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Hereditary cancers aren’t just a women’s problem. Jewish men need to take precautions too.
Bill Harris, a veteran Los Angeles photojournalist, didn’t think much of it when one morning in 2012 he woke up and found a tiny blood spot on the T-shirt he’d slept in. The next morning, he found blood in the same place on his chest — and went straight to his computer.
“Online, I could find only three things that would cause a man’s nipple to discharge blood: being an avid runner, which I wasn’t; having a subtropical fungus, which I didn’t; and breast cancer,” he said. “That was a pretty big shock.”
Harris, then just a few weeks shy of his 61st birthday, immediately called his doctor, who ordered a mammogram and ultrasound. They confirmed a cancerous growth in his right breast. Ten days later, a biopsy came back positive. The next month Harris got a right mastectomy, followed by the removal of his left breast half a year later.
“I walked into a woman’s imaging center and had to get into a pink paper robe,” he recalled. “All the women in the waiting room were staring at me.”
Like many other Ashkenazi men, Harris never had considered that he might have been born with a harmful mutation of the BRCA gene, which elevates the risk not only of breast cancer, but also of melanoma and prostate, ovarian and pancreatic cancer.
“Hundreds of other mutations in the BRCA gene are just as dangerous, but they’re not specific to Ashkenazim,” said Dr. Robert Sidlow, director of the Male BRCA Genetic Risk Program at New York’s Memorial Sloan Kettering Cancer Center. About 1 in 40 Ashkenazi Jews (those of Eastern European descent) carries the harmful mutation, compared to about 1 in 400 in the general population.
“The vast majority of patients I see are relatives of women who have breast or ovarian cancer and then get tested,” he said. Of BRCA mutation carriers, Sidlow added, “Most men are pretty happy to enroll in some kind of surveillance program once they get over the initial shock.”
Sidlow is on the Men’s Leadership Council at Sharsheret, the national Jewish nonprofit organization that educates the community about cancer risks and supports those with breast cancer and ovarian cancer.
Elana Silber, CEO of Sharsheret (Hebrew for “chain”), says it’s crucial that men with a family history of cancer undergo genetic counseling screening for BRCA and other hereditary cancer mutations.
Genetic testing is possible via a standard blood or saliva sample.
While Sharsheret is primarily considered a women’s organization, it has been using November — nicknamed Movember for its focus on men’s health — for an awareness campaign focused on Jewish men’s cancer risks.
“This is not only a women’s issue,” Silber said. “Family history is so important. When a man shares his family history with his doctor, he may not realize that he should mention that his mother had breast cancer or that his sister had ovarian cancer, as these are not generally ‘men’s diseases.’ They are not aware that these cancers could mean that they themselves are at increased risk for cancer and that they can pass on these mutations to the next generation – their daughters and their sons.”
If someone discovers he (or she) is a carrier of one of the genetic mutations with elevated cancer risks — not just BRCA but also such mutations as ATM, TP53, CHEK2, and PALB2 — there are various precautions they can take for themselves and their children. They can monitor their own health more closely, they can get encourage their children to test to see if they are carriers and, for any future children, take steps to prevent the mutated genes from being passed down.
For example, couples can conceive via in vitro fertilization, or IVF, and then test the embryos before implantation to ensure that only those unaffected by the genetic mutation are implanted.
While most women are aware of the risks of breast cancer, men generally are not — even though the disease strikes 2,500 men in the U.S. every year and kills about 500 of them, according to Sidlow. About 1-2% of men with the BRCA1 mutation and 6-7% of men with the BRCA2 mutation will develop cancer by age 80.
“This is why we recommend periodic mammograms starting at about age 50 for men who carry a BRCA2 mutation,” Sidlow said. “We like to educate these men on how to check their chests once a month and have a clinician do a breast checkup on them once a year.”
Since the BRCA1 and BRCA2 mutations also make prostate cancer more likely, men with either mutation should get PSA (prostate-specific antigen) levels in their blood tested annually beginning at age 40, rather than 50, the age at which screening generally begins, Sidlow said.
Sharsheret has been promoting the importance of learning one’s family history, genetic counseling and screening among both men and women. The 20-year-old organization also runs various peer support networks, offers financial assistance to cancer patients, provides mental health counseling and guidance to patients, caregivers, and their friends, and seeks to educate the broader Jewish community about cancer risks and support.
Peggy Cottrell, a certified genetic counselor at Sharsheret, said men in general are more reluctant to get regular checkups than women.
Ashkenazi Jewish men are at elevated risk not just of breast and prostate cancer but also of pancreatic cancer. Pancreatic cancer is particularly difficult because it’s tough to detect early enough and hard to treat. The five-year survival rate is only 11%. About 2% of BRCA1 carriers and 4% of BRCA2 carriers will develop pancreatic cancer, Sidlow estimated.
