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Jewish women should get mammograms at 40, experts say. Here’s why.
When Yaffa Leah Field was in her late 20s, she decided to undergo genetic testing.
Her grandmother had had breast cancer, and Field wanted to know whether she was among the one of every 40 Jewish women of Ashkenazi descent with either the BRCA1 or BRCA2 genetic mutations, which make them extra susceptible to breast cancer.
If she did have one of those mutations, her chances of developing breast cancer by age 70 would be roughly 50% in her lifetime, according to the Centers for Disease Control.
“The test came back negative,” said Field, now 43 and the mother of three boys.
Though temporarily relieved, she knew that breast cancer risk is not limited to those with the genetic mutations. Roughly one in eight women will develop the disease in their lifetime, and men, too, can have breast cancer.
Close monitoring, therefore, is essential. For women, that means not only regularly checking their breasts themselves for lumps or abnormalities, but getting mammograms. The question is when to start.
Field, who now works at Sharsheret, the national Jewish nonprofit that offers education, counseling and support to women facing breast and ovarian cancer, got her professional start as a physician’s assistant, so she knew how important it was to “do my screening on time.”
But what exactly “on time” means has been the subject of much debate and disagreement.
The question came to the fore again this spring when a panel of experts serving on the United States Preventive Services Task Force (USPSTF) revised earlier guidelines and changed the recommended age that women get their first mammograms to 40, from 50, and suggested that they continue to have mammograms done once every two years. It’s not the first time the recommendation has changed.
“In 2016 the US Task Force changed the guidelines from 40 to 50,” said Dr. Caryn Gamss, a radiologist at Murray Hill Radiology in Manhattan.
Gamss is also a member of Sharsheret’s Medical Advisory Board. In her practice, Gamss adheres to guidelines from the American College of Radiology that recommend starting yearly screenings at age 40 provided a person has no risk factors.
“Fifty is too late,” Gamss says.
Even waiting until age 40 can be risky, as recent studies have shown high breast cancer mortality rates for women in that age group, she noted.
“People need to think about it younger instead of waiting and then finding out ‘My mother had cancer, my grandmother…’ — and they show up at 40 and have cancer, too,” Gamss said.
Her recommendation is that all women undergo a breast cancer risk assessment by age 25. That entails answering a panel of questions that covers one’s family and medical history. Among other things, the assessment inquires whether a person had “a biopsy and a high risk lesion; breast density, if someone has lymphoma and was treated under the age of 25; if someone got upper abdominal radiation before age 25.”
The responses to these questions help doctors determine when and how individual patients should be screened — including whether to do MRIs and ultrasounds to supplement mammograms, for example. At-risk women should start their 30s armed with information and a plan.
Short of that, there is what Peggy Cottrell, Sharsheret’s genetics program manager, calls a general rule of thumb: “If breast cancer has been diagnosed at a particular age, you want to start screening 10 years before that. So if someone’s mother was diagnosed with breast cancer at 45, that person is going to start screening at 35.”
Avoiding smoking and alcohol, exercising, and a good diet are important to maintaining good health, Cottrell notes, but perhaps the biggest factor is chance. In fact, hereditary cancers like those caused by BRCA mutations account for only 15% of all breast cancers; most occur for reasons unknown. That makes screening all the more essential.
“For many women, knowing there is something they can do that can reduce their risk motivates them,” she said.
Many women delay getting mammograms out of fear of the results, nervousness about the process or just general anxiety. This is another area where Sharsheret provides women with help and guidance – even in the waiting room.
In order for doctors to interpret mammograms properly, they require two specific views of each breast. Sometimes, technicians need to take more than four photos to ensure they get those views; it doesn’t mean anything is wrong.
