Awareness is key in battle against breast cancer in India

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The Bliss Foundation is working to create more awareness about breast cancer in India. (Photo courtesy: Bliss Foundation)
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The Bliss Foundation is working to create more awareness about breast cancer in India. (Photo courtesy: Bliss Foundation)
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The Bliss Foundation is working to create more awareness about breast cancer in India. (Photo courtesy: Bliss Foundation)
Updated 16 October 2017

Awareness is key in battle against breast cancer in India

NEW DELHI: Meenu Madan calls herself a champion, not a survivor. She says she is 7 years old, not 49. Seven years ago, she was diagnosed with third-stage breast cancer.
“I kept on ignoring the pain in my breast for quite some time. When it became unbearable I went to a gynaecologist, and by the evening my entire world was topsy turvy,” Madan, a customer care executive based in New Delhi, told Arab News.
After treatment — surgery, chemotherapy and radiation — that lasted more than a year, “I got the gift of a new life.”
She added: “One reason I suffered was because I wasn’t conscious of my body. I had no awareness about breast cancer, and this awareness is very important if we want to fight the growing menace of this disease.”
Dr. Geeta Kadayaprath, a leading oncologist in India, told Arab News that there should be “a concerted awareness campaign” in the country about breast cancer.
“The worrisome thing is we’ve seen lots of young women with breast cancer in their late 20s and early 30s,” she said.
“Cases of breast cancer are increasing every year. Last year I saw approximately 350 cases. This year so far, I’ve already seen more than 450.”
The oncologist, who has 20 years of experience treating breast cancer, added: “There are about 140,000 new cases every year, and by 2025 it will be 240,000. The urban population is more affected than the rural.”
Kadayaprath does not subscribe to the popular view that breast cancer is genetic. “Only 10 percent of cases are genetic, and 90 percent are due to other reasons.”
Talking about the southern state of Kerala and the northern city of Bhatinda, she said: “The rising cases of cancer in these places are due to the presence of pesticides in vegetables.”
To create greater awareness about breast cancer, and help sufferers and survivors, two years ago she co-founded the Bliss Foundation. “We need to collaborate with the right kinds of people, like legislators, activists, students and others,” said Kadayaprath.
Madan, who has been part of the NGO since its inception, said: “My association with the Bliss Foundation has changed my life and the lives of so many.”
“Imagine a champion like me visiting a day-care center where cancer patients are being treated. The moment they see me, the expression on their face changes. The gloom goes away. When they see a fit survivor talking to them, it greatly boosts their morale.”
Kadayaprath said: “The Bliss Foundation is an attempt to intervene in the lives of people in a meaningful way, and create a wider platform to spread awareness about breast cancer. Creating medical infrastructure isn’t a solution; creating awareness is the major issue.”
Breast cancer patient Debjani, 46, a schoolteacher in New Delhi, told Arab News: “I live a very healthy lifestyle and used to do regular exercise and eat good food, but still I was diagnosed with breast cancer. It’s very important to have regular check-ups… Body awareness is important.”
According to the World Health Organization (WHO), more than 60 percent of women in India are diagnosed with third- or fourth-stage breast cancer, which “drastically affects the survival rate and treatment options.”
Kadayaprath said: “Education is important. We have to make people breast-aware, and train them to examine themselves regularly so if they find something unusual, they can go to a doctor at an early stage and the survival rate is then very high.”

Take a healthy approach to the issue of nutritional supplements

Updated 21 April 2018

Take a healthy approach to the issue of nutritional supplements

JEDDAH: There is a growing need for dietary supplements in Saudi Arabia, given the increasing popularity of junk food and the effective role supplements can play in treating diseases caused by mineral and vitamin deficiencies.

A recent study found that 22 percent of Saudi people take nutritional supplements. It is no surprise, then, that many Saudi businesses have forged partnerships with international dietary-supplement companies.

Dr. Rowaidah Idriss, a Saudi dietitian with a Ph.D. in nutrition, said dietary supplements can be defined as substances that provide the human body with a nutrient missing from a person’s regular diet. However, she stressed that they are not intended to replace healthy eating.