“Usually by the time pancreas cancer is clinically detected it has already spread microscopically to the liver,” Sidlow said. “But pancreas cancer is potentially curable if caught when the tumor is extremely small.”
Even among those with elevated risks, certain behaviors can improve one’s odds, such as avoiding obesity, smoking and excessive alcohol consumption.
Harris, the California photojournalist, is still fighting at age 71. While he overcame breast cancer 10 years ago, last year he was diagnosed with ampullary cancer, a rare disease related to his BRCA2 status that was discovered thanks to his participation in a UCLA study. Surgeons have removed his gall bladder, half his pancreas and part of his small intestine, and he has had to endure eight rounds of chemotherapy.
“I’m still working through the aftereffects of the chemo. I have to eat smaller quantities than before and take enzymes to supplement my digestive processes,” Harris said.
Meanwhile, his 37-year-old son discovered that he, too, carries the BRCA2 mutation, and he had a double prophylactic mastectomy and reconstruction at age 30 — just to be on the safe side.
“If there’s any history of breast, ovarian or prostate cancer in your family, get tested genetically so that you’re informed,” Harris advised. “Diagnoses happen way too late for men, and the danger is too big.”
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US Announces Ceasefire Extension With Iran
US President Donald Trump speaks to the press before boarding Marine One to depart for Quantico, Virginia, from the South Lawn at the White House in Washington, DC, US, Sept. 30, 2025. Photo: REUTERS/Ken Cedeno
US President Donald Trump said on Tuesday he would indefinitely extend the ceasefire with Iran, hours before it was set to expire, to allow the two countries to continue peace talks to end a war that has killed thousands of people and shaken the global economy.
Backing down from threats of new violence earlier in the day, Trump said in a statement he had agreed to a request by Pakistan, which has mediated peace talks in the seven-week-old war, “to hold our Attack on the Country of Iran until such time as their leaders and representatives can come up with a unified proposal.”
Trump’s announcement appeared to be unilateral, and it was not immediately clear whether Iran, or the US ally Israel, would agree to extend the ceasefire, which began two weeks ago. Trump also said he would continue the US Navy’s blockade of Iran‘s ports and shore, which Iran‘s leaders have called an act of war.
There was no immediate comment from Iran‘s most senior leaders, but Tasnim News Agency, affiliated with Iran‘s Revolutionary Guards, said Iran had not asked for a ceasefire extension and repeated threats to break the US blockade by force. An adviser to Iran‘s lead negotiator, the speaker of parliament, Mohammad Baqer Qalibaf, said Trump’s announcement carried little weight.
“Trump’s ceasefire extension is certainly a ploy to buy time for a surprise strike,” Mahdi Mohammadi, the parliament speaker’s adviser, said in a statement on social media, calling the US blockade an ongoing military aggression. “The time for Iran to take the initiative has come.”
Trump said he would extend the ceasefire until Iran‘s “proposal is submitted, and discussions are concluded, one way or the other.”
It was the latest instance of Trump backing down at the 11th hour from his repeated threats to bomb every power plant in Iran. United Nations Secretary General António Guterres and others have condemned the threats, noting international humanitarian law forbids attacks targeting civilians and civilian infrastructure.
Trump, who with Israel launched the war on Iran on Feb. 28, said he decided to extend the ceasefire because “the Government of Iran is seriously fractured, not unexpectedly so,” a reference to US-Israeli assassinations of some of the country’s leaders, including the late Supreme Leader Ayatollah Ali Khamenei, who has been succeeded by his son.
The US blockade became a sticking point as the two countries wavered this week on whether to send negotiators to a second round of peace talks in Islamabad, the Pakistani capital.
The ceasefire extension came only a few hours after Trump had said he was not inclined to continue the temporary truce and the US military was “raring to go.” He told CNBC in an interview that the US was in a strong negotiating position and would end up with what he called “a great deal.”
Pakistani Prime Minister Shehbaz Sharif thanked Trump in a statement on social media for “graciously accepting our request to extend the ceasefire to allow ongoing diplomatic efforts to take their course.”
“I sincerely hope that both sides will continue to observe the ceasefire and be able to conclude a comprehensive ‘Peace Deal’ during the second round of talks scheduled at Islamabad for a permanent end to the conflict,” Sharif wrote.
It was not clear when, or if, that second round of talks would be scheduled.
