Breast cancer accounts for about 50% of the related deaths in India

Health Care, Heart Care Foundation of India, Medicine Comments Off

Stage Zero Breast Cancer cannot be detected easily and can spread to surrounding tissues

New Delhi, 8 February 2019: According to statistics by the WHO, less than 5% of women undergo breast screening in India. Some reasons for this include lack of awareness about the importance of early detection and the absence of an organized nationwide breast cancer screening programme. Stage Zero Breast Cancer is the earliest form of breast cancer and medically termed as Ductal Carcinoma In Situ (DCIS). While more than one lakh new cases of breast cancer are diagnosed each year in the country, no precise statistics are available on the incidence of DCIS in India.

Stage Zero Breast Cancer is not dangerous but has the potential to spread to the surrounding tissues if left untreated. DCIS is difficult to detect as it does not have any symptoms. It is important to watch out for a change in size, rash on or around the nipple, a painless lump, blood-stained discharge from the nipple, swelling under the armpit or a retraction of the nipple.

Speaking about this, Padma Shri Awardee, Dr KK Aggarwal, President, HCFI, said, “Breast cancer can occur in women who have no identifiable risk factors. An average woman has 10% to 15% chances of developing this condition if she lives into her 90s. The risk in a woman with a strong family history who has inherited one of the genes (BRCA1 and BRCA20) that predispose her to breast cancer is over 50%. Estrogen stimulates cells of the breast’s glandular tissue to divide. The longer a woman is exposed to estrogen, the greater her risk for breast cancer. Estrogen exposure is more if a woman began menstruating at or before 11 years of age, or if she experiences menopause at age 55 years or later.”

Cancer is the name given to a collection of related diseases that are caused when a group of abnormal cells begins to grow uncontrollably, often forming a tumor. Tumors can either be benign or malignant.

Adding further, Dr Aggarwal, who is also the Group Editor-in-Chief of IJCP, said, “Periodic health check-ups can help detect cancer at an early stage. CancerSEEK is a blood test that can detect the presence of eight common cancers by analysing traces of DNA and proteins released into the blood stream by the cancer cells. Apart from this, X-Rays, MRI scan, colonoscopy, mammography, Pap smear, biopsy, and cytology are some of the other tests done to detect cancer.”

Some tips from HCFI

  • Pay attention to symptoms and get yourself checked regularly.
  • Using any type of tobacco puts a person at an increased risk of cancer. Avoiding or stopping the consumption of tobacco is one of the foremost steps in cancer prevention.
  • Filter tap water properly as this can reduce your exposure to possible carcinogens and hormone-disrupting chemicals.
  • Get vaccinated on time and as per schedule. For example, the Human Papilloma Virus (HPV) vaccine helps prevent most cervical cancers and several other kinds of cancer.
  • Drinking plenty of water and other liquids can help in reducing the risk of bladder cancer by diluting the concentration of cancer-causing agents in urine and helping to flush them through the bladder faster.
  • Most importantly, make lifestyle changes such as eating a healthy diet and getting regular exercise. Fruits and vegetables are rich in antioxidants which can help ward off diseases.

Why India should worry about being happy?

Health Care Comments Off

India ranked as 133 out of 156 countries in the UN 2018 World Happiness Report

2018 was not a bad year in general for India. GDP growth has been relatively good, the Modi government has launched several new initiatives and India’s status and world image has strengthened. The problem is that these are all top-line measures and do not get down to how the people are actually feeling.

Unfortunately, recent research on this indicates that Indians are not feeling very happy. India ranked as 133 out of 156 countries on the UN 2018 World Happiness Report (Happiness Report). This was 11 spots lower than India’s 2017 ranking. India’s dismal 2018 ranking placed it far below most developing nations around the world and near the very bottom for the South Asian countries surveyed.

A well-being study released by social science researchers at the end of 2018 revealed that life satisfaction in India dropped by 10 percent from 2006-17. What accounts for India’s poor performance on these assessments?

There is no simple explanation. It is instructive, however, to consider the factors that have the greatest impact on achieving good scores on them.

As noted in the Executive Summary of the Happiness Report, “All the top countries tend to have high values for all six of the key variables that have been found to support well-being: income, healthy life expectancy, social support, freedom, trust and generosity.”

The well-being study disclosed that “The life satisfaction of individuals worldwide correlates with income, health, employment, education as well as with positive moods, freedom and beliefs about the benefits of work.”

