By Lynn Harris, Salon.com

FGM in the USA Some girls came back from this past winter break with Christmas loot, ski tans, still more to say about “Twilight: New Moon.” But others, women’s health experts suspect, came back with deep, and literal, wounds to heal. According to human rights advocates and service providers, families in the U.S. who have emigrated from countries where female genital mutilation (FGM) is practiced often take their daughters home, when school is out, to be cut.

Yes, FGM is practiced — or at least planned — on U.S. soil, on girls in immigrant families who were born and/or raised here. Perhaps even among people you know: Not long ago, a concerned mother posted on my Brooklyn-area parenting list-serv that she believed an eight-year-old friend of her daughter’s had undergone some form of the procedure in her home country in the Middle East (and appeared to be markedly traumatized). Archana Pyati, an asylum attorney for Sanctuary for Families in New York, has encountered dozens of FGM cases just in the past six months. “The majority of our African clients have been through it, and most often, they are fighting to protect their daughters,” she says. (Older relatives with “seniority” often push for the procedure.) “It is our hope that by recognizing that FGM may be occurring under our noses we will become better able to respond to it, just as we would any other form of violence against children,” she says.

Right now, though, that’s not happening. While numerous countries, cities, and villages on other continents have made significant strides toward prohibiting and preventing the procedure — and while it’s been outlawed by U.S. federal law since 1996 and is also illegal in 17 states — its practice by immigrant families here is, by all anecdotal reports, only increasing. Yet there remains practically no way to address it any way other than case by brutal, heartbreaking case. “The silence hasn’t been broken here,” says Taina Bien-Aime, executive director of Equality Now. “It’s an issue that affects thousands of [U.S.] girls, some of whom were born here, and yet no one is really paying attention.”

FGM refers to several different traditional rite-of-passage practices in parts of Africa, Asia and the Middle East that involve the cutting of female genitals — from a ceremonial pinprick to “clitoridectomy” to removal of part or all of the external genitalia — for non-medical reasons such as “to reduce woman’s libido and help her resist ‘illicit’ sexual acts.” Health consequences include severe pain and bleeding, hemorrhaging, chronic infection, infertility, painful intercourse, post-traumatic stress, pregnancy complications possibly fatal to the baby, and death of the victim herself. FGM is recognized internationally as a violation of the human rights of women and girls, reflecting, as the World Health Organization puts it, a “deep-rooted inequality between the sexes, and [constituting] an extreme form of discrimination against women.” In her recent landmark speech on global reproductive health, Secretary of State Hillary Clinton cited an estimated 70 million victims of FGM among the “intolerable” statistics of women’s lives worldwide; the World Health Organization says it’s as high as 150 million. In the U.S., according to Equality Now, 228,000 women and girls are estimated to have undergone or to be at risk for FGM — a old number long said to be on the rise.

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