This period also saw the formation of anti-circumcision organizations in Australia, Canada, the United Kingdom and South Africa. Activists began creating websites in the mid-1990s, and this process has continued to this day. Doctors Opposing Circumcision asserts that genital integrity produces the highest state of health and well-being. Many anti-circumcision groups have joined the International Coalition for Genital Integrity and endorsed its declaration, which was adopted by the First International Symposium on Circumcision, on March 3, 1989, at Anaheim, California (there have been nine such further symposia held since, with the proceedings of several subsequently published in book form). Intact America, founded in 2008, and other organizations such as Genital Autonomy America, the American Academy of Pediatrics, American Civil Liberties Union, and Centers for Disease Control strive to raise public awareness on the biological and sexual functions of the foreskin, alter policy and change attitudes toward male infant circumcision in the United States.