This photo take on May 10, 2019, shows a boy writhing in pain during a mass circumcision at a village health centre in Manila. - A row of Philippine boys lying on newsprint-covered tables howl in pain and grit their teeth as part of "circumcision season", when thousands like them suffer through the procedure en masse. The snipping of foreskins is a centuries-old rite of passage to adulthood in the Philippines, which gives the nation one of the highest rates of circumcision in the world. LEHTIKUVA / AFP Noel Celis