Monthly Archives: October 2015

Early Breast Cancer Detection Can Save Your Life

By Sonya Younger, DHEC Division of Cancer Prevention and Control Program

Ladies, let’s make a promise to ourselves – a promise to conduct self breast exams regularly and to get mammograms as recommended by the American Cancer Society. This simple promise can help detect breast cancer early and can make all the difference for a full recovery. #FindItFightIt

According to the American Cancer Society, breast cancer is the most common cancer among women. In 2015, there will be an estimated 3,820 new cases of breast cancer in South Carolina, and an estimated 620 deaths from the disease. But if detected early through screening and early diagnosis, breast cancer can be treated successfully. Being informed about screening options and making healthy lifestyle choices can help you take care of your body.

Screening Options
Steady declines in breast cancer mortality among women since 1989 have been attributed to a combination of early detection and improvements in treatment. For most women, breast cancer screenings include self exams, annual clinical breast exams and mammography.

breast-cancer-iStock_000016019343_XXXLarge cropMammography can often detect breast cancer at an early stage before any symptoms are present, and this early detection is when treatment is more effective. For younger women or women with dense breasts, digital mammography or ultrasound imaging in combination with standard mammography may increase the likelihood of detecting cancer. For most women at high risk of breast cancer, annual screening using magnetic resonance imaging (MRI) in addition to mammography is recommended, typically starting at the age of 30. 

To know what screenings are right for you, please talk to your healthcare provider and visit the American Cancer Society (ACS) and the United States Preventive Services Task Force (USPSTF) websites for leading guidelines. Get familiar with the known benefits, limitations, and potential harms linked to breast cancer screening and know how your breasts normally look and feel and report any changes to a health care provider right away.

Best Chance Network

Knowing that all women should have access to preventive care, DHEC’s Best Chance Network  (BCN) offers free breast and cervical cancer screenings to women who meet certain risk and income eligibility requirements. DHEC partners with the South-Atlantic Division of the American Cancer Society and more than 400 health care providers in every county of the state to coordinate cancer screenings for these underserved women.

Who May Qualify for Free Cancer Screenings? 

  • Women who live in South Carolina
  • Women 40 to 64 years old
  • Women who do not have health insurance or are underinsured (meaning your insurance only covers hospital care)
  • Women who meet income eligibility guidelines

Now in its 25th year, BCN has provided more than 155,000 eligible women with breast and cervical cancer screening and has helped diagnose more than 1,600 breast cancers and 2,500 pre-cervical and cervical cancers since 1991.The program is funded through a cooperative agreement with the Centers for Disease Control and Prevention.

Prevention

In addition to screenings, making healthy lifestyle choices can help prevent the risk of breast cancer. To reduce your risk, you can:

  • Maintain a healthy weight.
  • Eat a variety of vegetables, fruits and whole grains regularly.
  • Stay active or increase your daily physical activity.
  • Avoid or reduce alcohol consumption.
  • And, don’t smoke.

By providing access to early detection and treatment services, more women in South Carolina can win their battle against cancer. For more information, call the American Cancer Society at 1-800-227-2345, and ask about the South Carolina BCN.

Avoiding Mosquitoes After a Flood

By Jim Beasley

Recent rains and flooding left many areas of South Carolina saturated with standing water, which has the potential to become breeding grounds for mosquitoes.

Mosquitoes are cold-blooded and do not thrive in cooler temperatures, so cold snaps in the weather can help reduce the likelihood of excessive mosquito breeding.  But don’t just count on the weather. You can do your part to reduce mosquito populations and reduce your family’s exposure to these pesky, and potentially harmful, insects.

Do your part – reduce mosquito breeding habitats.

It only takes as few as five days for water in containers as small as a bottle cap to become active breeding sites for mosquitoes.

  • Routinely empty any containers on your property that are holding water:
    • Pool covers
    • Flower pots
    • Boat coverscleaning-gutters
    • Tires
    • Pet bowls
    • Toys
    • Tarps
    • Etc.
  • Remove debris from gutters.
  • Trim back thick shrubbery and overgrown grass on your property.
  • Fix leaky outdoor faucets.

Protect you and your family from mosquitoes and possible exposure to mosquito-borne illnesses.

  • applying-bug-sprayRepair damaged or broken doors and screens.
  • Wear light-colored clothes with long sleeves and long pants.
  • Close garage doors at night.

