How a tablet computer and mobile van are improving cancer detection | NIH MedlinePlus Magazine

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Rebecca Richards-Kortum, Ph.D., of Rice University, has devoted her career to understanding how technology can improve health and save lives. Her recent research focuses on creating affordable screening tools for cervical cancer, the fourth most common cancer among women worldwide.

Imaging technology has helped turn this goal into reality. The technology was developed with support from the National Institute of Biomedical Imaging and Bioengineering and the National Cancer Institute.

Improving cervical cancer detection

There are two main challenges in testing for cervical cancer and human papillomavirus (HPV), the virus that causes cervical cancer: It requires costly tools and extensive lab work.

“Both of these challenges are really important for patients who are medically underserved,” Dr. Richards-Kortum notes. “Those could be patients who live in rural areas or poor areas of the U.S. or in low- and middle-income countries around the world.”

More than 90% of cervical cancer deaths happen in low- and middle-income countries, according to the World Health Organization. That’s where Dr. Richards-Kortum and her colleagues come in.

A portable microscope

They’ve developed a low-cost fiber optic microscope that allows health care providers to see the same things they would during a tissue biopsy. A biopsy is the most effective way to diagnose cervical cancer.

“We can make this technology for very low cost, it runs on a tablet computer, and it’s completely portable and battery powered.”

– Rebecca Richards-Kortum, Ph.D.

“We can make this technology for very low cost, it runs on a tablet computer, and it’s completely portable and battery powered,” she says.

It also requires less training and expertise to use. Usually, women with an abnormal Pap smear have to have a procedure called a colposcopy. During this procedure, a provider takes a small tissue sample from the cervix. The sample is sent to a lab to be examined for cancer cells. With the new technology, providers can take a tissue sample, examine it, and follow up with the patient—all at the same time.

First, a drop of dye is put on the tissue in a woman’s cervix. A small fiber-optic probe, about the size of a pencil, is gently placed on the dyed tissue. The probe creates an image of the tissue and cells that it sends back to a “microscope” on the tablet computer, where the provider can review the image for cancer.

Improving follow-up rates

Dr. Richards-Kortum and her colleagues tested the technology in mobile diagnostic vans. They traveled around the Rio Grande Valley in Texas and in Brazil, bringing screening to women where they live.

“It was really exciting to us to see the potential of something not just in a middle-income country like Brazil, but to look right here in our own backyard,” she says.

In addition to being affordable and easy to transport, the microscope is also effective. Dr. Richards-Kortum says that during field testing, the technology had a level of accuracy very similar to an expert gynecologist performing a tissue biopsy.

In a clinical trial in Brazil, teams found that easier screenings helped to dramatically improve follow-up rates. “In women who had access to this mobile van, there was almost a 40% increase in the diagnostic follow-up,” Dr. Richards-Kortum says.

Dr. Richards-Kortum and her colleagues are also testing the technology with oral cancer.

The future of medical technology

Dr. Richards-Kortum notes that imaging technology has more than just physical health benefits. She has seen how it can improve patients’ understanding of their own health.

“It’s really interesting to see the power of imaging to help patients better understand the changes that are taking place,” she says. “When a provider can point out images and say, ‘This is what I see and this is why I’m concerned,’ it’s very rewarding.”

As a leader and mentor in the field of medical technology, Dr. Richards-Kortum is also focused on empowering future generations of bioengineers. She encourages more people to study bioengineering and to take on leadership roles in the field, especially women.

“I think for me, many of my colleagues, and the students we work with, it’s an amazing opportunity and privilege to think of how you can use science and engineering to really make people’s lives better.”

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Experts warn of balancing the need to protest with coronavirus risk

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After months spent avoiding contact as much as possible, Europeans took to the streets this past weekend for Black Lives Matters protests in the wake of the death of George Floyd in the U.S.

And the numbers were big: 5,000 in Paris; 10,000 in Brussels; 15,000 in Berlin.

