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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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The exceptional translator Barbara Harshav has died
פֿון אַבֿיה קושנער און שחר פּינסקער
באַרבאַראַ הרשבֿ, פֿאַררעכנט פֿאַר איינעם פֿון די וויכטיקסטע איבערזעצערס פֿון דער העברעיִשער און ייִדישער ליטעראַטור, איז אַוועק אין דער אייביקייט צו 85 יאָר.
הרשבֿ, באַקאַנט ווי באָבי בײַ אירע פֿרײַנד און קאָלעגעס, האָט איבערגעזעצט און אַרויסגעגעבן מער ווי 40 ביכער פּאָעזיע, דראַמע, בעלעטריסטיק, פֿילאָסאָפֿיע, עקאָנאָמיק, סאָציאָלאָגיע און געשיכטע. צווישן אירע איבערזעצונגען זענען געווען די ווערק פֿונעם נאָבעל־לאָרעאַט שמואל יוסף עגנון און די פּאָעטן אַבֿרהם סוצקעווער, מענקע קאַץ און יהודה עמיחי.
אַחוץ דעם וואָס זי איז געווען אַן ערשט-ראַנגיקע איבערזעצערין איז זי אויך געווען שטאַרק באַליבט בײַ אַנדערע אַקאַדעמיקער און איבערזעצער איבער דער וועלט, סײַ ווי אַ וועגווײַזערין אינעם געביט פֿון איבערזעצערײַ סײַ צוליב איר מענטשלעכקייט און ברייטהאַרציקער שטיצע פֿאַר אירע קאָלעגעס.
אַ צענטראַלער אַספּעקט פֿון איר קאַריערע איז געווען איר ברייטע און פֿרוכפּערדיקע צוזאַמענאַרבעט מיט איר מאַן, בנימין הרשבֿ (אַ העברעיִזירונג פֿונעם נאָמען הרושובסקי). צוזאַמען האָבן זיי איבערגעזעצט און רעדאַקטירט אויף ענגליש אַ ריי וויכטיקע טעקסט־זאַמלונגען ווי למשל דעם אייגנאַרטיקן באַנד „אַמעריקאַנער ייִדישע פּאָעזיע: אַ צוויישפּראַכיקע אַנטאָלאָגיע“ (1986), וואָס האָט אַרײַנגענומען סײַ דעם אָריגינעלן ייִדישן טעקסט סײַ די פּרעכטיקע ענגלישע איבערזעצונגען. אַזוי אַרום האָט דער לייענער געקענט אָפּשאַצן די קוואַליטעט פֿון די ווערק אויף ביידע שפּראַכן.
איינער פֿון הרשבֿס גרעסטע אויפֿטוען איז געווען דאָס וואָס זי האָט נישט פֿאָרגעשטעלט די ייִדישע פּאָעזיע סתּם ווי נאָסטאַלגישן פֿאָלקלאָר, נאָר האָט זי געשילדערט אינעם קאָנטעקסט פֿונעם גלאָבאַלן מאָדערניזם. דער באַנד האָט אַרײַנגענומען סײַ אַוואַנגאַרדישע עקספּערימענטן סײַ שטאָטישע טעמעס, צוזאַמען מיט די וויזועלע קונסטווערק פֿון בען שאַהן און ראַפֿאַעל סויער, וואָס האָבן געהאַט אַן ענלעכן הינטערגרונט ווי די פּאָעטן.
מיט איר מאַן האָט זי אויך אַרויסגעגעבן דאָס בוך, „זינג, פֿרעמדער: הונדערט יאָר פֿון אַמעריקאַנער ייִדישער פּאָעזיע“, וואָס האָט אַרײַנגענומען ווערק פֿון די „סוועטשאַפּ“־פּאָעטן מאָריס ראָזענפֿעלד און דוד עדעלשטאַדט, ווי אויך „אינזיכיסטן“ ווי ציליע דראָבקין.
