Newsletter #107 in PDF Format
Transcription
Newsletter #107 in PDF Format
x Source Issue #107 www.bcaction.org Fall 2009 A Whole New Level of Pinkwashing: Eli Lilly is By Kimberly Bormann and Alice Price-Styles B CA is back at it again with our new Think Before You Pink® campaign for 2009. As with past campaigns, this year we’re identifying another pinkwasher. We coined the term “pinkwashing” several years ago to help us identify companies that claim to care about breast cancer but profit from the sale of products linked to the disease. Last year’s Put a Lid on It campaign spotlighted a problem with General Mills’s Yoplait yogurt pink ribbon campaign. Yoplait yogurt containers featured pink ribbons on the lids and urged consumers to “save lids and save lives.” Unfortunately, Yoplait was manufactured with milk from cows treated with recombinant bovine growth hormone (rBGH), an artificial growth stimulant that has been linked to cancer. Pressure from our members convinced General Mills to use rBGH-free milk for Yoplait, and Dannon followed suit shortly after. This victory eliminated rBGH-stimulated milk from two-thirds of the U.S. dairy market. But as long as rBGH is manufactured, we remain at risk, because rBGH-stimulated milk does not require special labeling. In fact, in some states labeling a product as rBGH-free is prohibited. Eli Lilly is now the sole worldwide manufacturer of rBGH. The best way to eliminate this risk is to go to rBGH's source, and make one simple demand: Eli Lilly and Company must stop manufacturing rBGH. Some Background on Eli Lilly In the fall of 2008, Eli Lilly bought the exclusive rights to rBGH (marketed as Posilac) from Monsanto. Eli Lilly is now the worldwide producer of rBGH, which it manufactures under the subsidiary Elanco Animal Health. Also known as recombinant bovine somatotropin, or rBST, rBGH is injected into cattle to make them lactate longer and produce more milk. The milk from cows injected with rBGH contains elevated levels of a protein that is suspected to increase women’s risk of breast cancer. rBGH is no stranger to controversy. It was approved by the FDA after only 90 days of animal testing, and the studies conducted to obtain approval for rBGH made claims that are contentious in the scientific community. Newer research suggests that the protein in rBGH-stimulated milk is linked to breast cancer. Unfortunately, companies with an investment in the artificial hormone continue to rely on incomplete and outdated studies. This puts the onus on consumers to demand that companies put healthy food before profits. The health risks associated with rBGH are not limited to breast cancer. Use of antibiotics in the dairy industry contributes to the growth of antibiotic-resistant bacteria and has increased mastitis (bacterial udder infections) in cows by 25 percent. These infections must be treated with antibiotics and therefore increase the problem of antibiotic resistance in farm-borne pathogens. These bacteria find their way into our food, milk, air, soil, and water, and can cause major health problems for humans. Eli Lilly Makes Breast Cancer Treatment and ‘Prevention’ Drugs In addition to the breast cancer–linked rGBH, Eli Lilly manufactures Gemzar, a drug that is used in the treatment of metastatic breast cancer. It also manufactures Evista (raloxifene), a drug that it claims to reduce the risk of breast cancer in individuals with high risk factors. continued on page 11 INSIDE EXECUTIVE DIRECTOR’S COLUMN • Breast Cancer Awareness Month: The Present Looks Like the Past 2 GoodGuide: A Tool to Make Companies Do the Right Thing? 4 Safe Cosmetics = Healthy Cigarettes? 6 2 BCA SOURCE FROM THE EXECUTIVE DIRECTOR Breast Cancer Awareness Month The Present Looks Like the Past By Barbara A. Brenner L ongtime readers of this publication know that BCA has long been critical of Breast Cancer Awareness Month (BCAM)— both because of the focus on misleading messages about “early detection” and because of the absence of information about the environmental links to breast cancer. Of course, the silence on environmental issues doesn’t surprise anyone who knows the history of BCAM. That history is being replicated now in a variety of ways, none of them good for women’s health. historically produced herbicides that are known carcinogens. “ “ Back in 1995, I wrote my column for the newsletter and entitled it “Breast Cancer Awareness Month: Now a Word About the Sponsors.” Briefly, BCAM was created by a pharmaceutical company now called AstraZeneca (manufacturer of Arimidex, and formerly of tamoxifen). The company, Breast Cancer Awareness in addition to making Month was created by a drugs to treat breast pharmaceutical company cancer, has historically produced herbicides that called Astra-Zeneca. The are known carcinogens. company, in addition So it’s no wonder that environmental issues to making drugs to aren’t on the agenda for treat breast cancer, has official BCAM messaging. Of course there’s more to the profit cycle now, because as the incidence of breast cancer has grown, more companies have seen the wisdom of making drugs for a growing market. And they don’t seem to see a problem with, at the same time, making products that might increase the risk of breast cancer. What better way to make profits than to create the disease for which you sell the treatments? We’ve written in The Source before about Novartis, which makes the aromatase inhibitor Femara and the herbicide atrazine, which stimulates aromatase production in animals.1 Eli Lilly is also in the game but with an added twist. The company makes cancer drugs, including Gemzar, which is used to treat breast cancer. Thanks to a purchase it made last year from Monsanto, the company now also makes and markets rBGH through its subsidiary Elanco. This hormone, used to stimulate milk production in cows, had been linked to breast cancer and other cancers. To round out its profit circle, Eli Lilly makes and markets Evista, a drug first approved for the treatment of osteoporosis that is also marketed to “reduce the risk of breast cancer in women at high risk of the disease” (a phrase often confused with the word “prevention”). If you wanted to make sure that your profits were secure, you couldn’t do better than to take Eli Lilly’s approach: create cancer, and create the products to “prevent” and treat the disease. How perfect. Except when it comes to the public’s health, that is. Follow the money, and work with BCA to end the deadly profit cycle. 