Scientists worry that the mass gatherings could result in a new surge in coronavirus cases.

“You don’t have to be a virologist or an epidemiologist or a physician to understand why this is a risk in the current day and age when SARS-CoV-2 is still circulating,” said virologist Menno D. de Jong at the University of Amsterdam.

De Jong said people should be able to protest — but even demonstrators need to maintain social distancing.

“The danger of the corona pandemic has not been averted” — German MP Karl Lauterbach

“People need to be able to show their opposition to what has been happening in the United States and their solidarity with the affected individuals,” Paul Hunter, a professor at the University of East Anglia in the U.K., wrote in a statement. “But any mass gathering does pose a risk of increased transmission of COVID-19.”

Karl Lauterbach, a member of the German parliament for the center-left Social Democrats, tweeted a video of the demonstration in Berlin on Saturday and expressed concern that protesters weren’t keeping enough distance.

“The danger of the corona pandemic has not been averted,” wrote Lauterbach, a professor of health economics and epidemiology at the University of Cologne. “There were some super-spreader events outside too, in Italy and Spain. Racism must be fought, but without avoidable corona deaths.”

Another virologist, Belgium’s Marc Van Ranst, put it simply: When it comes to coronavirus, these protests were “not a good idea.”

The protesters themselves seemed to be aware of the risks.

Carrie Xin Hou said safety was a “major consideration” that she and her partner weighed before deciding to attend the protest in Brussels Sunday. But the situation had improved dramatically from the height of the outbreak in March, she said, with the government announcing last week that bars and restaurants could reopen the day after the protest.

“If we’re going to go to something which requires taking a risk and going to a crowd … we’d rather it be a protest than going to a bar,” Hou said.

The need to stand in solidarity with anti-racism protests in the U.S. is why, after considering the health risks, Bruna Campos also went to the protest in Brussels.

“That’s also the point: People showed up to a protest because of how dire the situation is,” Campos said.

Mitigating the risk

Paola Verhaert and a friend came prepared to the protest in Brussels — they brought extra face masks and hand gel to give out.

“To our delight, very few people were not wearing face masks and needed to receive one from us,” Verhaert said.

People gather on Champ de Mars in front of Eiffel Tower in Paris to protest in solidarity with the Black Lives Matter movement on June 6, 2020 | Geoffroy Van Der Hasselt/AFP via Getty Images

Verhaert and two other protesters told POLITICO that they were able to maintain distance from people they didn’t know, and tried hard not to accidentally touch someone else.

There were also some factors working in protestors’ favor, said de Jong.

The protests were outdoors and wind and warm weather would likely have helped slow any spread of the virus. Even a large protest under these conditions would be better than a hundred or so people packing into a confined space like a bar, he added.

But he’s concerned that face masks give people a false sense of security. If someone is infected and shouts, small droplets of spit can “traverse a self-made mask,” he noted.

The World Health Organization on Monday said protesters should maintain at least a 1-meter distance, wash their hands, cover their mouth if they cough, and wear a face mask.

Another key measure that has helped slow the infection has been staying apart — 1.5 or 2 meters depending on the country — from other people. That wasn’t completely possible in the protests.

“There is clear evidence that banning mass gatherings was one of the most effective and important part of the lockdowns across European countries,” Keith Neal, an epidemiology professor at the University of Nottingham in the U.K., wrote in a press release. “Any mass gathering risks significant numbers of further cases.”

It “needs to be considered” that black, Asian and minority ethnic people are at a higher risk of COVID-19 complications, he added.

De Jong noted the organizers of the solidarity protest in Amsterdam marked spaces 1.5 meters apart for hundreds of people. But once thousands showed up, that was ineffective. These large numbers also mean contact tracing will be difficult if someone gets infected.

The exact effect of the protests across Europe is not certain, he said — that will emerge only in two to three weeks: “That’s why we need to be on guard.”

