Breast cancer survivors urge women in the Middle East to seek timely screening

In Arab countries, breast cancer is the most frequently diagnosed form of the disease, which is why every October is Breast Cancer Awareness Month. (AFP/File Photo)
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Updated 25 October 2020
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Breast cancer survivors urge women in the Middle East to seek timely screening

  • Every October, Breast Cancer Awareness Month tells women not to neglect checkups
  • In Arab countries, breast cancer is the most frequently diagnosed form of the disease

DUBAI: Breast cancer is the most common form of the illness diagnosed in women worldwide. If caught early, the prognosis for survival is reassuringly high. But a lack of awareness, common myths and fear of bad news causes far too many women to delay getting checked.

In Arab countries, breast cancer is the most frequently diagnosed form of the disease. One recent study found 17.7 to 19 percent of all new cancer cases across the region in 2018 were breast cancer diagnoses.

That is why every October is Breast Cancer Awareness Month, when experts meet to discuss the latest treatments, charities raise awareness and private clinics offer special discounts on tests and screenings.

Cancer survivors are frequently asked to share their experiences, whether in small private groups or at large public gatherings, and the distinctive pink ribbon synonymous with the cause proliferates on blouses and lapels the world over.

While pandemic restrictions have forced many events online, this year has been no exception. And the message is getting across. Oncologists, surgeons, radiologists and other medical practitioners in the field are often fully booked this time of year.

“I think the essence is to try and get the whole world to just refocus,” Dr. Millicent Alache Bello, a renowned breast surgeon at King’s College Hospital in Dubai, told Arab News.

 

“It is important all through the year that breast education and breast awareness continues. However, a specific month for people to just refocus and take stock is vital.”

Women are recommended to begin getting annual mammograms from the age of 40, when the likelihood of developing breast cancer increases.

“In this part of the world, screening is not something done nationally. Screening is done ad hoc, meaning people go when they feel like it,” said Bello.

In the UK, general practitioners working for the taxpayer-funded National Health Service keep detailed medical records on every patient and remind them when they are due to receive a screening exam. This is not the case in Arab countries, where health services are insurance-based.

King’s College Hospital in Dubai wants to imitate the British system and to begin reminding its patients when they are due a check-up. It has already started compiling patient data and will soon offer mammograms at a cost of AED 350 ($95).

 

Routine check-ups and on-time screenings pay off. “The point where a woman feels a lump in her breast is not the point when the breast cancer started,” Bello warned. “Sometimes, it started before that period, anything up to 12, 14 or 24 months earlier.”

That is why it is so important to get screened regularly before the trouble signs emerge.

Catherine, a British cancer survivor in her 40s, says she used to be disciplined with her screening appointments, often getting tested twice a year. But after having children, she began neglecting her checks. It was during this six-year window that she developed a lump.

“I was so busy being a mom, I just forgot about myself,” Catherine told Arab News. By the time she was diagnosed, the tumor in one of her breasts already measured eight centimeters in diameter.

After a double mastectomy, the pathology report showed her other breast also contained three cancerous lumps. “I was very pragmatic about it. I didn’t feel this massive emotional connection to my breasts. If they try to kill me, they have to go,” she said.

Women should not make the same mistake and neglect their health, she says, even when other life pressures take over. Now Catherine devotes her time to charity work during Breast Cancer Awareness Month to raise funds and awareness.

Joining her is Ghozlan, an Arab woman and fellow survivor, who says she discovered a lump in her breast while exercising. She traveled to Europe for treatment and opted for reconstruction.

“I am a woman who cares about her femininity and I can’t live without it,” Ghozlan told Arab News, describing her breast implant, which must be replaced every 10 years. “It was not what I expected. It wasn’t a great result but it is better than nothing. I have been through hell, and now I accept what I have. I am living with it, but I have some side effects because of the implant.”

Ghozlan is now anxiously awaiting her next check-up with her doctor in Europe, which had to be pushed back due to coronavirus travel restrictions.

