This report was just issued by the Centers for Disease Control and Prevention:
The report includes text and charts and essentially concludes what has been said on this website all along.
Metzitzah with direct oral contact does not always cause an infection. It may even be considered fairly uncommon. But it CAN happen. Babies are at risk of infection with this "ritual."
On the other hand, and while the report does not say this, I will say that metzitzah with an alternative method in which the sterility factor can be controlled and measured will not cause an infection. Ever.
For an objective (albeit lengthy) explanation of why metzitzah is done and the methods some utilize, see here.
For more on Metzitzah, see the Metzitzah Page (linked above)
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