Women with no risk factors should get their first mammogram at age 40, experts now say, and to determine their level of risk, all women should undergo a breast cancer risk assessment by age 25. (Carol Yepes/Getty Images)
Even if you’re asked to come for a follow-up mammogram – what’s known as a diagnostic mammogram – it just means that more imaging is required, not that there’s necessarily a problem. Sometimes doctors observe a change in appearance from the prior year or a fold in the skin; other times the original image failed to capture the necessary view. Likewise, for some younger women and those with dense breasts, a mammogram may not suffice; doctors may require an ultrasound or MRI to examine the breast adequately.
Adina Fleischmann, a social worker who serves as Sharsheret’s chief services officer, recommends that each individual discuss their own circumstances with their healthcare provider. Sharsheret tries to promote awareness of the importance of getting breast cancer risk assessments, and to provide guidance to women about what to ask.
“We want to make sure that each woman who reaches out is able to ask the right questions: How often should I be screened? What’s the most appropriate screening method for me? Questions about what breast density means and how it can impact them,” Fleischmann said. “Those are the tools we want to give to our women.”
Women seeking guidance are encouraged to call Sharsheret toll-free at 866 474-2774 to connect with therapists and genetic counselors.
Sharsheret also offers peer-to-peer support, programs to guide cancer patients on how to talk about their illness with their children, and support to people who have a family member with breast cancer, including financial assistance for non-medical services critical to women’s quality of life and body image, such as acquiring wigs. Sharsheret also hosts live events such as barbecues, online yoga classes, family fun runs and other programs to empower women with cancer and foster a sense of community.
The education and awareness programming Sharsheret runs start as early as high school and college campuses, such as an annual Pink Day that includes grassroots fundraising events at hundreds of campuses worldwide.
“Sharsheret is here to arm you with education and to let you know that you’re not alone,” Fleischmann said. “Cancer screening, and the knowledge that comes along with it, can be empowering. By speaking with your healthcare provider about the screening guidelines that are most appropriate for you, you are taking a step toward your best health.”
As for Field, she went for her first baseline mammogram at age 40 — in the spring of 2020, just as Covid hit and the world masked up and locked down. The doctors identified something suspicious.
“It started a roller coaster of diagnostic testing. I wound up with eight biopsies, and in the end I had a bilateral mastectomy,” Field said after cancer was identified. “I feel thankful it was found very early.”
Her advice: Know your body and your family history.
“Breast cancer doesn’t just affect women 40 and older,” Field said. “Know your potential risks. Empower yourself to know what you need to be aware of. It shouldn’t be a shock. Be appropriately proactive.”
“And most importantly, when you reach the age when it’s recommended, get screened,” Field said. “It may be uncomfortable for a few minutes, but it’ll give you peace of mind.”
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The post Jewish women should get mammograms at 40, experts say. Here’s why. appeared first on Jewish Telegraphic Agency.
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Liri Albag Celebrates 20th Birthday at Hospital With Other Hostages Released From Gaza
Liri Albag, center, standing from a balcony inside Israel’s Rabin Medical Center and watching an orchestra performance for her birthday alongside Agam Berger, Daniella Gilboa, Karina Ariev, and Naama Levy. Photo:
American Friends of Rabin Medical Center
Liri Albag, who was recently released from captivity in Gaza as part of the Israel-Hamas ceasefire, celebrated her 20th birthday on Tuesday with other former hostages at Rabin Medical Center’s Beilinson Hospital in Petach Tikvah, Israel, where she is recovering after returning home 10 days earlier.
An orchestra came to the hospital to perform a small concert for Albag, who celebrated her previous birthday in Hamas captivity. The songs included Leonard Cohen’s “Hallelujah” and “Happy Birthday.” She watched from a balcony on one of the upper floors of the hospital alongside other freed hostages Agam Berger, Daniella Gilboa, Karina Ariev, and Naama Levy. All five women were serving as surveillance soldiers in the Israel Defense Forces when they were kidnapped from an IDF base in Nahal Oz by Hamas-led terrorists during their deadly rampage in southern Israel on Oct. 7, 2023.
