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Fewer male circumcisions by 10 will increase health care costs by 407 per man and 43 for women. Net spending per annual birth cohort including procedure and complication costs will increase by 505 million, reflecting an increase of 313 for missed CMs. The net present value of the additional costs would exceed 4. 4 billion. The prevalence of human immunodeficiency virus in men is expected to increase by 12. 2 4,843 cases, high- and low-risk human papillomavirus by 29. 1 57,124 cases, herpes simplex virus type 2 in 19. 8 124 767 cases, and urinary tract infections in 211. 8 26,876 cases. Among women, the prevalence of bacterial vaginosis will increase by 51. 2 538,865 cases, trichomoniasis by 51. 2 64,585 cases, high-risk human papillomavirus by 18. 3 33,148 cases and low-risk human papillomavirus in 12. 9 25,837 cases. The increase in prevalence of HIV infection among men would represent a 78.

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