Promiscuity causes cancer
By Azoma Chikwe
Tuesday, April 4, 2006

•Ekanem
Photo: Sun News Publishing

Women who live promicuous lives are not only at the risk of contracting HIV but also cancer of the cervix which, as the most common cancer among women, has beaten breast cancer to the second place.

Disclosing this during a Federal Ministry of Health parley with the media on tobacco control in Nigeria, Prof. Ima-Obong Ekanem said that the virus that causes cancer of the cervix which is called the human patuloma virus, has certain types of it that are sexually transmitted.

“People who are active sexually run the risk of contracting the virus and it can transform their normal cells to cancer cells,” Ekanem explained.

The ex-president of Nigeria Cancer Society advised that women can go for the pap smear test which picks up early cancers of the cervix. She further stated that with the smear, there is a simple test to be carried out by a gynaecologist and when these early cancers are picked up, the patient can be treated and will not die from advanced cancer.

Diet
Apart from smoking, your diet can contribute to your having cancer. If you eat diet that are high in calories – high carbohydrate, high saturated fat, high sugar, they can cause cancers of the breast, of the intestine, of the stomach and so on. And if you live a promicuous life, there is this transmission of the virus that causes cancer of the cervix. That is the virus we call human patuloma virus. There are certain types of it that are sexually transmitted. So, people who are active sexually run the risk of contracting this virus and it can transform their normal cells to cancer cells.

Bleaching
For women who bleach their skin, the use of skin bleaching agents can expose their skin to the damaging effect of radiant energy in the sunlight. And that can cause skin cancers, including what we call the melanoma. Apart from the lightening agent causing chronic damage to the kidney, people can develop kidney failure because of the use of lightening cream.

So, your diet, your lifestyle and habit, such as cigarette smoking can cause different types of cancers and of course transmission of infection.
There is this particular parasite that you find in pools of water that causes schistosomiasis or bilherzia. It also causes bladder cancer. People in farming environment, where they use water to irrigate the land, can get infected by that particular parasite and it can lead to bladder cancer. And for those people, it is only when they start passing blood in urine that you will know that they have the infection. It is not that men are now menstruating. No. It may be as a result of bladder cancer or infection by that parasite that causes it.

Treatment
Cancer can be treated. We have different types of treatment. We have surgical treatment, we have chemotherapy where you use drugs, you do immuno-therapy, you can do radiation therapy. Depending on the type of cancer, you choose the type of treatment. Sometimes, you have to combine surgery and chemo-therapy or surgery and radio-therapy.

We have radio-therapy units in Lagos University Teaching Hospital (LUTH), National Hospital, Abuja, University College Hospital (UCH), Ibadan, Ahmadu Bello University Teaching Hospital (ABUTH), Zaria and also in Eko Hospital, Lagos. Those are few selected centres and they are limited to certain localities of the country. In the East, I don’t think there is any functional one, I heard there is a plan to have one at University of Nigeria Teaching Hospital (UNTH), Enugu to establish one. If that eventually comes, that should be the only one in the eastern part of the country.

If we have a national spread of all these facilities, it will go a long way, because patients with cancer in Calabar, are referred to Lagos or Ibadan or Abuja. By the time they get on the long queue for their own turn of treatment, they might even die. So, it is better we have a national spread of the cancer treatment facilities, set up more cancer registries so that we can know the data of cancer in our different regions and then work out plans for treatment.

Fortunately, the Federal Government has a national expert committee on non-communicable diseases. A policy is coming up now to look at cancer among those non-communicable diseases. Hopefully, there will be preventable measures put in place by government to help pick up the early cancers, treat the treatable ones and give palliative care to people that have advanced cancers. The cost of treatment is more affordable when the cancer is detected early.

Rate of the disease
Cancer is on the increase in Nigeria. We have a few cancer registries in the country and the data from such centres show that there is an increase in the number of cancers. Some of these cancers are preventable because they are related to diet and lifestyle. People who smoke tobacco is known to be associated with a long variety of cancers, including lung cancer, cancer of the throat, cancer of the bladder, cancer of the mouth, cancer of the cervix, even cancer of the pancreas.

So, if we target tobacco as one of the cancer causing habits, we could be cutting down the number of cancers that are tobacco-related, which is about 30 per cent overall. What the Nigerian Cancer Society is doing is to intensify its public awareness campaign on the warning signs of cancer, the risk factors of cancer, then every year we observe the World Tabacco Day. We also have our cancer week that comes up the last week of November every year. We also observe one week of activities to enhance public knowledge of the common types of cancers and what may lead to them.

Now, the Nigerian Cancer Society is a well-spread body. It is a national body. It has a national president and the members from the six geo-political zones in Nigeria. And our main area is public awareness and enlightenment on cancers in the society. We also undertake cancer screening, like cancer of cervix and we can also screen for breast cancers. Any centre where you have Nigerian Cancer Society functional, like in Lagos, Ibadan, Calabar, Kaduna, Maiduguri, Enugu, cancer screening activities are organised.

The women, can go for the pap smear, which is a smear that picks up early cancers in the cervix. There is a simple test carried out by the gynaecologist and when those early cancers are picked up, the patient can be treated and she will not die from advanced cancer, because most of the women come with advanced cancers, whether it is in the breast or in the cervix. If you pick it up early it is likely it could be cured.


 

 

 

 

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