Tag: cancer

  • Cancer signs women ignore

    Cancer signs women ignore

    Cancer, the word, many young women will rather not think about; dismissing it as a problem of older women. The religious ones will out rightly say “God Forbid” or “It’s not my portion” if the word was ever mentioned to them.

    Despite the denial, the rate of breast cancer in younger patients is on the increase. Prof. Clement Adebamowo, the Director, Society of Oncology and Cancer Research of Nigeria, SOCRON, once said “women of ages 25-64 are mostly at risk of cancer of the breast and cervical cancers. In a chat with Dr. Deji Adeyemi of All Souls Infirmary, Agege, he pointed out some of the warning signs women often overlook.

    They are as follows:

    • Coughing:

    One of the signs of lung cancer Dr. Adeyemi says is persistent coughing lasting well over three or four weeks. This type of cough should not be ignored.

    • Shortness of Breath/Difficulty breathing:

    If you ever find yourself struggling to catch your breath, this may be an indication of lung cancer, although not all cases of breathing difficulties are lung cancer.

    • Changes in nails
      Whoever knew that different types of cancer can be detected from the fingernails but as studies have shown, a brown or black streak or dot under the nail can indicate skin cancer, while enlargement of the ends of the fingers with nails that curve down over the tips can be a sign of lung cancer. Pale or white nails are also sometimes a sign of liver cancer.
    • Heavy/painful periods or bleeding between periods
      This could be a sign of endometrial or uterine cancer. If you ever experience this, it is important that you quickly ask for a transvaginal ultrasound.
    • Chest pain:
    • Continuous Bleeding:
    • Orange Breasts: Many women know their breast and do regular self examinations, but many are still not informed
    • Weight Loss:
    • Bloating:
    • Difficulty Swallowing:
  • How physical activities prevent cancer

    How physical activities prevent cancer

    Cancer is one of the most pressing health challenges, yet about one third of the most common cancers could be prevented through eating a healthy diet, being physically active, and maintaining a healthy body weight.

    Scientists are still investigating how being physically active prevents some cancers but numerous studies show that it balances hormones, strengthens one’s immune system, and promotes a healthy digestive system. Experts agree that maintaining a healthy body weight throughout life is one of the most important ways to protect against cancer as well as a variety of other chronic diseases.

    According to the World Cancer Research Fund (WCRF), being overweight or obese increases the risk of some cancers. Overweight and obesity also increases the risk of conditions including high cholesterol, high blood pressure, stroke, type 2 diabetes, and coronary heart disease.

    In their report, Food, Nutrition, Physical Activity, and the Prevention of Cancer: a Global Perspective there is convincing evidence that physical activity protects against colon cancer, post-menopausal breast cancer and endometrial cancer.

    The World Health Organisation’s website states that physical inactivity is the main cause of up to 25 per cent of breast and colon cancers. Additionally, a series of studies that were published in The Lancet describes how physical inactivity levels cause 1 in 10 deaths worldwide.

    Harvard researchers state that between 500 000 and 1.3 million lives could be saved each year if physical inactivity rates were to go down by even 10 to 20 per cent. These staggering statistics demonstrate how physical inactivity should be considered a pandemic and that it should be treated like any other infectious-disease pandemic would be.

    To address this growing concern, it’s important to try to understand why certain people and groups of people are physically active while others are not.

    Adrian Bauman, a researcher from the University of Sydney in Australia, found one’s health status, being male, young or wealthy tend to make people more physically active, as does family and societal support for physical activity.

    Time spent watching television and on the computer is another significant concern. Children often watch television for more than three hours a day, and they are likely to be exposed to the heavy marketing of high-energy foods. Statistics indicate that overweight that starts in childhood is likely to be followed by overweight and obesity in adulthood.

    Urbanisation, rapidly growing cities, and poverty are other significant challenges that have caused people to become increasingly sedentary. As with overweight and obesity, sedentary ways of life are now common, if not usual, in most countries.

    It has been estimated that physical inactivity levels could be reduced by 31 per cent through improved environmental interventions, including pedestrian- and bicycle-friendly urban land use and transport, leisure and workplace facilities, and policies that support more active lifestyles.

    Moderate physical activity is needed for all – regardless of weight, health condition or age – to achieve optimal health and fight off cancer. People whose work is sedentary should take special care to build moderate and vigorous physical activity into their everyday lives.

    Strive to get at least 30 minutes of moderate physical activity on most days of the week – the more the better. As fitness improves, aim for 60 minutes or more of moderate, or for 30 minutes or more of vigorous physical activity every day.

     

    Dr Couillard is an international health columnist that works in collaboration with the World Health Organization’s goals of disease prevention and control. Views do not necessarily reflect endorsement.

     

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  • Debunking cancer myths

    Debunking cancer myths

    World Cancer Day was celebrated on 4 February. Each year the World Health Organization (WHO) supports the International Union against Cancer and promotes ways to ease the global burden of cancer. This year’s theme was “Debunk the Myths”.

    The battle against cancer won’t be won with treatment alone. Effective prevention measures are urgently needed to prevent the ongoing cancer crisis.

    WHO statistics show that cancer claimed more than 8.2 million lives in 2012; ranking it as one of the leading causes of death. Cancer cases are expected to rise from 14 million in 2012 to 22 million within the next two decades.

    The deadliest forms of cancer include lung, liver, stomach, colorectal and breast cancers. About one third of all cancer cases can be prevented through improving one’s diet, exercise, and lifestyle factors while reducing tobacco, alcohol and sugar use.

    Cancer myth 1 – Cancer is just a health issue

    Cancer is not only a serious medical condition but it also has wide-reaching social, familial, economic and discriminatory implications. It is known to affect all ages and socio-economic groups.

    The diagnosis coincidently is a cause and an outcome of poverty. Cancer commonly affects an individual’s ability to earn an ongoing income but its treatment can cause complete financial ruin as well.

    Cancer is skyrocketing in developing areas as they lack access to education, prevention techniques and health care access. The rapid urbanization undermines national and international health resources and leaves people dying from the disease.

    If the current trends continue, cancer is expected to increase by more than 70% in developing countries.

    Cancer myth 2 – Cancer is a death sentence

    Cancers that were once thought to carry a death sentence are now being cured and most importantly prevented through advances in lifestyle education, awareness and prevention programmes. The new treatment is actually prevention.

