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THE

SINAI FAMILY

CAN

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Our Commitment To Jewish
Tradition Continues.

Although we're now part of the area's largest
health system, we haven't lost sight of our
dedication to Jewish traditions. Whichis why
we continue to observe religious holidays,
offer rabbinical service, as well as maintain
Sinai's kosher kitchen. What's new is the fact
that The Detroit Medical Center is expanding
these practices, especially at Huron
Valley-Sinai Hospital.

3,300 Physicians
Call Us Home.

Joining the DMC has allowed us to
provide our patients with numerous advantages,
including complete access to all 8 area hospitals
and 100 outpatient facilities. You'll also discover
an impressive staff of 3,300 physicians and
specialists, some of whom have achieved both .
national and international renown.

HELP

Yo u RS.

THE DETROIT MEDICAL CENTER

A Health System So
Advanced, It Even Includes
A Medical School.

An on-going partnership with the Wayne
State University School of Medicine has made
us the largest academic health system in
Michigan. All of which allows our medical staff
to develop and provide patients with some of
the most-advanced medicine in the world.

To find out just how much the Sinai family has grown,

WELCOMES SINAI HEALTH SYSTEM

or to meet with a DMC/Sinai physician, call

1.800.248.3627

AS ITS NEWEST MEMBER.

Wayne State University

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Hospital

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cer. Over 2 percent of those test-
ed had mutations in the BRCA1
and BRCA2 genes that confer in-
creased risks of breast, ovarian,
and prostate cancer. This is a rate
five to eight times that of the
white, non-Jewish population.
Yet, the risks found in this
study were well below previous
estimates based on high-risk fam-
ilies. If the family history of can-
cer is not strong, the risk for the
same mutation is just over 50 per-
cent for breast cancer and 16 per-
cent for ovarian cancer rather
than the inferred for people whose
families have strong histories of
breast and ovarian cancer.
In this case, genetic testing has
answered one of June Farthing's
questions. Two percent, or one in
50 of all Ashkenazi Jewish women
are at increased risk of develop-
ing breast cancer because of an in-
herited gene. But inherited
tendencies do not account for the
vast majority of breast cancer. Be-
tween 90 and 95 percent of breast
cancer is not due to an inherited
tendency to develop the disease.
Family histories of breast can-
cer can be caused by environ-
mental conditions. One in Nine,
the Long Island, N.Y., group of
breast cancer survivors that con-
tains many Ashkenazi Jewish
women, found a connection be-
tween breast cancer and those
who lived in neighborhoods that
were sprayed in the 1950s with
the pesticide DDT.
Jewish researchers and ac-
tivists that include former Con-
gresswoman Bella Abzug and Dr.
Devra Lee Davis, epidemiologist
at the World Resources Institute
and former senior scientific advi-
sor to the U.S. secretary of heath,
have pursued environmental
causes to explain what feels like
an epidemic of breast cancer in
the Jewish community. They look
to synthetic chemicals that act like
estrogens and can mimic hor-
mones in the human body.
Ms. Abzug, a breast cancer sur-
vivor, chaired a public hearing on
the rising rates of breast cancer,
reproductive disorders and chil-
drenc s disease in Ann Arbor in
December 1995. At that hearing,
she said, "We need to explore
some of the important new areas
of research which are finding that
breast cancer has links to whole
new classes of chemicals which
were previously thought to be be-
nign. The fact that the plastics
that we use, or that chemicals
used in the lining of tin cans may
be impacting the formation and
patterns of disease means that we
need new strategies that link pat-
terns of consumption, industrial
production an public policy in new
and important ways."
The epidemic Ms. Farthing
feels is real. Rates of breast can-
cer are rising, among Jews and
non-Jews, in Detroit and across
the country. Dr. Nathanson seek
420 new cases of breast cancer