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Hungarian PM-Elect Says ICC Warrants Will Be Enforced, Even for Netanyahu Invitation, as Orban Policy Reversed
Election winner Peter Magyar speaks during a press conference in Budapest, Hungary, April 20, 2026. Photo: REUTERS/Bernadett Szabo
Hungarian Prime Minister-elect Peter Magyar vowed that his government would detain any foreign leader subject to International Criminal Court (ICC) arrest warrants who entered its territory, even as he extended an invitation to Israeli Prime Minister Benjamin Netanyahu — who himself faces such a warrant — to visit the country.
During a press conference on Monday, Magyar reiterated his pledge to reverse outgoing Prime Minister Viktor Orbán’s decision to withdraw Hungary from the ICC.
The Hungarian leader also said that, despite inviting Netanyahu — who faces an ICC arrest warrant over alleged war crimes in Gaza — to a national ceremony, he could still be detained upon arrival, noting that ICC-related obligations would take precedence if the conditions were met.
“If a country is a member of the ICC and a wanted individual enters its territory, they must be detained,” Magyar told reporters. “Every state and head of government is aware of these obligations.”
“I also made clear to the Israeli prime minister that we will not reverse course on the ICC withdrawal, as my colleagues have reviewed the matter and concluded it can still be halted,” he added.
Magyar had spoken with Netanyahu last week after the Israeli leader called to congratulate him on his election victory, which came after the defeat of a government widely seen as a strong ally of Israel.
But his latest remarks have triggered confusion and outrage, deepening concerns over his stance on Israel and raising questions about the future of relations between the two countries.
Netanyahu visited Hungary in April 2025 at Orbán’s invitation, with the government rejecting the ICC warrants and announcing its withdrawal from the court during the visit.
At the time, Orbán denounced the ICC as “no longer an impartial court, not a court of law, but a political court.”
In November 2024, the ICC issued arrest warrants for Netanyahu, his former defense minister, Yoav Gallant, and now-deceased Hamas terror leader Ibrahim al-Masri (better known as Mohammed Deif) for alleged war crimes and crimes against humanity in the Gaza conflict.
The ICC said there were reasonable grounds to believe Netanyahu and Gallant were criminally responsible for starvation in Gaza and the persecution of Palestinians — charges vehemently denied by Israel.
Israeli officials also say the military has gone to unprecedented lengths to try and avoid civilian casualties, despite Hamas’s widely acknowledged military strategy of embedding its terrorists within Gaza’s civilian population and commandeering civilian facilities like hospitals, schools, and mosques to run operations and direct attacks.
Under ICC warrants, all states that are parties to the Rome Statute — the 1998 international treaty that established the ICC and sets out its jurisdiction over crimes such as genocide, war crimes, and crimes against humanity — are legally obligated to arrest Netanyahu if he enters their territory.
However, several countries, including Argentina, the Czech Republic, Romania, Poland, France, and Italy, have said they would not arrest Netanyahu if he visited.
The ICC has no jurisdiction over Israel, which is not a signatory to the Rome Statute, as is also the case with other countries, including the United States, that have not signed the court’s founding treaty.
However, the ICC has asserted jurisdiction by accepting “Palestine” as a signatory in 2015, despite no such state being recognized under international law.
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Exclusive: As Ceasefire Extended, Iranian Voice Describes Deepening Repression, Waning Hope Under Regime’s Grip
People attend the funeral of the security forces who were killed in the protests that erupted over the collapse of the currency’s value in Tehran, Iran, Jan. 14, 2026. Photo: Majid Asgaripour/WANA (West Asia News Agency) via REUTERS
As a fragile ceasefire halting the US-Israeli military campaign in Iran continues, some Iranians say the pause in fighting has not brought relief but rather fear that the regime is regaining strength while internal repression intensifies.
In western Iran, a former schoolteacher who asked to be identified as “Maddie Ali” for security reasons says the ceasefire has left many ordinary citizens feeling abandoned and exposed, watching authorities tighten control while hopes for meaningful change fade.
“People actually felt more hopeful when the war was ongoing. Now, with the ceasefire in place, many feel discouraged and disappointed about the future, which feels increasingly uncertain,” Ali told The Algeminer in an exclusive interview.
Ali lost her job after authorities imposed a nationwide internet blackout when fighting erupted earlier this year — a disruption that continues to shape daily life and restrict communication with the outside world, effectively cutting millions of Iranians off from independent reporting on the war and access to global news.
Internet access remains unstable across much of the country, forcing many people to rely on illegal black-market virtual private networks (VPNs) — tools that bypass government censorship — to stay connected beyond Iran’s borders, with access reportedly costing millions of tomans per gigabyte. (A toman is one-tenth of the rial, the official currency of Iran.)
Iran’s nationwide internet blackout has become the longest recorded of its kind, as authorities continue restricting access to the outside world in an effort to suppress internal opposition and silence domestic dissent.