1 U.S. EPA recently announced that it will review health data related to atrazine. WAYS TO GIVE THAT MAKE A REAL DIFFERENCE! We are fired up about the impact a small organization like Breast Cancer Action can make with only 30,000 members! With your help, two-thirds of the dairy market is now rBGH-free. Let’s keep the momentum going and demand that Eli Lilly stop producing the cancer-linked artificial hormone—rBGH. We deserve a world free of harmful toxins. Instead of purchasing a pink ribbon item this fall, make an impact on breast cancer by donating $25 or $50 or more to Breast Cancer Action. Together, we will end Eli Lilly’s shameful profit cycle and directly decrease environmental toxins in our food and environment. Breast Cancer Action carries the voices of people affected by breast cancer to inspire and compel the changes necessary to end the epidemic. We cannot do this without you. Please make a donation today. To make a gift, contact development manager Sarah Harding at 415/243.9301, ext. 17, or sharding@bcaction.org. FALL 2009 3 Making Changes That Matter A Conversation With Former BCA Board Member Dawn Surratt This summer Dawn spoke with BCA intern Alice Price-Styles about her life as an advocate, her work as a nurse, and her thoughts on how to sustain involvement in the causes you care about. Here's what Dawn had to say. On BCA There are so many nonprofit organizations concerned with Dawn Surratt breast cancer in the U.S. BCA really stood out from the pack. Their work really challenged the status quo. Their stance was not about employing pity or sorrow for women who had died of breast cancer or were living with breast cancer. It was about how do you take this illness and turn it into something that is more of a political agenda and more incisive in terms of getting to the roots of the most common cancer with causes unknown. Also, the Think Before You Pink® campaigns caught my attention. They are simple and clever. I think they really help to expand awareness on issues around environmental injustices and the links between what we consume and illness and disease. All the campaigns really drive home the reality that there are businesses, corporations, manufacturers, even breast cancer organizations that don’t “walk their talk.” Every October the market floods with these products that claim to be about raising awareness and saving women’s lives. In reality, they are more about “how do I make my company look good” than about doing anything substantial to end the breast cancer epidemic. So I think this really clever campaign has shed a bright light on these shortcomings, and they’ve not been afraid to spotlight some pretty big players involved in the whole pink frenzy. 55 New Montgomery St. Suite 323 San Francisco, CA 94105 Phone: 415/243-9301 Toll free: 877/2-STOP-BC Fax: 415/243-3996 info@bcaction.org www.bcaction.org On Health Care Reform and Big Pharma I don’t know if having a single-payer system will come to the U.S. People will have to get more pissed off. I think people are pissed off, but they need to get more organized at a federal level. I think a lot is happening at a local level—there is a whole lot of drive and energy around getting a single-payer health care system in place. However, whether that’s going to be at a federal or national level, I’m not sure. So I think to the extent that this administration can really overhaul this system, it’s not just about covering the uninsured. That’s part of the issue. Roughly one in four or five [are uninsured], but that’s only a part of the problem. There are people who have insurance, but the premium is really horrible, or families with private insurance whose insurance doesn’t cover certain treatments. What does that mean to cancer patients and someone’s longevity and level of treatment? Ethically, our health care system is perverse. The new administration needs to address these problems. The government needs to take their cue from those who have had serious illnesses or people close to them, not insurance companies or drug companies. I wish I could say that I was hopeful, but I’ve become very cynical. I know what I want to see, but what can I expect? In four years? I hope that the new heads at the FDA will be much more conservative concerning the “fast-tracking” mantras and off-label use, that people in positions of power will use their training to say “no” to the pharmaceutical companies. On Putting Patients First and Social Inequities One of the things that this recent presidential election did was to wake up a lot of apathetic voters. So if that level of civic continued on page 8 BOARD MEMBERS BCA SOURCE Claudia Cappio, President Jane Sprague Zones, Vice President Adrienne Torf, Treasurer Vernal Branch, Diane Carr, Lindsey Collins, Elaine Costello, Tori Freeman, Dorothy Geoghegan, Lisa James, JoAnn Loulan, Bhavna Shamasunder, Belle Shayer (emerita), Lee Ann Slinkard Editor: Angela Wall Editorial Board: Barbara A. Brenner, Joyce Bichler, Sarah Harding, Kasha Ho’okili Ho Copyediting: Robert Gomez Print Layout: Yvonne Day-Rodriguez, Y. Day Designs Web Design: Cobalt 2 STAFF Barbara A. Brenner, Executive Director Joyce Bichler, Deputy Director Caitlin Carmody, Office Assistant Vidita Chopra, Communications Associate Zoë Christopher, Office Manager Sarah Harding, Development Manager Alicia Harris, Program Associate Amy Harris, Development Director Kasha Ho’okili Ho, Program Manager © BCA 2009, ISSN #1933-2408, published quarterly by BCA. Articles on detection and treatment do not constitute endorsements but are intended solely to inform. Call or e-mail for permission before reprinting. Subscribe to the newsletter online at www.bcaction.org/source. “Breast Cancer Action” and the BCA logo are the registered trademarks of Breast Cancer Action. All rights reserved. Not to be used without express written permission. 4 BCA SOURCE GoodGuide A Tool to Make Companies Do the Right Thing? By Angela Wall A t Breast Cancer Action, our vision is a world in which no consumer has to wonder whether the product she or he is buying contains dangerous chemicals, no mother has to fear that her children’s toys are toxic, and no worker has to worry about getting sick because of her or his job. It’s a world in which all people are equally protected from exposure to harmful substances, resulting in fewer cancer cases down the road. We advocate for more corporate transparency and accountability as one way to protect ourselves from exposure to harmful, toxic ingredients in everyday products. We need to know where our food comes from and whether it contains genetically modified organisms or was produced using synthetic hormones, antibiotics, and pesticides. Government agencies continue to fall short of their responsibility to protect the public from contamination and other food safety violations. Recently, a new online resource tool emerged to help us in our purchasing decisions and choices. GoodGuide provides comprehensive information on what products contain and how they are harmful to our health and our environment. The web site, www.goodguide.com, is based on a simple premise: “People have the right to know what they’re putting in, on, and around their bodies. There are three simple things everyone should know about their food but don’t: Where did it come from? How was it made? What’s in it?” The idea for GoodGuide was developed by Dara O’Rourke, a professor of environmental and labor policy at the University of California, Berkeley. His team includes academic and technology experts, scientists, consumer researchers, technologists, and industry professionals. Their aim is to “provide the world’s largest and most reliable source of information on the health, environmental, and social impacts of the products in your home.” The service is free, and the company doesn’t endorse, promote, sell, or derive revenue from any particular brand or product. So how does GoodGuide work? If you're online, it lets you do the following: Find