Saturday, October 26, 2013

Breast Cancer - Are You At Risk?



Globally the month of October is recognized as Breast Cancer Awareness Month. The World Health Organization states that breast cancer is the most common cancer that affects women in both developed and developing countries.

Participants of the 2013 Cancer Walk - Globe-athon
Women 40 years and older are encouraged to have annual mammograms and as a pre-caution reminded of the importance of doing monthly breast self-examinations. However if there is an immediate family member that was diagnosed with this disease, women are encouraged to discuss with their physician and/or registered nurse about getting clinically examined before the age of 40.

Whereas there are some women who develop breast cancer without necessarily having a family history, the Centers for Disease Control and Prevention have indicated that there are certain occurrences in a woman’s life that can put her at an increased risk of developing breast cancer, these include, but not limited to:
  • Having started her period before age 12.
  • Experiencing menopause after age 55. 
  • Never having children, or giving birth after the age of 35.
  • Not breastfeeding her babies
  • Having dense breasts – which make mammograms difficult to read.
  • Received hormone replacement therapy in the past.
  • Diagnosed with the breast cancer gene.
There are unconfirmed reports that the mammogram machine at the Grenada general hospital is not functionable however private medical establishments such as Spice Isle Imaging Center, Inc., located in St. George’s and Grenville Medical Services, Inc., in St. Andrew's provides the service on the island.

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Monday, October 14, 2013

GNAP Needs Committed Abstinence Advocates




Director/Coordinator of GNAP Monica Alexander (left) and Advocate Judith Regis (right)

The Grenada National Abstinence Program (GNAP) is need of individuals to serve as Abstinence Advocates. This person, male or female, must be committed to promoting the faith based stance of abstaining from sex before marriage, and are living a life style that is not contradictory to that message.

According the Director and Coordinator of GNAP, Monica Alexander, the aim of the program is to encourage behavioral change and bring about awareness of the social and personal responsibilities surrounding sex, the physical effects of non-committal sexual activity - in particular sexually transmitted infections (STIs).  Additionally the goal is to bring this message to children in grades and low as six as more and more young children are engaged in sexual activity without even being aware of what they are actually doing. 

“I say to my advocates that this program can be taught to any age group within the school system.  You just have to bring it down to the level of the kids and get it across there. The younger for us the better, because I suppose long ago you could say, “What a little five year old would know about that?”  I still say what do they know about that, but the only difference is that they are practicing some of the things we don’t expect them to.  So whereas they may not have a full understanding of what they are doing, they are actually involved.  And if we don’t try dealing with it there, they [will] grow up thinking it is normal for them to behave like that.  So it is important to start as young as possible, so we can cut out and curb some of the values that we really don’t want them to be developing.” said the Mrs. Alexander.

There are numerous sexually transmitted infections that affect individuals worldwide, some even when condoms are used or used incorrectly. A popular STI is the Human papillomavirus (HPV), which certain strains can cause gynecological cancers and throat cancers.  Dr. Francis Martin, the Director of Primary Health Care within the Grenada Government's Ministry of Health said that a lot of persons who contract HPV do so during their teenage years.  “It is well understood now that HPV has a significant effect on the female population, as it relates to cervical cancer leading to the discussions about HPV vaccinations.” said the Director of the Primary Heath Care program.  “There was some research done in the past years especially in the United States which reported that a lot of young men were dying from throat cancer. And when they tested to see what was the cause of the throat cancer - that caused fatality in men, they found HPV to be the cause.” said Dr. Martin.  He added, “And interestingly, the men population had more throat cancer than ladies in the last 10 years in Grenada from the data that I have collected.”

Mrs. Alexander insists the GNAP’s intent is not to scare people, “The aim of the program is not to scare people to death. It’s definitely not.  What we want to do is first and foremost is to make them aware of what is happening out there, in terms of what can be detrimental to them. That is the bottom line.  So it is an awareness program first and foremost. Do you know that these things are out there?  Do you know the statistics that are available based on people’s life style? The age group that is most vulnerable to it and things like that.  We use the program to educate them.” It is her desire to see the program expanded outside of classrooms and into the community as adults also need to be aware of the benefits of abstinence.  She is also open to teaching parents so they in turn can teach their own children.  

Judith Regis, who has been one of GNAP’s advocates for the past three years echoes the sentiments of Mrs. Alexander, “I would really encourage anybody to get involved because our young people are faced with a lot of challenges and they need help. They may not say the words, “I need help,” but by their behaviors they are crying out for help.”  She added, “A lot of them, yes they belong to homes but are not guided.  They are not directed. A lot of them are just left to their own, and that’s how they are growing up.  So they are just picking up things, by the wayside. There is no definite pattern for their life. So they definitely need people to stand in the gap, or to be there for them. They need mentors, they need advocates, they need people to come up and say, there is a right way and this is the way.”

Under the GNAP program the goal is to have self-sustaining abstinence clubs in every school and for them to participate in special projects and yearly activities. Samantha Dixon-Roberts a guidance counselor, and educator at T. A. Marryshow Community College and lecturer at St. George’s University, who has been an Advocate since the program’s inception views it as an opportunity to assist young adults with decision making and conflict resolution skills as many of them engage in sexual activity as a means of survival. “We have been bombarded by the issues of poverty and other things that fuel transactional sex for example.  And so you find a lot of young people coming and saying, well Miss if I had better choices, if I had better circumstances I would have not found myself in these circumstance to have sex for money, to come to school, to pay for transportation, to get food, to do my hair and all the things that come up.”  She closed by saying, “It does not make it right, but a lot of them, the circumstances that they face socially and economically kind of fuel one of the reasons why they have not deliberately remained abstinent.” 

GNAP was adapted from a program developed in Baton Rouge, Louisiana called the Governor’s Program on Abstinence.  It covers a 12 lesson format that discuss topics such as:  Sexually Transmitted Infections, Myths and Infatuations vs. Love, Parental Relationships and Communication, Dreams and Goals, Dating, Courtship and Marriage, Peer Pressure and Choosing the right friends, Media and Pornography and Renewed Virginity to name a few.  

For more information contact:  GNAP at 473-440-2542 



This article was written by Roslyn A. Douglas, MA - Founder of Central Health - Grenada.  Central Health is a faith based initiative that focuses on educating the public about chronic diseases.