Iranian authorities have even warned that citizens suspected of accessing the internet through VPNs could face arrest or imprisonment. According to state media reports, Iranian security forces have arrested several citizens in recent weeks for using the Starlink satellite internet system, which allows users to bypass state-controlled terrestrial infrastructure.
Human rights groups have warned that the regime repeatedly uses nationwide internet shutdowns as a tool to intensify its crackdown on opposition movements and conceal ongoing abuses from international scrutiny.
Ali said many people in Iran fear the ceasefire is giving authorities time to regroup and rebuild.
“People are deeply disappointed that the US and Israeli sides agreed to a ceasefire without taking the Iranian population into account,” Ali told The Algemeiner. “The regime has repeatedly proven its capacity to rebuild and recover time and time again.”
The US–Iran ceasefire, which took effect on April 8, was initially set to expire on Wednesday night if no agreement was reached. US President Donald Trump told Bloomberg on Monday that he was “highly unlikely” to extend the truce without a deal with Tehran.
“I’m not going to be rushed into making a bad deal,” the president said.
On Tuesday, however, Trump announced that he was extending the ceasefire indefinitely, to allow the two countries to continue peace talks to end the war.
In a statement on social media, Trump said he had agreed to a request by Pakistan, which has mediated the talks, “to hold our Attack on the Country of Iran until such time as their leaders and representatives can come up with a unified proposal.”
Noting Iran’s government was “seriously fractured,” Trump said the US military would remain ready and continue its blockade on Iranian ports but continue abiding by the ceasefire “until such time as [Tehran’s] proposal is submitted, and discussions are concluded, one way or the other.”
According to Ali, who spoke with The Algemeiner before Trump’s announcement, reconstruction efforts began quickly after the fighting stopped, even as widespread infrastructure damage remained and internal repression intensified.
“There is frustration that the ceasefire may help the regime recover,” she said. “They started reconstruction for damaged sites and internal repression is still going on.”
Ali also said security forces remain highly visible across the country, especially after a sweeping crackdown earlier this year following mass demonstrations.
“We don’t have an option to really be out on the streets right now. It is really hard because of what happened in January. People are too afraid,” she said, referring to the nationwide anti-government protests, which security forces violently crushed, leaving tens of thousands of demonstrators tortured, imprisoned, or killed.
Checkpoints and surveillance now shape daily movement across many areas of the country.
“There are security forces on the streets stopping people, checking phones to see who they have been in contact with and reviewing messages — and they even make arrests,” Ali said.
Despite the risks, Ali said frustration with the regime runs deep after years of sustained crackdowns and tightening control.
“Most Iranians want an end to this regime. People are exhausted after decades of repression, arrests, executions, surveillance, and control,” she said. “Everybody was waiting for Israel and the US to do something and help us.”
“At the same time, people don’t support war itself — they support removing the regime, which is deeply rooted throughout the country,” Ali continued.
She said many Iranians initially saw the outbreak of fighting as a rare opening for change after years of failed internal protest movements.
“When the war began, many people actually felt hopeful,” Ali told The Algemeiner. “It’s not that they didn’t try to overthrow the regime themselves before — they did. But nothing worked.”
Even those who opposed the war, she said, are not necessarily defending the government.
“Those who were against the war mostly believed it would not lead to real change in the end — not that they supported the regime,” she explained.
More broadly, Ali said many citizens viewed outside military pressure as a necessary catalyst rather than something they welcomed.
“For many Iranians, support for the US and Israeli strikes came out of necessity and exhaustion — not because they support war,” she said.
Despite significant leadership losses during the conflict, Ali said the regime’s structure remains deeply entrenched nationwide.
“The regime and its ideology are embedded at every level — in cities, towns, and institutions across the country,” she said.
“From what we can see, the system is still functioning almost completely intact,” she continued. “It remains coordinated at both the national and local levels, and internal repression is actually increasing.”
“It feels suffocating and extreme, but at the same time it isn’t surprising,” she added.
For some inside Iran, Ali said, this reality has reshaped how people understand the scale of effort needed to dismantle the regime’s entrenched security apparatus.
“People support Israel and the United States, but they also believe airstrikes alone are not enough,” she said.
“Many believe that only a military ground intervention with troops on the ground could remove the regime from its roots,” she continued.
At the same time, she said many Iranians feel especially frustrated by what they see as political solidarity between Muslim-majority governments and Tehran’s leadership rather than support for ordinary citizens.
“Just because a government presents itself as Islamist does not give it the right to repress dissidents and crush its own people,” she said.
“Many Muslim countries have continued to cooperate with this regime, shaking hands with a killer regime instead of standing with the Iranian people,” Ali added.