India obviously does not score well on most of those factors. There are various studies that have highlighted major deficiencies in areas such as income, health, education and employment. There is not a systematic method in place, however, to assess the well-being of India’s citizenry on an ongoing basis.

India, as do most other countries, puts considerable emphasis on measuring GDP growth and tracking other economic indicators routinely and regularly. The assumption is that moving the needle positively on those metrics will cause benefits to flow through to citizens.

That is not the case. As Nobel Prize winning economist Joseph Stiglitz explains, “No single measure can capture what is going on in a modern society, but the GDP measure fails in critical ways we need measures on how the typical individual is doing (measures of median income do a lot better than measures of average income.)”

There are two old proverbs. One states: “What is measured matters.” The other says: “What gets measured gets managed.”

By putting a well-being measurement system in place, India would demonstrate that the happiness of its citizens matter and provide the platform for developing and implementing policies for enhancing their life satisfaction.

A Well-Being Index is therefore desirable and it could be the definitive source for information on the well-being of people.

Social scientists, economists and statisticians can decide what goes into the Index and its metrics. The important thing is that the Index be developed and put into place as quickly as possible. The reason for this is that the available data and evidence shows that India is moving backward rather than forward in terms of enhancing the happiness and life satisfaction of its people.

The Index results and findings should be released at the same time as GDP reports, so that all concerned individuals and organizations can determine whether the economic growth and progress of the country as a whole is translating into well-being for its citizens. With this information in hand, decision makers can take the actions necessary to ensure that when India does well, all Indians do well.

Mahatma Gandhi famously said: “Happiness is when what you think, what you say, and what you do are in harmony.” Gandhi was correct.

Research shows that though extrinsic factors such as income inequality and an inadequate education can reduce an individual’s potential for achieving happiness. Improving the conditions and the setting for well-being by addressing those factors will enhance a person’s ability to exercise choice and free-will in order to be happy.

Mahatma Gandhi also famously said: “Be the change you want to see in the world.”

A Well-Being Index would be a starting point for focusing attention on a happier India and bringing Indians together to work in unison on being the change that will be necessary to achieve that end.

How to be happy

Formula for happiness: 50% of our happiness is based on our past experiences; 10% of happiness is not in our hands as it is determined by the circumstances under which we live. 40% of our happiness is dependent on our choices or decisions to do new things or our attitude. This is what we can control.
The very fact we are born means that in our last life, we did not attain moksha (liberation). It also means that some sufferings in our last birth still remained to be borne. Therefore, the purpose of this birth is to face those sufferings (for those who believe in rebirth, those who do not treat them as sufferings of the past in this birth). So, when the purpose of our life is to complete those sufferings, then why suffer from them? This should be considered as ‘sukh’ and not ‘dukh’. As per Vedic literature, every adversity is an opportunity to learn or to do something different. Next time you have a problem, think differently and learn to enjoy them.
Learn to de-stress, at least, once a week by free expressive writing; writing can boost immune function as well as mood and well–being. It also gives more clarity. Whereas the stress of holding in strong feelings can increase blood pressure and heart rate and increase muscle tension.
File your Vedic returns every day at night. They are to be filed with our consciousness and therefore include the sum total and a complete account of negative and positive deeds. The returns filed will include misunderstandings, hurt, anger, resentment, guilt, fears, rejections, failures, unforgiven, envy, misbehavior, mistakes and all negative feelings vs compassion, love, caring, empathy, happiness etc.
Do physical exercise. Walking is the best form of exercise. Walking in natural environments such as parks also reduces mental stress and fatigue and improves mood via release of ‘feel good’ endorphins. The proximity to nature also helps in the inward spiritual journey and shifts one from the sympathetic to parasympathetic mode manifested by lowering of blood pressure and pulse rate.
Learn relaxation techniques such as pranayama and meditation.

Practice aparigraha (non-possession or non-attachment), which means one should not keep anything more than what is necessary. Learn to be content with what you have. Needs often become synonymous with desires. Aparigraha helps us to separate the two.
Live every moment of your life. Be in the present


Dr KK Aggarwal

Padma Shri Awardee

President Elect Confederation of Medical Associations in Asia and Oceania (CMAAO)

Group Editor-in-Chief IJCP Publications

President Heart Care Foundation of India

Past National President IMA