BC Myths and Facts - revised ppt 3.6.14

Myths and Curse of BreastMyths and Curse of Breast
Cancer in IndiaCancer in India
How to solve the riddle ?How to solve the riddle ?

Siddhartha KunduSiddhartha Kundu
General Manager (A LEADING PHARMA HOUSE, MUMBAI)General Manager (A LEADING PHARMA HOUSE, MUMBAI)
MS (App. Psy), MDBA (Symbiosis);MS (App. Psy), MDBA (Symbiosis);
POST MASTER COM. MED. & HEALTH PROMOTION,NIH&FWPOST MASTER COM. MED. & HEALTH PROMOTION,NIH&FW
PGDPC (Psychotherapy), DPM (IIM);PGDPC (Psychotherapy), DPM (IIM);
Clinical Research Methodology (TMH/Clinical Research Methodology (TMH/
Harvard Medical International / Symbiosis)Harvard Medical International / Symbiosis)
DMM (ITC), CA (NIIT), I.T. &E (Min. of Com.)DMM (ITC), CA (NIIT), I.T. &E (Min. of Com.)
Member of ISTD (Min. of HR), Delhi.Member of ISTD (Min. of HR), Delhi.
““Dip-TD”- Certified Trainer by Govt. of IndiaDip-TD”- Certified Trainer by Govt. of India
& Min. of labour & HR. ASCO Certified.& Min. of labour & HR. ASCO Certified.
Trained in Pain & Palliative Care – Pallium India & U.K. Aid.Trained in Pain & Palliative Care – Pallium India & U.K. Aid.
Award Winner in “Excellence in Advertising” by Advertising Council of IndiaAward Winner in “Excellence in Advertising” by Advertising Council of India
Trained in Tata Memorial Hospital –Mumbai & AIIMS, DelhiTrained in Tata Memorial Hospital –Mumbai & AIIMS, Delhi
Panelist in International Conference on Pain & Palliation, IAPCON 2014Panelist in International Conference on Pain & Palliation, IAPCON 2014
Speaker on CSR & Health Care (AIIMS, Delhi)Speaker on CSR & Health Care (AIIMS, Delhi)
Several Publications on Health & Management JournalsSeveral Publications on Health & Management Journals
Life member of Indian Society of Training & Development.Life member of Indian Society of Training & Development.
Member of Indian Public Relations Society (Delhi)Member of Indian Public Relations Society (Delhi)
Member of Advertising Council of India (Delhi)Member of Advertising Council of India (Delhi)
Honorary Executive Core Committee member of Indian Cancer Society, MumbaiHonorary Executive Core Committee member of Indian Cancer Society, Mumbai
Founder Member ASHADEEP – A MISSION, Mumbai, INDIAFounder Member ASHADEEP – A MISSION, Mumbai, INDIA

SummarySummary
 Common female and male cancers and Breast cancer statistics inCommon female and male cancers and Breast cancer statistics in
IndiaIndia
 Breast cancer MythsBreast cancer Myths
 Finding a lump in your breast means you have breast cancerFinding a lump in your breast means you have breast cancer
 Men do not get breast cancer; it affects women onlyMen do not get breast cancer; it affects women only
 A mammogram can cause breast cancer to spreadA mammogram can cause breast cancer to spread
 If you have a family history of breast cancer, you are likely to develop breast cancer,If you have a family history of breast cancer, you are likely to develop breast cancer,
tootoo
 Breast cancer is contagiousBreast cancer is contagious
 If the gene mutation BRCA1 or BRCA2 is detected in your DNA, you will definitelyIf the gene mutation BRCA1 or BRCA2 is detected in your DNA, you will definitely
develop breast cancerdevelop breast cancer
 Antiperspirants and deodorants cause breast cancerAntiperspirants and deodorants cause breast cancer
 Role of Corporates in Breast cancer Awareness &Role of Corporates in Breast cancer Awareness &
PreventionPrevention
 International trends in Cancer AwarenessInternational trends in Cancer Awareness