Sense of urgency

Having thousands of people protest had one positive health impact, Hou argued. The protests provided “a huge sense of community,” and “it was quite healing for some people’s mental health.”

Some protesters said they are going to self-isolate for two weeks or decrease the number of people they will see, even if governments are loosening restrictions.

Many demonstration attendees in cities like Berlin wore protective face masks | Maja Hitij/Getty Images

Public health experts, meanwhile, have released some guidance on what to do during protests. The World Health Organization on Monday said protesters should maintain at least a 1-meter distance, wash their hands, cover their mouth if they cough, and wear a face mask.

Hunter said no one over the age of 60 or with symptoms should attend a protest, while police should “avoid forcing crowds into tightly packed areas as this will cause even greater risk of disease transmission.”

But experts realize the need to protest was too great for some.

The Belgian government’s epidemic contact-tracing strategy, Emmanuel André, tweeted Sunday that “if racism didn’t exist, 10,000 people wouldn’t have had to remind Brussels that we are all equal. To these people, I ask them to strictly respect [distancing] for 15 days and to continue their fight all their life.”

Still, Campos said, the feeling in Brussels was “magical” on Sunday.

“For the last 11 years in Belgium, I didn’t feel like this,” she said. “Today I kind of feel like there’s hope for Belgium.”

Ashleigh Furlong contributed reporting.

This article is part of POLITICO’s premium policy service: Pro Health Care. From drug pricing, EMA, vaccines, pharma and more, our specialized journalists keep you on top of the topics driving the health care policy agenda. Email pro@politico.eu for a complimentary trial.



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Asthma medicine may not be one size fits all | NIH MedlinePlus Magazine

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The symptoms are all too familiar for parents of kids with asthma: coughing, wheezing, and chest tightness.

About 6 million kids in the U.S. have asthma, which may make it hard for them to breathe. Asthma is especially common in African American children. 

The standard treatment for persistent asthma is a low-dose inhaled corticosteroid, and if this does not fully control the symptoms, a long-acting bronchodilator may be added.

However, some studies suggest that African Americans may respond differently to medications for asthma.

Researchers supported by the National Institutes of Health (NIH) wanted to find out if bronchodilators would provide similar help to African Americans with asthma or if increasing the dose of inhaled corticosteroid would be better.

About 6 million kids in the U.S. have asthma, which may make it hard for them to breathe.

NIH recently helped fund two clinical trials, one with African American children and one with African American adolescents and adults.  The results of the study with African American adolescents and adults were similar to those of past studies. More people had improved asthma symptoms with the addition of the bronchodilator than a higher dose of steroids.

The results of the study with African American children were different, though. 

About half of the children in the study had improved asthma control with the bronchodilator. The other half did better with the higher dose of steroids alone. Researchers didn’t find a link between percentage of African ancestry and response to treatment, so it’s unclear why the children responded differently.

More research needs to be done, but these early findings suggest that if African American children do not respond to the first treatment, there may be an equal chance that the alternate treatment could work better. 

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6 key facts about autism spectrum disorder | NIH MedlinePlus Magazine

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Autism spectrum disorder (ASD) is a developmental disorder, meaning that symptoms are present early in life. However, ASD can be diagnosed at any age.

Here are some other things to know:

1. It affects each person differently. Autism is also known as a spectrum disorder. That’s because not everyone who has autism has the exact same symptoms with the same severity. However, there are some core symptom areas that people with ASD have. These include problems with social communication, like avoiding eye contact; difficulty with the back and forth of conversation; or trouble understanding other people’s points of view. Other symptoms include repeating certain behaviors or having unusual or restricted behaviors.

2. Symptoms can change over time. Some symptoms can change and may become more or less severe as people with ASD age. Symptoms can also change with behavioral intervention or medication.

