COVID19 – From SAMHSA: Tips For Social Distancing, Quarantine, And Isolation During An Infectious Disease Outbreak 

The Caring Ambassadors Lung Cancer Program provides this website to help you and your loved ones understand your disease and some of the health care options available to you.
Knowledge empowers you to ask the necessary questions to become your own best advocate.

The Caring Ambassadors Hepatitis C Program uses a unique approach in our work to address the elimination of viral hepatitis and specifically hepatitis C.
We are honored to serve the community to help eliminate the largest infectious disease outbreak of our time

MY CHOICES© is a tool to help you recognize and act upon what you can control in your health care journey to achieve optimal healing, regardless of the illness you face. It contains elements of a guide book, health planner, journal, and activity book to help orient you to and plan for the journey ahead.

AmazonSmile is a website operate by Amazon with the same products, prices and shopping features as The difference is that when you shop on AmazonSmile, the AmazonSmile Foundation will donate 0.5% of the purchase price of eligible products. 

The time is now. 71 million people worldwide are living with chronic Hepatitis C right now. It is the largest chronic infectious disease outbreak of our time…and it’s curable. Talk to your doctor about treatment for your Hepatitis C, and don’t take no for an answer

The BIGG ELIMINATION TRIBUTE PROJECT is a FREE, online, self-paced 7-module series has been developed to help establish replicable frameworks for HCV prevention & education using harm reduction strategies. 

Weekly News Update.
Caring Ambassadors Program provides 3 weekly news updates covering Lung Cancer News, Hepatitis C News, and My Choices© Update. Receive them delivered weekly to your inbox.

My Choices© Update
Week Ending June 29, 2020

Wellness Experts Discuss The Importance Of Individualizing Your Approach To Health
“There is incredible power in our daily habits. This can be a positive thing—incorporating healthy habits can have a tremendous impact on our wellbeing and help us feel more focused and productive as we go about our workday—or a negative—in the case of unhealthy habits that undermine our health and make it harder to function optimally.”

5 ways working out helps you get a better night’s sleep
“Looking for a deeper sleep at night? You might just need to move more during the day. Sleep specialists agree that regular physical activity is one of the best – if not the best – ways to get a good night’s sleep.”

Plant Extracts May Relieve Hangover Symptoms, Trial Suggests
“A dietary supplement drink containing plant extracts improved hangover symptoms after moderate alcohol consumption in a trial published in BMJ Nutrition, Prevention & Health.”

Long-term exercise impacts genes involved in metabolic health
“Decades-long endurance training alters the activity of genes in human skeletal muscle that are important for metabolic health. This is according to a new study published in the journal Cell Reports by researchers at Karolinska Institutet in Sweden and the University of San Diego in the U.S. Sex differences found in untrained individuals were also dramatically reduced with long-term training. The results may have implications for metabolic disease prevention.”

Hepatitis C News
Week Ending June 29, 2020

Study finds HCV-positive livers safe for transplantation; Hepatitis C can be cured afterward
“Patients who received a transplanted liver infected with hepatitis C and were later treated for the infection performed as well in recovery as transplant patients who received an organ free of infection, according to study from the University of Cincinnati College of Medicine and UC Health recently published in the journal Liver Transplantation.”

The Global Burden of Hepatitis C
“Hepatitis C is of concern both to industrialized and developing countries. Preliminary unpublished estimates of the global burden of disease (GBD) attributable to HCV-related chronic liver disease seem to be substantial.”

Stigma and Its Determinants Among Individuals With Hepatitis C Virus Infection
“A cross-sectional study among individuals with a history of hepatitis C virus (HCV) infection found that most experienced stigma associated with a diagnosis of HCV. The researchers found similar stigma scores between HCV-monoinfected and HIV/HCV-coinfected individuals but differing determinants associated with these infections, according to the results of a study published in the Journal of Viral Hepatitis.”

Hepatitis C Virus Superinfection in Patients With Chronic Hepatitis B Virus Infection
“Because hepatitis B virus (HBV) and hepatitis C virus (HCV) have the same transmission routes, dual infection may occur and even persist in the same patient. The reported series on seroprevalence of HCV indicate that HCV is found in more than 10% of HBV-infected patients worldwide. HCV superinfection in patients with chronic HBV infection tends to cause severe and progressive liver disease that is resistant to interferon therapy.”

