created by Lintas emphasise
the importance of Breast Self Examination in diagnosis of breast
cancer at the earliest possible stage when it is curable.
The
word cancer immediately invokes terror and thoughts of death in the minds
of most people. At the same time, the incidence of cancer is on the rise.
It is evident from one’s experience that it is becoming a more and more
common disease with a case in every family. In fact, cancer is not something
to be feared. A majority of cancers can be prevented by adopting healthy
social practices and, if detected early, can be totally cured. In India,
especially, there is a need for education and information on various aspects
of cancer. Even educated patients have a problem accessing information
which could help them to cope better with the disease.
Recognising this particular
problem, Cancer Patients Aid Association has focused on ways and means
to tackle it. Our appeals received overwhelming responses from the
advertising, television & film fraternity as they joined hands on
various occasions to create compelling & hard-hitting campaigns -
print, billboards & short movies. Along with reaching out to a large
number of people these, many of these campaigns won awards
and accolades at international levels.
A
series of advertisements made by Contract Advertising also appeared in
Indian Express and Loksatta regarding Passive Smoking. Too often, smokers
endanger the lives of non-smokers by smoking in their presence. Recently,
studies have shown that such second hand smoke can also raise the risk
of contracting cancer significantly. The danger is especially grave for
children of parents who smoke. They are more likely to suffer from pneumonia
or bronchitis in the first two years of life than children who live in
smoke-free households. Several studies have also established a link with
sudden infant death syndrome (SIDS). Children of parents who smoke have
a twofold-increased risk of dying of SIDS.
created
by Touchstone Advertising
CPAA is indeed grateful
to these agencies for acting out of a sense of moral responsibility. Their
efforts will help people to imbibe the message of Prevention and Early
Detection.
These poems on cancer
were sent to us by Stella Dunstan who lost her brother to lung cancer.
They provide strong motivation for all smokers to give up their habit.
WHAT AM I?
Orange and white is what I am -
I wouldn’t say that I was glam.
Starting long, I finish short,
Putting you on life support.
I make a mess, I don’t smell nice,
And accompanying me is a very high price.
Life with me will never be fun -
I’m sure you’ll wish you’d never begun!
To this one I have got no answer.
All I offer is lung cancer.
Do you wish we’d never met?
Yes, me - that killer cigarette!
ALL BECAUSE YOU SMOKE
I cannot breath, you’re stifling me
My vision’s blurred, I cannot see
The reason for these ghastly things
Is all because you smoke
You take that dirty cigarette
A smell that no one can forget
The reason for these ghastly things
Is all because you smoke
Your teeth are yellow, your breath is stale
Have you thought what you inhale
The reason for these ghastly things
Is all because you smoke
Your purse is empty for they’re a price
Very expensive for something not nice
The reason for these ghastly things
Is all because you smoke
You’ve got lung cancer and it’s too late
Do you want to be buried or shall we cremate
The reason for these ghastly things
Is all because you smoke
SEALED WITH A KISS
His eyes met mine,
I started to melt
This was a moment I’d never felt
He pressed his lips up against mine
But all of a sudden he’d lost his shine
His breath was stale, the taste was bad
I walked away and I was glad
His teeth were yellow, he smelt of smoke
So unpleasant, it was no joke
He was like kissing an old ash tray
And all that I am left to say
Is think of what you might regret
When kissing a walking cigarette
Over
the years numerous people have come to Cancer Patients Aid Association
expressing their genuine desire to quit smoking. Yet they are unable to
do so. There are both psychological and pharmacological reasons why quitting
is so tricky. The nicotine in cigarettes is potentially as addictive as
cocaine and heroine and hence as difficult to give up. Medical aids in
the form of patches and chewing gum that release moderate amounts of nicotine
into the bloodstream, have been found to be partially successful during
the early days in combating withdrawal symptoms.
However
the psychological aspects of the habit are equally hard to surmount and
must be overcome by sheer will power. Each individual’s motivations for
trying to quit vary. The most important step remains the first one, making
the decision. Subsequently each one of us must assess what it is that
will motivate us to quit. Given below are some tips that can be used.
Before you quit
smoking, try wrapping your cigarettes with a sheet of paper like a Christmas
present. Every time you want a cigarette, unwrap the pack and write
down what you are doing, how you feel and how important this cigarette
is to you. Do this for two weeks and you will cut down as well as develop
new insights into your habit.
Many smokers feel
that cigarettes give them energy. Such people should try gum, modest
exercise, a brisk walk or a new hobby. But keep in mind, most smokers
tend to put on weight, so watch your diet and do not start eating rich
foods.
If you gain weight
while giving up smoking, don’t start dieting immediately. Wait until
you have succeeded in giving up smoking first.