Albag, Gilboa, Ariev, and Levy returned together after 15 months in Hamas captivity as part of the ceasefire agreement between Israel and Hamas. Five days later, Berger was also released as part of the ceasefire deal.
Albag uploaded a post on Instagram about her birthday and wrote: “Today I get to celebrate my 20th birthday with my loved ones. The only wish I asked for — is for all the hostages to return.”
Her older sister, Roni Albag, shared a photo from the birthday celebrations on Instagram and wrote in the caption: “Our Lirosh, our number 1. I dreamed of this moment countless times and here you are. Today you celebrate your 20th birthday at home!!! Today you celebrate the life that was given to you again. You are our victory, our heart and the light of our home. I love you and am here for you forever and ever.”
Liri posted on social media on Friday for the first time since returning from captivity. In an Instagram post, she thanked the people of Israel for their “support, love, and help.” She said, “Together, we are strength.” She also thanked the IDF and members of Israel’s security forces “who sacrificed their souls and fought for us and our country! There isn’t a morning that I don’t pray for their safety.”
“Finally got to reunite with my family! But our fight isn’t over and I won’t stop fighting until everyone is home!” she added. “I want us to continue to stay united, because together nothing can break us. The unity and hope we have in us scares all our enemies, amazes all our lovers, and comforts the people among us. A sentence that used to accompany me was ‘at the end of every night, darkness disappears.’ And I wish that everyone can see the light.”
Seven surveillance soldiers were abducted from the Nahal Oz base on Oct. 7, 2023, including Noa Marciano, who was killed in Hamas captivity, and Ori Megidish, who was rescued by the IDF in October 2023.
The post Liri Albag Celebrates 20th Birthday at Hospital With Other Hostages Released From Gaza first appeared on Algemeiner.com.
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US Lawmakers Mostly Skeptical at Trump Proposal for US to ‘Take Over’ Gaza
US President Donald Trump and Israeli Prime Minister Benjamin Netanyahu meet at the White House in Washington, DC, US, Feb. 4, 2025. Photo: REUTERS/Elizabeth Frantz
US lawmakers from both major parties mostly pushed back against President Donald Trump’s bombshell declaration that the US would “take over” the Gaza Strip to build the war-torn Palestinian enclave back up, with some members of Congress accusing Trump of endangering American troops, destabilizing the Middle East, and floating an ethnic cleansing campaign in Gaza.
On Tuesday night, Trump and Israeli Prime Minister Benjamin Netanyahu, who was visiting the White House, held a press conference following their private meeting in the Oval Office. Trump asserted that the US would assume control of Gaza and develop it economically into “the Riviera of the Middle East” after Palestinians are resettled elsewhere.
“The US will take over the Gaza Strip, and we will do a job with it too,” Trump told reporters. “We’ll own it and be responsible for dismantling all of the dangerous unexploded bombs and other weapons on the site.”
“We’re going to develop it, create thousands and thousands of jobs, and it’ll be something that the entire Middle East can be very proud of,” Trump added. “I do see a long-term ownership position and I see it bringing great stability to that part of the Middle East.”
He suggested that Palestinians “should not go through a process of rebuilding” be relocated to other countries in the region, at least for the time being.
“That’s insane. I can’t think of a place on earth that would welcome American troops less and where any positive outcome is less likely,” Sen. Chris Coons (D-DE) said of the idea.
Sen. Lindsey Graham (R-SC), one of the most strident allies of Israel in Congress, expressed skepticism about Trump’s proposal, calling it “problematic.”
“We’ll see what the Arab world says, but you know, that’d be problematic at many, many levels,” Graham said.
Sen. Tim Kaine (D-VA) repudiated Trump’s comments as “nuts” and suggested that members of both parties would be opposed to an American takeover of Gaza.
“I don’t know where this came from, but I can tell you … that would not get many expressions of support from Democrats or Republicans up here,” Kaine said.
Sen. Rand Paul rebuked the idea of sending American troops to secure Gaza, likening the proposal to an “occupation.”
