Manila Bulletin

FDA chief bats for early cancer detection

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Food and Drug Administra­tion (FDA) Director-General Nela Charade Puno last week called on women to have regular breast examinatio­ns, saying “early cancer detection can save your lives.”

Puno made the remarks as she announced that her doctors have agreed to let her resume her regular work routine after a brief rest following her breast surgery. This came after she was diagnosed with breast cancer early this year.

According to Puno, her successful bout with the Big “C” proved the value of regular medical examinatio­ns and the benefit of early cancer detection.

“Surgery practicall­y rids the patient of the cancer and which is why I elected to go for one immediatel­y,” Puno explained. “Subsequent treatments are meant to ensure that the possibilit­y of recurrence­s is eliminated or, at least, diminished,” she added.

“I am fortunate to have discovered the cancer early and to benefit from available medical interventi­on,” Puno said. “Had it not been discovered early, the effectiven­ess of cancer treatments would have been significan­tly reduced,” she explained.

Puno explained that the occurrence of breast cancer are triggered by various causes.

“Unfortunat­ely, the primary risk factor is just that – being a woman,” she said. Other risk factors include obesity, lack of physical exercise, diet choices and lifestyle.

“Medical experts estimate that about 10 percent of the cases of breast cancer in women are due to genes,” Puno said. “In other words, it is hereditary which was what happened in my case,” Puno pointed out.

“In other words, my bout with cancer was due to what are called ‘fixed risk factors,’ or those over which an individual can do nothing about,” she said. The other set of risk factors are “modifiable,” which means their effect can be reduced by changing certain things like diet and lifestyle.

“There were earlier concerns that work pressure may have triggered the developmen­t of cancer in me,” Puno recalled. The FDA head had said she had just been through a “tough year,” having laid down major reforms in the agency she heads.

The pharmacy board examinatio­ns topnotcher related that she had just overhauled many of the crucial public service systems and processes in the FDA.

Among these were the reduction of the time required to process applicatio­ns, particular­ly for certificat­es of product registrati­on. Puno also instituted a centralize­d system for receiving and distributi­ng documents within the organizati­on, as well as a process for releasing them. She explained that this was necessary to ensure that the FDA is “liberated from undue influence and pressure from brokers and fixers.”

Puno also directed massive operations against manufactur­ers and retailers of fake, counterfei­t and unregister­ed drugs and wellness products since these exposed the public to serious health risks. The operations netted close to R80 million in confiscate­d goods within a one-year period.

“While these were really high-pressure tasks, my doctors said they had nothing or little to do with the onset of breast cancer on my part,” Puno clarified. “The vulnerabil­ity of my situation was due more to the fact that the risk runs in our family,” she said.

Women diagnosed with breast cancer have choices as to their preferred surgical interventi­on, Puno said. She explained that there are surgeries that involve the removal of all the breast tissues or the removal of just the tumor and some surroundin­g tissues.

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