    Improved education and access to preventative care is bringing improved cancer outcomes to patients. A prime example is cervical cancer rates. Access to pap testing and awareness has lowered cervical cancer mortality by half between 1990 and 2010 in the UK.

    Cancer myth 3 – Cancer is my fate

    According to the World Cancer Research Fund, no more than 10% of cancers are due to inherited genes. Additionally, one third of the most common cancers can be prevented through lifestyle factors.

    One’s lifestyle will play an exclusive role in one’s overall health, energy and vitality. Lifestyle can be the difference between developing cancer at age 40 or 70. The difference is an improved quality of life.

    The WHO’s World Cancer Report 2014 advises a diet packed with vegetables, fruit, and whole grains; cutting down on alcohol and red meat; and eliminating processed meat completely.

    Chronic infections from hepatitis B, C and some types of sexually transmitted human papilloma virus (HPV) are leading risk factors for cancer in the region. Cervical cancer, caused by HPV, is a leading cause of cancer death among women.

    A PAP test and visual inspection by a qualified healthcare professional are effective ways to screen asymptomatic individuals. Early screening and diagnosis programmes are particularly important in low-resource settings where the majority of patients are diagnosed in very late stages.

    Don’t wait until it’s too late – prevention and early detection saves lives. Maintain a healthy weight, eat well, cut out sugar, keep active, limit alcohol and do not smoke.

    Couillard is an international health columnist that works in collaboration with the World Health Organization’s goals of disease prevention and control. He can be reached via:

    Email: drcorycouillard@gmail.com, Facebook: Dr Cory Couillard, Twitter: DrCoryCouillard

     

  • Kano distributes 98,000 free breast cancer kits

    Kano distributes 98,000 free breast cancer kits

    The Kano State government in collaboration with the 44 local councils has distributed 98,000 breast cancer self-examination kits for early detection of the disease among women.

    Women will be trained on the use of the kits and the advantages associated with the practice, Governor Rabiu Kwankwaso disclosed.

    Kwankwaso spoke yesterday during the World Cancer day celebration and commissioning of innovative interventions at the State House.

    He noted that cancer is a serious public health problem affecting people all over the world, lamenting that it is among the leading causes of death in developing countries, like Nigeria.

    This, he said, is largely due to lack of medical counselling, professional attention and facilities among others.

    “Our administration has considered the health of its citizens as very important,” Kwankwaso emphasised stressing this informed the decision to embrace innovative health interventions to make health readily available and affordable to all the people of the state.

     

    The Commissioner of Health, Dr Abubakar Yusuf, disclosed that cancer is now assuming epidemic proportion in Nigeria, explaining that early detection of the disease will help in better management and even subsequent cure.

     

    On safe child delivery, he asserted that rural people in the state still prefer TBAs than attending hospitals, noting that the TBAs could help the government in campaigning against common illness, as well as birth certificate registration.

     

    The Commissioner said that the state government has received a lot of medical consumables and equipment from heath donor organisations to strengthen its health delivery systems.

    Representative of USAID, Dr. Mizan Siddiqui commended the state government for cooperating with health donor agencies in addressing health issues bedeviling the society.

     

  • Cancer treatment machine for women

    Help came the way of women in the Federal Capital Territory who are suffering from cancer, as the Society for Family Health (SFH) donated a Cryotherapy- a machine used for the treatment of pre-cancerous lesion of the cervix to Saffon Hospital, located in Nyanya a satellite town in the Federal Capital Territory (FCT).

    Society for Family Health also donated equipment for the testing of cervical cancer in over 10 hospitals spread across the capital city.

    Cervical cancer is said to be the second most common cancer among women in Nigeria after breast cancer. About 9,659 women in Nigeria are reported to die of cervical cancer annually.

    Speaking with journalists after presenting the machine to the management of the hospital, the President Board of Trustees of the SFH, Prof. Shima Gyoh said: “Cancer normally increases with age and I will say that women who are 40 years and above are more at risk than the younger ones, but it can occur at any age. It does not follow any pattern. It just happens that it is commoner in older women.

    “We want to stress that this machine is not for treating cancer of the cervix. We have discovered that cancer of the cervix is caused by a virus and anytime that virus infects a woman, it may be there for several years before the cancer manifests.

    “If we can find out that the virus is there before it causes cancer, we want to kill it. This is what the machine is about.

    “So, this machine is about normal women who have no trouble at all coming for test and if the virus is found, the virus is killed before it stays long enough to cause any trouble.”

    Gyoh, however, advised the Federal Government to purchase such machines for use in all public hospitals in the country.

    “This machine costs only 3,000 dollars and it should really be present in every hospital and clinic in Nigeria. Nigeria can afford it, if we put our priorities right,” he stressed.

    Earlier, the Managing Director of SFH, Sir Bright Ekweremadu, said the SFH has, through its social franchise system, partnered with over 300 private health facilities for the provision of quality healthcare services that are accessible and affordable, especially to the poor and vulnerable in the society.

    He urged women to “avail themselves of this wonderful privilege of being screened for cervical cancer and if positive, at the early stage, to come in for cryotherapy here at Saffon Hospital.”

  • Making cancer treatment cheaper

    Cancer is a killer disease, which requires a lot of money to treat. The disease does not discriminate between the rich and the poor. The poor cannot afford the treatment cost. Out- of-pocket payment for treatment, experts argue, is not ideal. They are calling for a cancer fund to save the situation. WALE ADEPOJU reports.

    Many cancer patients are finding it hard to pay for their treatment. Reason: high treatment cost.

    To help such patients, experts are clamouring for either the inclusion in the National Health Insurance Scheme (NHIS) or subsidy by the Federal Government.

    Last year, some patients, especially children, died because of their inability to raise money for treatment.

    A businessman, Mr Charles Ukanwa, lost his nine-year-old daughter, Chioma, to leukaemia, cancer of the blood, because of lack of money. His daughter missed her treatment a couple of times. Also, a trader, Mrs Ann Ekpo, almost lost her 19-month-old baby Esther, to the disease but for the timely intervention of well-meaning Nigerians who supported her.

    Mr Muyiwa Olanipekun, a civil servant, is still struggling to pay for the treatment of his son, Timothy.