If cigarettes help
you to relax, try meditating, drinking a new beverage or some new social
activity.
Try choosing an
opportune time to quit, such as when you are ill with a cold or flu
and have lost your taste for cigarettes.
On a 3"x 5"
card, make a list of what you like and dislike about smoking. Add to
it and refer to it daily.
Make a short list
of things you have always wanted to buy. Next to each, write its cost.
Convert each cost into number of packs of cigarettes. If you save the
money each day, you will now be able to buy these items. Use a special
piggy bank for collecting this money.
Do not smoke after
you get the craving until at least 3 minutes have passed. During that
time, change your thinking or activity. Telephone somebody you can talk
to until the craving subsides.
Plan a memorable
day for stopping. Choose a vacation, New Year’s Day, your birthday,
a holiday, your child’s birthday, your anniversary. But don’t make the
date so distant that you change your mind.
If you smoke under
stress at work, pick a date when you are away from work.
Decide whether
you are going to stop suddenly or gradually. If it is to be gradual,
work out a tapering system so that you have immediate goals on your
way to an ‘I Quit’ day.
Don’t store up
cigarettes. Never buy by the carton. Wait until one pack is finished
before you buy another.
Never carry cigarettes
around with you at home or at work. Keep them as far away as possible.
Leave them with someone or lock them up.
Until you quit,
make a smoking corner that is far away from anything interesting.
Never smoke while
watching television.
If you like to
smoke with others, try smoking alone. If you like smoking alone, try
to find the company of people who do not smoke.
Never carry matches
or lighters around with you.
Put away ashtrays
or fill them with flowers or nuts. Walnuts will give you something to
do with your hands.
Change your cigarette
brand so that you progressively smoke cigarettes with lower and lower
tar and nicotine content.
Always ask yourself,
"Do I really need this cigarette or is it just a reflex?"
Try to help someone
else stop smoking.
Each day try to
postpone lighting your first cigarette of the day.
Decide that you
will only smoke on even or odd numbered hours or as the habit recedes,
on odd or even dates.
Keep your hands
occupied. Try a musical instrument, knitting or puzzles.
Make a major change
in your habits. Seek new activities or perform old ones in new ways.
Think of different ways to solve problems. Do things differently.
Get out of the
house if you tend to smoke more at home.
Keep to places
where smoking is not allowed, libraries, theatres, department stores
or just go to bed early during the first few days when you are trying
to give up smoking.
Keep light reading
materials, crossword puzzles or brochures to read during coffee breaks.
Take a shower or
do something where you cannot smoke.
Brush your teeth
frequently to get rid of the tobacco taste and stains.
Visit your dentist
after you quit and have your teeth cleaned to remove tobacco stains
and stale tobacco taste.
When you have a
craving for a cigarette, take 10 deep breaths, hold the last breath
while you light a match and blow it out with the exhaled breath. Put
the match out in an ashtray, as you would have a cigarette. Pretend
that it was a cigarette you put out. Then immediately start another
activity.
Only smoke half
a cigarette and throw the rest away.
After you quit,
start using your lungs. Increase your activities and start moderate
exercise, such as walks.
Place a bet with
someone that you can quit. Put the cigarette money in a jar each morning
and forfeit it if you smoke, keeping the money if you don’t smoke by
the end of the week. Gradually extend this period until you stop altogether.
Purchase a money
order equivalent to a year’s supply of cigarettes and give it to a friend
for safe keeping. If you smoke in the next year, your friend keeps the
money order. If you don’t, he gives it back to you at the end of the
year.
If you are depressed
or have physical symptoms that might be related to your smoking, discuss
it with a doctor. It is easier to quit when you are aware of your health
status.
After you quit,
decide on someone who you can call when you crave a cigarette. Never
face the situation of craving a cigarette alone.
If you smoke, your body is constantly working to try and
repair the damage done by regularly inhaling more than 4000 toxic
chemicals. Every hour, day, week, month and year that you go without
smoking, your health will improve. You will feel immediate benefits when
you quit as your body starts to repair itself. Quitting at any age is
beneficial and does not only increase life expectancy, it also improves
quality of life.
After 8 hours:
* Nicotine will start to leave your body.
* Your heart rate and blood pressure will begin to return to normal.
* The level of oxygen in your blood will start to increase.
After 12 hours:
* There will be almost no nicotine remaining in your body.
After 24 hours:
* The level of carbon monoxide in your blood will have dropped
dramatically.
After 3 to 5 days:
* Your sense of taste and smell will improve.
* You will feel and sleep better and your breath, clothes and hair will
smell fresher.
After 1 month:
* Your immune system will begin to show signs of recovery.
* You will experience less shortness of breath and be able to exercise
more easily than before.
