Agudah Planning To Sue City Over Circumcision Rite

Before Board of Health vote requiring consent, haredi umbrella group searched for firm to bring ‘freedom of religion’ case.

09/11/12
Special To The Jewish Week
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UPDATED 9/13

Days before the New York City Board of Health voted on a measure requiring that mohels obtain informed consent from parents whose infant sons will undergo metztizah b’peh, the haredi umbrella organization Agudath Israel was seeking a lawyer to  to sue the City of New York should the measure succeed, the Jewish Week has learned.

The informed consent document will provide information about the oral suction procedure’s risks, which include infection with the herpes virus that could lead to brain damage and death. The nine-member board on Thursday unanimously passed the measure.

According to a copy of an e-mail obtained by The Jewish Week, the organization is looking for a New York law firm that would work pro bono or on “a reduced rate basis” to bring “a lawsuit against the City of New York to prevent the City from issuing a regulation that would require written parental consent for an aspect of bris milah (‘metzitzah b’peh’).”

The e-mail, apparently from Agudath Israel’s general counsel, Mordechai Biser and forwarded to The Jewish Week by two individuals, explains that “The lawsuit would argue that this regulation is unconstitutional on the grounds that it interferes with both freedom of religion and freedom of speech (the latter, because it requires the mohel to distribute certain information to parents.)”

“We are concerned that if this regulation goes into effect,” Biser writes, “the next step will be further regulation of bris milah.”

As of press time, Biser had not responded to an e-mail request for comment.

Just last week, Agudath Israel’s executive vice president, Rabbi Chaim David Zwiebel, lobbied Mayor Michael Bloomberg in a letter, asking him to postpone the Board of Health vote scheduled for Thursday, Sept. 13, and urging him instead to meet with Agudah representatives for a “serious substantive dialogue regarding the sensitive issues at hand.”

It appears, however, that the vote will proceed as planned, according to a spokeswoman for the mayor, Samantha Levine.

In an e-mail to The Jewish Week yesterday, Levine reiterated the health department’s position that “There is no safe way to perform oral suction on any open wound in a newborn” and noting that “[l]eading medical authorities have also identified these serious risks.”

“Ultimately, the City’s highest obligation is to protect its children,” Levine wrote, adding that “therefore it is important that parents know the risks associated with the practice.”

Rabbi Zwiebel’s letter, co-signed by Agudath Israel’s board chairman Rabbi Gedaliah Weinberger, noted that there is “serious skepticism in the community about the Health Department’s conclusion that metzitzah b’peh poses an unacceptably high level of risk, and more generally about the statistical accuracy of the Department’s estimate of risk.”

It also asserted that the city’s effort to require informed consent “has generated concern, chagrin and even outrage in many parts of the Orthodox Jewish community” regarding what is perceived to be government infringement on the community’s religious freedom. (Rabbi Zweibel points as an example to a pamphlet issued by the city encouraging the mohel to wear gloves, and notes that “many segments of the Jewish community follow a religious tradition that the mohel may not wear gloves when performing the bris.”)

The letter concludes with a plea that the city forgo the informed consent law and instead work with the religious community to establish protocols similar to those enacted by New York State in 2006, allowing the community essentially to police itself.

Those protocols were widely criticized by members of the medical and public health communities and ultimately rescinded by the incoming head of the state Department of Health in 2007. Among other things, the protocols required that parents be “fully informed” by rabbis of the risks of metzitzah b’peh and that any mohel who performed a bris on an infected infant be tested. They also noted that community rabbis are “expected to lend their support and cooperation in the event of any such public health investigation.” Reporting by The Jewish Week has indicated that these requirements were not met in connection with the five known cases that occurred after the protocols were enacted, including the death of a baby last September.

Writing in his own letter (dated Sept. 10) to the mayor, Dr. Jonathan Zenilman, chief of the Infectious Diseases Division at Johns Hopkins Bayview, professor of medicine and past president of American Sexually Transmitted Diseases Association, accuses Agudath Israel of “doing a terrible disservice to the Jewish Community and the public at large by framing the legitimate health related arguments against metziza b’peh (MBP) as attempts to impede religious freedom and brith milah (circumcision) practice.”

Zenilman goes on to claim that the Agudah letter represents “a troubling misunderstanding of infectious diseases issues and transmission, as well as standard health care practices as they are performed in the 21st century,” noting that “Since the mid 1980s, the standard of care for all medical interactions involving any blood or secretions has required the use of gloves and other barrier precautions. When appropriate infection prevention techniques are not followed, infection rates, especially post surgical infections, are higher.”

Zenilman’s letter also notes that “The clinical and epidemiological data are incontrovertible” and “In the infectious diseases community, there is no doubt that MBP carries risk.”

