In South Africa, a sacred yet deadly traditional initiation ceremony known as 'Ulwaluko' continues, with 93 boys reportedly losing their lives during the ceremony last year. This ritual requires boys to undergo 'circumcision,' symbolizing their transition into manhood. Despite legislation aimed at curbing illegal practices, this initiation is still quietly conducted in multiple regions this year.

Each year, tens of thousands of boys participate in the 'Ulwaluko,' taken to remote and secret camps for a three-week 'training' period, during which they are instructed to keep the details of the initiation confidential. During this time, the boys learn survival skills and their male roles while undergoing the circumcision, which is often performed by untrained or unlicensed practitioners using rusty instruments.

These practices can lead to infections, and surgical failures, resulting in tragic casualties. A government report indicates that from 2021 to 2024, as many as 322 boys have died due to initiation ceremonies, with thousands hospitalized for issues including infections, gangrene, and sepsis. Last year alone, 93 boys died, with 11 needing amputation of their penises due to injuries.

The report also highlighted criminal groups establishing illegal circumcision clinics, employing untrained individuals, and even kidnapping boys under 16 for forced circumcision while extorting large sums from their parents. Many victims faced beatings, while some have been stabbed, drowned, or killed for resisting participation.

To prevent further tragedies, the South African government has enacted the 'Customary Initiation Act,' mandating legal bodies to achieve 'zero deaths' during circumcision and requiring practitioners to obtain proper training and licenses. This year's circumcision season commenced on May 30, with one death reported so far.