I am aware. If you had any reading comprehension, you would know:
"For others, hygiene poses difficulties when their foreskins are still stuck on their glans and cannot be folded back. Still others, as we have mentioned early, know the value of good genital hygiene but lack the access, either permanently or temporarily (such as camping or serving in the armed services in a particularly undeveloped or arid place)."
Some people do need circumcision.