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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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Israel to Reopen Jordan Border Crossing for Passage of Aid, Goods After Terror Attack
Israeli police officers stand next to their cars at the scene of a fatal shooting at the Allenby Crossing between the West Bank and Jordan, Sept. 18, 2025. Photo: REUTERS/Oren Ben Hakoon
Israel is set to reopen the Allenby Crossing with Jordan to the passage of goods and aid on Wednesday, an Israeli security official said on Tuesday.
The border crossing has been closed to aid and goods since September, when a driver bringing humanitarian aid to Gaza opened fire and killed two Israeli military personnel before being killed by security forces.
The security official said the crossing would have tightened screening for Jordanian drivers and truck cargo, and that a dedicated security force had been assigned to the crossing.
The Allenby Bridge is a key route for trade between Jordan and Israel and the only gateway for more than 3 million Palestinians in the West Bank to reach Jordan.
The crossing reopened to passenger traffic shortly after the attack, but had remained closed to aid trucks. The UN says the crossing is a major route for bringing food, tents, and other goods into Gaza.
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US Imposes Sanctions on Network It Accuses of Fueling War in Sudan
A bronze seal for the Department of the Treasury is shown at the US Treasury building in Washington, US, Jan. 20, 2023. Photo: REUTERS/Kevin Lamarque
The US on Tuesday imposed sanctions on actors it accused of fueling the war in Sudan, taking aim at what it said was a transnational network that recruits former Colombian military personnel and trains soldiers, including children, to fight for the paramilitary Rapid Support Forces.
The US Treasury Department in a statement seen by Reuters said that it imposed sanctions on four individuals and four entities that were part of the network, which it said was largely comprised of Colombian nationals and companies.
The Treasury said that since at least 2024, hundreds of former Colombian military personnel have traveled to Sudan to fight alongside the RSF, which the US has accused of committing genocide.
The Colombians have provided the RSF with tactical and training expertise and served as infantry and artillerymen, drone pilots and instructors, among other roles, with some training children to fight for the paramilitary group, according to Treasury, which added that Colombian fighters have participated in battles across Sudan, including in the capital Khartoum and al-Fashir.
“The RSF has shown again and again that it is willing to target civilians — including infants and young children. Its brutality has deepened the conflict and destabilized the region, creating the conditions for terrorist groups to grow,” Treasury Under Secretary for Terrorism and Financial Intelligence, John Hurley, said in the statement.
Among those targeted was Alvaro Andres Quijano Becerra, who the Treasury said was a dual Colombian-Italian national and a retired Colombian military officer based in the United Arab Emirates. It accused him of playing a central role in recruiting and deploying former Colombian military personnel to Sudan.
The UAE has been widely accused of arming the RSF, an accusation it has denied.
“The United States again calls on external actors to cease providing financial and military support to the belligerents,” Treasury said in the statement.
The conflict between the Sudanese army and the RSF erupted in April 2023 out of a power struggle and has triggered famine, ethnic killings, and mass displacement. In November, US President Donald Trump said he would intervene to stop the conflict.
The United States, the United Arab Emirates, Egypt, and Saudi Arabia – known as the Quad – earlier in November proposed a plan for a three-month truce followed by peace talks. The RSF responded by saying it had accepted the plan, but soon after attacked army territory with a barrage of drone strikes.
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When Is a Wedding Too Extravagant?
A wedding ceremony, illustrative. Photo: Jason Hutchens via Wikimedia Commons.
It has been part of my life as a rabbi to attend weddings — more often than not, to “perform.” I reckon that I have attended approximately 100 weddings of various sizes, styles, numbers, and traditions. Some I have enjoyed, but I am finding it increasingly hard to feel comfortable about many of the religious weddings I have attended.
They are getting more and more protracted. People are forced to wait for hours. A wedding I once attended was so overcrowded by jostling relatives under the Chupah, that the father of the bride couldn’t get close enough to give his son in law a sip of the cup of wine.
One band plays for the reception, another for the Chupah, a third for Hasidic or Israeli dances, a fourth for ballroom dancing, and a fifth for a disco. One singer is for Ashkenazi cantorial style, one for Hasidic pop, one for Sephardi tunes, and another for Carlebach. As for food, a loaded reception is offered as people arrive, and sushi is a must. There are multiple servings and meals, and if there’s a Hasidic Mitzvah dance at the end, you’ll get a complete breakfast too.
It is fashionable in the Diaspora to fly in rabbis from Israel. An oligarch recently hired an airliner to ferry over musicians, artistes, and security alone. Consider the millions being spent each year on religious weddings. And then consider how much charitable and educational work could be accomplished instead of a one-night bash that disappears into photo albums a few hours after it is over, to be glanced at perhaps once a year thereafter. The cost and the waste is mind blowing.
Successful businessmen have to invite business contacts, flaunt their success to attract new capital, and invite gaggles of rabbis to prove their religious status and legitimacy. It is not just spoiled daughters who clamor for excess; it’s magnates, too.
Over the past 50 years of rising Jewish affluence, as well as continuing Jewish poverty, many religious leaders of all denominations have tried hard to limit excessive expenditures on weddings, to absolutely no avail. Desperate parents have offered apartments and cars instead of huge weddings. Occasionally, you hear of a couple who elope to Israel or just take a rabbi and two witnesses into Central Park, but the pressures are great — and in most Jewish circles, it is simply not an option.
Recently, I entertained a relatively humble Rosh Yeshiva from Israel with 10 children who has personal debts of $500,000 because of marrying off his five daughters. It was not just the cost of the wedding itself or all the celebrations. It was the need to buy an apartment for each that left him staggering under such a heavy load of debt. And at the same time, he must help and support his five sons who are also married but are studying full time. This is not atypical. A rented apartment is unacceptable nowadays. And the chances of someone with no serious secular education getting a good job are massively reduced in Israeli society, indeed in any society nowadays.
Judaism is expanding because of its families blessed with many children. And it is true that social welfare (incidentally a product of the secular culture they despise) enables this mindset. But eventually, at some point, social welfare will have to be cut back as fewer enter the workplace to fund all this with their taxes.
For our own good as a people, we must call a halt to throwing so much money away on pure self-indulgence. If we care for our future, we must give as much attention to supporting Jewish education as we do to celebrating occasions. And the place to start is weddings. Make your calculations. Then set budgets, be realistic, and divide the sum evenly between your needs and those of others.
It is a huge mitzvah to rejoice at weddings and to help couples get married. Every day in our prayers, we are reminded how important Hachnasat Kala is. But that doesn’t mean we should go overboard. There should be limits.
The author is a rabbi and writer based in New York.