“I thought we voted for America First. We have no business contemplating yet another occupation to doom our treasure and spill our soldiers’ blood,” Sen. Rand Paul (R-KY) said.
White House press secretary Karoline Leavitt told reporters on Wednesday that Trump has not committed to putting US troops on the ground in Gaza as part of his proposal, saying the US needs to be involved in the rebuilding of Gaza “to ensure stability in the region” but that “does not mean boots on the ground” in the enclave.
Meanwhile, Sen. Chris Murphy (D-CT) dismissed the seriousness of Trump’s proposal, instead accusing the president of using Gaza as a distraction.
“I have news for you — we aren’t taking over Gaza. But the media and the chattering class will focus on it for a few days and Trump will have succeeded in distracting everyone from the real story — the billionaires seizing government to steal from regular people,” Murphy said on X/Twitter.
Sen. Thom Tillis (R-NC) also expressed skepticism that the plan would ever come to fruition.
“Obviously it’s not going to happen. I don’t know under what circumstance it would make sense even, even for Israel”
Rep. Rashida Tlaib (D-MI), the only Palestinian American in Congress and an outspoken critic of Israel, was apoplectic at Trump’s proposal, accusing the president of orchestrating an “ethnic cleansing” effort.
“Palestinians aren’t going anywhere. This president can only spew this fanatical bulls—t because of bipartisan support in Congress for funding genocide and ethnic cleansing,” Tlaib wrote on X/Twitter.
However, a handful of lawmakers expressed support for Trump’s proposal to completely overhaul Gaza.
Speaker of the House Rep. Mike Johnson (R-LA) praised Trump’s press conference as “strong and decisive.”
“We’ve got to stand in an unwavering manner with Israel, our closest ally in the Middle East. The strong and decisive move is an important step in that regard,” Johnson said.
“It just makes sense to make the neighborhood there safer,” he added. “It’s common sense.”
Likewise, Rep. Marsha BlackburnT (R-TN) stated that Trump’s proposal “will eliminate Hamas terrorists and create economic prosperity.”
Sen. John Fetterman (D-PA), one of the strongest defenders of Israel in Congress, called Trump’s comments “provocative” but “part of a conversation.”
“The Palestinians have refused, or they’ve been unwilling to deliver, a government that provided security and economic development for themselves,” Fetterman said. “They allowed Oct. 7 to occur, and now Gaza has to be rebuilt. Where are the people going to live? Where are they going to go? So it’s part of a conversation with where they’re at right now.”
While many foreign policy experts opposed Trump’s proposal for reasons similar to those expressed by lawmakers, others saw potential merit, suggesting that relocating civilians from Gaza would bolster Israel’s safety and provide Palestinians with a better quality of life.
“To be clear, the position that human beings must remained trapped in ruins to be used as human shields for a brutal terrorist organization and political pawns in a 77-year war to destroy the State of Israel is the anti-human rights position,” wrote Richard Goldberg, senior adviser for the Foundation for Defense of Democracies (FDD).
David Friedman, the US ambassador to Israel during the first Trump administration, praised Trump’’ plan, saying that “most people in Gaza wanted to leave even before 10/7 [Hamas’s invasion of Israel on Oct. 7, 2023, which started the Gaza war], but no one would take them in.”
“Assuming civilians agree to leave but Hamas sympathizers and terrorists do not, Hamas will be deprived of its most strategic weapon — human shields — and its eradication will be accelerated,” Friedman continued.
Steve Witkoff, the current US special envoy to the Middle East, hinted at support for Trump’s plan, arguing that Palestinians in Gaza deserve a “better life” and “better opportunities.”
“A better life is not necessarily tied to the physical space that you’re in today,” Witkoff said to Fox News host Sean Hannity. “That doesn’t occur because you get to pitch a tent in the Gaza Strip.”
