Sunday, May 19, 2013

Cancer, the 21st century, and the Mercy of God


Sayo Aluko



Funmi Lawal before and Funmi the Fighter


Tyler Doherty, a budding 11-year old teenager, died 2005, after 40 rounds of chemotherapy; cause of death - brain cancer. Funmi Lawal, a young Nigerian lawyer in her late 20s, died April 2013, after a 7-year battle with cost and disease management; cause of death - bone cancer (shoulder). Funmilayo Olayinka, 52-year old consummate banker and cerebral deputy-governor in South-western Nigeria, also died April 2013, 5 years post-diagnosis; cause of death - breast cancer. Angelina Jolie Voight, 37-year old Academy Award winner, underwent preventive double mastectomy in February 2013, to reduce her 87% risk of getting breast cancer to 5%; the procedure entailed losing her two naturally endowed mammary glands (breasts).

These examples represent the few out of an approximate 7.9 million cancer-related deaths recorded yearly since 2007; that amounts to an alarming 55.3 million human deaths in 7 years! The quite more shocking part is that, this number is already on a geometric increase as we speak. Thus, I welcome you to the Grandest Holocaust, the World War III, spearheaded by the bullish Generals of CANCER!

Cancer, medically known as malignant neoplasm, is a broad group of diseases that involves unnecessary, unregulated and uncontrollable cell growth and division in any part of the human body, forming malignant tumours that can invade both nearby and distant parts of such body through the lymphatic system or bloodstream. The incidences of this rampaging malaise dates back to about 4-5 centuries ago, and as of today, there are over 200 different known cancers that afflict humans.

The research on cancer or "War Against Cancer" as ex-President Richard Nixon would have it, is 42 years old this year, and after spending mammoth time and over 200 billion dollars, sadly enough, no particular cause nor cure has been found. But, while it has remained a confusing complex to get that breakthrough, these researches have succeeded in giving us a plethora of high risk factors (HRFs), on which this article is basically wrapped around.

The HRFs that predispose one to having cancer are categorised into 2 broad arms which are: Environmental Factors (90-95%) and Genetics (5-10%).
"Environmental", as used by cancer researchers, means any cause that is not inherited genetically, not merely pollution, and the common environmental factors that contribute to cancer occurrence include the following:
·        Tobacco and Alcohol (25–30%),
·        Diet and Obesity (30–35%),
·        Infections (15–20%),
·        Radiation (10%),
·        Stress and lack of physical activity (5%), and,
·        Environmental pollutants (5-10%).

Before I move on to succinctly elaborate on these HRFs, it is important to note that cancer prevention is achievable through active measures to decrease the risks, especially since a vast majority of cancer cases are due to environmental risk factors which are controllable lifestyle choices. Greater than 30% of cancer deaths could be prevented by avoiding these high risk factors.

Tobacco and Alcohol (T & A) - Cancer, as defined above is a disease involving rabid cell growth and proliferation which is traceable to some mutations in the body. Agents of these mutations are called "mutagens" and the mutagens that usher cancers are called "carcinogens". These said, it is known that tobacco smoke and alcohol (especially the fermented alcohol) contains over 60 known carcinogens combined! These two have been linked to be responsible for cancers of the lung, larynx, head, neck, stomach, bladder, kidney, esophagus and pancreas in both active and passive smokers and alcoholics. While the active ones are the individuals who really do the smoking or the drinking, the passive smoker is the one who gets T&A carcinogens into his/her system through inhalation or mixture of body fluids (kissing or coitus / sex). It is noteworthy that T&A causes 1 in 3 cancer deaths and 2 in 5 cancer diagnosis in the world.

Diet and Obesity - Studies have linked consumption of foods high in fats, cholesterol and salt, all processed and canned food, red meat, animal fats and refined carbohydrates, to an increased risk of breast cancer, colon cancer, and pancreatic cancer. Most of these kinds of foods contain heavy metals and food poisoners in the guise of preservatives or sweeteners. Carcinogens are known to be more present in any red meat / fatty food that have been subjected to high heat from coal (e.g Nigerian Suya). Eating red meat and foods that are fried or baked with cholesterol-containing vegetable/groundnut oil, and also any form of burnt food, has been particularly indicated in colorectal cancer. Excess body weight is associated with the development of many types of cancer and is a factor in 14–20% of all cancer deaths. Dietary recommendations for cancer prevention typically include an emphasis on vegetables, fruits, whole grains (e.g wheat, ofada rice and soya, sorghum, millet, etc); low-oil fishes (e.g ‘Croakers’, skinned Salmon) and skinned white meat (skinned chicken and turkey). Vitamin supplementation is good, but hasn't been established to reduce risk. Also, it has been shown that consumption of non-caffeinated coffee, especially green and black tea can reduce the risk of liver cancer.

Infections - Some viruses, bacteria and parasites have been implicated in cancer HRFs. A sexually-transmitted virus, HumanPapillomaVirus (HPV), has been shown to be the precursor in 80% of cases for the cancer of the cervix especially in women who have multiple sexual partners. Hepatitis B and C viruses have been linked to cancer of the liver too. Also, a ulcerative bacteria, Helicobacter pylori, has also been linked to gastric (stomach) cancer. A parasite, mostly found in poorly-cooked red meat and pork-meat, has been indicted in cancer of the urinary bladder. While is it best advised to avoid uncouth multi-sex, vaccines have been developed for HPV, to be taken by women in order to reduce the risk of cervical cancer. The same has been done for Hepatitis B, to be taken by both men and women, to reduce the risk of liver cancer. (Hepatitis B vaccines are given in some Federal Medical Centres in Nigeria for free / some at affordable rates).