הרשבֿ איז געבוירן געוואָרן אין דעטרויט, מישיגען, אין 1940. זי איז נישט געווען קיין נאַטירלעכע רעדערין פֿון העברעיִש אָדער ייִדיש. „איך בין געווען 34 יאָר אַלט ווען איך האָב אָנגעהויבן זיך לערנען העברעיִש און איך האָב זיך ממש פֿאַרליבט אין דער שפּראַך,“ האָט זי דערציילט בעת אַן אינטערוויו אין 2012. מיט דער צײַט האָט זי אָנגעהויבן איבערזעצן די וויכטיקסטע העברעיִשע ווערק.
דערנאָך האָט זי זיך גענומען צו ייִדיש. „ייִדיש איז די לעצטע שפּראַך וואָס איך האָב זיך אויסגעלערנט. צוליב דעם וואָס איך האָב שוין געקענט דײַטש און העברעיִש, האָב איך שוין פֿאַרשטאַנען אַרום 90% פֿון ייִדיש.“ כאָטש אירע טאַטע־מאַמע האָבן געקענט ייִדיש האָבן זיי עס בלויז געניצט צווישן זיך ווען זיי האָבן נישט געוואָלט אַז די קינדער זאָלן פֿאַרשטיין. „דערצו בין איך סײַ ווי נישט געווען אַזוי פֿאַראינטערעסירט אין וואָס זיי זאָגן,“ האָט זי געזאָגט.
איין סיבה פֿאַר וואָס זי איז געוואָרן אַן איבערזעצער — האָט זי דערקלערט — איז „ווײַל די איבערזעצונגען וואָס איך האָב געלייענט זענען געווען אַזוי שלעכט. כ׳האָב דעמאָלט געוווינט אין ירושלים און כ׳האָב זיך באַקענט מיט אַ שרײַבער וואָס האָט זיך באַקלאָגט פֿאַר מיר, און טאַקע מיט רעכט, וועגן די אומגעלומפּערטע איבערזעצונגען וואָס מע האָט געמאַכט פֿון זײַנע ווערק. האָב איך אָנגעהויבן לייענען יענע איבערזעצונגען און דערפֿילט אַז איך קען דאָס טאָן בעסער. ס׳איז מיר אָבער געווען אַ חידוש, ווען מײַן ערשטער פּרוּוו איז טאַקע פּובליקירט געוואָרן אין אַן אַקאַדעמישן זשורנאַל.“
אַחוץ איר אַרבעט ווי אַן איבערזעצער האָט הרשבֿ אויך געדינט ווי די פּרעזידענטין פֿון דער אַמעריקאַנער אַסאָציאַציע פֿון ליטעראַרישע איבערזעצער, און האָט געפֿירט איבערזעצונג־וואַרשטאַטן אינעם דעפּאַרטמענט פֿון פֿאַרגלײַכיקער ליטעראַטור אין יעל־אוניווערסיטעט, דערבײַ שטיצנדיק יונגע איבערזעצער זיך צו פֿאַרנעמען מיט דער ייִדישער און העברעיִשער ליטעראַטור. זי האָט זיך אויך איבערגעגעבן צום קאַמף פֿאַר געשלעכט־גלײַכקייט און פֿאַר שלום און גערעכטיקייט אין ישׂראל/פּאַלעסטינע.
אין 2018 איז הרשבֿ געוואָרן די ערשטע העברעיִשע און ייִדישע איבערזעצערין צו באַקומען די „פּען/מאַנהײַם מעדאַל פֿאַר איבערזעצונג“.
פֿאַר אונדז וואָס האָבן זי געקענט, איז באָבי געווען אַ בריליאַנטענע, ברייטהאַרציקע פֿרײַנדינע און קאָלעגע, שטענדיק גרייט צו העלפֿן אַנדערע מיט עצות און הדרכה.
The post The exceptional translator Barbara Harshav has died appeared first on The Forward.
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Rahm Emanuel: Pursuit of Greater Israel as ‘fanatical’ as the chant ‘from the river to the sea’
(JTA) — The pursuit of Greater Israel is a corrosive fantasy, veteran Democratic politician Rahm Emanuel is expected to tell a Tel Aviv audience on Wednesday, calling it as “destructive and fanatical” as the chant “from the river to the sea.”
Emanuel, who has held multiple top roles in the Democratic Party, in Congress and in the Obama White House, is a potential 2028 presidential candidate.