health, environmental, and social performance ratings for over 70,000 food, toy, personal care, and household products—from baby shampoo to bathroom cleaner Instantly check products, view ratings, and find safer, healthier products while you are in a store and on the go Create personal favorites lists that are accessible anytime, anywhere Quickly get the information you need before you make your purchase You can access information directly from GoodGuide’s web site or via of the following mobile sources: iPhone. Download GoodGuide’s iPhone application through Apple’s iTunes App Store. It’s free. GoodGuide’s iPhone application currently provides information about personal care and household chemical products, but it will soon be expanding to include food, toys, and electronics. Text. Simply send a text message to 41411. Every text message must begin with the word “gguide” in the body of the message. Then, add whatever you are searching for after “gguide.” For example, search by product “gguide shampoo” or by brand “gguide pantene shampoo.” Or search by bar code. Send a text to “gguide” followed by a 12-digit UPC code (these are all of the numbers on a bar code, including the small numbers at the start and finish). GoodGuide is a comprehensive database of information on the performance and impacts of products and companies. However, it does not cover all environmental, social, or health issues, or all possible sources of information, so there are gaps. But the system’s analyses and ratings methods are transparent (www.goodguide. com/about/methodology) . GoodGuide could be a striking resource. Knowledge and selective spending combines to make a powerful tool in this economy. If we start to use GoodGuide to get companies to act in the right way, and if the millions of people who have an iPhone and who send text messages use this program to inform their everyday purchases, companies will have no choice but to respond. The GoodGuide is a Certified B Corporation (www.bcorporation.net). FALL 2009 5 Putting Patients First BCA’s Information and Referral Service By Mary DeLucco T he requests for help flow into the Breast Cancer Action office at a steady rate. They come as e-mails, letters, and phone calls to BCA’s Information & Referral service, and they come looking for the same things: information, referrals to resources, support. Almost all come from women who have been diagnosed with breast cancer, or from the people who love them. “We get calls from people from all walks of life, all socioeconomic and educational backgrounds,” says BCA’s Zoë Christopher, who handles the majority of the inquiries. “Cancer is a great leveler.” In a typical day she not only answers questions and provides information but also lends an empathetic ear to women who pour their hearts out and share their often dire circumstances. “When I hear the stories, they compel me to find answers,” she says. “Sometimes it’s painful, but it’s very real. And if there’s any way to alleviate some of the pain and frustration, or to empower people to make good choices for themselves, then I’m happy to help. In a single day, my emotions can run the gamut from heartbreak and frustration to a sense of triumph and purpose.” left breast would have on her heart. Christopher contacted radiation oncologist Mark Rounsaville, who is on BCA’s Scientific Advisory Board. He responded within a few hours with information on the current best practices and advice about the questions the caller should ask her oncologist. Zoë Christopher, BCA's office manager Christopher says she wishes those engaged in the debate on national health care could hear what she hears. A number of the calls concern insurance coverage. Many are from women who have insurance but find their coverage is less than expected or excludes testing or treatment that’s been recommended. Many have lost or could never afford coverage in the first place. The Information & Referral service has been part of BCA’s outreach since its beginning in 1990. The women who founded BCA began by posting notices in hospitals, clinics, and other public areas, inviting women with breast cancer to meetings. The discussions and presentations at those meetings were reported in a newsletter, and it was just a matter of time before people who had read it or heard about it started calling with questions. As BCA grew and began hiring staff, the original emphasis on providing information and support continued. Today, the calls, letters, and e-mails come from all over the world. “That’s my greatest frustration—when I talk to women who can’t get the care they need because they don’t have insurance, or their insurance companies simply won’t cover the costs of their treatment,” she says. “Particularly, with all of the involuntary exposure to known carcinogens in our environment, it’s shameful that anyone is forced to go without quality medical attention.” Christopher, who also serves as BCA’s office manager, is uniquely suited to handling the numerous requests for help. She came to BCA in February 2007 after spending more than 20 years working in crisis intervention. While earning a master’s degree in psychology, she co-directed a national referral program focused on psychiatric crisis and directed a retreat facility that provided alternatives in psychotherapeutic support. She considers handling the Information & Referral service a logical step in a lifetime of striving to empower others. Christopher related the story of a woman with stage 4 breast cancer who wrote to BCA recently. In spite of her diagnosis, the woman moved from her longtime home in New Jersey to care for her mother in North Carolina, who was suffering from Alzheimer’s. The woman lost her insurance because of the move and went on disability. As a result, she didn’t qualify for additional assistance and could no longer afford the treatment she needed for her breast cancer. And she continued to care for her mother. “We know that knowledge is power, but there is so much information out there, much of it confusing or conflicting, and so we try to cut through that,” she says. “Between our staff, our board of directors, our Scientific Advisory Board, and our National Advisory Council, we provide accurate and useful information or refer the caller to someone who can help.” As an example, Christopher recalled a woman who contacted her with concerns about the effects radiation applied to her Christopher explored every avenue, every possibility she and the BCA staff could think of to find help for her, only to hit a dead end. Still not ready to give up, she urged the woman to contact her congressional representatives about her problem and to testify at congressional hearings on health care in Washington, D.C. “That was a difficult situation,” Christopher acknowledges. “Sometimes I have an incorrigibly idealistic attitude that there’s always an answer out there somewhere.” continued on page 9 6 BCA SOURCE Safe Cosmetics = Healthy Cigarettes? By Hannah Klein Connolly S afe cosmetics is somewhat of an oxymoron, like healthy or “lite” cigarettes, and as unlikely as it may seem, the cosmetics industry bears a number of similarities to the cigarette industry. Both are rich industries with highly guarded trade secrets