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Smoking and cancer with Dr Sithembile Ngidi

Here’s your chance to ask all your questions live as we chat with the wonderful oncologist Dr Sithembile Ngidi to wrap up Breast Cancer Awareness Month.  Learn about reducing your risk of cancer, how and why smoking causes cancer, signs to watch out for and how to screen for cancer.  Lorraine Govender from CANSA will join the chat to share information on where to go for help and support, and to discuss how the new Tobacco Control Bill will better protect our health. 

See you on Sunday 31st October at 3pm on Facebook Live @protectournext. 

Click here for more and please share with your networks.    

What is Cancer?

 

Cancer refers to diseases in which abnormal cells divide out of control and are able to invade other tissues. Cancer cells can spread to other parts of the body through the blood and lymph systems, which help the body get rid of toxins. 

There are more than 100 different types of cancer. Most cancers are named for the organ or type of cell in which they start—for example, lung cancer begins in the lung and laryngeal cancer begins in the larynx (voice box).

 

Symptoms can include: 

  • A thickening or lump in any part of the body
  • Weight loss or gain with no known reason
  • A sore that does not heal
  • Hoarseness or a cough that does not go away
  • A hard time swallowing
  • Discomfort after eating
  • Changes in bowel or bladder habits
  • Unusual bleeding or discharge
  • Feeling weak or very tired

How is smoking related to cancer?

 

Smoking can cause cancer and then block your body from fighting it: 

Poisons in cigarette smoke can weaken the body’s immune system, making it harder to kill cancer cells. When this happens, cancer cells keep growing without being stopped.

Poisons in tobacco smoke can damage or change a cell’s DNA. DNA is the cell’s “instruction manual” that controls a cell’s normal growth and function. When DNA is damaged, a cell can begin growing out of control and create a cancer tumour.

Doctors have known for years that smoking causes most lung cancers. It’s still true today, when nearly 9 out of 10 lung cancers deaths are caused by smoking cigarettes or secondhand smoke exposure. In fact, smokers have a greater risk for lung cancer today than they did in 1964, even though they smoke fewer cigarettes. One reason may be changes in how cigarettes are made and what chemicals they contain. 

Treatments are getting better, but lung cancer still kills more men and women than any other type of cancer. 

Second-hand smoke is the combination of smoke from the burning end of a cigarette and the smoke breathed out by someone smoking. 

Smoking can cause cancer almost anywhere in your body: 

• Bladder 

• Blood (acute myeloid leukaemia) 

• Cervix 

• Colon and rectum (colorectal) 

• Oesophagus 

• Kidney and ureter 

• Larynx 

• Liver 

• Oropharynx (includes parts of the throat, tongue, soft palate, and the tonsils) 

• Pancreas 

• Stomach 

• Trachea, bronchus, and lung

Men with prostate cancer who smoke may be more likely to die from prostate cancer than nonsmokers. 

Smokeless tobacco, such as chewing tobacco, also causes cancer, including cancers of the: 

  • Esophagus
  • Mouth and Throat
  • Pancreas

 

How can smoking-related cancers be prevented?


The most important thing you can do to prevent smoking-related cancer is not to smoke cigarettes, or to quit if you do. It is also important to avoid secondhand smoke.

Quitting smoking lowers the risk for 12 types of cancer: cancers of the lung, larynx, oral cavity and pharynx, esophagus, pancreas, bladder, stomach, colon and rectum, liver, cervix, kidney, and acute myeloid leukemia (AML). 

Within 5-10 years of quitting, your chance of getting cancer of the mouth, throat, or voice box drops by half. 

Within 10 years of quitting, your chance of getting cancer of the bladder, esophagus, or kidney decreases. 

Within 10-15 years after you quit smoking, your risk of lung cancer drops by half. 

Within 20 years after you quit smoking, your risk of getting cancer of the mouth, throat, voice box, or pancreas drops to close of that of someone who does not smoke. Also, the risk of cervical cancer drops by about half. 

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Smoking is the single most preventable cause of death in the world. The World Health Organisation (WHO) says that in South Africa (SA) alone, smoking results in more than half of lung cancer deaths, 37% of chronic obstructive pulmonary disease deaths, and over 20% of cardiovascular deaths and tuberculosis (TB) deaths. Smoking-related TB deaths are especially prevalent in South Africa, due to a higher vulnerability of HIV-positive individuals to TB.  Because it attacks the lungs, the novel coronavirus (COVID-19) could be an especially serious threat to those who smoke or vape.

The new Control of Tobacco and Electronic Delivery Systems Bill will make it easier for South Africans to choose smoke-free lives, regulate the danger of e-cigarettes and decrease the impact of second-hand smoke on the majority of the population, who are non-smokers. Why is taking time to implement? Tobacco industry profits are at the expense of addicted smokers, their families, and public health.  Together, the National Council Against Smoking (NCAS), the Cancer Association of South Africa (CANSA) and the Heart and Stroke Foundation of South Africa are steadfast in campaigning for the new Bill to be passed. It’s time for our people and our government to show leadership in implementing global best practice to curb the onslaught of big tobacco. 

Zanele Mthembu, Public Health Development and Policy Consultant

Savera Kalideen, Executive Director of the National Council Against Smoking 

Sharon Nyatsanza, Project and Communications Manager, National Council Against Smoking 

Lorraine Govender, National Advocacy Co-Ordinator, Cancer Association of South Africa (CANSA)

Professor Pamela Naidoo, CEO, The Heart and Stroke Foundation of South Africa

Dr Catherine Egbe, Specialist Scientist: Alcohol, Tobacco and other Drug Research Unit, South African Medical Research Council

   
Tamaryn Brown
Connect Media for Cart Agency
+27 (0) 84 3510560
tamaryn@connectmedia.co.za
tamaryn@cart.agency

Nirvana Kishoon 
Cart Agency
+27 (0) 82 823 3167
nirvana@cart.agency

 

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