He will warn that Prime Minister Benjamin Netanyahu is leading the country to a “dead-end” that has turned the country into a “pariah” and is threatening Israel’s historic alliance with the United States, according to an advance copy of his speech shared with the Jewish Telegraphic Agency on Tuesday.
He blamed as “our mistake” America’s assumption that “the best thing Washington could do for Jerusalem was to blindly and silently stand behind your government, without conditions, without demands, and without consequences.” That path has led to policies including Israeli extremists terrorizing West Bank Palestinians and Gazans suffering from a lack of food that means “Israel has never been so isolated,” a situation that he terms “a countdown clock” for Israel’s security.
Instead, his remarks state, “we need a fundamentally new and different approach to the alliance.”
At the same time, he criticized the Palestinians for what he said were mistakes and obstacles to peace over the years. He lambasted their supporters in the United States who support replacing Israel with a Palestinian state stretching from the Jordan River to the Mediterranean Sea.
“Those chanting ‘from the river to the sea’ need to hear this loud and clear: they will never have their way,” he declares in his prepared remarks. “But those calling for a greater Israel must also hear this loud and clear: you’re never going to have your way, either. Both are fantasies chanted by fanatics.”
Emanuel, who is a former U.S. congressman from Illinois as well as a former Chicago Mayor and served as White House Chief of Staff under President Barack Obama, is considering a presidential run in 2028. His trip has garnered media attention given that his ideas on Israel could signal the direction of his party on the issue, particularly as they come from a Jewish politician with close ties to the country. Emanuel once volunteered as a civilian with the Israeli army and his father was an Israeli citizen.
His trip to Israel to underscore the importance of the Israeli-U.S. alliance and to advocate for a new regional diplomatic initiative comes at a time when politicians in his Democratic Party are increasingly disavowing Israel to gain an edge in upcoming elections as the country’s reputation plummets.
A Pew Research Center Poll published in April found that 60% of Americans had an unfavorable view of Israel, but its standing was worse among Democrats and Democratic-leaning Independents, where 8 out of 10 had negative views about Israel.
According to his prepared speech, Emanuel is set to highlight his deep connection to the Jewish state and his family’s sacrifice in bringing about its creation, noting that his uncle, who was a member of the pre-state underground, is buried on Jerusalem’s Mt. of Olives. His father, Benjamin, was born in Jerusalem in 1927 and fought in Israel’s 1948 War of Independence before immigrating to the United States, where he raised his family in Chicago.
Emanuel plans to recount Israel’s history of overtures in the name of peace and in the face of Palestinian violence during the second intifada and the Oct. 7, 2023, Hamas-led attack on southern Israel. He will explain that he understands Israel’s cynicism regarding any future arrangement with the Palestinians since Israel’s past offers of Palestinian sovereignty in exchange for security were frequently met with violence.
“I understand why, even if you oppose the Netanyahu government, you’re so prone to dismiss criticism from the outside world,” Emanuel wrote, underscoring that a “corrupt Palestinian leadership has never lived up to the Palestinian people’s legitimate aspirations for sovereignty and self-determination.”
Still, he wrote, Israel’s future can’t be “held hostage to a past defined exclusively by recriminations,” warning that such a stance will endanger its “historic alliance with the U.S.,” which is now “at a crossroads.” Israel must embark on a path that pairs military and diplomatic efforts, rather than relying solely on military prowess, he wrote.
“Israel will be alone if its leaders choose to attempt to annex the West Bank and pursue the fantasy of a greater Israel,” Emanuel plans to say.
“America will not and cannot be complicit or complacent in that endeavor,” he wrote, explaining that it has erred in the past by “blindly and silently” supporting Netanyahu’s government.
The speech calls for an end to the “American taxpayer’s subsidy of Israel’s defense budget,” maintaining that Israel should buy U.S. arms with the same financial terms and restrictions as every other ally “that abides by our laws.”
The speech laid out a broad-based policy with regard to a two-state resolution to the Israeli-Palestinian conflict that rejects extremist Israeli violence against Palestinian civilians and illegal West Bank settlement building but does not spell out prescriptions for divisive issues such as the future of Jerusalem or using the pre-1967 lines for determining the borders of a Palestinian state.