3. ASD isn’t specific to one race or ethnicity. Autism occurs in people of all ethnic, racial, and economic backgrounds. People who have older parents, a sibling with ASD, or a genetic condition like Down syndrome are more likely to be diagnosed with autism. Also, boys are four times more likely than girls to be diagnosed with ASD.

4. There’s still much to learn. While scientists don’t know the exact causes of ASD, research suggests that genes can act together with environmental factors to affect development in ways that can lead to ASD. That’s why researchers funded by the National Institutes of Health (NIH) are working to better understand the condition and diagnose it early.

5. ASD isn’t a weakness. While people with autism do experience challenges, they can also have great strengths. Those include performing well in math, the arts, and science; remembering specific details for long periods of time; and being strong learners.

6. It’s a lifelong journey. While people are often diagnosed with ASD as children, they are affected throughout their lives. That’s why NIH also funds research to understand how to best support those with ASD as they become adults; for example, helping them to enter the workforce and live independently.

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It’s Official: U.S. Economy Is In A Recession

Boxes of food at are loaded at the Los Angeles Regional Food Bank on May 5. The country has officially entered a recession amid the pandemic, the National Bureau of Economic Research said Monday.

Frederic J. Brown/AFP via Getty Images


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Frederic J. Brown/AFP via Getty Images

Boxes of food at are loaded at the Los Angeles Regional Food Bank on May 5. The country has officially entered a recession amid the pandemic, the National Bureau of Economic Research said Monday.

Frederic J. Brown/AFP via Getty Images

It may seem obvious, with double-digit unemployment and plunging economic output. But if there was any remaining doubt that the U.S. is in a recession, it’s now been removed by the official scorekeepers at the National Bureau of Economic Research.

The NBER’s Business Cycle Dating Committee — the fat lady of economic opera — says the expansion peaked in February after a record 128 months, and we’ve been sliding into a pandemic-driven recession ever since.

In making the announcement, the committee pointed to the “unprecedented magnitude of the decline in employment and production, and its broad reach across the entire economy.”

At the same time, the committee noted the recession could be short-lived. The U.S. added 2.5 million jobs last month, after losing more than 22 million in March and April. Many forecasters expect economic output to begin growing again in the third quarter.

The standard definition of a recession is “a decline in economic activity that lasts more than a few months.” The committee decided this downturn is so severe it earns the recessionary title, even if the recovery begins quickly.

From an official point of view, recessions “end” when the economic bleeding stops, even if it takes years for the patient to make a full recovery.

While the committee points to February as the month the economy peaked and the recession began, the quarterly peak came at the end of last year. The economy slowed so sharply in March — as the government tried to halt the spread of the coronavirus — it erased the gains of January and February and turned economic output for the first quarter negative.

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Democrats Unveil Police Reform Overhaul, Kneel At Capitol To Honor George Floyd

WASHINGTON (AP) — Democrats proposed a sweeping overhaul of police oversight and procedures Monday, a potentially far-reaching legislative response to the mass protests denouncing the deaths of black Americans in the hands of law enforcement.

Before unveiling the package, House and Senate Democrats held a moment of silence at the Capitol’s Emancipation Hall, reading the names of George Floyd and others killed during police interactions. They knelt for 8 minutes and 46 seconds — now a symbol of police brutality and violence — the length of time prosecutors say Floyd was pinned under a white police officer’s knee before he died.

“We cannot settle for anything less than transformative structural change,” said House Speaker Nancy Pelosi, drawing on the nation’s history of slavery.

The Justice in Policing Act would limit legal protections for police, create a national database of excessive-force incidents and ban police choke holds, among other changes, according to an early draft. It is the most ambitious change to law enforcement sought by Congress in years.

Rep. Karen Bass, D-Calif., chairwoman of the Congressional Black Caucus, which is leading the effort, said called it “bold” and “transformative.”

“The world is witnessing the birth of a new movement in this country,” Bass said.

