual aspects’ page for more information.) The latest data from the Centers for Disease Control and Prevention show that 91% of white American men are circumcised, 76% of Black and 44% of Hispanic (Prevalence of Circumcision Among Men and Boys).

The 2000 British National Survey of Sexual Attitudes and Lifestyle found that 16% of 16-44 year-olds were circumcised, the rate being 20% in those aged 40-44 and 12% in the 16-19 year age group [Dave et al., 2003].For men who have sex with men it was 67.7% (being 85.3% for those born in the USA and 35.4% for those born elsewhere) and for heterosexual men was 55.7%.Prevalence increased, especially in blacks and Hispanics, from the 1940s through the 1970s.Then the remainder of her teeth were removed and she was sent home, pronounced cured.Andrew Scull argues that Cotton's obsession with focal sepsis as the root cause of mental illness "persisted in spite of all evidence to the contrary and the frightening incidence of death and harm from the operations he initiated".About 90% of their circumcisions had been carried out neonatally.

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