    The boy may have died but for the expertise of doctors at the Lagos University Teaching Hospital (LUTH), who came to his aid.

    The World Health Organisation (WHO), which observed that more than 70 per cent of cancer deaths occur in low and middle income countries, is urging the government to subsidise treatment cost.

    The WHO noted that the risk of coming down with or dying of cancer is higher in the developed world.

    Head, Paediatric Department, Lagos University Teaching Hospital (LUTH), Prof Adebola Akinsulie, said cancer could be devastating when a patient is made to pay out-of-pocket, adding: “Every Nigerian could be asked to donate N100 to support cancer treatment. This would translate to over N1 billion.”

    LUTH Consultant Radiotherapist and Oncologist, Prof Remi Ajekigbe said early detection and prompt medical attention would make treatment easier.

    Ajekigbe said no fewer than 100,000 new cancer cases were recorded yearly, adding that about two million people are living with the disease.

    Akinsulie said early detection may improve the possibility of patients being cured.

    According to him, cancer in children can be cured if presented early.

    He said children should tell their parents anytime they notice changes in their body.

    “When children start seeing what we refer to as ‘flashes’ in their eyes, it can be a sign, of retinoblastoma – cancer of the eye or when the tummy is growing so hard and you can palpate something hard, that too may be a sign of cancer of the kidney. It is only in leukaemia that people don’t get many signs but there are still some signs because it affects the blood. Some children may feel tired and this is why some doctors wrongly treat malaria instead of investigating into the blood for proper diagnosis,” he said.

    Ajekigbe said the country should have cancer centres in various parts of the country, adding that it only has three at the moment, to manage the disease.

    It will be a good thing, he said: “If the country can have at least one machine in each geo-political zone.”

    The machines, he said, are expensive but the country could procure some to increase access.

    “Government needs to subsidise the cost of treatment or include the disease in the NHIS. It is very expensive to manage it through out-of-pocket payment,” he added.

    The oncologist identified junk foods and sedentary lifestyle as factors that predispose people to the disease, describing them as carcinogenic.

    Akinsulie said cancer treatment in the country compared with other developed countries lay in proper diagnosis, availability of resources to manage it and proper management on good time.

    “Most cancers are picked very early in the advanced countries, which is why the outcome always turns out good. Cancer of the kidney, otherwise known as nephroblastoma, can be curtailed in less than six months, but other cancers are not so. Oncologists may treat other cancers for two years and the survival rate may be only 30 per cent, especially if it is presented late.

    “So, dedication is needed. For example, every Nigerian could be asked to donate N100 each and this would translate to over N1 billion, which doctors can use to treat cancer patients. Treating cancer can be better if people can donate for it. There can be a ‘Friends of Leukaemia or nephroblastoma group. St Judes Hospital in the United States was willing to collaborate with LUTH. It wanted LUTH to start and run the programme before it would join it. Their fear is that they don’t want people who would steal their fund,” he said.

    Akinsulie said an estimated five children visited the hospital as cancer patients weekly.

    Most complaints are on nephroblastoma. Acute lymphoblastoma is the most common, affecting the blood. Also common is retinoblastoma, he added.

    Akinsulie urged parents or guardians to observe the way their children walk or stand to see if they have abnormal gait.

    The various non-govenmental organisations (NGOs) and other support groups can also help to raise funds for treatment.

    The Managing Director, Children Living With Cancer Foundation (CLWCF), Dr Nneka Nwobi, said more awareness was needed to reduce paediatric cancer in Nigeria.

    She said: “Cancer is an expensive disease, even for the rich, but it is a lot less expensive when diagnosed early and treatment started in time. Also, early attention and care for children living with cancer through awareness can stimulate the people to help them know what to do.”

  • Nine-year-old cancer patient suffers relapse

    Nine-year-old cancer patient suffers relapse

    •Boy requires N3m for treatment

    Can nine-year-old Joseph Olorunlagbara overcome his battle with cancer of the bone described as right lower limb osteosarcome?

    He has lost his right limb to the disease.

    Master Olorunlagbara is full of life. Like any child his age, he likes jumping about, but he can no longer do so. His leg, which is cancerous, has been amputated. But, the leg is yet to heal. Doctors wanted to amputate it again before his father, Pastor Sunday Olorunlagbara, protested. Following his protest, little Joseph has been placed on radiotherapy.

    The Nation published a story on him on January 8, 2013 but up till now Master Olorunlagbara has yet to raise money for his treatment.

    He said: “The wound was not healing after the treatment, so I took him to the hospital for some test to be carried out on the leg. That was when they told me he has cancer.

    “We have been to some specialist hospitals, but his ailment persisted. Some family friends advised we try Eko Hospital, Lagos so we did and in December, 2011, he went thorough chemotherapy and radiation under Consultant Radiologist and Oncologist, Prof Josbert Kofi-Duncan.

    Since radiotherapy costs money, the family needs help to enable Joseph undergo treatment. He must undergo radiotherapy sessions for five days every week for seven weeks at the Eko Hospital.

    Joseph is one of many children battling with one cancer or the other.

    His dad said a pupil pushed his son while going out on break at school and he broke his femur bone.

    He said a traditional bone-setter treated him and Joseph was on his feet again by December 2011.

    But the worse happened when Joseph couldn’t get up to undress on January 10, last year, the day he was supposed to see the bonesetter.

    “The shock discovery we noticed was that the leg had become shorter than the other one. So, I contacted Dr Segun Odunaike at the National Orthopaedic Hospital, Igbobi, Lagos (NOHIL) and he instructed that a Plaster of Paris (POP) should be cast on the leg. After that, my son couldn’t sleep all through the night. The following day, I took him back to the hospital and the POP was removed and part of his diseased bone was removed for pathological analysis. After the test, it was discovered that my son had cancer of the bone,’” he said.

    The doctor recommended Dr Samuel Eyesan of Bowen University, Ogbomoso, Oyo State, “who asked us to take the sample to Lagos University Teaching Hospital (LUTH) and after 21 days the histological report showed that my son has high grade osteosarcoma.

    “That was when they ordered my son’s leg to be amputated. But the leg became swollen again after about two months. So, we did magnetic resonance imaging (MRI) and they asked for further amputation, but I protested that what has been cut was close to his buttock and they saw reasons with me. And a team of experts met and agreed that we should place him on radiotherapy.