If you choose to wear insect repellent, the EPA has a web-based tool to help you find the proper insect repellent for your time spent outdoors.
Visit www2.epa.gov/insect-repellents/find-insect-repellent-right-you.

If you have mosquito problems in your area, please visit DHEC’s mosquito information page and click on “Local Mosquito Control” for a list of local mosquito control agency contacts.

Download our helpful information sheet on protecting your home against mosquitoes.  English Spanish

Download our helpful information sheet on protecting your home against mosquitoes.
English
Spanish

Mary’s Story – DHEC Employee, Breast Cancer Survivor

By Mary N. Bright, Public Information Director, DHEC’s Division of Emergency Response, Nuclear Response and Emergency Environmental Surveillance

In honor of National Breast Cancer Awareness Month, DHEC’s Mary Bright is sharing her story about her fight against the disease.  

I’m sure some people would scoff when I say I’m one of the lucky ones but you’d probably have to know my story to understand why.

I have cancer; specifically, Stage II Invasive Ductal Metastatic Breast Cancer.

I know.  When I first heard that I had no idea what it meant either.

When I first found out, I couldn’t breathe.  When the doctor called me with the results of the biopsy, I was still telling myself the lump I had found was nothing.  Before that phone call, I had almost convinced myself that the second lump my Primary Care Physician found was a mistake too.  I told myself that we were both being overly cautious after a relative had been diagnosed with multiple cancers six months prior.

The next day, I checked myself for lumps in my breast.  I found nothing and told myself, “I’m only 40 years old.  I’m okay.”  I used to consider myself a careful person.  I usually checked myself every month but once in a while I would miss a month.  When I did, I would tell myself that I was fine because I was too young to worry.  This wasn’t something women my age needed to worry about yet.

I checked again in December and found nothing… then, life got in the way.  Three months went by while I helped my husband through major shoulder surgery.  I came home from work one day last March and settled onto the couch to relax after work.

We have three small dogs and usually the moment we sit down, they are in our laps.  Our smallest is a mini-dachshund named Shae.  That day Shae wouldn’t hop up.  She sat in the floor staring.  I called to her again and patted my lap.  Again, nothing… She just stared at me.  After a moment, Shae leapt off the floor and landed on the right side of my chest.  Immediately, pain shot up and down my body.  My first thought was that she had a broken nail and had gouged my skin when she jumped.  I scooped her up and handed her to my husband.  I began feeling around for what I expected to be a scratch and there it was… the lump… and it was big.

My heart stopped.

I thought, “There’s no way.”  It couldn’t be.  I was way too young for this, right?  It had to be something else.  How long had it been since I last checked?  Only three months.  It couldn’t be a tumor, right?  I turned to my husband and I said something to the effect of, “Sweetie, can you feel this?”  I remember his smile disappearing the moment he pressed down.  He said, “Honey, you need to go to the doctor… now.”

Two days later, I was in with Dr. Brian Cline, my primary care physician, explaining what happened.  He told me we would check everything out.  He said, hopefully, he’d be able to tell me that the lump was nothing.  The moment Dr. Cline pressed down, his whole demeanor changed.  He got very serious and said, “I can’t tell you this is nothing.”  He checked the right side and there it was; another lump, about the side of a marble, just below my armpit.

A quick and nearly painless mammogram and ultrasound pointed to the worst case scenario so the doctor ordered a biopsy while I was still on the table.  Dr. Tommy Cupples called with the results the next day; positive for carcinoma… every sample.

Less than a week later, my new oncologist, Dr. James Wells, gave me the verdict:

Stage II Invasive Ductal Metastatic Breast Cancer… two lumps, one in my right breast and one in a right lymph node.

But what did it mean?  Thankfully, Dr. Wells cut to the chase.  It was curable and he already had a plan: eight sessions of chemo, surgery and seven weeks of radiation.  It sounded like a lot.  It sounded like too much.  Dr. Wells said the lumps were big; the one in my breast measured three cm high and five cm long.  It was nearly the size of a grapefruit wedge.  The one in my lymph node was like a small marble.  He wanted to attack the cancer aggressively because of my age.  I was pretty young for that kind of diagnosis.  He also needed to make sure it wasn’t anywhere else.

Mary hoodieSuddenly, my life was in fast forward.