and profits that exceed $50 billion, both have strong ties inside the Washington Beltway, and both are reluctant to reveal what is actually in their products. However, the danger to our health posed by most cosmetics is perhaps the most alarming similarity between tobacco and cosmetics. The lack of transparency regarding the products contained in most cosmetics leaves consumers misinformed, uninformed, and very much at risk. Today’s cosmetics industry is similar to the tobacco industry before 1965, when Congress passed the Cigarette Labeling and Advertising Act and required that all cigarette packets carry a “damaging to your health” warning label. Synthetic chemicals and metals are in most of the products in our medicine cabinet, shower stall, and purse. There are close to 168 chemicals found in the 12 personal care products that women use each day.1 What Are We Using on Our Body? Most women don’t know that the list of ingredients in tiny print on cosmetics packaging is merely what is “intended”2 to go into the product, not actually what goes to market. For example, the word “fragrance”3 in cosmetic industry vernacular translates to “trade secret” and could be comprised of virtually any chemical. In fact, “fragrance” is where you’ll often find “phthalates” hiding.4 As if the language switch and bait were not bad enough, the U.S. government’s product watchdog, the Food and Drug Administration, has no jurisdiction over the cosmetic industry. According to Jacqueline Houton of Bitch magazine, “the agency isn’t authorized to approve cosmetic products or ingredients before they hit the shelves. Manufacturers are under no legal obligation to register with the FDA, file data on ingredient safety, or report injuries caused by their products.”5 The FDA neither reviews nor regulates what goes into cosmetics. This makes personal care the least regulated consumer category despite being the fifth-largest such category. The U.S. government has banned or restricted 10 chemicals from cosmetics. The European Union LEARN MORE prohibits over 1,100 ingredients.6 In fact, all 15 countries of the If you’re looking for more European Union are subject to the reading on this topic, see Cosmetic Directive, which bans Stacy Malkan’s Not Just not only animal testing but also the a Pretty Face: The Ugly use of any chemical known to be or Side of the Beauty Industry suspected of being harmful. (Gabriola, B.C., Canada: New Society Publishers). The FDA’s own web site explains its limitations: “FDA’s legal authority over cosmetics is different from other products regulated by the agency … Cosmetic products and ingredients are not subject to FDA premarket approval authority, with the exception of color additives.”7 This means that safety testing is done only by the manufacturer. Of course, few manufacturers do it. In 30 years, the personal care industry’s own safety panel has tested only 11 percent of the products on the market for safety and banned only nine ingredients as toxic. When a skin care product is used, it can be absorbed and stored within the body. Depending on the size of the molecule, it takes a mere 29 seconds for 0–100 percent of a product to be absorbed after being applied topically. This constant absorption, day after day, week after week, month after month, and year after year, is referred to by chemists as the “chemical body burden.”9 The question then becomes, how much absorption is too much? In 2005, tests were conducted on newborn babies whose umbilical cord blood contained toxins that ranged from PCN66 (found in dye production) to gamma PHC (insecticides in agriculture) to Anthracene (used to make preservatives). These toxins were found in their mother’s body regardless of whether the mother had ever visited a farm or been around pesticides or a chemical/manufacturing plant.10 Just as frightening were the results of the 2005 report conducted by the Oakland Tribune that discovered a five-year-old who had 90 percent more dibutyl phthalate than typical for children her age. This product is found in nail polish, which the child had been playing with for many months.11 It is unclear how each of these and other toxins are ingested by food, drink, or topical application. Some chemicals, such as sodium lauryl sulfate (SLS or SLES), can be created as a result of chemical reactions when ingredients are combined into one product, such as shampoo. In the cosmetic industry, this is called an “unintended by-product.” Other harmful chemicals may be listed simply as ingredients, such as talc (powders), mineral oil (makeup remover, lipsticks, and lotions), formaldehyde (nail polish, shampoo, soaps, skin creams), fluorocarbons, DEA, SEA, titanium dioxide, and propylene glycol (suntan lotions, lipsticks, etc.).12 According to a report issued in 2006 by the California Policy Research Center, in each state, enough cosmetic chemical compounds are sold each day to fill two tanker trucks.13 Connecting All the Dots If a woman applies a lipstick such as L’Oreal True Red, which contains .65 ppm14 of lead, five times a day, three days a week for seven years, her body may absorb a significant amount of lead. Lead can suppress her immune system and damage cells. Most of us do not know the lethal dose of lead or the effects of ingesting or inhaling it over a long period of time. continued on page 7 FALL 2009 7 Safe Cosmetics… continued from page 6 The cosmetics industry is a lucrative industry. And when paired with Breast Cancer Awareness, sales can rocket. If you make a product that contains a chemical that has been connected to breast disease, breast cancer “philanthrophy” gives you the chance to cover your tracks. In 2007, L’Oreal raised $225,000 for the Komen Foundation to be used for breast cancer research. The company Zeneca/ ICI manufactures the best-selling breast cancer drug Arimidex and is the largest official sponsor of Breast Cancer Awareness Month. Zeneca/ICI also manufactures toxic vinyl chloride, which can be found in hair sprays and is also linked to breast cancer.15 All too frequently, large companies that Breast Cancer Action calls “pinkwashers” wrap themselves in the pink ribbon crusade and “support” research for a breast cancer cure while making products that contribute to this disease. The pharmaceutical giant Eli Lilly is more blatant still. It manufactures both the controversial artificial milk production stimulant recombinant bovine growth hormone (rGBH), which has been linked to breast cancer,16 and Gemzar, a drug used to treat metastatic breast cancer. There has been some progress in the fight to require the cosmetics industry to disclose the harmful chemicals that may be in their products. As of June 15, 2009, this changed in California when the California Safe Cosmetic Act of 2005 went into effect despite $600,000 spent to kill the bill by cosmetic industry lobbyists. The Safe Cosmetic Act requires a manufacturer, packer, and/ or distributor of cosmetics to produce a list of all cosmetic products sold in California that contain any ingredients known or suspected to cause cancer, birth defects, or other reproductive harm. Consumers can find this information in the coming months on the California Public Health database.17 If companies comply, consumers