COMMON CANCER AMONGST MALES ANDCOMMON CANCER AMONGST MALES AND
FEMALES IN INDIAFEMALES IN INDIA
MALES
Prostate
cancer
incidence is
increasing in
India by 1%
every year, but
good news is
that current
survival rate in
97%. (Ref:
http://www.indiaprwire.com/
pressrelease/health-
care/20120202110875.htm)
FEMALES
Breast cancer
has overtaken
cervical cancer
to become the
leading type of
cancer in Delhi,
Bangalore,
Mumbai,
Chennai,
Bhopal,
Ahmedabad and
Kolkata.
Source: IANS
Ref: http://www.behindlifestyle.com/one-million-new-cancer-cases-in-india-every-year/

GROWING RATES OF BREASTGROWING RATES OF BREAST
CANCER IN URBAN INDIACANCER IN URBAN INDIA
Ref: Breast Cancer in Urban India Doubles in 24 Years! By TNN | posted Oct 18th 2011 at 3:54PM

Role of Corporates in BreastRole of Corporates in Breast
cancer Awareness & Preventioncancer Awareness & Prevention
 Objectives of CorporatesObjectives of Corporates
 Motives for Cancer Awareness ProgramsMotives for Cancer Awareness Programs
 Activities by Corporates:Activities by Corporates:
- Provide Cancer EducationProvide Cancer Education
- Prevention of CancerPrevention of Cancer
- Palliative & Supportive CarePalliative & Supportive Care
- Training of Health PersonnelTraining of Health Personnel
- Programs on patient’s mental well beingPrograms on patient’s mental well being
- Drugs & ResearchDrugs & Research
- Integration with NCD (Non Communicable Diseases) ProgramsIntegration with NCD (Non Communicable Diseases) Programs
- Post treatment carePost treatment care
 Other supportive activitiesOther supportive activities
 International trends in Cancer AwarenessInternational trends in Cancer Awareness

Half knowledge isHalf knowledge is
Dangerous !!!Dangerous !!!
Clear the Myths…Clear the Myths…

MYTH 1:MYTH 1:
Finding a lump in your breast means you have breast cancerFinding a lump in your breast means you have breast cancer
THE TRUTHTHE TRUTH
 Only a small percentage of breast lumps turn outOnly a small percentage of breast lumps turn out
to be cancer. But if you discover a persistent lumpto be cancer. But if you discover a persistent lump
in your breast or notice any changes in breastin your breast or notice any changes in breast
tissue, it should never be ignored. It is verytissue, it should never be ignored. It is very
important that you see a physician for a clinicalimportant that you see a physician for a clinical
breast exam. He or she may possibly order breastbreast exam. He or she may possibly order breast
imaging studies to determine if this lump is ofimaging studies to determine if this lump is of
concern or not. concern or not.
 Take charge of your health by performingTake charge of your health by performing
routine breast self-exams, establishing ongoingroutine breast self-exams, establishing ongoing
communication with your doctor, getting ancommunication with your doctor, getting an
annual clinical breast exam, and scheduling yourannual clinical breast exam, and scheduling your
routine screening mammograms.routine screening mammograms.
Material on this page courtesy of the National Cancer Institute.
http://www.nationalbreastcancer.org/breast-cancer-myths

MYTH 2:MYTH 2:
Men do not get breast cancer; it affects women onlyMen do not get breast cancer; it affects women only
THE TRUTHTHE TRUTH
 Quite the contrary, each year it is estimated thatQuite the contrary, each year it is estimated that
approximately 2,190 men will be diagnosed withapproximately 2,190 men will be diagnosed with
breast cancer and 410 will die. While thisbreast cancer and 410 will die. While this
percentage is still small, men should also checkpercentage is still small, men should also check
themselves periodically by doing a breast self-themselves periodically by doing a breast self-
exam while in the shower and reporting anyexam while in the shower and reporting any
changes to their physicians. changes to their physicians.
 Breast cancer in men is usually detected as a hardBreast cancer in men is usually detected as a hard
lump underneath the nipple and areola. Menlump underneath the nipple and areola. Men
carry a higher mortality than women do, primarilycarry a higher mortality than women do, primarily
because awareness among men is less and they arebecause awareness among men is less and they are
less likely to assume a lump is breast cancer,less likely to assume a lump is breast cancer,
which can cause a delay in seeking treatment.which can cause a delay in seeking treatment.