The next day, Friday, was a full body MRI; the day after was a PET scan.  Two days later was more than 10 hours in various doctor’s offices; a root canal I was avoiding, a surgical consult and another oncology visit.  I had to have the root canal to close off any open pathways for infection.  Chemo would require that I minimize any chance of allowing bacteria to make its way into my body.  Two days after all that, I had surgery to place a quarter-sized port in my chest so the chemotherapy drugs wouldn’t destroy my veins.  It was an unimaginably difficult week and we had barely begun.

Sixteen painful weeks followed; weeks where my white blood cell count dropped down to 100, causing me to be admitted to the oncology ward, weeks where the pain and exhaustion were too much for me to even get out of bed, weeks where the skin on my hands and feet came off in sheets.  But I made it through that and then through surgery and now radiation.

Through all of that, I am still one of the lucky ones.  I went through the worst period of my life; it was a painful and exhausting struggle to even feel human.  But if you remember what I said at the beginning, you’ll see the parts of my story that make me feel lucky:

ShaeThanks to little Shae, we found the lumps while I was still curable.

I met so many people along the way who were so much worse off; those in constant pain suffering from terminal cases, those in wheel chairs and using walkers and canes to get around.  A week before I began chemo, while still upset and stressed about what chemo would mean to me; I met a stranger who told that she’d “been going through chemo for two years and was still here.”  It was right then that I realized – with only eight sessions of chemo, I had nothing to complain about.

I had the best doctors and nurses I could have hoped for.

From my primary care physician, Dr. Brian Cline, to my oncologist, Dr. James Wells, to my radiological oncologist, Dr. Quillin Davis, and all the other doctors, nurses and techs in between, I was treated like family.  They got to know me on a personal level; I was not just my symptoms or my disease.  I was a person they cared for as if I were family.  They kept me smiling and hopeful at every step.

I was granted time off when I needed it.

My co-workers and friends who worked for state agencies and even perfect strangers allowed me to take time off to heal and get stronger.  Because DHEC and other state government agencies participate in the Leave Pool program, leave donated from other state employees allowed me to go through the treatments, to heal and to stay strong.

I was blessed enough to have insurance.

Cancer treatment isn’t cheap; multiple surgeries, chemo drugs, medication, radiation therapy and I’m still facing five years of a daily medication called Tamoxifen that will help prevent my cancer from returning.  But I have insurance and we’ve managed to pay off most of our bills.  I’ve met so many women who told me they put off getting mammograms because they can’t afford it.  They don’t have insurance or they don’t have enough to cover a mammogram.  I’ve told every one of them… Don’t wait!  There are resources like DHEC’s Best Chance Network that can provide services for men and women who qualify for free screenings.

I have felt so much love and support from so many.

My husband, my family, my friends… I know they would all be there for me through this terrible, terrible disease and treatment.  What I didn’t know is how many people, complete strangers, who stop me in the street and offer me their prayers and well wishes.

mary hug two

I am lucky.  I am.

I am lucky to still be here to tell each of you that you don’t have to go through what I did.  Be careful.  Check yourselves and check your loved ones.  Do it early and often.  It’s treatable and best to find it early.

If you are diagnosed, don’t lose hope.  Breast cancer isn’t an automatic death sentence.  We can beat it… and if you’re diagnosed, remember that you are not alone.

Mary and Darci

Mary Bright and WLTX 19 Anchor Darci Strickland who recently covered Mary’s story. Watch Mary’s story on WLTX here.

What you need to know this flu season

By, Dr. Teresa Foo, MD, MPH
DHEC Medical Consultant Immunizations and Acute Disease Epi Divisions

This month marked the official start of the 2015-2016 flu season, and serves a reminder of the importance of receiving your yearly flu vaccine. The flu can infect anyone, even healthy people. The following Q & A provides you with the information you need to know to help protect you and your loved ones from the flu this season.

What is the Flu?

The flu is a contagious respiratory illness caused by the influenza virus. The flu can cause mild to severe illness and can be deadly – especially to vulnerable people, including the very young, the elderly and those with certain chronic health conditions.

The best way to prevent the flu is by getting a flu vaccine each year.

What are the symptoms?

Symptoms can include a sudden onset of fever, dry cough, headache, muscle aches, tiredness, sore throat, and nasal congestion or stuffiness. Others may throw-up and have diarrhea.    

How is it spread?

