Health officials say the infection was a result of a 'metzitzah b'peh,' a ritual among some ultra-Orthodox Jews when direct oral suction is applied to the wound left by the removal of the foreskin.
has issued an alert after an infant was infected with herpes earlier this month by a mohel who placed his mouth on the child's penis after circumcision.
The practice of applying direct oral suction on the wound left behind by the removal of the foreskin—known in Hebrew as—is not common in Judaism, but is practiced in some ultra-Orthodox Jewish communities. As is tradition, the unnamed boy was circumcised eight days after being born. Ten days later, a rash presented across his genitals, groin and posterior. He was taken to a hospital and a specimen was taken from a lesion, which tested positive for herpes simplex virus type 1 , responsible for most cold sores.
The baby was hospitalized and, though there is no cure for herpes, he was placed on a 14 day-course of acyclovir, used to treat outbreaks. According to a 2012 World Health Organization survey, an estimated 3.7 billion people worldwide are infected with the virus. Herpes is particularly dangerous in newborns, as their immune system has not full developed., there have been 24 reported cases of infant herpes linked to circumcision since 2000, resulting in two deaths and two cases of brain damage.
After herpes reporting became mandatory in 2006, there have been 164 confirmed cases of neonatal herpes in New York over all—12 percent of which are linked to oral contact during circumcision.
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