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危险的交织:南非传统割礼中的文化与政治

Dangerous to mix: culture and politics in a traditional circumcision in South Africa.

作者信息

Banwari Meel

机构信息

Walter Sisulu University, Forensic Medicine.

出版信息

Afr Health Sci. 2015 Mar;15(1):283-7. doi: 10.4314/ahs.v15i1.38.

Abstract

BACKGROUND

Traditional circumcision (initiation) is an integral part of the Xhosa speaking communities. Circumcision is the first step towards manhood. It involves a number of cultural, religious, legal and ethical issues, which in terms of the constitution of the Republic of South Africa, are rights that must be protected.

OBJECTIVE

To highlight the problem of circumcision related death in South Africa.

CASE REPORT

This case report examines a 16- year boy who had died as result of botched circumcision by an unqualified traditional surgeon. He kept the boy in his custody despite his serious illness. He applied a tight bandage to control the bleeding, resulting in gangrene of the penis followed by septicemia. The histories, postmortem findings, cause of death and medico- legal and social aspects have been discussed in this manuscript.

CONCLUSION

There are unacceptable deaths related with circumcision in South Africa. The right to life cannot be sacrificed at the altar of culture and politics.

摘要

背景

传统包皮环切术(割礼)是科萨语族社区不可或缺的一部分。割礼是迈向成年的第一步。它涉及诸多文化、宗教、法律和伦理问题,根据南非共和国宪法,这些都是必须受到保护的权利。

目的

强调南非与包皮环切术相关的死亡问题。

病例报告

本病例报告审视了一名16岁男孩,他因一名不合格的传统外科医生施行的包皮环切术失败而死亡。尽管男孩病情严重,该医生仍将其留置在自己的监护之下。他使用紧绷的绷带控制出血,导致阴茎坏疽,随后引发败血症。本文手稿讨论了病史、尸检结果、死因以及法医学和社会方面的问题。

结论

南非存在与包皮环切术相关的不可接受的死亡情况。生命权不能在文化和政治的祭坛上被牺牲。

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How boys become dogs: stigmatization and marginalization of uninitiated xhosa males in East London, South Africa.
Qual Health Res. 2010 Jul;20(7):931-41. doi: 10.1177/1049732310363804. Epub 2010 Apr 2.
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'Secrets' that kill: crisis, custodianship and responsibility in ritual male circumcision in the Eastern Cape Province, South Africa.
Soc Sci Med. 2010 Mar;70(5):729-35. doi: 10.1016/j.socscimed.2009.11.016. Epub 2010 Jan 5.
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"Just a snip"?: a social history of male circumcision.
Reprod Health Matters. 2007 May;15(29):15-21. doi: 10.1016/S0968-8080(07)29303-6.
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