Seasonal flu is a contagious viral infection.  It is usually spread from person to person. People who have the flu may spread it to others about 1 day before getting sick to 5 -7 days after.  Most experts believe that flu viruses spread when people with the flu cough, sneeze or talk. This spreads wet drops which can land in the mouths or noses of people who are nearby. Less often, a person might also get flu by touching a surface or object that has flu virus on it and then touching their own mouth or nose.

Who is at risk?

Anyone can get the flu, even healthy people. Certain people are at greater risk for serious complications if they get the flu. This includes older people (especially people 65 years of age and older), young children, pregnant women and people with certain health conditions (such as asthma, diabetes or heart disease). While it is important for everyone to receive their yearly flu vaccine, it is especially important for people in these high risk groups to receive vaccination.

How can you help prevent the flu?

The severity of flu seasons varies from year to year, that’s another reason why it’s important to get your flu vaccine each year. The CDC and DHEC recommend that everyone 6 months of age and older get a yearly flu vaccine; it is the single best way to prevent seasonal flu.

In addition to receiving an annual flu vaccination, South Carolinians are encouraged to take the following preventive measures:

  • Staying away from people who are sick.
  • Staying home from work, school and errands if you are sick. By doing so, you will help keep others from getting sick, too.
  • Covering your mouth and nose when you cough or sneeze. Use a tissue if one is handy. Throw it away immediately after use. Otherwise, use the crook of your elbow.
  • Washing your hands often and thoroughly.
  • Avoiding touching your eyes, nose or mouth. Germs are often spread when someone touches something that is covered with germs and then touches their eyes, nose or mouth.

Other good habits include getting plenty of exercise and sleep, managing your stress, drinking water and eating good food to help you stay healthy in the winter and all year.

Where can I get the flu vaccine?

It’s important to get the flu vaccine not only to protect yourself, but also your loved ones from the seasonal flu. Even if you don’t have a regular health care provider you can still get the flu vaccine. In addition to DHEC, many local providers — including doctors’ offices, clinics, pharmacies, college health centers, schools and workplaces — now offer flu vaccines. We encourage everyone to find the facility that works best for them.

To find the DHEC seasonal flu clinic nearest you, click here.

For more information: scdhec.gov/flu

Asbestos Removal and Safety for Homeowners after 2015 SC Floods

By Robin Mack, DHEC Asbestos Program Manager

When working on cleanup and rebuilding efforts after a natural disaster like the South Carolina floods of 2015, it is important to be aware of potential asbestos-containing materials that could pose a health risk if not handled properly. Disturbing materials made with asbestos during building repairs, renovations, or demolitions can release asbestos fibers or dust particles into the air allowing them to be ingested or inhaled.

Health Risks from Asbestos Exposure

People who are exposed to large amounts of asbestos over a time, such as contractors, and do not follow safety standards have an increased chance of experiencing harmful health effects. Asbestos can contribute to the development of lung cancer or other respiratory diseases. Disease symptoms may take many years to develop after being exposed to asbestos.

Asbestos in Homes

It is less common to find large quantities of asbestos in newer homes, but homes built before 1980 are the most likely to have asbestos containing materials.  Asbestos has been used in a variety of building materials, such as: siding, ceiling and floor tiles, stucco, sheetrock, joint compound, ceiling texture (popcorn ceiling), caulking, construction mastic, insulation, and roofing materials.

If you think your home contains asbestos, it is best to call a licensed professional to remove it. To find a list of licensed contractors that can perform asbestos abatement and demolition activities in South Carolina, click here.

Minimizing Asbestos Exposure
If homeowners decide to do work on their homes themselves or hire a non-licensed asbestos contractor, the following work practices and procedures should be followed to minimize possible airborne asbestos fiber releases and exposure:

  1. Keep the material wet at all times to help keep asbestos fibers from becoming airborne. A low pressure garden sprayer adjusted to “mist” works well.
  2. Avoid tearing, ripping, chipping, cutting, or grinding materials that may contain asbestos, such as those listed above. These actions increase the potential for asbestos fibers to be released.
  3. Do not throw or drop materials that may contain asbestos to the ground. Instead, lower them carefully to prevent breakage and release of fibers to the air.
  4. Please sort flood debris into categories according to the graphic below to help speed up the collection process. For any questions about debris pick-up or drop-off, please contact your local waste management program.
Graphic provided by SCDOT

Graphic provided by SCDOT

For more information about asbestos, click here or call (803) 898-4289.