Six Surprising Facts about Breast Cancer Risk
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Six Surprising Facts about Breast Cancer Risk

Breast cancer is more common than you would think. Most people get worried about breast cancer when a member of their family is diagnosed. They have heard that breast cancer is largely genetic. While risk goes up for those with a family history, only 5 to 10 percent of breast cancers are inherited.

According to the World Health Organization, breast cancer is the most common cancer among women worldwide, and it’s the second leading cancer death in women in the  U.S.  That’s why the American College of Radiology recommends annual mammograms starting at age 40. Annual screening mammograms allow doctors to compare your mammograms from year to year and catch potentially concerning tumors earlier.

Screening makes a big difference. Regular clinical breast exams and regular screening mammograms help detect breast cancer earlier, which makes breast cancer treatment more manageable for many people. Speak with your provider about what is best for you.

Breast cancer affects both men and women of all ages. While far less common, men can have breast cancer, too. Many of us think breast cancer is only a concern for older people, but it affects people of all ages.

The risk of breast cancer goes up for women with dense breast tissue. Do you know whether your breast tissue is dense? A mammogram is the best way to know for sure. It is important information, as tumors are harder to spot in dense breast tissue. Knowing your breast density helps you and your providers make good decisions about how often you should get screened.

Breast Cancer Disparities. According to komen.org, Hispanic/Latina women are more likely to be diagnosed with breast cancer later than white women. Uninsured women have lower rates of breast cancer screening compared to those with health insurance. Cancer-network.org reports LGBTQ+ community members have been shown to be significantly less likely to receive a mammogram due to past negative experiences when seeking medical care or health insurance coverage issues.

The healthy activities add up. All of the things we do to keep ourselves in shape make a real difference when it comes to breast cancer risk. Maintaining a healthy weight, especially during menopause; getting plenty of physical activity; avoiding alcohol; and getting an annual screening mammogram are great defenses against developing a serious case of breast cancer. 

Screening Resources:

VT: YOU FIRST/Vermont Department of Health www.YouFirstVT.org 800-508-2222

NY:  Medicaid Cancer Treatment Program Breast and/or Cervical Cancer Treatment Program (ny.gov)

MA: Breast and Cervical Cancer Screenings | Mass.gov

 

American Cancer Society:  www.cancer.org

Susan G. Komen: www.komen.org

National Cancer Institute: Breast Cancer Prevention (PDQ®)–Patient Version - NCI

BREASTCANCER.ORG: www.breastcancer.org

Rebecca Hewson-Steller, RN, CN-BN, is a nurse navigator at the SVMC Cancer Center, part of Southwestern Vermont Medical Center and Southwestern Vermont Health Care in Bennington.  

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Cautious Entertaining

After almost 3 months of staying home and with the weather getting nicer, many of us are itching to invite friends over and catch up. While this is a natural inclination, it should be approached with significant caution. COVID-19 is still circulating. If you are planning to host, follow these helpful tips for a safe gathering at your home.

Keep the numbers small. Invite as few people as possible. One-on-one meetings are safer than group gatherings. The recommendations from Vermont Governor Phil Scott recommend 25 or fewer. I would still aim for fewer than 10, especially depending on the size of your entertaining space.

Choose invitees carefully. You should know almost everything about the socializing habits of the people you are inviting. Your guests should be as careful in their social interactions as you are in yours. You should also trust that your guests would be cancel if they were feeling ill, as should you if you are suddenly symptomatic. Those at high risk, due to age or a medical condition, should be very careful about hosting or accepting invitations.

Stay outside. Outdoor air movement disperses aerosolized particles more readily than indoor environments. And plenty of space outside allows guests to stay distanced. UV light, like the rays found in sunshine, may also provide some small benefit. It has been shown to decrease the viability of the virus on objects, but it is not yet clear how intense the light must be and for how long the object needs to be exposed in order to kill the virus.

Keep it short. Duration of exposure to others has been identified as a key risk factor. The longer you are near someone shedding the virus, even if they don't have symptoms, the greater your likelihood of catching it yourself. While it is awkward to say that you are inviting people over for a 10-minute chat in the driveway, this is certainly among the lowest-risk types of socializing.

Clean beforehand. If you expect guests to touch anything, the arms of patio chairs, for instance, wipe them down in advance. Ask everyone to sanitize or wash their hands as they arrive, if they touch their face, and about every hour or so.

Stay distanced and masked. People standing tend to drift. Place chairs 6 feet apart so that people will be more likely to stay apart. Unless you are eating, keep your masks on. Share this expectation in advance, so your guests bring their masks with them.

Limit contact points. If you are preparing food, be sure to wash well before cooking and ensure everyone has a portion of his or her own. Forget about platters of vegetables or bowls of chips everyone shares and even buffets, where people share spoons and tongs.

Clean after. Wipe down anything your guests may have touched after they leave.

Keep track. Be sure to take note of who was there, the date of the social event, and each guest's contact details. If any one of the attendees becomes ill with COVID-19 or learns that they may have been exposed at the time of the event, they will be able to reach out directly to the others and to share information readily with contact tracers.

With these tips, you can host a relatively safe get-together and relieve some of the social isolation of the past several weeks. Do know, however, that no party—regardless of how careful—is risk free. Weigh the risks, decrease those you can, and then, try to have fun.

Donna Barron, RN, is the infection preventionist at Southwestern Vermont Medical Center.

 

 

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