Prevalence of Hepatitis C Virus Infection in Patients With COPD
“Some studies have suggested that chronic hepatitis C virus (HCV) infection may induce an accelerated decline of forced expiratory volume in 1 second (FEV(1)). We performed a cross-sectional study to determine the prevalence of HCV infection in a sample of chronic obstructive pulmonary disease (COPD) patients and in a control group of blood donors.”

The Uses of Adversity: Leveraging The COVID-19 Response To Eliminate Viral Hepatitis
“As our nation continues to confront the burgeoning pandemic of COVID-19, much has been written about the importance of building and sustaining a strong public health infrastructure to contain the epidemic, minimize its impact, and prepare for future waves of SARS-CoV-2 and other deadly pathogens.”

A 61-Year-Old Man With Stage 4 Hepatocellular Carcinoma

Lung Cancer News
Week Ending June 29, 2020

Significant association between income and survival after surgery for lung cancer
“Patients with low income have a higher risk of death following surgery for lung cancer compared with patients with high income. The association remains even after taking prevalence of common comorbidities, and other factors that are known to influence the risk of death, into account.”

Lung Cancer Screening With Low-Dose Computed Tomography: A Non-Invasive Diagnostic Protocol for Baseline Lung Nodules
“Indeterminate non-calcified lung nodules are frequent when low-dose spiral computed tomography (LD-CT) is used for lung cancer screening. We assessed the diagnostic utility of a non-invasive work-up protocol for nodules detected at baseline in volunteers enrolled in our single-centre screening trial, and followed for at least 1 year.”

Disparities in Lung Cancer Screening: A Review
“Lung cancer is the leading cause of cancer mortality in the United States. Certain groups are at increased risk of developing lung cancer and experience greater morbidity and mortality than the general population. Lung cancer screening provides an opportunity to detect lung cancer at an early stage when surgical intervention can be curative; however, current screening guidelines may overlook vulnerable populations with disproportionate lung cancer burden.”

Lung cancer patient-specific factors ‘greatest determinants’ of COVID-19 severity
“The burden of severe COVID-19 tends to be high in people with lung cancer, with patient-specific factors having the greatest impact on severity, indicates a chart review from a single center.”

Phase 2 VISION Trial Shows Promise for Tepotinib in NSCLC
“Tepotinib demonstrated durable clinical activity in patients with locally advanced or metastatic non-small cell lung cancer who harbor a MET exon 14 skipping mutation identified through liquid or tissue biopsy.”

Racial disparities seen in PET/CT imaging for lung cancer
“Black and Hispanic patients are less likely to undergo guideline-recommended imaging at diagnosis of non-small cell lung cancer, according to a study recently published in the Journal of the National Cancer Institute.”

Second Hand Smoke, Age of Exposure and Lung Cancer Risk
“Exposure to second hand smoke (SHS) has been identified as a risk factor for lung cancer for three decades. It is also known that the lung continues to grow from birth to adulthood, when lung growth stops. We hypothesize that after adjusting for active cigarette smoking, if SHS exposure took place during the period of growth, i.e. in the earlier part of life (0-25 years of age) the risk of lung cancer is greater compared to an exposure occurring after age 25.”

FDA Continues to Push Oncology Approvals Despite COVID-19 Pandemic
“Despite the COVID-19 pandemic bringing much of the country to a halt earlier this year, the Food and Drug Administration (FDA) has approved a large number of oncology therapies in the past few months, with a particular focus on lung cancer.”

Current Landscape of Targeted Therapy in Lung Cancer
“Lung cancer is the leading cause of cancer mortality worldwide. Comprehensive genomic profiling of lung cancers revealed their genetic heterogeneity and complexity and identified numerous targetable oncogenic driver alterations. These molecular profiling efforts have made it possible to exploit the potential of molecularly targeted therapies.”

Dr. Halmos on Recent Advancements in Non–Small Cell Lung Cancer