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COMPARING NOTES: (From left): V. Shanta, chairperson, Cancer Institute, Adyar; Cindy Schneible, vice-president, resource development, the Susan G Komen Breast Cancer Foundation, U.S., and Vijaya Bharathi Rangarajan, founder, CAN-STOP, at a public lecture held in Chennai on Wednesday. CHENNAI: Early detection and awareness are the only hope for women battling breast cancer, which is becoming a global disease, speakers at a public lecture said on Wednesday. Breast cancer emerged as the most prevalent type of cancer in urban India in 2005, though rural India reported more of cervical cancer, V. Shanta, chairperson, Cancer Institute, said during the lecture on ‘The fight against breast cancer-What you can do,’ organised by the American Consulate General-Chennai and CAN-STOP. The number of breast cancer cases had gone up from 49,500 in 1985 to 1, 22, 000 in 2005, an increase of 146.5 per cent. The causes were environmental and dietary factors, hormonal functions, familial and genetic predispositions, age at first child birth, fat content in diet, late menopause and early menarche, the use of oral contraceptives and hormone replacement therapy. In India, the incidence of pre-and post-menopausal breast cancer was almost equal. Pain was only a late symptom; lack of pain did not mean absence of the disease. Professional education had to be given to young women on when to undergo mammography. The risk could be reduced by careful screening, avoiding high-fat diets, prevention of obesity, doing physical activity and early child birth, Dr. Shanta said. There was no single approach to breast health uniformly applicable throughout the world, said Cindy Schneible, vice-president, resource development, the Susan G Komen Breast Cancer Foundation, U.S. An estimated 25 million women around the world were expected to be diagnosed with breast cancer over the next 25 years, and up to10 million could die. Local communities and organisations must develop innovative programmes customised to the local needs. Her organisation had raised about $1 billion in total investments for the fight against breast cancer. Most of the money went into research and awareness creation. Earlier, in an interview to The Hindu, Ms. Schneible said the U.S. had 2.4 million breast cancer survivors. The organisation, founded 25 years ago, had grown globally and had earmarked $3 million for further expansion. The initiative covered Asian countries such as India and Thailand. The organisation was planning to network with non-governmental organisations to moot a public-private partnership model, along the lines of the successful U.S. experiment. It was also looking for philanthropic corporate support. Other partnering countries were Brazil, Costa Rica, Ghana, Jordan, Mexico, Romania, Saudi Arabia, Ukraine and the UAE. The initiative was aimed at creating a global network of activists who would shape their country’s response to breast cancer. The programme would be centred at Course for the Cure, a series of training modules developed out of the organisation’s experience. Participants would include health educators, NGO representatives, midwives and religious leaders, apart from business representatives and government officials, Ms. Schneible said. Dr. Vijaya Bharathi Rangarajan, founder, CAN-STOP, was present.
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