“The studies if anything,” writes Zenilman, “actually underestimate the risk, and represent only data that is obtained from New York, where the disease is reportable. A standard epidemiological concept is that reports of cases almost always are underestimates.

“Furthermore, there are very few places in the United States where neonatal herpes is reportable, and therefore data are not available from other communities where MBP may be widely practiced.”

In the meantime, the Modern Orthodox Rabbinical Council of America yesterday expressed opposition to the proposed informed consent law, although it does not endorse the use of metzitzah b’peh. A statement released by the RCA on Monday said that while it accepted the position of religious authorities who permitted the use of a sterile tube in place of direct oral suction it nevertheless “respects the convictions and sensitivities of those in the Orthodox Jewish community who disagree with this ruling and joins in their deep concern about government regulation of religious practices.”

This statement comes in the wake of proclamation signed by 200 haredi rabbis accusing the health department of “spreading lies” and “decreeing that according to our opinion, it is forbidden according to the Torah to participate in the evil plans of the NYC Health Dept. in any form that it may be whether it be the Moihilim, or the parents — with agreements or signatures.”

The Conservative movement’s Rabbinical Assembly released a statement on Monday in support of informed consent and, while Union for Reform Judaism’s Brit Milah program has not issued a public statement about the vote it has, according to a report by the JTA, “a strong policy that no mohelim trained by its program should perform the procedure.” 

Last Update:

09/14/2012 - 04:24

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Police themselves? Like the Agudah and others have dealt with child abuse? I understand their concern with interference but you can see self policing is a faud here as in the latest case the aprents won't identify the mohel and the Agudah has said NOTHING!

I think that the Dept. of Health should ban the practice outright.
And shame on the Agudah for perpetuating a halachically unnecessary custom that endangers its children.

What's a Jew to do? Crazies on all sides each certain of the justness of their cause and ignoring biomedical data. 1. Circumcision does more good than harm even from a strict biomedical perspective, and 2. MPB can be quite harmful -- and put an infants life at risk. Re the latter it would seem that parents who had informed consent would be prohibited from allowing MPB from a halachic perspective, after all the sanctity of life takes precedence doesn't it.

Genital cutting, opening a wound on a child's genital organ is abuse. Sucking the blood from that wound is also abuse.

I have much respect for those of religious cultures who have given up these horrific forms of religiously authorized child abuse. Jews who now welcome their male children without cutting them (Brit Shalom) must be encouraged and celebrated.

Putting your mouth on a baby's penis is illegal, no matter who does it. And there are Jews that want to protect their "religious right" to do that. And they are actually putting that in writing admitting this. Wow.
What is even more amazing is that this is to be voted on to allow mohelim to continue this. Have a backbone, Mayor, why aren't you prosecuting the perpetrators?
This isn't even a Jewish, religious, or Anti-Semitic issue. Sucking the blood from a newborn's wounded penis is a human right's abuse at its worst.

Well no comments, means that the comments are probably being censored.

Children should be protected from infection by appropriate means. Just informing the parents of the substantial risk is not enough. Some 60% of adults have herpes simplex.

Mezitah BPeh should be prohibited. It is inherently dangerous.

Circumcision is also dangerous and damaging. Children should not be subject to it, though adults should be free to choose circumcision for themselves.

It's not a violation of your religious freedom to inform a parent that something you're about to do to their child is dangerous and potentially fatal.

You DO understand that circumcision IS illegal, right? An adult may do it but may not impose it on a child for ANY reason. It i anti-semetic to harm a Jewish child..circumcision clearly harms. We know there are no health benefits to circumcision, but there are downfalls. A child may die from shock or from bleeding out. A child may have psychological issues such as PTSD or other psychological and social problems. We know circumcision affects breastfeeding and often ceases the nursling/mother relationship. A child may also have physical injuries beyond the amputation of the foreskin and it's immunological protections. He will not be as protected as his intact peers from disease and infection. He will not be able to perform properly during intimate acts with his partner due to the keratinization of his glans among other issues. We know circumcision is illegal under child abuse laws in each state which say you cannot leave a mark on a child. Circumcision is illegal under the 14th Amendment which guarantees equal rights to all regardless of religion or age. Yes, children do have religious freedom as well as the freedom to not be harmed by others. Courts have repeatedly ruled that parents cannot martyr their children which makes religious freedom and parents' rights arguments invalid. Muslim parents are not supposed to circumcise and a growing number of Jewish families keep their children intact because they know it is harmful to circumcise.

http://happymommy1.blogspot.com/2012/08/dear-aap-we-know-truth.html

I don't know where you get your information from, but the latest medical info. is that circumcision reduces urinary infections in children, & HIV transmission in adults. As a result there are programs to circumcise men in Africa.
I'll stop there. I'm not going to bother w/ the other ridiculous things you've said.

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