Radiation - Up to 10% of cancers are related to radiation exposure, including both ionizing radiation and non-ionizing radiation. Outputs of ionizing radiation that are one of the main harbinger for leukaemia (cancer of the blood or bone marrow), get into our body through repetitive medical imaging (x-rays, electromagnetic scans, etc) and inhalation of radon gas. Radon gas is a ubiquitous inert gas that emanates from the soil, rock and from pressure-driven water supply from private wells (bore-hole). Radon gas gets carcinogenic when it gets into contact with heat from indoor furnaces, electric stoves, ovens, concrete floors and asbestos sheets.
Non-ionizing radiation is the source for most non-invasive skin cancers and it stems from prolonged exposure to ultraviolet (UV) rays from the sun, radio frequency from mobile phones/tablets/gadgets, and proximity to electric power transmission plants. Years of industrial activities together with human-induced global warming have depleted the protective ozone layer, thus, the UV exposure. Also, it is advised that while one shades away from too much sun in the day, our mobile phones should be placed 6-feet away from our head during sleep when it's off and 9-feet away when it's on.

Stress and Physical Inactivity - Physical inactivity is believed to contribute to cancer risk not only through its effect on body weight but also through negative effects on immune system and endocrine/hormonal system. Some hormones, when too high in the body, have been linked to sex-related cancers such as the cancer of breast, uterus, prostate, testis, and ovary, and also thyroid and bone cancers. Obese people, African men (high testosterone), daughters of women who have or had cancer (high oestrogen and progesterone), and women who take hormone replacement therapy (e.g pregnancy prevention/birth control pills), are all more prone to develop such cancers if they don't undergo rhythmic, regular, non-cumbersome, early-morning and day-to-day exercise to lower these high hormone levels. A daily 8-hour, non-REM sleep (non-Rapid Eye Movement sleep), is advised in order to rest the body cells at night and thus, lower the risks of cancer due to stress.

Environmental Pollutants - Prolonged inhalation of Insecticides and Pesticides, Formaldehyde, tobacco smoke, smoke/fumes from electric power generators, car and motorbike exhausts, all predispose to many forms of cancer. Chemical additives present in most stimulating beverages/energy drinks, together with long-term exposure to chlorinated water also expose the cells to carcinogens. In addition, dioxane, an environmental pollutant from incinerators, was found to increase the risk of sarcoma and lymphoma. Chemical reagents replete in most toning cosmetics and the common substandard metallic ornaments (necklaces, bracelets, etc), and also perfumes containing nitrates and aromatic hydrocarbons, have been discovered to combine with ultraviolet sun rays to predispose users of such products to skin and bone cancers. Some of these pollutants emanate from workplaces and so it is advised that rigid steps should be taken to be precautionally protective against such hazards. The common electric power generators are advised to be placed at an average 16 feet away while on.

Genetic - Hereditary cancers are primarily caused by an inherited genetic defect, and they have a high chance (up to 90%) of occurring in affected offsprings if early tests, detection, and management isn't done. The commonest ones are the breast, ovarian, colon and rectal cancers.

Cancer is the new "great imitator", that is, it can take the form of another sickness. For example, cancer can be mistaken for cough or pneumonia in lung cancer. So, as per signs and signalling symptoms, it is strongly advised that, caution and reference, leading to a cancer scan or test, should be made if one is experiencing any relapsing or nagging "common" sickness or pain of/from any part of the body, any part whatsoever, in order to employ the use of early detection for conquest over cancer.
(Some methods have been used to suppress, and to a larger extent “tame” cancer growth, only when there’s early detection.)

This article is an allegory. This 21st century and its recklessness is the defining point. This our age is a wanton one. Most of our activities, especially the ones geared at meeting the demand of population explosion, have further fuelled the proliferation of cancers all over the world. For example, our Poultry are injected and fed with steroids and cholesterol compounds to make them big in few weeks, whereas, they are better ways to get them hybrid without such hazards, and still meet the demand for food. Also, we are surprisingly in an age of "tobacco epidemic" despite the many warn-offs and campaigns against both tobacco smoking and penchant alcoholism; what wantonness! What a century of despondent obstinacy! Sadly, these activities and more, as listed above, will make another 10 million people diagnosed for cancer this year. I am not “pointing fingers”, I'm just simply sad at our very low threshold for prevention-minded abstinence.......

All these said, one thing that can guarantee wealthy health bereft of cancer, more than all these abstinence measures stated above, is the Benevolence of God, the Beneficence of Allah. That, even after one has tried his/her best to maintain bodily health through a disciplined diet, rest and exercise, Mercy from above is still the silver-lining. I will be utterly foolish to say that the loved ones that cancer has maimed didn't receive God's mercy, rather, I see the Tyler Dohertys, the Funmi Lawals, and the Funmilayo Olayinkas of this world has legendary martyrs who divinity has allowed to make the ultimate sacrifice for the sake of the remaining living ones, they've been made like letters written on our hearts to read and infer wisdom from. Ahoy! to the strength and fighting spirits of the ones gone, Ahoy!.

To we still living, remember, the first wealth is health.
 Gracias......
(More consultation can be done from time to time, in order to get in-tune with new info and innovations regarding cancer.)

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