Despite the worldwide protests, with tens of thousands of demonstrators taking to the streets in cities across America and abroad since Floyd was killed May 25, the idea of broad-based U.S. police reforms remains politically polarized and highly uncertain in this election year.

While Democrats are expected to swiftly approve the legislation this month, it does not go as far as some activists want to “defund the police.” The outlook for passing the package in the Republican-held Senate is slim.

President Donald Trump, who will meet with law enforcement officials later Monday at the White House, was quick to characterize the Democrats as having “gone CRAZY!”

As activists call for restructuring police departments the president tweeted, “LAW & ORDER, NOT DEFUND AND ABOLISH THE POLICE.”

Republican campaign officials followed suit.

“No industry is safe from the Democrats’ abolish culture,” said Micahel McAdams, a spokesman for the House Republican campaign committee, in an email blast. “First they wanted to abolish private health insurance, then it was capitalism and now it’s the police.”

This isn’t about that,” Pelosi said. Congress is not calling for any wholesale defunding of law enforcement, leaving those decisions to local cities and states, she noted.



House Speaker Nancy Pelosi of Calif., center, and other members of Congress, kneel and observe a moment of silence at the Capitol’s Emancipation Hall, Monday, June 8, 2020, on Capitol Hill in Washington, reading the names of George Floyd and others killed during police interactions.

The package confronts several aspects of law enforcement accountability and practices that have come under criticism, especially as more and more police violence is captured on cellphone video and shared widely across the nation, and the world.

The proposed legislation would revise the federal criminal police misconduct statute to make it easier to prosecute officers who are involved in misconduct “knowingly or with reckless disregard.”

The package would also change “qualified immunity” protections for police “to enable individuals to recover damages when law enforcement officers violate their constitutional rights.”

The legislation would seek to provide greater oversight and transparency of police behavior in several ways. For one, it would grant subpoena power to the Justice Department to conduct “pattern and practice” investigations of potential misconduct and help states conduct independent investigations. It would ban racial profiling and boost requirements for police body cameras.

And it would create a “National Police Misconduct Registry,” a database to try to prevent officers from transferring from one department to another with past misconduct undetected, the draft said.

A long-sought federal anti-lynching bill stalled in Congress is included in the package.

House Judiciary Committee Chairman Jerrold Nadler, D-N.Y., a co-author with Bass and the Democratic senators, will convene a hearing on the legislation Wednesday.

It is unclear if law enforcement and the powerful police unions will back any of the proposed changes or if congressional Republicans will join the effort.

At least one Republican, Sen. Mike Lee of Utah, who has long pushed for a criminal justice overhaul, has said he’d like to review the package coming from Democrats.

And Sen. Lindsey Graham, R-S.C., the chairman of the Senate Judiciary Committee, has said his panel intends to hold a hearing to review use of force issues and police practices.

Rep. Will Hurd, R-Texas, who marched in support of Floyd in Houston, penned an op-ed Monday about his own black father instructing him as a teen how to respond if he was pulled over by the police. Hurd offered his own proposals for improved police practices.

The presumed Democratic presidential nominee, Joe Biden, has backed a ban on chokeholds and other elements of the package.

“I can’t breathe” has become a rallying cry by protesters. Floyd pleaded with police that he couldn’t breathe, echoing the phrase Eric Garner said while in police custody in 2014 before his death.

“All we’ve ever wanted is to be treated equally — not better, not worse,” said Rep. Hakeem Jeffries, D-N.Y. “Equal protection under the law.”

Democratic senators said they would pressure Senate Majority Leader Mitch McConnell to consider the legislation.

Sen. Cory Booker, a Democratic rival who had been critical of Biden during the presidential primary campaign, said Sunday he “fully” put his faith in Biden now “to be the person who could preside over this transformative change.”

Booker and fellow one-time presidential hopeful, Sen. Kamala Harris of California, are co-authors of the package in the Senate.