Another woman fundraising for Breast Cancer Awareness Month is Gina, a 58-year-old who, like Catherine, underwent a double mastectomy. Unlike Ghozlan, she was unable to undergo reconstructive surgery.

INNUMBERS

Breast Cancer

* 2.1m Women diagnosed with breast cancer each year.

* 627,000 Estimated breast-cancer deaths in 2018 (WHO).

* 50 Age above which women are most at risk.

* 17.7-19% Share of all cancer cases in Arab world in 2018.

* 20% Drop in mortality due to regular mammograms (WHO).

“Due to my autoimmune disease, the chances of the prosthesis being rejected by my body was very high,” Gina said. “It was not my voluntary choice. It was a shock to me. I must admit, even today, after five years, I have not 100 percent accepted this situation.”

Gina has since resigned from her job to commit herself entirely to charity work.

With the evolution of technology and other scientific advancements, doctors are getting even better at detecting potential problems — faster and more accurately.

The triple assessment — clinical examination, imaging and biopsy — has changed little over recent years, but equipment offering more sensitive scans has developed in leaps and bounds while surgery techniques have become more refined.




Participants take part in the Pink Caravan Ride in Dubai, a UAE breast cancer initiative. (AFP/File Photo)

“It is the oncology, the medicine we give for hemotherapy and the endocrine treatments — they have moved on in quantum leaps, which is fantastic news,” said Bello.

Scientists have come to understand that treatment plans are not always the same for all breast cancer patients and that the most effective surgeries and therapies are unique to the individual.

“No two women have the same breast cancer,” said Bello. “Every woman’s cancer is different because the genetic composition is different. This is why people are doing better now, because the treatment is tailored individually.”

But this can also mean reconstruction surgery is not an option for everyone, and is dependent on body type, the extent of the cancer, the patient’s medical history and personal preference.




A picture taken on October 1, 2020 shows the Eiffel Tower illuminated in pink to mark the start of "Octobre Rose" (Pink October) or Breast Cancer Awareness Month in Paris. (AFP/File Photo)

“Reconstruction is designed to improve your well-being; it is not supposed to interfere with cancer treatment,” Bello said.

High-income countries in Europe and North America appear to have much higher rates of breast cancer largely because screening and early detection are so prevalent. With a more limited testing capacity, the Arab world appears to have a lower rate of cases — but also a high mortality rate.

A retrospective epidemiological study conducted in 2012 found that breast cancer was the leading cause of death among Saudi women.

However, a paper published in 2018 by the Journal of Epidemiology and Global Health said: “Although the incidence of breast cancer in Arab countries is rising, it is still less than the global average and only one-fifth of that in Western Europe.”

But now is not a time for complacency. Breast Cancer Awareness Month is a reminder to all women to get themselves checked and for governments to invest in clinics and vital research.

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Twitter: @jumanaaltamimi


Iran supreme court overturns rapper Salehi’s death sentence: lawyer

Updated 53 min 10 sec ago
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Iran supreme court overturns rapper Salehi’s death sentence: lawyer

  • Popular rapper Toomaj Salehi was jailed for backing nationwide protests sparked by Mahsa Amini’s death

TEHRAN: Iran’s supreme court has overturned a death sentence against popular rapper Toomaj Salehi who was jailed for backing nationwide protests sparked by Mahsa Amini’s death, his lawyer said Saturday.
“Salehi’s death sentence was overturned,” the rapper’s lawyer Amir Raisian said in a post on X, adding that the supreme court had ordered a retrial.