Trump’s press conference echoed comments he made to reporters earlier on Tuesday, in which he also called for the relocation of Gaza’s civilians to Egypt, Jordan, and other Arab states, referring to the enclave as a “demolition site” and saying residents have “no alternative” but to leave.
“[The Palestinians] have no alternative right now” but to leave Gaza, Trump told reporters before Netanyahu arrived. “I mean, they’re there because they have no alternative. What do they have? It is a big pile of rubble right now.”
Despite Trump’s insistence, Arab leaders have adamantly rejected the president’s proposal, claiming that they would not absorb civilians from the war-torn Gaza Strip. Trump has not offered any specifics about how a resettlement process could be implemented.
The post US Lawmakers Mostly Skeptical at Trump Proposal for US to ‘Take Over’ Gaza first appeared on Algemeiner.com.
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Israelis Prefer Saudi Normalization Along With Creation of Palestinian State Over West Bank Annexation: Poll
Israeli national flags flutter near office towers at a business park also housing high tech companies, at Ofer Park in Petah Tikva, Israel, Aug. 27, 2020. Photo: REUTERS/Ronen Zvulun
Israelis prefer normalizing relations with Saudi Arabia along with the creation of a Palestinian state over the annexation of the West Bank, new polling shows.
The poll, released by the aChord Research Institute at Hebrew University, found that given the choice to “promote a regional political-security arrangement that includes normalization with Arab states, including Saudi Arabia, and agreeing to establish a Palestinian state” or to “promote full annexation of the West Bank,” 60 percent of Israelis prefer the former while 31 percent prefer the latter.
Another 9 percent said they were unsure.
The newly released poll was conducted last month, as US President Donald Trump returned to the White House.
During his first term as president, Trump’s administration brokered the Abraham Accords, agreements between Israel and numerous Arab states to normalize relations. However, Saudi Arabia was not one of them, and both Washington and Jerusalem have seen Israeli-Saudi normalization as a key goal to foster greater peace, stability, and prosperity in the Middle East.
Saudi Arabia’s foreign ministry said in a statement on Wednesday that Riyadh would not establish ties with Israel without the creation of a Palestinian state. The statement came one day after Trump said the United States would take over Gaza after Palestinians are resettled elsewhere and develop it economically. No Arab country has expressed willingness to take in Palestinians from Gaza.
Some observers have speculated that Trump’s comments are designed to act as leverage in negotiations concerning either the next phase of the Gaza ceasefire and hostage-release deal or Saudi Arabia establishing diplomatic relations with Israel.
As for the West Bank, a reporter asked Trump on Monday whether he supports Israel potentially annexing parts of the territory. Though Trump refused to answer the question directly, he seemed to indicate dissatisfaction with the size of Israel’s territorial boundaries, noting that the Jewish state is a “very small piece of land” and praising Israelis for their “amazing” accomplishments despite their country’s size.
Mike Huckabee, who Trump nominated to serve as the next US ambassador to Israel, has defended Israel’s right to build settlements in the West Bank, acknowledging the Jewish people’s ties to the land dating back to the ancient world.
Israelis who support annexing parts of the West Bank similarly note the Jewish people’s deep connection, both religiously and historically, to the land, as well as the fact that areas with well established settlements would likely be part of Israel under a two-state solution.
The two goals of Israeli-Saudi normalization and West Bank annexation are widely seen as mutually exclusive, as annexation would likely preclude many Arab states, most importantly Saudi Arabia, from considering normalization.
The Hebrew University poll also found that the majority of the Israeli public (55 percent) supports completing the hostage deal through all its phases and thus ending the war in Gaza. However, 59 percent also believe the deal damages Israel’s security situation, as thousands of terrorists will be released from Israeli prisons under the agreement.
There is also optimism about Trump entering office again. Sixty percent of Israelis say they believe he will act in Israel’s interests, according to the poll.
The post Israelis Prefer Saudi Normalization Along With Creation of Palestinian State Over West Bank Annexation: Poll first appeared on Algemeiner.com.
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