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Former ambassador urges US voters to dump ‘Benito’ Trump

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Bella ciao, Donald Trump — or at least that’s what the former U.S. ambassador to the EU, Anthony Gardner, is hoping American voters decide in November.

In a live interview with Jack Blanchard, the editor of POLITICO’s London Playbook, on Monday, Gardner said that Trump evokes memories of the Italian fascist dictator Benito Mussolini, and that former Trump officials who are now criticizing the president, like ex-Defense Secretary James Mattis, are “collaborators” who should have spoken out sooner, or never joined the administration in the first place.

“For a couple of years, I was troubled by many things that Donald Trump shares with Benito Mussolini, someone my Italian grandparents fled from in 1938,” Gardner, a Democrat who is supporting former Vice President Joe Biden’s campaign, said in the interview.

Asked about the recent protests against racism and police brutality, Gardner added, “It’s very disappointing, very dispiriting to have a president of the U.S. who is openly fomenting and inciting racial divisions in order to energize part of his base.”

In regard to officials like Mattis and former White House chief of staff John Kelly, who have criticized Trump’s handling of the protests and his call for deploying troops, Gardner said it was too little, too late.

“When you choose to work for this kind of administration, which showed its true colors very early on, at some point you abet the policies” — Anthony Gardner, former U.S. ambassador to the EU

“You know I am glad that these people are speaking out, but I’ll be very honest here, and undiplomatic: I don’t welcome those statements in the sense that those people served this president,” he said. “And to me quite bluntly they are accomplices … So when you choose to work for this kind of administration, which showed its true colors very early on, at some point you abet the policies even if afterwards you decide that they’re terrible, that the man you were serving is a terrible person. So while I am glad they are saying what they are saying, it comes too late.”

Gardner also slammed Trump’s plan to reduce the number of U.S. military forces in Germany.

“It makes no sense,” Gardner said. “It’s a gift to Vladimir Putin, Donald Trump’s good friend. This is another indication of how he embraces autocrats and enemies of our country. We should be holding firm. It serves not only defense of Europe and Germany but our own purposes, right? Because those bases are incredibly important also for the projection of our influence and our power on Europe, the Middle East and even beyond, so it makes no sense whatsoever. This is a political act. There is no military strategy behind it.”

Gardner said the move seemed to show Trump lashing out at German Chancellor Angela Merkel.

“He has been angry at Angela Merkel for many years, for many reasons,” the former ambassador said. “She is very forthright, outspoken in defense of certain values that we used to share.” He added, “He’s probably annoyed at her because unlike some European leaders, she has not gone out of her way to curry favor with him.”

On trade issues, Gardner, now a senior adviser in the London office of Brunswick Group, a strategic consulting firm, said that the era of the blockbuster free-trade agreement had likely come to an end, and he acknowledged that during his time as ambassador to the EU under President Barack Obama, negotiators had failed in what was perhaps the last chance for a major EU-U.S. trade deal — the Transatlantic Trade and Investment Partnership (TTIP).

“It was important not only economically but I would argue even more so politically and we failed,” Gardner said.

He said that aspects of TTIP might be achievable as smaller stand-alone agreements.

Gardner said that the EU and U.S. had lost years of potentially crucial cooperation on issues like climate change and reform of the World Trade Organization. He also predicted that U.K. Prime Minister Boris Johnson’s government would look to end the Brexit transition period without a trade deal in place, and would try to obscure the economic damage in the financial fallout of the coronavirus crisis.

And he predicted that the U.K. would struggle to reach any trade agreement with Washington until the parameters of an agreement with the EU had become clear.

As for U.S. politics, Gardner said that he realized many young voters were not necessarily excited about Biden, but he insisted that other Democrats, including Bernie Sanders and Elizabeth Warren, were simply unelectable.

“I am convinced he’s the right person,” Gardner said of Biden, adding: “I am going to do everything I can to make sure we get a change in November.”