    “That was when Dr Odunaike recommended Prof Ketiku to help manage the disease.”

    Prof Duncan said cancer should not be seen as a death sentence. People can live through it if it is detected early and managed well.

    An oncologist at LUTH, Dr Remi Ajekigbe, said early detection is important for effective cancer management.

    He said: “Patients often present their cases late.”

    He said Nigeria lacks the expertise in cancer of the bone treatment.

    The government should do something about this as bone cancer cases are increasing, he added.

    Eyesan, formerly a staff member of NOHIL, said he had trained some experts, adding that more are needed to sub-specialise.

    Eyesan said the Federal Government should look into that aspect of bone cancer management.

    An expert in paediatric cancer at LUTH, Dr Edamisan Temiye, said more should be done by the government about cancer in children. He said the cancer drugs for them are expensive, adding that they are often neglected when it comes to proffering solution to cancer problems.

    He said children deserve similar, if not better cancer treatment and management.

    Pastor Olorunlagbara is appealing to well-meaning Nigerians, corporate bodies and the government to save his dying son.

    His account number: Olorunlagbara Sunday: UBA 2001112603. He can be contacted on 07031661803, 07084290066 and 08074842799.

  • Confronting the cancer of corruption

    SIR: Corruption is like dodder, the yellow vine that wraps around trees and saps their life. Once it falls on a society it is a curse that grows from one branch to the next and then to the next until nothing remains visible, except a yellow sickness of corruption. Even such guardians of morality as religious and academic institutions become corrupt. The struggle against an evil depends on the ethical standards of a society; it is our response of dismissal or approval that matters.

    Corruption doesn’t spring up from nowhere. Corruption is planted, fed and watered. Roots in the ground, out of sight, are what hold corruption in place. Still, without a steady supply of nutrients in the form of money, greed and opportunity and without the right climate, corruption will not grow and produce more bad seeds. Nigerian’s are sickened by greed, corruption and decadency of our leaders and nothing can stop our country progress faster than a continued culture of corruption. The word favoritism, nepotism and covert corruption infect high and low places.

    Corruption is the Nigeria’s biggest enemy. The only way to get rid of it is with a full-scale assault. Anything short of that is useless. That means digging out the roots and their food sources: money, contractors on the hustle, and politicians on the take. For example, the first contact foreigners have when entering a country is with customs and immigration officers. In our airports, travelers often find themselves delayed at customs clearance until a suitable inducement (often hard currency) is forthcoming. Even our borders and ports are not left out, as officers receive bribes to speed up the checking of vehicles and containers smuggling in prohibited goods.

    The same shameful practice today is found among traffic Police, Police patrol, FRSC, VIO’s and security check points. The personnel in the government procurement departments provide information on tender to bids for a fee. Contractors bribe clerks, Personal Assistants and Secretaries to obtain information.

    The Politicians in Nigeria have turned our democracy to be a “Commercial Democracy. It’s no longer news that candidates vying for offices and positions offer bribes and gifts to delegates in exchange for votes.

    Now is the time to dig down and pry up the tendrils of corruption: those straw donors who allowed their names to be attached to campaign contributions they didn’t make; contractors who disguise their political donations and evade contribution limits by using the names of different companies that they own; and elected officials who violate laws that they have sworn to uphold. Corruption didn’t descend out of thin air. It is homegrown, and it must be killed. The government should through the National Assembly come up with the “Whistleblower Protection Act” which will give people the courage to report improper conducts in government establishments, Public awareness and anti-corruption crusades should be encouraged in schools, market squares, billboards at the airport, highways, sea ports and the government office complexes. This will in the long run help to fight and limit corruption in Nigeria, otherwise it will destroy our race, culture, religion and nation.

    • Ibrahim Muye Yahaya

    Jagbele Quarters Muye , Niger State

  • CANCER: Habits that lead to it —Experts

    CANCER: Habits that lead to it —Experts

    ‘How to avoid them’

    WHEN celebrated lawyer Late Chief Gani Fawehinmi died in year 2009 due to cancer of the lungs, there was a general hue and cry against the notorious killer known as cancer. But even before that, many celebrities had bowed to death through the wicked blow from cancer. Ace sports broadcaster, Yinka Craig, got a knock out punch from cancer in 2008 at age 60. There were prolonged tears for many that knew they will miss that voice of sports commentary on television.

    More tears flowed freely when society-loved wife of Timi Alaibe, the late Alaere Alaibe, took a bow and left life’s stage due to death by cancer. And so did late Clara Oshiomole, the late wife of Edo Governor Adam Oshiomole, who departed, leaving painful tears to her loved ones. In Edo State and beyond, it was difficult to control the flowing tears, as many refused to be comforted.

    For the death-ravaging cancer, the list continued and continues stubbornly. From Sam Ojebode, to fashion darling Remi Lagos, Remi Abiola, Mrs. Maryam Babangida and even the one still fresh in the mind, late Dr. Olusola Saraki. These are some of the celebrated victims. But death by cancer does not hit only the rich. All across Nigeria, more and more people have died sometimes from ailments relating to cancer.

    Sociologists and medical experts that we recently spoke to give the conditions that could lead, directly or indirectly, to cancer and how to avoid those situations. Cancer, once described as a ‘rich man’s illness,’ is now ravaging both the low and the mighty. And at close range, you never can tell, who the next victim will be.

    Abuja-based health and wellness consultant, Dr. Stella Chijioke, explains how some of the habits of the rich make them susceptible to the dreaded ailments.

    He says: “Our top flight executives are very much endangered because of a daily lifestyle that gives room to cancer. They live from chair to chair, sitting through one boardroom to another, with little or no activity. From there, they swing into air-conditioned cars straight to their door steps at home, into another chair and eventually into bed. The routine is like that, day in and day out.

    “Then the food consumption of many include heavy meals because they have too much money at their disposal and they drink alcohol and spirit. Some even inject themselves with different sorts of things (drugs). So, with that, cancer is already knocking on the door, and it will only take a little time, before the door comes falling down.”