After 2 months:
* Your lungs will no longer be producing the extra phlegm caused by
smoking.
* Your blood pressure level will return to normal.
* Your blood circulation will improve and blood will flow more easily to
your hands and feet.
After 3 months:
* The cilia in your lungs will have recovered to efficiently clean your
lungs and airways.
After 1 year:
* Your risk of dying from coronary heart disease will be half that of a
continuing smoker.
After 5 years:
* Your risk of cancer of the mouth, throat and oesophagus will be half
that of a continuing smoker.
After 10 years:
* Your risk of lung cancer will be less than half that of a continuing
smoker.
After 15 years:
* Your risk of coronary heart disease and stroke will be almost the same
as that of a person who has never smoked.
Damp breeze amongst shimmering
lights,
Quite heavy lay the rainy night,
Incessant coughs, her voice too gruff,
Yet rose the white smoke puff.
Minutes ago the rain had ceased,
Hither-thither lay chilling mist,
She had found a bench and lighted one,
Remorseful for having done.
Her life was a happy and pleasant one,
A carefree bird with hunters none,
Yet she smoked, the free sweet lark,
Two years ago in the same old park.
As days rushed past and months went by,
She missed her smile, her stare wry,
The lark quit her chirp and song and play,
She couldn't sleep at night and smoked all day.
Numerous alikes she found on the way,
But they seemed happy, cheerful and gay,
She envied their joy and wept lighting it,
A monstrous effort - she was trying to quit.
She liked it then, as all other folks,
Looked down upon the world as a roosting hawk,
She relished diving in the smoky well,
Yes, it helped to delve in her self.
Now a deplorable her, yearning to quit,
She threw them all and yelped seeing it,
She tried all day with her last bit,
But as night fell, she bought one and lit.
And so it happened, day after day,
"I pity her," you could hear them say,
She restrained for a while but couldn't for long,
She would end up smoking every morn.
Then there was a day she managed without,
Enthralled to the spirit, she would scream and shout,
She said aloud, "I'd no more be sick,"
Yet the next setting sun lit the stick.
There were days again she managed without,
"She'll smoke again," you could hear them doubt,
But she fought and stretched it to a week,
Spirited again to give up the wick.
Steadily she tread the path so wild,
Determined to quit before she died,
Months now she could stand without lighting it,
Eventually, one gracious day, she managed to quit.
She was strolling past the same old park,
She found a faint light amidst the dark,
A young boy smoking, two packets nearby lay,
"It's never late to quit," she said and went away.
Stickers
: Would you like us to send you a set of 3
attractive Anti-gutkha stickers? Click
here.
According
to WHO Country profiles, India has one of the highest rates of oral cancer
in the world and rates are still increasing. This disproportionate incidence
of oral cancer has been related to the high proportion of tobacco chewers,
a habit unique to Indians. Oral cancer accounts for one-third of the total
cancer cases and 90% of the patients are tobacco chewers. This is true
across a broad spectrum of people, rich and poor, male and female, old
and young.
The statistics are eye opening.
Only 20% of the total tobacco consumed in India is in the form of cigarettes,
about 40% is in the form of bidis and the remaining 40% is consumed as
chewing tobacco, pan masala, snuff, gutkha, masheri and tobacco toothpaste.
These products contain putrefied tobacco, paraffin, areca nut, lime, catechu,
and 230 permitted additives and flavours including known carcinogens.
WHO reports suggest that
65% of all Indian men use at least one form of tobacco. For women, the
usage statistics differed from 15% in rural Gujarat to 67% in Andhra Pradesh,
the overall prevalence being 3% for bidi and cigarette smoking. What is
alarming is that fully one third of all women use at least one form of
tobacco and in Mumbai, 57.5% of women use tobacco but solely in the smokeless
form.
The habit has a high degree
of social acceptability. A popular advertisement showed the parents of
a bride and groom agreeing to greet guests with pan masala. People who
would not dream of smoking, have no such qualms about consuming several
packets of pan masala every day, simply because they are unaware of the
dangers involved.
Most people have no idea
that consuming smokeless tobacco is as dangerous as smoking and while
packets of pan masala do bear health warnings, they are rendered almost
invisible by the bright shiny packaging and the small size of the warnings.
Consequently, unlike smoking, which must be hidden from adults, children
can openly consume pan masalas.
Shockingly, younger and younger
children are being introduced into this habit, with the first introduction
often being given at home by an elder who is unaware of the dangers he
is exposing the child to.
The fact is that smokeless
tobacco has been directly related to the incidence of oral cancer. The
first signs are the appearance of patches and sores in the mouth or tongue,
followed by submucous fibrosis and difficulty in opening the mouth fully.