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New HPV test brings screening to your doorstep | NIH MedlinePlus Magazine

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Important research by investigators at the National Institutes of Health (NIH) and beyond has shown that the human papillomavirus (HPV) vaccine can prevent cervical cancer, which is caused by HPV.

And the latest NIH research has taken another important step in cervical cancer treatment: developing at-home HPV testing for people who may be at risk.

Sarah Kobrin, Ph.D., talked about this research and provided prevention information. Dr. Kobrin is the chief of the Health Systems and Interventions Research Branch at the National Cancer Institute.

What can you tell us about HPV vaccine research today?

There is more evidence now that the long-term effects of the HPV vaccine will benefit everyone.

– Sarah Kobrin, Ph.D.

The Centers for Disease Control and Prevention has been researching the HPV vaccine for about 15 years. They are constantly reviewing when you should be vaccinated, how effective the vaccines are, and who should receive them.

There is more evidence now that the long-term effects of the HPV vaccine will benefit everyone. The schedule of when people should be vaccinated may change from time to time. But this is because we are constantly learning more about the safety of the vaccine.

We hope to soon have Food and Drug Administration-approved home tests for HPV. People may feel more comfortable taking an HPV test in the privacy of their own home and mailing in a sample. This would make the process easier and more convenient for everyone.

What can be done to make cervical cancer prevention easier?

Awareness is a necessary first step. But awareness is not enough. In general, people are more aware of the HPV vaccine. The most important challenge is giving everyone access to it.

People have to actually get vaccinated and get regular cervical cancer screening tests, like the Pap smear and HPV tests, to prevent cervical cancer. Talk with your health care provider and get the vaccine (for you or your children), according to the recommended timetable.

How is HPV detected?

Health care providers test for antibodies to see if a person has been exposed to HPV. There are many types of HPV, but only a small number of them are associated with causing cancer.

What should people know about cervical cancer?

It’s important for all women to get regular cervical cancer screening tests. These include the Pap smear and HPV tests—what’s best for each woman depends on her age and past experience with these tests. The tests help detect [cervical] cells that have been changed by HPV. A Pap smear can detect early stages of cancer that can be treated. When found early, the cells can be treated before they become cervical cancer. The HPV vaccine is a preventive step.

Do we have less cervical cancer today?

We are measuring this as closely as we can. Because it takes a long time for an HPV infection to cause cancer, the first change we can see is a large reduction in the number of HPV infections. That is already happening. This means that the number of people with cervical cancer will be going down in the future. Therefore, the people who are not getting the infection now will not get cervical cancer later.

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Families struggle with funerals under lockdown – The Mail & Guardian

Funerals for black people are usually large gatherings that involve local residents, immediate and extended family members, colleagues and friends and can span from the day the news of the death is announced until the day the person is buried. But the Covid-19 regulations have forced families and parlours to find new ways of holding funerals. 

Under the level 3 lockdown rules only 50 people can attend a burial, night vigils are banned and physical distancing and other measures to prevent the spread of Covid-19 must be observed. you may travel to attend a funeral if you are a partner, child, child-in-law, parent, sibling and grandparent and you need a permit.

Ausi Kedibone Phela*, whose sister died in March, said only immediate family members were involved in the funeral. Her family did not even erect a huge tent in their yard, which pre-Covid-19 they would have done for the numerous people who would have come to pay their respects. 

There was no night vigil with singing and sermons to comfort the bereaved. Instead Phela said the family had to pray among themselves, adding that “the painful part is her big family could not all go to the cemetery at the same time”.

But, she said, “we saved [money] as compared to a normal funeral”. 

Phela’s family spent about R15 000 mostly on food, but this excluded the cost of the funeral parlour’s services such as providing a casket and chairs. 

Simphiwe Malaza said local residents stayed away from his mother’s funeral last month — not because of the lockdown regulations but because they feared she died of Covid-19. She didn’t. 