    Prof. SRA Akinbo, a consultant at the Lagos University Teaching Hospital (LUTH), Idi-Araba, Lagos, says: “One of the major reasons for cancer truly is food intake. This is a big topic on its own. These days, one notices that more and more people are into the eating of refined foods, canned foods. Some of these over processed foods lead to cancer. Also our lifestyles, especially for those of us that live in the urban, we are exposed to a lot of radiation. People are in traffic for longer time and breathing in fumes emitted from automobile. All these are factors that lead to cancer. That is because the toxic goes into the system and induces all sorts of things and illnesses. There are various causes of cancer. Food is one of it, exposure to radiation is another, and some other major causes.

    “However, concerning what people can do or what lifestyle to keep to avoid cancer, we have left the traditional; that is, cancer used to be feared in the olden days and avoided through the eating of fresh foods. But fresh fruits are really missing in our meals today. Also in urban areas these days, people are exposed to generators and the attending fumes. In a house of 20 occupants, for instance, everybody there has generators. So more and more people are now likely to have cancer due to the lifestyle they presently keep. Then also there is the issue of age. Old age could also induce cancer.

    “Of course, I will recommend exercise as a necessary part of our daily lifestyle. But then also, exercise is not limited to just the avoidance of cancer; we need exercise in our lives. In those days, things were different. My father actually died at the age of 104. When you saw him then, you would have found it difficult to believe because, he was still agile. The lifestyle that they had then helped a lot. They used to trek for kilometres going to farms everyday. That was a good form of exercise. Then also, they had original foods, fresh foods from the farm, which they used to eat.

    “Still concerning exercise as a lifestyle in avoiding cancer, one has to note that there are different kinds of exercises which should be recommended on an individual basis because everyone of us has different health challenges. For instance, someone who is hypertensive, there is a type of exercise that he should do. So everyone cannot do the same kinds of exercise. The most important thing is that before we get involved in any kind of exercise routine, we have to get screened. When the kind of health challenge you have has been ascertained, then exercise routine can be determined. So it can be in terms of just sitting down or standing, or jogging or be on treadmill and so on. Exercising should be an individual thing and not generalised.

    “There are some organisations now that have programmes such as ‘walk for life.’ However, walking too fast for some people who may be hypertensive, could trigger off another kind of thing that can lead to heart attack, especially, when you are over 30 and 40, you have to be very careful on the type of food you eat and exercise that you do.”

    A dietitian with LUTH, Titilope Adelani, says cancer is avoidable through a dietary plan which comprises eating a well-balanced diet daily. “Such dietary plan”, she recommends, “should start early in life for an individual to avoid cancer in future. It should start at a tender age so that it will be part of the child, leading him or her into adulthood. That will also make the child to be eating well when he or she grows up.”

    She adds: “Foods that should be eaten to avoid cancer include whole grain, legumes, fruits, vegetables, and protein. But there are also others. A child should start eating these from age two. And for an adult who has a family history of cancer, the person should take high protein, high calories, low fat foods and high fibre diet with intake of fruits in between meals.

    “A dietitian actually has a role to play in the lifestyle of people generally to make them avoid having cancer. A dietitian plans the menu and ensures the people follows it. A dietician’s role is also to monitor such. And for an adult that is already diagnosed with cancer, it is important that such persons eat high calorie, moderate and low fat protein foods. Such persons are also supposed to use plant sources of oil for cooking, also depending on the severity of the cancer.

    “Foods to totally avoid are foods that are fatty products. Well, as a lifestyle, I will recommend that people generally eat very well, avoid alcohol, eat fruits and vegetables and do exercises.”

    An Assistant Chief Dietitian also with LUTH, Bolanle Tijani, describes cancer as “a terrible disease that is preventable, although there is not much that anyone can do.” She added: “But with good healthy diet, one can reduce the risk of getting cancer. The kind of food encouraged is what I refer to as green, green, green. What I mean by this is that, when you are taking food, ensure that it is green! Avoid foods that are roasted or fried. Also avoid barbecued foods, make sure that most of the foods that you eat are fresh. We are advocating these days, that is, trying to encourage people to go back to the use of our former pots, cooking utensils that were used in those days; pots made from mud are more heathy. But the problem with that is that it may not look civilised, especially when friends come calling, but the truth is that these pots are believed to be more healthy in using to cook.

    “For people with a history of cancer in the family, I can say that cancer is not a transmittable illness; there is a risk factor, and there are different kinds of cancer. There is the leukaemia, the blood cancer, the cervical cancer, pelvic cancer, colon cancer, lung cancer, brain cancer, various types. It is not genetically transferred from one to another but variously during maturation of the foetus. That is a risk factor that can cause it.

    “What a dietician can do is that if and when cancer has been diagnosed, the first thing is that the patient should go for medical attention, surgical operation afterwards. A dietitian is then to encourage the patient to eat heathy foods to prevent the growth and multiplication of the cancer cells and also keep eating green, green, green with all the family group of foods to encourage a healthy eating habit.

    “As a lifestyle, everyone should eat protein, eat carbohydrates, avoid fatty foods, but most of all, we encourage more of fibre. For cancer patients, eating of fibre is very important for quick recovery, as they serve as anti-oxidants for the eradication of the cancer cells. Foods such as water melon, oranges, banana, water leaf, apple and so on should be eaten.

    “It is difficult to totally avoid particular foods; we don’t even advise it, it is only that smaller quantities are recommended; even for the over-blown cancer patients, reduction of the intake of particular foods are recommended. But then, we advocate the avoidance of foods with folic acid. Even then, folic acid cannot completely be denied because there is folic acid in most foods, even in animal protein and vegetables. So the important thing is to reduce the intake of folic acid.

    “The eating habits and lifestyle will dictate more as to whether a person is likely to get cancer or not. To women, I will advise that they eat healthy and avoid alcohol, avoid an environment that is stuffy or congested. That is a challenge in Lagos where fumes are all over the place. Even in traffic when you have your air-conditioner on, the fumes from other vehicles still find a way of getting in. Exercise is very good for the body, at least do it for an hour everyday. These are healthy lifestyles that can make one avoid cancer. Then reduce your alcohol intake, do not take alcohol as if you are drinking water.”

    According to a nutritionist at the Lagos State University Teaching Hospital (LASUTH), Ikeja, Lagos, Justina Akagu-Osojiese, “somehow, cancer is avoidable through a dietary plan because some of the foods that we eat now are being prepared with addictives that are not really not good for the body.” She adds: “For instance, we have things that are today used as substitute for sugar. Sacarrin, for instance, is used as a substitute. There are findings that such prolong usage can cause cancer.