will be able to make more educated decisions when purchasing cosmetics in California. know that accountability is needed. Unsafe ingredients should be banned. Most global companies have formulations sold in Europe that exclude known or suspected toxins, so there is no cost to reformulate. It can be done. Think Before You Pink,® and stop the profit cycle. It starts and ends with you. 1 2 3 4 5 6 7 What Can You Do? There are practical measures at your disposal: Take a look, for instance, at the safe cosmetics database, or in a few months at the California Public Health database.18 Clean out your purse, your showers, and medicine cabinets. Toss the cosmetics found to be harmful in the Skin Deep database, and find nontoxic alternatives online at www.cosmeticsdatabase.com. Opt for European products when you can find and/or afford them. Finally, be aware of marketing tools such as product labels that declare something to be “organic” and “natural.” There are apparently no legal standards for such marketing verbiage.19 Help to change laws that protect you and your family from harmful chemicals. Each one of us can be an activist and let our government, large manufacturing companies, and local stores 8 9 10 11 12 13 14 15 16 17 18 19 Stacy Malkan, Not Just a Pretty Face: The Ugly Side of the Beauty Industry, Gabriola, B.C., Canada: New Society Publishers, p.2. Abby Ellin,“Skin Deep a Simple Smooch or a Toxic Smack?” New York Times, May 28, 2009. Online at www.nytimes.com/2009/05/28/fashion/28skin.html Online at www.nottoopretty.org/article.php?id=222 In Europe, two phthalates, DEHP and DBP, have already been banned. Additionally, the European Union has banned 1,132 known or suspected carcinogens, mutagens, and reproductive toxins from use in cosmetics, but only 10 such chemicals are banned in the United States, leaving us with mercury in mascara, petrochemicals in perfumes, and parabens in antiperspirants. Bitch magazine, Jacqueline Houton, December 16, 2008. Online at www.ewg.org/node/27462 Online at www.colipa.eu/ Online at www.fda.gov/Cosmetics/ProductandIngredientSafety/ ProductInformation/ucm137224.hm Online at www.cir-safety.org/staff_files/unsafe.pdf Online at www.chemicalbodyburden.org/whatisbb.htm The Body Burden report. Online at www.ewg.org/reports/bodyburden2/ contentindex.php Online at www.insidebayarea.com/search/ci_3299744?IADID=Search-www. insidebayarea.com-www.insidebayarea.com Online at www.hallgold.com/toxic-chemical-ingredients-directory.htm Online at www.noharm.org/us/chemicalpolicy/issue Abby Ellin, “Skin Deep: A Simple Smooch or a Toxic Smack?” New York Times, May 28, 2009. Online at www.nytimes.com/2009/05/28/fashion/28skin.html Online at www.preventcancer.com/avoidable/breast_cancer/env_causes.htm. Online at www.preventcancer.com/consumers/general/milk.htm Online at www.safecosmeticsact.org/SafeCosmetics/ Online at www.cosmeticsdatabase.com/splash.php?URI=%2Findex.php Natasha Singer, “Skin Deep: Natural, Organic Beauty,” New York Times, November 1, 2007. 8 BCA SOURCE GENE PATENT CHALLENGE MOVES FORWARD SLOWLY The challenge to Myriad’s patents on the breast cancer genes is moving forward in court—slowly. In July, the defendants in the case—the folks who want the patents to stay just the way they are—moved to dismiss the lawsuit. They argued that none of the plaintiffs (including BCA) have sufficient connection to the patent issues to bring their case to court. The defendants’ action was expected by the ACLU lawyers handing the case. In response, they and the Public Patent Foundation filed a request that the court issue a ruling that the patents are unconstitutional and invalid. This request is supported by friend of the court briefs from, among others, the American Medical Association, the March of Dimes, the American Society for Human Genetics, the National Women’s Health Network, Asian Communities for Reproductive Justice, and Generations Ahead. Stay tuned to www.bcation.org for updates on the case. Dawn Surratt… and what is in a person’s environment. continued from page 3 Studies are constantly showing up the gaps in breast cancer diagnosis and breast cancer survival rates between different races and classes of women. participation can be sustained and that kind of energy can transfer over to the realm of health care, that would be an amazing thing. Regarding breast cancer specifically, I think people need be less lulled by the whole pink ribbon madness. People talk about breast cancer and raising awareness, which is like running fingernails down a chalkboard for me. Awareness is not the issue anymore; the issue is about who gets treatment. What kind of treatment do they get? What groups of people get treatment? What’s the quality of the treatment? Who lives with this disease? Who dies? More white women are diagnosed with breast cancer, but in terms of outcomes, if you look at who dies sooner, you are looking at women of color and women who are poor. It has to be a broader discussion. It has more to do with social injustices. BCA’s stance is not about employing pity or sorrow for women who have died of breast cancer or are living with breast cancer. Rather, BCA puts women in the driving seat when it comes to self-advocacy. Their campaigns show people, women in particular, that our bodies are not just things that have things done to them. We can have a say, a big say, in what gets done. BCA enables ordinary people to get to get in and have their say. For example, recently Breast Cancer Action did a survey on the effects of aromatase inhibitors. For some women these drugs work, but for a lot of others, the side effects are horrible and not worth it. People being prescribed these treatments need to be able to access this kind of information. A scientific advisory board refers information back to the staff. The sheer amount of information is overwhelming—new research findings, conferences, information that needs to be acted on. BCA has taken on the role to be the watchdog of the breast cancer movement. It’s about helping women get to a place where they have a collective voice that gets heard. A collective voice is more powerful than an individual voice. One of the things I’ve heard a number of survivors say is, it’s hard to be your own medical advocate. One of the most important roles you can have for people living with cancer is as a personal advocate. Putting together a team is important. I feel like BCA acts as that advocate; they assume the role as part of that team. The entire “who lives and who dies” issue is not going to be addressed until we approach some other issues about who lives where, what kinds of foods do they have access to, etc. There is so much emphasis on individuals’ behavior without making the link between choices On Sustained Involvement? I was born in 1964, the year of the Civil Rights Act, and there were things that I saw that made me very aware of racism. I know what it was like for my mother. I was not the first black girl at my school. My mother was the first black girl to go to her high school in Texas, and so the kinds of things she encountered I did not have to. I worked in Africa. That was a really humbling thing, in terms of the degree of suffering that I saw. I witnessed absolutely