MYTH 3:MYTH 3:
A mammogram can cause breast cancer to spreadA mammogram can cause breast cancer to spread
THE TRUTHTHE TRUTH
 A mammogram, or x-ray of the breast,A mammogram, or x-ray of the breast,
currently remains the gold standard for thecurrently remains the gold standard for the
early detection of breast cancer. Breastearly detection of breast cancer. Breast
compression while getting a mammogramcompression while getting a mammogram
cannot cause cancer to spread. According tocannot cause cancer to spread. According to
the National Cancer Institute, “The benefitsthe National Cancer Institute, “The benefits
of mammography, however, nearly alwaysof mammography, however, nearly always
outweigh the potential harm from theoutweigh the potential harm from the
radiation exposure. Mammograms requireradiation exposure. Mammograms require
very small doses of radiation. The risk ofvery small doses of radiation. The risk of
harm from this radiation exposure isharm from this radiation exposure is
extremely low.”extremely low.”

MYTH 4:MYTH 4:
If you have a family history of breast cancer, you areIf you have a family history of breast cancer, you are
likely to develop breast cancer, toolikely to develop breast cancer, too
THE TRUTHTHE TRUTH
 While women who have a familyWhile women who have a family
history of breast cancer are in ahistory of breast cancer are in a
higher risk group, most womenhigher risk group, most women
who have breast cancer have nowho have breast cancer have no
family history.family history.
 Statistically only about 10% ofStatistically only about 10% of
individuals diagnosed with breastindividuals diagnosed with breast
cancer have a family history ofcancer have a family history of
this disease. this disease.

MYTH 5:MYTH 5:
Breast cancer is contagiousBreast cancer is contagious
THE TRUTHTHE TRUTH
 You cannot catch breast cancer orYou cannot catch breast cancer or
transfer it to someone else's body.transfer it to someone else's body.
Breast cancer is the result ofBreast cancer is the result of
uncontrolled cell growth of mutateduncontrolled cell growth of mutated
cells that begin to spread into othercells that begin to spread into other
tissues within the breast.tissues within the breast.
 However, you can reduce your risk byHowever, you can reduce your risk by
practicing a healthy lifestyle, being awarepracticing a healthy lifestyle, being aware
of the risk factors, and following anof the risk factors, and following an
early detection plan so that you will beearly detection plan so that you will be
diagnosed early if breast cancer were todiagnosed early if breast cancer were to
occur.occur.

MYTH 6:MYTH 6:
If the gene mutation BRCA1 or BRCA2 is detected inIf the gene mutation BRCA1 or BRCA2 is detected in
your DNA, you will definitely develop breast canceryour DNA, you will definitely develop breast cancer
THE TRUTHTHE TRUTH
 According to the National Cancer Institute,According to the National Cancer Institute,
regarding families who are known to carryregarding families who are known to carry
BRCA1 or BRCA2, “not every woman in suchBRCA1 or BRCA2, “not every woman in such
families carries a harmful BRCA1 or BRCA2families carries a harmful BRCA1 or BRCA2
mutation, and not every cancer in such families ismutation, and not every cancer in such families is
linked to a harmful mutation in one of theselinked to a harmful mutation in one of these
genes.genes.
 Furthermore, not every woman who has aFurthermore, not every woman who has a
harmful BRCA1 or BRCA2 mutation will developharmful BRCA1 or BRCA2 mutation will develop
breast and/or ovarian cancer.But, a woman whobreast and/or ovarian cancer.But, a woman who
has inherited a harmful mutation in BRCA1 orhas inherited a harmful mutation in BRCA1 or
BRCA2 is about five times more likely to developBRCA2 is about five times more likely to develop
breast cancer than a woman who does not havebreast cancer than a woman who does not have
such a mutation.”such a mutation.”

MYTH 7:MYTH 7:
Antiperspirants and deodorants cause breast cancerAntiperspirants and deodorants cause breast cancer
THE TRUTHTHE TRUTH
 There are not any conclusive evidence linkingThere are not any conclusive evidence linking
the use of underarm antiperspirants orthe use of underarm antiperspirants or
deodorants and the subsequent development ofdeodorants and the subsequent development of
breast cancer.breast cancer.