Jordanian police discover explosives stored in residential apartment

Updated 22 June 2024
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Jordanian police discover explosives stored in residential apartment

  • The explosives, found in a home in the Marka neighborhood northeast of Amman, were detonated onsite after the area was evacuated

AMMAN: Police in Jordan said on Saturday they had uncovered and detonated explosives stored in a residential area of the capital and were investigating the incident.
The explosives, found in a home in the Marka neighborhood northeast of the capital, were detonated onsite after the area was evacuated, according to a brief statement by public security directorate. Witnesses said the area was sealed by police.
The statement did not say if police suspected it was terrorism related or if arrests were made, or detail the quantity of explosives. It added more details would be published once the investigation was complete.
Over the past year, Jordan has said it has foiled many attempts to smuggle weapons by infiltrators linked to pro-Iranian militias in Syria, who it says have crossed its borders with rocket launchers and explosives, adding that some of the weapons managed to get through undetected.
Iran has denied being behind such attempts.
Most of the clandestine flow of arms into the country has been bound for the neighboring Israeli-occupied West Bank, Jordanian officials say.
There have also been arrests of several Jordanians linked to the Palestinian militant group Hamas suspected of involvement in smuggling arms to the West Bank, they add.


Israel army says Israeli civilian shot dead in West Bank

Updated 22 June 2024
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Israel army says Israeli civilian shot dead in West Bank

  • The military and Israeli police were investigating the circumstances of the death, the military said, without offering details

JERUSALEM: The Israeli military said on Saturday that an Israeli civilian died after being shot near the occupied West Bank city of Qalqilya and that troops had launched an operation in the area.
The military and Israeli police were investigating the circumstances of the death, the military said, without offering details.
“IDF troops are currently operating in the area of Qalqilya after an Israeli civilian was pronounced dead, shortly after being found shot in the area,” the military said in a statement.
Israeli media reported that the dead man, who was in his 60s, was a Jewish Israeli citizen.
In recent days, there have been several violent incidents in Qalqilya and its vicinity.
On Friday, Israeli and Palestinian authorities said at least two Palestinians were killed in an Israeli operation in the city.
Israeli authorities said the two were militants from the Palestinian Islamic Jihad group.
Violence in the West Bank, occupied by Israel since 1967, has been on the rise for more than a year, particularly since the Israel-Hamas war broke out on October 7.
At least 549 Palestinians have been killed by Israeli forces or settlers across the West Bank since October 7, according to Palestinian officials.
Attacks by Palestinians have killed at least 14 Israelis in the West Bank over the same period, according to an AFP tally of Israeli official figures.


Week before presidential election, Iranians divided on whether voting will address pressing problems

Updated 22 June 2024
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Week before presidential election, Iranians divided on whether voting will address pressing problems

  • Iranians head to the polls on June 28 to choose from six candidates, five conservatives and a relative reformist
  • Election comes as Iran grapples with economic pressures, international sanctions, compulsory headscarves for women

TEHRAN: With just a week remaining before a presidential election, Iranians are divided over whether voting will address pressing economic issues and mandatory hijab laws.
Iranians head to the polls on June 28 to choose from six candidates — five conservatives and a relative reformist — to succeed Ebrahim Raisi, who died in a helicopter crash last month.
The election comes as Iran grapples with economic pressures, international sanctions and enforcement of the compulsory headscarves for women.
“They promise change, but won’t do much,” said Hamid Habibi, a 54-year-old shop owner at Tehran’s bustling Grand Bazar.
“I’ve watched the debates and campaigns; they speak beautifully but need to back their words with action,” he said.
Despite his skepticism, Habibi plans to vote next week.
The candidates have held two debates, each pledging to tackle the financial challenges impacting the country’s 85 million people.
“The economic situation is deteriorating daily, and I don’t foresee any improvements,” said Fariba, a 30-year-old who runs an online store.
“Regardless of who wins, our lives won’t change,” she said.

Others, like 57-year-old baker Taghi Dodangeh, remain hopeful.
“Change is certain,” he said, viewing voting as a religious duty and national obligation.
But Jowzi, a 61-year-old housewife, expressed doubts, especially about the candidate line-up.
“There’s hardly any differences between the six,” she said. “One cannot say any of them belongs to a different group.”
Iran’s Guardian Council approved six candidates after disqualifying most moderates and reformists.
Leading contenders include conservative parliament speaker Mohammad Bagher Ghalibaf, ultraconservative former nuclear negotiator Saeed Jalili and the sole reformist candidate, Masoud Pezeshkian.
Keshvar, a 53-year-old mother, intends to vote for the candidate with the most robust economic plan.
“Young people are grappling with economic hardships,” she said.
“Raisi made efforts, but on the ground, things didn’t change much for the general public, and they were unhappy.”
In the 2021 election that brought Raisi to power, many voters stayed away, resulting in a participation rate just under 49 percent — the lowest since the 1979 Islamic Revolution.