    “As far as I am concerned, a dietary plan should start for everybody right from day one, that is at child birth. I say this because it is very necessary to consider a diet plan for a child. So we give the baby milk. And at different ages, we give a child appropriate foods, not just anything in sight.

    “To avoid cancer it’s better to eat natural foods. Most of the time, however, there is usually no problem with most foods that are not natural, but it is the addictive that are used in preparing them that causes or could lead to somebody having cancer. For instance, too, it is better to eat oranges directly than take orange juice that has been processed, especially for an adult. The fruits are natural but you do not know what has been added to produce the juice. The same applies to canned foods because they always have preservatives. Sometimes, they are kept for long periods; the addictive can influence the cause when eaten, the potassium, the sodium are major cause of worry.

    “For those already with cancer, natural foods are just good for them. Cancer is a very terrible disease that destroys the cells of the body. So it is good to give someone already with cancer, a high protein diet and a high calorie diet. By high calorie diet, I mean the carbohydrate family of foods. They give energy. Most cancer patients are very weak, we give them that for energy. To replenish the cells that are being destroyed, a cancer patient needs high protein foods and these are fish, meat, egg, milk and so on and these are augmented with plant set of foods.

    “I think that people should be more active in lifestyle; we should avoid high calorie dense foods; we should be careful to eat foods that have all the class foods to give us adequate nutrients in the body, protein, carbohydrates, fat and oil, minerals and vitamins which is in fruits and vegetables. Our foods should be adequate and that is commonly referred to as balanced diet. We have what is called anti-oxidants in our foods; they are the ones that destroy those unwanted things, or harmful foreign things in our body. So, we should just eat right.”

    Dr. Stella Chijioke, Managing Director, Ultimate Health and Wellness Ltd, Abuja, posits that with a particular cautious lifestyle, cancer can be avoided. She adds that, that could be complemented by a combination of three things.

    “Health and wellness stands on three legs. One of the legs is diet, which means whatever you put inside your mouth, food, drink, smoke, snuffing or injection. The second is increased activity, which culminates in exercise. Any small activity is better than no activity at all. This helps the heart. Do anything that can make you sweat, like walking, swimming and so on. Brisk walk is good and not expensive.

    “The third leg of the tripod is adequate rest and management of your stress level. Every human being undergoes one form of stress or the other. Without stress, you cannot live a balanced life. But in certain situations, the stress level gets too much, so you have to manage it well. If you don’t, things like hypertension, diabetes and all that sets in. Complete health and wellness means that the above three legs must be implemented.

    “Additional habit is the drinking of water. One of the ways of managing stress well is having enough sleep. Seven to eight hours of sleep at night is mandatory so that your body can use that opportunity to recharge. REM Sleep is the highest form of sleep, because some people think that they are sleeping but they are not really sleeping. You have to get into the REM Sleep before you really rest.

    “We are all setting ourselves for cancer, though we have better diagnosis, but most people are gearing themselves towards cancer. If you check the three legs of wellness that are stated above, you will find out that most of us are not eating well or eat the wrong things, smoke or drink the wrong things. Some of us inhale or inject ourselves with the wrong things (drugs). These are the wrong parts of civilisation that we are imbibing.

    “Most people in the urban cities are not resting well. In the effort to make it because of high cost of rent, transportation, school fees, people don’t get home early to rest and sleep, they are hustling all over the place or staying in the office late, believing that they are resting but they are burning their candles at both ends.

    “Some people don’t even get into activity. They move from car into the house with little or no activity, into chairs at home or office. And one of the worse things or habits that the executives have is long hours of sitting on chairs. This is the latest killer that many don’t know. We are supposed to sit down not more than two hours and that is if our jobs are sedentary. Even market women sit in one place for too long at a time. The use of maids are not too helpful too because the madam ends up sitting down too much, while throwing errands around. She’s not getting up from that seat at all. So, it is not just the executives alone that sits from one boardroom to another.

    “Executives take elevators; nobody takes the stairs anymore, these are silent killers. These are ways that we are all driving our selves towards having cancer. Even younger people are coming up with some of these degenerating diseases. We shouldn’t be seen as getting old at 50, if we are living the right lifestyle. If you are living the right kind of lifestyle, then it will be difficult to develop cancer in the 40s. But these days, cancer could even be diagnosed among the younger ones. There is a book called ‘alleluia diet.’ This book tells us more about this. We eat the wrong things.”

    A Lagos-based medical practitioner, Dr. Ogunkoya, says: “To avoid cancer, people need to stop taking these cancer-inducing foods; they are: sweetened beverages, fried potato, hot dog, donut and burnt meat. The top anti-cancer foods for people to take are: green vegetables, tumeric, tomatoes, and rice. Then cancer-fighting foods are: tomatoes, garlic, grape fruits, ginger, ginger pepper, white berry, ginseng, broccoli, lemon, mustard seed and rosemary.

    “What you eat determines your healthy habits too. People should also try to live at places with minimised smoke and fumes. Do not stay where people who smoke are, because if you do, you are as well smoking with them as you inhale. It causes cancer of the lungs. And go for check-up and clean up your system regularly with cancer-fighting foods.”

  • Cancer…How to beat a killer disease

    Cancer…How to beat a killer disease

    Cancer is a disease that knows no boundary when it assails. OYEYEMI GBENGA-MUSTAPHA and WALE ADEPOJU write that prevention, early detection and treatment are important in ending the disease.

    Bisola Oliyide, a 23-year old undergraduate, was taught by her mother to do self-breast examination (SBE) after her monthly menstrual period. On an occasion of doing the routine, she detected a lump. She informed her mother, who took her to a teaching hospital. The lump was extracted. And further investigation revealed that it was benign.

    She could be said to be lucky because not many people end up that way. The disease does not know class. It affects everybody. The illiterate. The rich. The poor. The powerful. The not so powerful. The mighty. The influential. It attacks, maims and spares no one.

    But there are survivors. Cancer can be treated. And not be allowed to kill. Prof Olukemi Odukoya, Pharmagonosy Department, College of Medicne, University of Lagos (CMUL), Idi Araba is a survivor.