Role of Corporates inRole of Corporates in
Breast CancerBreast Cancer
Awareness &Awareness &
PreventionPrevention

Objectives of CorporatesObjectives of Corporates
 To prevent cancer through public educationTo prevent cancer through public education
 To reduce the morbidity and mortality due toTo reduce the morbidity and mortality due to
cancercancer
 To promote early detection of cancerTo promote early detection of cancer
 To provide adequate therapyTo provide adequate therapy
 To develop an effective palliative care serviceTo develop an effective palliative care service

Motives for Cancer Awareness ProgrammesMotives for Cancer Awareness Programmes
 To determine the incidence and prevalence of cancerTo determine the incidence and prevalence of cancer
 To promote public awareness about cancer i.e early symptomsTo promote public awareness about cancer i.e early symptoms
and prevention strategies.and prevention strategies.
 To promote early diagnosis and referral, and provide effectiveTo promote early diagnosis and referral, and provide effective
therapy and palliative care.therapy and palliative care.
 To provide adequate infrastructure, equipment and drugs for theTo provide adequate infrastructure, equipment and drugs for the
treatment of cancer patients.treatment of cancer patients.
 To promote scientific, epidemiological and clinical research inTo promote scientific, epidemiological and clinical research in
cancercancer
 To develop strategies for better implementation of cancerTo develop strategies for better implementation of cancer
awareness programme.awareness programme.

1. Provide Cancer Education1. Provide Cancer Education
Methods include:Methods include:
 PostersPosters
 Articles in the press / leafletsArticles in the press / leaflets
 Talks on radio and televisionTalks on radio and television
 Organizing campsOrganizing camps
 Associating with NGOsAssociating with NGOs
 Public awareness campaignsPublic awareness campaigns
 Health Promotion activitiesHealth Promotion activities

2. Prevention of Cancer2. Prevention of Cancer
 Participate in eliminating factors thatParticipate in eliminating factors that
contribute to the occurrence of cancer e.g.contribute to the occurrence of cancer e.g.
Breast cancer through lifestyle changes.Breast cancer through lifestyle changes.
 Early detection and treatment throughEarly detection and treatment through
training of hospital personnel, provision oftraining of hospital personnel, provision of
adequate medication, modern infrastructureadequate medication, modern infrastructure
and modernization of radiotherapyand modernization of radiotherapy
equipment as well as their properequipment as well as their proper
maintenance and ensure quality control.maintenance and ensure quality control.
 Setting up a dedicated Breast Health UnitSetting up a dedicated Breast Health Unit
that includes specialists for radiological,that includes specialists for radiological,
cytological, surgical and radiotherapycytological, surgical and radiotherapy
departments.departments.

3. Palliative & Supportive Care3. Palliative & Supportive Care
 Purpose-built Hospice or palliative care unit orPurpose-built Hospice or palliative care unit or
dedicated pain control unit.dedicated pain control unit.
 Extend palliative care practices to all hospitalsExtend palliative care practices to all hospitals
and Area Health Centers and provide home-and Area Health Centers and provide home-
based care after training to the necessarybased care after training to the necessary
workfore.workfore.
 Training workshops and CMEsTraining workshops and CMEs
 Use of WHO palliative care manualsUse of WHO palliative care manuals

4. Training of Health Personnel4. Training of Health Personnel
 Continuing education for the medical andContinuing education for the medical and
nursing staff and other workers in the healthnursing staff and other workers in the health
service,service,
 w.r.t. especially, the holistic and humanw.r.t. especially, the holistic and human
approach to the cancer patient,approach to the cancer patient,
 on the other hand, to modern high technologyon the other hand, to modern high technology
cancer therapy.cancer therapy.

5. Education on cancer awareness and detection and5. Education on cancer awareness and detection and
programs on patient’s mental well beingprograms on patient’s mental well being
 Hold detection camps regularly at hospitals or factories,Hold detection camps regularly at hospitals or factories,
bus depots, villages etc.bus depots, villages etc.
 Suspected cases referred for further tests andSuspected cases referred for further tests and
investigationsinvestigations
 Awareness lectures conducted at villages, self helpAwareness lectures conducted at villages, self help
groups, municipal workers and in the slumsgroups, municipal workers and in the slums
 Programs conducted at hospitals for in-patients likePrograms conducted at hospitals for in-patients like
singing, painting and magic shows etc to keep patientssinging, painting and magic shows etc to keep patients
in their positive state of mind.in their positive state of mind.