Malaza said it was difficult to adhere to the law while also trying to get enough money to pay for the funeral. They used his father’s funeral cover and family members made contributions. 

Buying food was difficult because he did not know how many people would attend. The family spent about R30 000 on food and hiring a tent.

“I wasted my money because people kept on saying ‘we won’t eat there because there is conorana’,” said Malaza.

He said the law had hung over him; he had worried about how he would regulate the number of people at the funeral because he feared being arrested if they were found to have broken the law. 

According to Liberty Insurance, in 2018 the average cost of a funeral ranged from R50 000 to R250 000 and was increasing year on year by about 12%.

During the pandemic funeral service companies have had to provide sanitisers and face masks.   

Avbob, one of the country’s well-known funeral parlours, said it has seen people spending less on funerals during the lockdown, specifically under levels five and four. But it believes buying patterns might change under level three, because most services and companies have now opened such as those hiring tents and cooking equipment. 

“There have been a lot of additional costs that the funeral service companies incurred in the past number of months, as much more personal protective equipment was required in terms of the regulations,” said Avbob’s group communication manager, Marius du Plessis.

As with other industries, funeral parlours are leaning towards technology to conduct funerals and involve as many people as possible. Du Plessis said Avbob introduced live streaming of funerals to accommodate those who cannot attend. 

Broodie Funeral Parlour, which is known for organising opulent funerals, is doing a similar thing by placing a television set in people’s homes. This route was chosen because not everyone has a smartphone or a laptop and may not be able to afford data.

Broodie Morongwa, the parlour’s founder, said they have tried to move the arrangement of a funeral online to limit the number of people coming to the parlour. 

In terms of costs, she said most of her clients are opting for luxury caskets, thus maintaining costs at the levels seen before the lockdown. 

“It [Covid-19] has not affected the business as such. May and June we experienced an uptick in funerals. With the new strategy that we are using at our parlour, it also increased the revenue because we came with different things [such as television and luxurious caskets] to attract families,” she said.

Last year, artist and cultural analyst Professor Pitika Ntuli told the M&G that a funeral is significant because “it is the bridge from the living into death”, and that transition is often celebrated in the form of a big ceremony.

Some families are able to celebrate because they pool money through contributing to stokvels and buying funeral covers, as well as donations from family members. 

Lindi Monyae, managing executive for Liberty’s emerging consumer market section, said funeral costs may have come down, possibly only temporarily. But the benefit payout from a policy remains unchanged and therefore so do the premiums. 

Sanlam’s Gavin Downard said a similar thing, adding that the number of funeral claims they paid so far is  similar to the same period last year.

Monyae said they believe that as the number of infections increase, the death rate could rise, which would lead to an increase in claims in the second half of the year.

Tshegofatso Mathe is an Adamela Trust business reporter at the Mail & Guardian



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Jeremie Frimpong named Celtic’s Young Player of the Year

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Jeremie Frimpong helped Celtic win their ninth straight Scottish Premiership title

Jeremie Frimpong has been named Celtic’s Young Player of the Year after a supporter vote.

The 19-year-old defender beat fellow nominees Mikey Johnston, Odsonne Edouard and Kristoffer Ajer to the award after helping Celtic to a ninth straight Scottish Premiership title.

Frimpong and Odsonne Edouard both had fine seasons for Celtic

Frimpong and Odsonne Edouard both had fine seasons for Celtic

He agreed a four-year deal after signing from Manchester City last year and made his debut in a 5-0 League Cup win over Partick Thistle last September.

The Celtic website said: “Jeremie Frimpong quickly established himself as part of the Celtic first-team squad, and over the course of the 2019/20 campaign, he made 19 appearances and scored two goals.

“He has also picked up a League Cup winner’s medal, in an eventful game at Hampden where he also received a red card.

“He is now also a Premiership winner, part of the Celtic squad that secured the club’s ninth title in a row.”



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