    The list of prominent Nigerians whose lives are being cut short by cancer is increasing by the day. Wife of former military Head of State, Gen. Ibrahim Babangida (retd), Mariam Babangida, died of ovarian cancer at the age of 61 In Los Angeles. Deputy Governor of Ekiti State, Mrs Funmilayo Olayinka also died of breast cancer.

    Cassandra Gabriel, popularly known as Sisi Caro, died of breast cancer. Likewise 48-year old Roseline Ogbemudia, wife of the eldest son of Dr. Samuel Ogbemudia, the former governor of Edo State; popular socialite and sister of former Ekiti State Governor Ayo Fayose, Evangelist Bimpe Oluwayose-Sorinolu. Roseline and Bimpe both battled breast cancer till death. While the former died in a hospital in India, the latter, who had been treating the ailment since 2011, died in a London hospital.

    Clara, wife of Governor Adams Oshiomhole of Edo State also died of cancer on 8 December, 2010, eleven days to her daughter’s wedding. Second Republic Senate Leader, Dr. Olusola Saraki, battled the ailment for five years; also 51-year old Remi Osholake, a fashion designer popularly known as Remi Lagos, and Sam Ojebode, an ex-Green Eagles star, died after battle with cancer.

    Another Nollywood personality, who also succumbed to cancer last year, was Taiwo Bello, a movie producer and director who co-wrote the movie, Jenifa, with Funke Akindele and produced and directed the 2010 movie, Omije Mi.

    In December, 2010, Yusuf Jibo, former Zonal Director of the Nigeria Television Authority (NTA), died of colon cancer. So also the ace journalist, Sele Eradiri and Dr Beko Ransome-Kuti.

    In 2009, precisely on 5 September, Gani Fawehinmi, renowned lawyer and human rights activist lost the battle to cancer, after he was initially misdiagnosed; Remi Abiola, actress and wife of late business and politician, Chief M.K.O. Abiola, as well as Alaere Alaibe, wife of Bayelsa politician, Timi Alaibe, all died of cancer.

    NTA ace broadcaster, Yinka Craig, 60, died on 23 September, 2008 as a result of cancer of the blood (leukemia), so also, Information Specialist, World Health Organisation, Oghide Austin, while musician-turned evangelist, Sonny Okosuns, lost the battle to cancer of the colon on 24 May, 2008 at the age of 61.

    The list is inexhaustible. Mrs Comfort Ponnle, of MicCom cables and Alexander Ibru, Chairman and Publisher of The Guardian died of cancer. Chief sub-editor, Vanguard newspaper, Dayo Aminu died of cancer as well.

    The former Chairman of the Advertising Practitioners of Nigeria (APCON), Dr May Nzeribe, died of Prostate Cancer.

    Former president of Performing Musician Association of Nigeria, Mustapha Amego, fondly called Musky, died of colon cancer; Mrs Kofoworola Orija of the Bloom Cancer Foundation also dies of breast cancer.

    In Nigeria, cancer incidences are common. No week passes without a Nigerian dying of cancer. Hundreds of thousands are dying silently. With a few survivors.

    What causes cancer?

    Cancer is a class of diseases characterized by out-of-control cell growth. There are over 100 different types of cancer, and each is classified by the type of cell that is initially affected.

    Cancer is ultimately the result of cells that uncontrollably grow and do not die. Normal cells in the body follow an orderly path of growth, division, and death. Programmed cell death is called apoptosis, and when this process breaks down, cancer begins to form. Unlike regular cells, cancer cells do not experience programmatic death and instead continue to grow and divide. This leads to a mass of abnormal cells that grows out of control.

    If the balance of cell division and death is disturbed, a tumor may form.

    How cancer spreads

    Scientists reported in Nature Communications (October 2012 issue) that they have discovered an important clue as to why cancer cells spread. It has something to do with their adhesion (stickiness) properties. Certain molecular interactions between cells and the scaffolding that holds them in place (extracellular matrix) cause them to become unstuck at the original tumor site; they become dislodged, move on and then reattach themselves at a new site.

    The researchers say this discovery is important because cancer mortality is mainly due to metastatic tumors, those that grow from cells that have traveled from their original site to another part of the body. Only 10 per cent of cancer deaths are caused by the primary tumors.

    Signs or symptoms of cancer

    Signs and symptoms are both signals of injury, illness, disease, or that something is not right in the body. A sign is a signal that can be seen by someone else-maybe a loved one, or a doctor, nurse, or other health care professional. For example, fever, fast breathing, and abnormal lung sounds heard through a stethoscope may be signs of pneumonia. A symptom is a signal that is felt or noticed by the person who has it, but may not be easily seen by anyone else. For example, weakness, aching, and feeling short of breath may be symptoms of pneumonia.

    Symptoms depend on the type and location of the tumor. For example, lung tumors may cause coughing, shortness of breath, or chest pain. Tumors of the colon can cause weight loss, diarrhea, constipation, iron deficiency anemia, and blood in the stool.

    Some tumors may not cause any symptoms. In certain tumors, such as pancreatic cancer, symptoms often do not start until the disease has reached an advanced stage.

    A few patients show no signs or symptoms until the cancer is far advanced. However, there are some signs and symptoms, although not specific, which usually occur in most cancer patients that are fairly easy for the person to detect.

    There are over 200 types of cancer. Anything that may cause a normal body cell to develop abnormally potentially can cause cancer.

    Why Nigerians are

    dying of cancer

    Many Nigerians are dying of cancer with only few surviving. According to a Public Health Physician, Community Health Department, Lagos University Teaching Hospital (LUTH), Idi Araba, Ariyibi Nasir, a lot of people present late to the hospital despite improvement in diagnosis.

    He said cancer is an abnormal increase in the number of cells in the body. “It could affect a particular organ of the body, where the organ begins to increase in size, due to unregulated cell division. Normally, every cell undergoes growth. For example the skin sheds off old cells as news ones grows. This mechanism is being regulated. But when it becomes uncontrollable, that means the regulatory mechanism is off.

    “There are two types of abnormal growth, benign and malignant. Either can exert pressure on immediate or extended organs. But the most dangerous is malignant growth. That is cancer. It disrupts the organs around that area and grows inhibited. It can leave where it started off, attack other organs of the body and causes further damages. It is the organ it affects that is named after it. The commonest among women in Nigeria is breast cancer and cervical cancer; leukemia in children while prostate is common in men.”