She also warned against taking them without first talking to a doctor or dietitian, as some products can have side effects, especially if taken before surgery or with other medicines. 

“They can also cause problems if someone has a history of certain health issues,” she added.

A blood test can determine which nutrients we are not getting enough of in our diet, and therefore which supplements might be beneficial. Nutritional supplements are also used to help treat certain health conditions. 

“Vitamin C, for example, is often used to reduce cold symptoms,” said Idriss. “Fish oil is taken to lower elevated blood triglycerides.”

She suggested four daily essentials that can bridge nutritional gaps in our diet: a multivitamin, vitamin D, calcium and omega-3 fatty acids. 

“I routinely recommend a daily multivitamin and mineral supplement to my clients after consulting with their doctors,” she said. 

“For menstruating women, who require 18 milligrams of iron each day, a daily supplement helps boost iron intake.”

She said people over the age of 50 are advised to take a multivitamin to ensure they are getting enough B12, which plays a key role in the functioning of the nervous system and the development of red blood cells. 

“Older adults are more vulnerable to B12 deficiency because they are more likely to have decreased production of stomach acid, which is needed to release B12 from the proteins in food.” said Idriss. 

“It is also a good idea to take a daily multivitamin if one is following a low-calorie diet.”

She also pointed out that a high intake of DHA and EPA, the two omega-3 fatty acids found in fish oil, are linked with a lower risk of heart disease and Type 2 diabetes. A deficiency of DHA might also increase the risk of Alzheimer’s. 

“A daily intake of 1,000 milligrams of both DHA and EPA is equivalent to eating 12 ounces of salmon a week,” said Idriss.

The dietitian believes that the Saudis who take food supplements often do so more to benefit their appearance than their health. 

“Saudi women consume more dietary supplements than other people in Saudi Arabia,” she said. 

“They do so either to lose weight or to care for their hair and nails. Bodybuilders also take large amounts of supplements.”

However, both groups, according to Idriss, tend to take supplements on the recommendation of friends and trainers, not doctors. 

She warned that commercials and social-media rumors can persuade people to buy supplements online that may not be approved as safe by the Saudi Food and Drug Authority, and advised people to get as much of their daily nutrient needs as possible from healthy eating.

Dr. Rowaidah Idriss

“Along with vitamins and minerals, a healthy diet provides fiber and hundreds of protective phytochemicals, something a supplement cannot do,” she said, adding that the body absorbs natural food more effectively than supplements.

In addition, combining supplements with medications can have dangerous, even life-threatening, effects. 

“Drugs for heart disease and depression, treatments for organ transplants, and birth-control pills are less effective when taken with herbal supplements,” she said.

“Taking an anticoagulant, aspirin, and a vitamin E supplement together may increase the potential for internal bleeding or even stroke.”


Natural sources

With the spread of fast-food restaurants and their alluring ads, the long-term health of the Saudi people is in danger, as children and young people snub natural sources of nutrients, such as fruit and vegetables. 

“This can lead to many deficiency diseases. Moreover, vegetarians can develop similar illnesses due to the absence of meat in their diet,” she said.
Dr. Ashraf Ameer, a family-medicine consultant, said the importance of nutritional supplements lies in treating mineral and vitamin deficiency, especially for pregnant women, growing children, diabetics, people with chronic diseases, and the elderly. 

“However, these products should come from reliable companies and meet Saudi food and drug requirements,”he added.

Mohammed Yaseen, who has a food supplements business, said his company works with a leading British health-care company to provide the Saudi market with high quality products.

“With this we hope we can contribute to the national transformation program by raising private-sector spending in health care from 25 percent to 35 percent, which in turn would lead to the sector’s financial sustainability and boost economic and social development in the Kingdom,” Yaseen said.


Vitamin Terms

DHA stands for docosahexaenoic acid. EPA stands for eicosapentaenoic acid.  Phytochemical is a biologically active compound found in plants.