1. Breast Cancer An opportunity to save Lives Behram Pastakia Metropolitan Washington DC USA 9 th World Zoroastrian Congress, Dubai 2009

2. Defining the Problem Breast cancer strikes 1 in 8 women in their lifetime Family history can increase your risk Zoroastrians (Parsis/Iranis) are particulary vulnerable Breast cancer: 9thWZC 2009

3. Defining the Problem Adversely Impacts family stability Emotional turmoil in children Physical and Mental stress on caregivers Drains financial resources Breast cancer: 9thWZC 2009

4. Solution Screening Mammography Breast cancer: 9thWZC 2009

5. Barriers Lack of awareness among eligible women Lack of screening facilities Breast cancer: 9thWZC 2009

6. Eligible Women - Definition 40 years old and above Periodic screenings (at least once every two years) Breast cancer: 9thWZC 2009

7. PROTECT YOUR HEALTH A mammogram can detect tissue abnormalities long before self- exam would find them. Early detection increases treatment options and rates of cure. Breast cancer: 9thWZC 2009

8. Reason Versus Reality I'm too busy I already had one years ago Saving your life will give you more time. Bi-annual tests increase chances for early detection of small tumours. Breast cancer: 9thWZC 2009

9. Reason Versus Reality No cancer in my family You could be the exception. Breast Cancer - 9thWZC - Dubai

10. Reason Versus Reality The test is uncomfortable. I'm too shy. The discomfort is temporary. Your privacy will be protected. Breast cancer: 9thWZC 2009

11. Reason Versus Reality The x-rays may cause cancer Breast cancer risk is greater than the minimal risk of radiation from the test. Breast Cancer - 9thWZC 2009

12. AWARENESS October is Breast Cancer Awareness Month Ladies’ Night Breast Cancer - 9thWZC Dubai

13. AWARENESS “Race for the Cure” Goes Global in 2010 Breast Cancer - 9th WZC - Dubai

14. RESOURCES Toll free 1-888-258-3432 Audio Health Library Topics: 5248 Mammograms 5211 Breast Self Exam 3506 Breast Cancer Breast cancer: 9thWZC 2009

15. Screening Facilities UK – National Health Service USA- ACR accredited facilities Canada – Provincial Health Services Iran – Tehran – well covered Iran (? Yazd, Isfahan, Kerman) Breast Cancer - 9thWZC - Dubai

16. Screening Facilities Mumbai – Private institutions Mumbai - Parsi General Hospital South Gujarat – Bulsar, Udvada, Vapi Navsari, Billimora, Gujarat - Ahmedabad Breast Cancer - 9th WZC - Dubai

17. Screening Facilities Sydney Melbourne New Zealand Hong Kong Singapore Breast cancer - 9thWZC - Dubai

18. Educational Resources www.cancer.gov www.cancer.org Breast cancer: 9thWZC 2009

19. HELP ! If you are 40 years of age or older and have not had a screening mammogram, schedule one NOW: In Mumbai: call............. In Tehran: call........ In London: call.............. In Karachi: call........... In Paris: Call......... In Brussells: Call....... In Canada: Call........... In the USA: Call......... In Hongkong: Call...... In Sydney: Call...... Breast cancer: 9thWZC 2009

20. Breast Cancer – The Future Digital Mammography Breast cancer: 9thWZC 2009

21. BREAST CANCER The Value of a Base Line mammogram Importance of Comparison studies

22. GOAL: To reach every eligible Zoroastrian Woman Worldwide with educational material and information about available resources over the next eight years. Breast cancer: 9thWZC 2009

23. Breast Cancer 9 th WZC - Dubai Looking for partners Looking for solutions Breast cancer: 9thWZC 2009

24. Breast Cancer 9 th WZC- Dubai Questions ? Breast cancer: 9thWZC 2009