    Experts are of the view that cancer is on the increase in Nigeria because, “there is improvement in diagnosis. The statistics we are working by now, from the World Health Organisation (WHO) says 250, 000 new cases are seen annually, with 10, 000 deaths per year. Unlike other non communicable diseases (NCDs) that you can say these are the causes, you cannot say that about cancer. We only have predisposing factors.

    “In some types of cancer, way of life is a predisposing factor like cancer of the lung resulting from smoking unlike breast cancer that you cannot put your hands on, except perhaps the genes resulting from hereditary; or women who have not sucked in their life or women do not sulk adequately.

    “When you look at some of these factors, we say they are non modifiable. Non modifiable are factors that cannot be influenced. Like breast cancer in women and prostate cancer in men. Not that men don’t have breast cancer but the female gender due to presence of hormones such as Estrogens are at higher risk. Age is also a non modifiable factor. Genetics/hereditary, i.e. a person’s make up; race like being a Caucasian for instance are non modifiable factors.

    “The modifiable risk factors are the ones we can change or influence or play a role in. Lifestyle is a major risk factor. Smoking, drinking alcohols or abusing drugs; do you eat junk, i.e. empty calorie food; do you over eat or eat less. Are you predisposed to germs, for instance Hepatitis B that can be contracted from sexual partners, and which manipulate lung cancer growth? Exposed to multiple sexual partners or engaging in early sexual activities that can aid contracting papilloma virus which causes cervical cancer. Every two minutes, a woman develops cervical cancer.

    “Diet is a huge predisposing factor. How healthy are we eating today? Noodles and pasta, fizzy drinks Do we take fruits that contain anti oxidants that mop up free radicals? Free radicals, also known simply as radicals, are organic molecules responsible for aging, tissue damage, and possibly some diseases. These molecules are very unstable, therefore they look to bond with other molecules, destroying their health and further continuing the damaging process. Antioxidants present in many foods, are molecules that prevent free radicals from harming healthy tissue. Exercise is also good for the body. But how many do that these days.

    “Prevention through the modifiable factors is important in developing cancer. As physicians, we do now create awareness on best way out. We now educate on lifestyle changes. Making the right life choices in diet, living, and existence. In short, healthy lifestyle. We want to get to the level where people will be empowered with the right information. And also be involved in their health management. Avoiding injurious substances like Energy drinks. The basic ingredients are sugar and caffeine. Sugar can trigger diabetes while caffeine triggers the body to work excessively.

    “It is good and in order to ensure good policies are put in place by the government. Nothing stops the government having a policy on all local government areas to have cervical cancer screening and treatment centres. You see, most non communicable diseases do not give signs. They are just there developing. Because they are asymptomatic, screening and testing for them are the best way to pick them up easily.

    “For instance, breast cancer can be detected through mammogram, cervical cancer through pap smear. For changes would have been taken place at a cellular level. And if detected at that level, can be treated. At self, one can do Self Breast Examination (SBE) in picking up breast cancer. Any lump that is detected can be further examined.

    “We need to educate people on advantages of going to the hospital early when they feel illness or abnormality in their body. They should not be going to spiritual homes or traditional healers. First come to the hospital, get the condition diagnosed and treated. People need to know that it is not arrow from the enemy.

    “We have the facility and expertise to detect, treat, manage and rehabilitate cancer cases in Nigeria. There is no need to travel overseas to treat cancer. We have measures like mammogram for breast cancer; papsmear at our Community Out clinic at LUTH. Assuming a cervical cancer is detected, we have Obys and Gyn department. Radiotherapy at its advanced stage is available in the hospital. Do not put a cost to your health. Just have an aim- to get well. People may want to stay away because they consider some of these treatments expensive, but no money can replace a lost live. With a N3, 500, papsmear can be done. But people spend more on Aso ebi and drinks at bear parlous and other frivolities. Mammography is below N50, 000. People should know that the treatments are available and are so cheap. They should not wait till things have snowballed. Because even at the best of centres, advanced cancer is not treatable.

    “For those who have non modifiable factors, constant screening is essential. People who are passive smokers should avoid cigarette smoke. Both active and passive smokers are liable to developing cancer; even passive smokers are at greater risk. Government policy of not smoking in public places is commendable, but implementation is important. People should adhere to the law.”

    Agreeing with Dr Ariyibi is the Chief Executive Officer (CEO), Care. Organisation. Public Enlightenment. (C.O.P.E.), Mrs Ebunola Anozie, who said lifestyle, environmental and biological factors have been identified as the major reasons cancer cases are increasing in Nigeria.

    “Cancer was no longer the disease of old people, young girls and boys who are below 16 years are also suffering from it. Out of 10 cancer cases, five are cancer of the breast, two are cancer of the prostate, another two for cervical while the other cancers are in the one per cent. Breast cancer in women is the most prevalent cancer, only one per cent of men suffer from it.”

    Recommendations

    She said: “Awareness is key to reducing the disease because most women who present do it very late when the cancerous growth would have advanced to Stage 3 or 4. Prevention and early detection can save a person’s life. A lot survivors are living because they presented early. Though there are challenges at hospitals because, when some present early but because the theatre is full to capacity, the waiting period would have worsened the case. Living in Nigeria is stressful and the health system is not helping matters.

    “ Parents should ensure their children, once they reached puberty, go for regular screening. I enjoin the Federal Government to provide affordable and accessible health. It should ensure that the National Health Insurance Scheme (NHIS) is available to people in time of adversity. I will also call for the establishment of a comprehensive national cancer centre. It would improve treatment of the disease. I also urged total overhaul of the health sector. In Israel, there is cancer centre. Our national cancer registry is not effective because of the way it is being run,” she said.

    Anozie said there have been cases of misdiagnosis.

    She said: “The former Deputy Governor of Ekiti State, Mrs Funmilayo Olayinka, was misdiagnosed when she came down with cancer. Cases of misdiagnosis are high. The way out is for the government to invest more in infrastructure.”

    She decried the problem of epileptic power supply, saying equipment, such as linear accelerator, was sensitive to power surge.

    “Most equipment are damaged by power outage. I condemn hospitals that acquire obsolete equipment for patient management and treatment,” she said.