(JTA) — A resolution that calls male ritual circumcision a “violation of the physical integrity of children” was passed overwhelmingly by the Parliamentary Assembly of the Council of Europe.

The council, a pan-European intergovernment al organization, debated and passed the resolution on Tuesday based on a report by the Committee on Social Affairs, Health and Sustainable Development led by German rapporteur Marlene Rupperecht. The resolution passed by a vote of 78 in favor and 13 against, with 15 abstentions.

The resolution calls on states to “clearly define the medical, sanitary and other conditions to be ensured for practices such as the non-medically justified circumcision of young boys.”

It also calls on member states to “initiate a public debate, including intercultural and interreligious dialogue, aimed at reaching a large consensus on the rights of children to protection against violations of their physical integrity according to human rights standards” and to “adopt specific legal provisions to ensure that certain operations and practices will not be carried out before a child is old enough to be consulted.”

Practices covered by the resolution include female genital mutilation, the circumcision of young boys for religious reasons, early childhood medical interventions in the case of intersexual children, corporal punishment, and the submission to or coercion of children into piercings, tattoos or plastic surgery.

Large majorities rejected five amendments that sought to remove or alter references to the circumcision of boys. An amendment that removed a reference to the “religious rights of parents and families” was supported by a large majority of members.

“Although the adoption of this report is non-binding and does not represent any direct threat to milah, we are troubled at the readiness of the Parliamentary Assembly to dismiss the points made during the debate about religious freedom,” the Milah UK organization told JTA.

The ritual circumcision of boys younger than 18 has come under attack increasingly in Scandinavia and German-speaking European countries both by left-wing secularists and right-wingers who fear the influence of immigration from Muslim countries.