At this stage the signs are reversible, but if left untreated will almost
certainly develop into cancer. A recent news item on BBC reported usage
of pan masalas by the large ethnic Indian community in England. The abuse
of smokeless tobacco resulted in cases of submucous fibrosis among patients
who spoke of their ignorance of the dangers they had exposed themselves
to.
Confronted with the vast
problem of tobacco usage and its social acceptability, it is tempting
to say that the problem of addiction is too deep rooted to attempt to
fight and to focus attention instead on preventing young people from taking
up the habit. However, this has been found to be unsuccessful unless it
follows strong anti-tobacco sentiment in the adult community and high
proportions of the population giving up tobacco usage. CPAA has therefore
adopted a two-pronged approach. On the one hand, in a massive drive covering
at least 50 schools in different localities in Mumbai, we are educating
children in Standards 8, 9 and 10 in the dangers of tobacco dependency.
At the same time, a series of advertisements are being visualized to educate
adults on the harms of smokeless tobacco and advising them not to introduce
their children to the habit.
"We never tell kids
not to smoke or chew tobacco," says CPAA’s Alka Kapadia. "Instead
we educate them and offer our help in kicking the habit." The lecture
begins with general information about the disease, the warning signs,
symptoms, prevention through early detection. The schools being visited
during the month of August, 1999 are St. Xavier’s High School, J.B.
Wachcha,
St. Anne’s High School, and Don Bosco.
"Our most depressing
failures is with children from the lower income levels. It is difficult
to convince them to give up tobacco. The habit helps them to deal with
their daily lives, it kills the appetite and gives a kick that makes them
happy for a while. It is cheaper to buy a packet of gutka than dinner.
And it gives them the strength to face challenges of child labour including
late night shifts. Sometimes it is their only source of happiness. In
such cases, we advise them to pay attention to oral hygiene, to at least
brush their teeth before sleeping so that the remnants of the tobacco
do not attack the buccal linings overnight and to watch for patches which
can be the first sign of cancer."
Are you a school and would
you like CPAA to visit you as part of the Anti-Gutkha Campaign? Click
here.
Would you like to contribute
to CPAA’s Anti-Gutkha Campaign? Click
here.
Breast cancer, hitherto considered
to be a "Western Cancer", is the second most common form of
cancer among Indian women. This could well be because of the changing
lifestyles of Indian women with delayed childbearing or having no children
at all, failure to breast feed, obesity and a diet rich in animal fats
becoming increasingly common. Whatever the reasons, like other cancers,
breast cancer can also spread if unchecked. Fortunately, it is a cancer
that can be easily detected at an early stage and treatment can lead to
a total cure.
CPAA has initiated a Breast
Self Examination (BSE) Drive to educate women on how to carry out this
simple examination and why it is so important.
At all of CPAA’s OPDs,
a part of the regular screening procedure includes education on how to
carry out BSE correctly. A brochure describing the
steps involved has also been written.
Recently, a generous donation
from KSB Pumps has made it possible for CPAA to initiate a ‘Well-Woman
Clinic’ to screen 800 economically backward women for breast cancer. These
women will be given a free checkup, including mammogram and Pap smear
test and will be taught BSE.
If you would like to know
more about Breast Self Examination, please attend one of the OPDs,
held absolutely free of charge between 2 and 3.30 PM on Tuesdays at Lila
Kishanchand Shahani Clinical Diagnostic Centre, Naigaon and on Wednesdays
and Thursdays at Suman Ramesh
Tulsiani Diagnostic & Rehabilitation Center
at Prabhadevi.
If you would like to be sent a brochure about
Breast Cancer, click here.
Cervical cancer is the most
common form of cancer among Indian women. This has been related to the
custom of early marriage common in rural India and absence of education
on hygiene.
Cervical cancer, a slow growing
cancer, lends itself to early detection through Pap smear testing, a painless
test which involves scraping cells from the cervix during a pelvic examination.
A microscopic examination of the smear can identify abnormal cells even
in a precancerous stage (dysplasia). Not all cervical dysplasia will become
malignant if left untreated, but a more concentrated follow up is indicated.
CPAA conducts Pap smear tests
free of charge for all women who attend the OPD
at
the Cancer Detection Centres at Prabhadevi
and Naigaon. Efforts are on to
disseminate information on cervical cancer through a tie up with a manufacturer
of sanitary napkins.
To find out more about the
free Pap smear test, please attend one of the OPDs,
held absolutely free of charge between 2 and 3.30 PM on Tuesdays at Lila
Kishanchand Shahani Clinical Diagnostic Centre, Naigaon and on Wednesdays
and Thursdays at Suman Ramesh Tulsiani Diagnostic &
Rehabilitation Center,
Prabhadevi.