Emanuel does not mention the U.S.-based political advocacy group J Street in his speech, but the text picks up on the 23-state policy idea that J Street put forward last year, involving 21 Arab states, alongside Israeli and Palestinian ones, that would include recognition of Israel by the Arab League.
Such a regional integration would allow for Israel and the larger Middle East to become a technological and transit hub for trade between Europe and India, he plans to say.
To achieve this regional peace, Emanuel continues, the Arab states would have to support a Palestinian governing entity that would accept the Jewish historic connection to Israel, stop teaching its children to hate Israel and end the “heinous practice” of financially rewarding terrorists who kill Jews.
Israel, he wrote, would have to halt unilateral actions in the West Bank, stop nurturing harmful organizations and support “real partners in pursuit of peace.”
This scenario rests on a three-part U.S. policy in the region that would leverage the Arab world’s desire for stability, Israel’s need for security, and Palestinian demands for sovereignty.
“The political benefits for all parties would be far greater than a two-state solution could ever offer. But to get there, everyone would need to make good on their piece of the bargain,” he wrote in his speech.
The alternative path, he wrote, is one that has seen Israel isolated and turned it into a pariah state.
“Israel has failed to convert its military wins into strategic advantages,” Emanuel is expected to say, noting that the country has “lost Europe” and its support in the U.S. is plummeting. U.S. unconditional support for Israel without demands and consequences has been a mistake, he added in his speech, in which he blamed Israel’s poor global standing on Netanyahu’s policies.
A centrist Jewish Democrat embracing a policy promulgated by J Street, a group founded in 2008 to counter the influence of what was then the mainstream pro-Israel lobby AIPAC, illustrates the degree to which the American Israel Public Affairs Committee and its credo of creating a bipartisan consensus of support for Israel has eroded.
Emanuel plans to recall his own tensions with Netanyahu, who during his time as White House Chief of Staff labeled him a “self-loathing” Jew for opposing West Bank settlement construction.
Netanyahu, he wrote in his prepared remarks, “cannot fight indefinitely against a world that has stopped believing you have the right to fight. You must instead find a new sustainable path to peace, security, and prosperity.”
Alternatively, he wrote, the United States would stand “shoulder-to-shoulder” with Israel as it pursued peace and security.
The post Rahm Emanuel: Pursuit of Greater Israel as ‘fanatical’ as the chant ‘from the river to the sea’ appeared first on The Forward.
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US launches ‘powerful strikes’ against Iran
(JTA) — The U.S. military announced that it had launched strikes against Iran Tuesday evening, marking the latest exchange of blows between the countries amid a fragile ceasefire.
In a post on X, U.S. Central Command announced that American forces had begun launching a “series of powerful strikes against Iran to impose heavy costs for targeting and attacking commercial shipping crewed by innocent civilians in an international waterway.
“The U.S. strikes are in response to Iranian attacks on three commercial vessels that were transiting the Strait of Hormuz,” the post continued. “Iran’s demonstrated aggression was unwarranted, dangerous, and a clear violation of the ceasefire.”
The latest round of violence could further imperil U.S. negotiations over fully reopening the Strait of Hormuz and reviving talks over Iran’s nuclear program.
Israel has treated the U.S.-Iran negotiations warily, chafing especially at the proposed imposition of terms of engagement with Iran-backed Hezbollah in Lebanon.
Iran has not claimed responsibility for the attacks on commercial vessels. Qatar’s Foreign Ministry spokesperson Majed Al Ansari wrote in a post on X that the country held Iran “fully legally responsible” for an attack on the Qatari ship Al-Rekayyat in the strait.
“We demand that the Islamic Republic of Iran immediately cease all practices that undermine regional security or threaten the safety of international maritime navigation, & refrain from endangering global energy supplies & the resources of the countries of the region in pursuit of narrow interests,” Al Ansari wrote.
Saudi Arabia’s Foreign Affairs Ministry also condemned Iran’s alleged attack on a Saudi tanker, in a post on X shortly before the U.S. strikes were announced.
“The Kingdom affirms that these reprehensible attacks constitute an assault on the security and safety of international navigation and on the security of global energy supplies,” the post read.
The strikes come over a week since the last known round of U.S. strikes on the country late last month, which followed Iranian attacks on both Bahrain and Kuwait.
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