Iran’s supreme leader Ayatollah Ali Khamenei has urged a high voter turnout.
Yet, 26-year-old shopkeeper Mahdi Zeinali said he would only vote if a candidate proves to be “the right person.”
This election comes at a turbulent time, with the Gaza war raging between Iran’s adversary Israel and Tehran-backed Palestinian militant group Hamas, along with ongoing diplomatic tensions over Iran’s nuclear program.
Compulsory hijab laws remain contentious, particularly since mass protests triggered by the 2022 death in custody of Mahsa Amini.
Amini, a 22-year-old Iranian Kurd, was detained for an alleged breach of Iran’s dress code for women, who are required to cover their heads and necks and wear modest clothing in public.
Despite increased enforcement, many women, especially in Tehran, defy the dress code.
Fariba expressed concern that after the election, “things would go back to where they were,” and young women won’t be able to remove their headscarves.
Jowzi, an undecided voter who wears a veil, regards it as a “personal” choice and opposes state interference.
“It makes no difference who becomes president,” she said.
“What’s important is what they actually do. It’s not important to me whether or not they have a turban. They need to act humanely.”


UAE contributes $5 million to United Nations OCHA for humanitarian efforts in Sudan

Updated 22 June 2024
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UAE contributes $5 million to United Nations OCHA for humanitarian efforts in Sudan

DUBAI: The UAE will allocate $5 million to support the Sudan Humanitarian Fund (SHF) that would be managed by the United Nations, state-run WAM news agency reported. 
In an agreement with the United Nations Office for the Coordination of Humanitarian Affairs (OCHA), the UAE contribution to the Sudan Humanitarian Fund will be managed by OCHA, in order to “facilitate access to funds to address the most critical humanitarian needs and emergencies on the ground,” WAM reported. 
Martin Griffiths, Undersecretary-General for Humanitarian Affairs and Emergency Relief Coordinator, in a statement said: “We are deeply grateful to the Government and the people of the United Arab Emirates for your generous support of $70 million to help bring relief to the people of Sudan through the United Nations. With this allocation, we can bolster our lifesaving support to families and communities caught up in Sudan's unprecedented humanitarian crisis.”
“The UAE’s long-term support to Sudan is a testament to our dedication to fostering a prosperous Sudan and promoting stability in the region. We are pleased to partner with OCHA and other UN agencies to deliver vital aid to those most impacted,” according to Lana Nusseibeh, the UAE’s Assistant Minister for Political Affairs and Envoy of the Minister of Foreign Affairs.
“I reiterate the UAE’s unwavering position is to call for an immediate and permanent ceasefire, and a peaceful solution to the crisis,” she added.

Meanwhile, Emirati officials also signed an agreement with the Food and Agriculture Organisation of the United Nations (FAO) to address the humanitarian crisis in Sudan and prevent the imminent risk of famine. 

FAO has received US$5 million in funding from the UAE, which will be directed towards the project titled ‘Mitigating Famine in Sudan – Support to Conflict-Affected Vulnerable Smallholder Farming and Pastoralist Households’.

The FAO project, set to run for one year, aims to provide emergency crop, livestock, and veterinary assistance to 275,000 vulnerable smallholder farmer and pastoralist households, benefiting approximately 1,375,000 individuals.

The UAE contributions to OCHA and FAO are part of a broader commitment of $70 million dedicated to addressing urgent humanitarian needs in Sudan, through UN agencies and humanitarian organizations.

This funding is a substantial portion of the $100 million pledge made by the UAE in April at a global humanitarian conference for Sudan and its neighboring countries.
This contribution takes the total amount of UAE aid to Sudan in the past 10 years to more than $3.5 billion.