preventable deaths caused by poor nutrition and a lack of access to clean water and anti-malaria drugs and vaccines. These were early and untimely and unnecessary deaths. I befriended some nursing students while I was there, they would tell me about their experiences in the maternity wards. As a nursing student in the U.S. or U.K. or Canada, it is rare to see someone die in childbirth. It happens, but it’s not commonplace. It is just the flip in a lot of African countries—to see a woman bleeding to death, and there is nothing you can do because you don’t have the right drugs. She was too anemic when she came in the first place, and all you can do is watch this woman bleed to death. This is something these nurses witness routinely and experience throughout their work. Breast Cancer Action has taken the experience of breast cancer and said, “This doesn’t need to be as bad as it is.” You ask how I stop becoming disheartened. A good friend of mine who is an activist in Austin told me she would often say, “Those of us in positions of privilege cannot afford to be disheartened.” If these young nurses cannot be disheartened knowing what they are stepping into, then, well… There were many days that I would cry listening to stories in the clinic, but you see what your colleagues deal with day in, day out. I have respect for what these people are trying to achieve with very few resources, not just in terms of money, but human resources. Things change because of people like that. BCA operates on a shoestring budget. Yet they achieve so much. They make changes that matter. What sustains me? Knowing history, knowing fully that people who made really radical change happen did so with far fewer resources than us. They didn’t have the Internet. If they were able to make things happen, then we can, too. FALL 2009 9 A Paraben-Free Cosmetic Committed to Women’s Health N early 20 years ago, BCA started asking the tough questions about toxic exposures and environmental links to breast cancer. We were the first organization to identify parabens (a chemical preservative commonly used in cosmetics and body care products) as a source of concern for breast cancer. Our Think Before You Pink® campaign targets the pinkwashing manufacturers of products such as cosmetics and dairy, and demands the discontinuation of their use of harmful estrogenic ingredients. paraben-free exfoliate foaming cleanser and sensitive cleansing bar will be donated to BCA. You can support BCA in this unique way by purchasing these products from your local retailer or by ordering online at www.sukipure.com. Breast Cancer Action is proud to partner with Suki, Inc., because it is committed to women’s health. For the months of October and November, all proceeds from the sale of Suki’s = ALERTS BY E-MAIL Want up-to-the-minute news, notices, and action alerts on breast cancer? Sign up for BCA’s monthly e-alert! The e-alerts will notify you when the newest issue of our quarterly publication, The Source, has been posted online. Contact us at 877/2-STOP-BC or sign up online at www.bcaction.org. www.bcaction.org/ealert continued from page 5 Not surprisingly, any time breast cancer is in the news, which is often, the number of calls and e-mails spikes. When a study was presented at the American Society of Clinical Oncology’s annual meeting last May regarding the effect certain antidepressants might have on tamoxifen’s ability to reduce the risk of a recurrence of breast cancer, calls and e-mails poured in. And Christopher was there, doing her best to provide answers. “As we always do, we urged the callers to do research. We suggested web sites, publications, and other resources that might be helpful, and we stressed the need for them to talk openly with their doctors,” she said. “And if they weren’t comfortable asking questions and challenging assumptions, we suggested they find an oncologist they were comfortable with. We didn’t give medical advice, but we gave them the information they needed to make informed choices about their treatment.” “ When I hear the stories, they compel me to find answers. Sometimes it’s painful, but it’s very real. And if there’s any way to alleviate some of the pain and frustration, or to empower people to make good choices for themselves, then I’m happy to help. In a single day, my emotions can run the gamut from heartbreak and frustration to a sense of triumph and purpose. “ Putting Patients First… 10 BCA SOURCE Thanks BCA extends a special thank you to those who have provided recent assistance to BCA. Lisabeth Castro-Smyth, Amy Harris, Barbara Brenner, and Rebecca Farmer for choosing BCA as the beneficiary of their birthday wishes on Facebook. Lois Pickett for her outstanding attention to detail while volunteering her time. Marilyn Zivian, Gail Kaufman, and Barbra Weiner for volunteering their time as volunteer fundraising solicitors. Mary McCann for her time and assistance in planning a BCA presentation in her workplace. Ali Roth and all the bands who participated in the punk rock show benefiting BCA. Mary DeLucco for all her work to date with BCA and the time she spent interviewing Zoë Christopher. Robert Gomez for generously volunteering his fabulous copyediting and proofreading skills. Alan Kleinschmidt of the SF Choral Society for performance tickets for the board, staff, and volunteers. Tori Freeman for choosing BCA as the beneficiary of her “12 Hot Dates, 1 Fun Night” event, and to everyone who volunteered their time and gave an in-kind donation. Carol Fong and Caren Cummins for volunteering their ongoing assistance in the BCA office. All who participated in making the ArtHaus Think Before You Pink® opening reception successful: Gallerists: James Bacchi and Annette Schutz. Artists: Torrie Groening, Mustafa Onder, Andrea Arroyo, Paul Gibson, Nancy Otto, Pam Dernham, Adam Kurtzman, Felipe Galindo, Carol Massa, Jan Blythe, Kenney Mencher, Carole Austin, Paule Dubois Dupuis. Katrina at Frey Organic Wines. Invitation Design: Tyson at Knack Design. Printing of Signage: Speedway Printing. Bartender: Todd at Baytenders.com. Howie Slater of H. Slater West, Inc. for the Milking Cancer buttons. Our fabulous fall interns, Suzanne Meredith, Sierra Harris, Michelle McGinley. Our fabulous summer interns, Kimberly Bormann, Antoinette Lim, Suzanne Meredith, and Alice Price-Styles. Rebecca Elson, publisher of The Magical Buffet, for her annual tribute to Think Before You Pink. Sandra Beaudin for volunteering her information architect skills in the redesign of www.thinkbeforeyoupink.org. Robin Beck for volunteer assistance with Milking Cancer online advocacy campaign. Pauli Ojea for Think Before You Pink® campaign assistance. Andy Rivera for his assistance with the annual report. Claudia Cappio for hosting the National Board Retreat kickoff in her home. Suki, Inc. for choosing BCA as the beneficiary for 100 percent of the proceeds from the sale of its paraben-free products: exfoliate foaming cleanser and sensitive cleansing bar, for the months of October and November. Leslie Greene for choosing BCA as the beneficiary for 100 percent of the proceeds from the sale of its rose plated heart charm with pink tourmaline, for the months of October, November, and December. W3ll for