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African-American
Prostate Cancer Crisis
"Disgraceful
Tragedy"
African-American
men have the highest rate of prostate cancer in the world and the lowest
rate of survival. The head of the American Cancer Society (ACS), Charles
J. McDonald, MD, says: "Black men in America are 1.5 times more likely
to develop prostate cancer and are 2 to 3 times more likely to die of
the disease than white men."
"Prostate cancer, particularly among African
Americans, is a disgraceful tragedy that needs immediate and drastic action,"
says John R. Kelly, a board director of the American Cancer Society. The
ACS has issued a National Blueprint for Action on prostate cancer, promising
to spend $8 to $10 million annually.
American
Cancer Society Plan
The ACS plan calls for more research on every aspect of prostate
cancer especially in African-American men. They plan to study causes and
risk factors and stimulate prevention and new treatments.
The ACS say they want to "involve African
Americans in research design, in the implementation of clinical research,
in the development of education initiatives, and as patient participants
in clinical research trials."
The ACS urges more education about prostate
cancer and stronger "grassroots organizations, particularly in the African-American
community, to engage in advocacy and in education and patient support
initiatives." They call for more community support for African American
prostate cancer patients and their families
Spending
Will Benefit All Patients
Because African American men are over-affected by prostate cancer,
the call for action is primarily addressed to them. The spending is expected
to improve treatment for all men who have prostate cancer.
Detection is the first step, the ACS says.
All men aged 40 and up need their physicians to check for prostate cancer
with a digital rectal examination (DRE) every year. African American men
and all men with a family history of prostate cancer should also get an
annual PSA (prostate specific antigen) blood test. Other men can wait
till age 50 for the annual PSA test.
Sources
American Cancer Society Action Proposal on Prostate Cancer
in African Americans (press release Jan 13, 1998)
Annals of Internal Medicine (1997;127:813-816).
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