choosing BCA as the beneficiary for 100 percent of the proceeds from the sale of its paraben-free pink Nudist No. 4 Supernatural Lipshine, for the months of October and November. Image Skincare for choosing BCA as the beneficiary of 5 percent of the proceeds from the sale of its paraben-free OrMedic Balancing Anti-Oxidant Serum, for the month of October. For a list of BCA’s business supporters or to learn more about how you can support BCA, visit www.bcaction.org/BusinessSupport. FALL 2009 Milking Cancer… continued from page 1 In 2005 Eli Lilly was fined $36 million for illegally promoting Evista to doctors as a breast cancer preventative treatment, though the drug was not then approved for this use. As its efforts to promote Evista demonstrate, Eli Lilly is prepared to go above and beyond regulations to wring profits out of its products. Essentially, Eli Lilly is milking the breast cancer market for all it’s worth. It offers women the options of “preventative” medication as well as treatment drugs to combat a problem it perpetuates by tainting the U.S. dairy supply with a potentially cancer-causing hormone. This perfect profit circle makes a lot of money for the pharmaceutical giant. Eli Lilly claims that it is “rooted in a culture that values honesty and caring for [its] community,” but it risks consumers’ health by manufacturing and marketing rBGH. The continued production of an unnecessary artificial stimulant that is linked to breast cancer flies in the face of a self-proclaimed Eli Lilly core value. Unless, of course, such a value is just a public relations tactic. BCA’s Position on rBGH and Eli Lilly Breast Cancer Action supports a standard of regulation known as the precautionary principle, which states that when a product raises threats of serious or irreversible harm to human health or the environment, it should be banned, even if the cause-andeffect relationship of the potential harm is not fully established. Breast Cancer Action believes that chemicals or additives should be proven safe before they are allowed into the marketplace. We should not wait until a product is proven to be toxic and has been on the market long enough for damage to become evident before banning it. Concern over the health effects of rBGH has caused it to be banned in Australia, Canada, Japan, and all 27 countries of the European Union. We consider this, along with the studies that question its health safety, to be evidence enough. 11 Many U.S. companies choose to provide rBGH-free milk because of consumer concern over the potential harm it poses, including large corporations like Kroger, Starbucks, and Wal-Mart. Regulatory agencies in other countries and private companies in the United States acknowledge the risk of rBGH-stimulated milk, but Eli Lilly continues to produce this cancer-linked hormone. Those who do not have access to alternative sources of dairy products are forced to be a part of Lilly’s profit cycle. This includes our children. Many public schools are forced to purchase rBGH dairy—food contracts simply don’t include an rBGH-free dairy option. But Americans who can afford organic foods can buy rBGHfree dairy. Across the US, families are rejecting rBGH tainted milk. Yet Eli Lilly continues to manufacture it. Again, is this really the way a company behaves when it is truly “rooted in a culture that values honesty and caring for [their] community”? It seems to us that this is the behavior of a company out to make as much money as it can, regardless of the consequences to the global community’s health. Join Us, Take Action Now BCA encourages everyone to join us in asking Eli Lilly to stop milking cancer. BCA has already sent a letter to Eli Lilly, calling for an end to its shameless breast cancer profit cycle by stopping the production of rBGH. Now we are asking you to do the same. Visit www.milkingcancer.org to learn more about Eli Lilly’s harmful profit cycle. Join with us to fight Eli Lilly’s greed for profit at the expense of your health by sending a letter to the company demanding it stop milking cancer. Help us put pressure on Eli Lilly by mailing or e-mailing to ask the company to stop manufacturing this chemical. For further information on how to accomplish this and other ways to support the “Eli Lilly: Milking Cancer” campaign, please visit our web site, www.milkingcancer.org. We at BCA cannot stress enough how important supporter participation is to our campaign work—your contribution really can make a difference to inspire change with BCA. Together, we can achieve an rBGH-free world. Kimberly Bormann and Alice Price-Styles are student interns who worked at BCA in 2009. KEEPING TRACK OF DOXIL By Vernal Branch When the Oncologic Drug Advisory Committee (ODAC) voted in July to overwhelmingly advise against approval of Doxil for metastatic breast cancer, that wasn’t the end of the story. The ODAC makes recommendations to the commissioner of the Food and Drug Administration, who has the final decision about whether to approve this use for the drug. While it unusual for the commissioner to reject an ODAC recommendation, especially when most of the ODAC members are of the same opinion, it’s not completely unheard of. The entire process of approval or rejection can take from six to 10 months and will result in either a new label for the drug— allowing its use in metastatic breast cancer—or a detailed letter to Ortho Biotech about what the company would need to do before it could bring the issue of approval back to the FDA. If such a letter is issued, the only way to get a copy is to ask the company for it. The FDA cannot release it. If approval is denied, Ortho Biotech can appeal that decision internally at the FDA. The appeal procedure is not public. BCA is continuing to follow the Doxil story, and we are in touch with Ortho Biotech about its next steps with the drug. 12 BCA SOURCE DONATIONS IN MEMORY BCA gratefully acknowledges donations made in memory of the following individuals between May 23, 2009, and October 1, 2009. Joyce Ambrosini from Elaine A. Lissner Pat Anesi from Lauri E. Fried-Lee Valerie Ann from Brenda Eckles Judi Bart from Helen Vozenilek Alma Bornstein Ohly from Barbara B. and Joseph Blumenthal Joanne Cochrane from Anonymous Joseph H. Godfrey from Sally Myers Margaret Gunther from Meighen Speiser Renata Guzman from Ray Guzman Dr. Shyamala Harris from Joan Hamilton Earlene Helvey from Carol Schlanger Nancy Hill from Anonymous Janice, Who Would Have Turned 49 from Anna Saenz Jerry from Peggy Kroutil Joan from Marie Arboit-Ainbinder from Judith Glinder Tammy Johnson from Anonymous Helene Keyssar from J. Redwing Keyssar Sandy King from David and Joan Uhlfelder Chris Kitchel from Anonymous Marla Lamb from Linda and Curtis Boles Daphne Laurance from Anonymous Norma Litman from Laurie Litman and Dale Steele Mary Ann Manning from Anonymous Deb Mosley from Tina Connelly Rebecca Nataloni, Our Daughter from Frances and John Nataloni Tanya Neiman from Dale Kern Agnes Norsigian from Judith Norsigian George Nussrallah from Rebecca Abbott Terrence L. O’Brien from JoAnn O’Brien Jan Platner from Barbara Dickey and Donna Ryu Chris Pomery’s Mom from Julie Rose Cowan and Neil Good Rose Giannini Quinn from Joy and Ron Headington from Rodney Headington from Anne-Marie Jones from Irene Pierce from Rena Weinert and The Weinert Family Trust from Tonia Wolf Ann McAllister from Donna Brogan BCA ANNUAL SUMMARY IS AVAILABLE Breast Cancer Action’s 2008 annual summary is now available to either read online or download and print. The annual summary highlights BCA's programs and campaigns in 2008, and honors the many individuals and organizations that support our work. Together, we continue to confront the challenges. Together, we will end this epidemic. If you would like a print copy mailed to you, please contact us toll-free at 877/2-STOP-BC, or e-mail info@bcaction.org Bessie Rogerson from Angela Wall and Frances Elizabeth Wall Marilyn Sauter from Joyce and Robert Sauter My Mother, Miriam Shapiro from Dianne and Nelson Shapiro Lucy Sherak from Ken Fischer and Carlyn M. Montes De Oca from Hannah and Don Sherak Pat Singer from Cathy R. Kornblith Pamela Smith from Arthur and Kathy McKenney J.J. (Jenifer Jo) Stickney from Sandra and Peter Andrews Jackie Winnow from Helen Vozenilek FALL 2009 13 DONATIONS IN HONOR BCA gratefully acknowledges donations made in honor of the following individuals between May 23, 2009, and October 1, 2009. A Friend Newly Diagnosed from Leah Kaizer and David Salk All Breast Cancer Survivors from Sandra and Mel Toponce All My Friends Suffering From Cancer, As Well As Those Who Have Passed On from Anonymous All Survivors from Michele Mason All Women from Christina Campbell All Women and Men Dealing With This Disease from Ana T. Garcia All Women Who Choose to Heal Themselves Without Harm, Including Myself from Elizabeth Bonfig Another Year of Living! from Mary Felton Elizabeth Apfelberg for Her 70th Birthday from Elizabeth Apfelberg from Sid Clayman from Jerome and Elaine Kassel from Hilda and Stan Miller from Fredrick and Dorothy Muckinhaupt from Wendy P. Robinson from Janis K. Woolpert Patricia Arango from Patricia Cosmos Arango and Robert Arango Jan Avery from Eleanor Barrett Lyn Backe from Quinton Hallett Jennifer Bevilacqua from Janette Long Devin Boerm from Paulee Lipsman Judy Brady from Jean Pauline Breast Cancer Action and All You Do for Us from Doral Hurd Breast Friends for Life from Florie and Joseph Adiutori Barbara Brenner from Julie Blankenship from Ruth Herman from Leonie and Glen Janken from Linda Wardlaw from Harriet and Sheldon Wolpoff Barbara Brenner and Susie Lampert from Tom Reilly Ramsay Breslin from Jennifer Hammond Denise Bullwinkle from Diana and Dan Bergeson Katanya Henry from Ann N. Henry from Cathy R. Kornblith Jeanne Hunter from Stark and Jeanne Hunter Nancy Hutchins from JoAnne Gretta Mann Lisa James from Amy L. Harris Mr. and Mrs. Harold Jones for Their 60th Wedding Anniversary from Beverly D. Robbins On Behalf of Humans from Letitia Noel Jeanne Peterson from Megan Swoboda Jan Rees from Dora C. Weaver San Francisco General Hospital’s Breast Cancer Patients from Blue Walcer and Lynn Fonfa Annette Schultz from Tyson Ferland Julie from Jennifer Bailer Alan Seeherman from Ellen Seeherman and Stuart Sloame Cheri Kattenhenry from Cheryl Stevens Lisa Staprans from Annaly Bennett Donna Cervelli from Amalia Modena Kendra Klein from Nancy and Roger Klein Matt Coles from the Gill Foundation Nadine Kramer from Merila Kramer Supporters and Workers of BCA from Sue Milham and Robert Sutton May Elinson’s 90th Birthday from Eileen Goldman and Robert Gabriner Lisa Layne from Quinton Hallett Lisabeth Castro-Smyth for Her Birthday from Katherine and John Duffy from Rona Henry Ellen from Anonymous Everyone Who Is or Will Be Affected, Ever from Heather Braley Rebecca Farmer for Her Birthday from Elaine Elinson Carolyn Finis Perez from June R. Finis Sonia Flores from Varya Simpson Bathsheba Freedman from Myra and Peter Shostak Deena Glass from Ellie Waxman and Joanne Yeaton Jessea Greenman from Anonymous Tara Guilford from JoAnne Gretta Mann Kit Lee from Deborah and Peter Behrakis Teresa Leger de Fernandez from Michelle Mercer and Bruce Golden Donna Lentz from Jane Hawkins Charlotte Lewis on Her Birthday from Margo L. Arcanin The Annie Appleseed Project from Ann Fonfa The Women Who Have Gone Before Me from Linda Morgenstern Think Before You Pink from Anonymous Those Living With BC from Ellen Moskowitz Tonya from Jennifer Bailer Rose Wachter from Judith Lujan JoAnn Loulan from Diana and Dan Bergeson from Gardner Loulan Amy Washburn from Gardner Loulan Jene Martucci from Janice Avery Beth Washburn from Gardner Loulan Jane B. Matz from Simona Angela Ghirlanda Your Commitment to Solving the Problem from Anonymous Nicci Meagher from Breda McBride Ruth Mortenson from Aline Pereira Mary Harms from Kathleen and Ralph Harms My Breast Cancer Sweeties: Jean, Carrie, Eileen, Barrie, Leah, Sarah from Margo Perin Amy Harris from Mariana Breuer Muggins from Holly McGuiness Maggie Woodward from Breda McBride Non-Profit Org. U.S. Postage PAID San Francisco, CA Permit No. 2500 55 New Montgomery St., Suite 323 Return Service Requested San Francisco, California 94105 INSIDE A WHOLE NEW LEVEL OF PINKWASHING: ELI LILLY IS MILKING CANCER . . . . . PAGE 1 BREAST CANCER ACTION WHAT DOES BCA DO? As the watchdog of the breast cancer movement, we encourage our members to ask tough questions and to understand the connection between personal changes and the social changes necessary to end the breast cancer epidemic. We advocate for policy changes in three priority areas: Putting Patients First: Demanding more effective, less toxic treatments by shifting the balance of power at the FDA away from the pharmaceutical industry and toward the public interest. Creating Healthy Environments: Working to decrease involuntary environmental exposures that put people at risk for breast cancer. Eliminating Social Inequities: Creating awareness that it is not just genes, but social injustices—political, economic, and racial inequities—that lead to differences in breast cancer incidence and outcomes. We provide information to anyone who needs it via newsletters, web sites, e-alerts, and a toll-free number. We organize people to do something besides worry. BCA sifts through the stacks of misinformation that now circulate about breast cancer. What you won’t learn in the newspaper or on television—or sometimes even from your doctor—is in our highly acclaimed publication, The Source. MISSION STATEMENT Breast Cancer Action carries the voices of people affected by breast cancer to inspire and compel the changes necessary to end the breast cancer epidemic. CORE PRINCIPLES AND VALUES We are a membership-based organization that values the involvement of grassroots activists throughout the country and around the world to further our mission. We honor each person’s commitment and energy to our mission. We are not afraid to examine all sides of all issues. We cannot be bought. We tell the truth about what we discover. We serve individuals while reaching the broader population. We address the significance of environmental links to human health. We encourage people to participate fully in decisions relating to breast cancer. We believe access to information is vital. We work for structural changes toward social justice to accomplish our mission. BREAST CANCER ACTION — CHALLENGING ASSUMPTIONS. INSPIRING CHANGE.