6. Providing a means for6. Providing a means for
adequate therapyadequate therapy
 Provision of clinically proven and approvedProvision of clinically proven and approved
cancer drugscancer drugs
 Regular and adequate supply of clinically provenRegular and adequate supply of clinically proven
and approved drugs for cancer treatmentand approved drugs for cancer treatment
 Providing reference cancer textbooksProviding reference cancer textbooks
 Distribution of photocopies of certain article onDistribution of photocopies of certain article on
regular basisregular basis

7. Research for improved7. Research for improved
treatmenttreatment
 Clinical, epidemiological and scientific researchClinical, epidemiological and scientific research
on cancer and drugson cancer and drugs
 Defining the possible causes of cancer,Defining the possible causes of cancer,
prevention, methods of achieving early diagnosisprevention, methods of achieving early diagnosis
and improvement in therapy and changingand improvement in therapy and changing
lifestyles of the populationlifestyles of the population

8. Integration with NCD8. Integration with NCD
ProgrammeProgramme
 Integration of the Cancer awareness programmeIntegration of the Cancer awareness programme
within the country’s Health Sector Strategicwithin the country’s Health Sector Strategic
Progrmme to make it most effectiveProgrmme to make it most effective
 Collaboration with NGOs interested in cancerCollaboration with NGOs interested in cancer
servicesservices
 Funding NGOs and working with them for aFunding NGOs and working with them for a
common social causecommon social cause

9. Post treatment care9. Post treatment care
 Educating health care personnel and patients onEducating health care personnel and patients on
post treatment care e.g. post surgical exercisespost treatment care e.g. post surgical exercises
after Breast cancer surgeryafter Breast cancer surgery
 After treatment Dos and Don’ts leaflets forAfter treatment Dos and Don’ts leaflets for
patientspatients

10. Health Promotion Activities10. Health Promotion Activities
 Prostheses (artificial body parts)Prostheses (artificial body parts)
 Diet / weight reduction counselingDiet / weight reduction counseling
 Fitness / Yoga campsFitness / Yoga camps
 Pink Ribbon DayPink Ribbon Day
 Rose DayRose Day

Patient care with ProsthesesPatient care with Prostheses
 Corporates in association with NGOs helpCorporates in association with NGOs help
cancer patients obtain the prostheses (artificialcancer patients obtain the prostheses (artificial
body parts) e.g. breast prosthesis; and evenbody parts) e.g. breast prosthesis; and even
rehabilitation of a patient rendered jobless duerehabilitation of a patient rendered jobless due
to long absence from the job or his/her familyto long absence from the job or his/her family
members to supplement the familymembers to supplement the family
income ... this assistance is rendered withincome ... this assistance is rendered with
humaneness and compassion.humaneness and compassion.
 Opening rehabilitation centersOpening rehabilitation centers
http://www.cpaaindia.org/activities/patientcare.htm

““Health Managers” for PatientsHealth Managers” for Patients
 The companies recruit Health Managers helpingThe companies recruit Health Managers helping
them with counseling, diagnostic tests, freebies,them with counseling, diagnostic tests, freebies,
diet or exercise advice. All of this at no charge.diet or exercise advice. All of this at no charge.
 Physician and patient support programs directedPhysician and patient support programs directed
to better drug adherence and complianceto better drug adherence and compliance
 Direct patient-pharmacy based counseling onDirect patient-pharmacy based counseling on
diet supplementsdiet supplements

Health Camps / Medical careHealth Camps / Medical care
 Breast cancer support groupsBreast cancer support groups
 Health facilities-Preventive, Curative andHealth facilities-Preventive, Curative and
InformativeInformative
 Nutrition awarenessNutrition awareness
 Forming Self Help Groups (SHG’s)Forming Self Help Groups (SHG’s)
 Expansion of hospital care services throughExpansion of hospital care services through
better utilization of existing facilities (Streebetter utilization of existing facilities (Stree
Shakti Cards: Referral Services)Shakti Cards: Referral Services)
 Camp clinics serve the gate-keeping functionCamp clinics serve the gate-keeping function
for identifying women in need of higherfor identifying women in need of higher
order health care servicesorder health care services

Pink Ribbon DayPink Ribbon Day
 Become a Corporate Partner -SponsorshipBecome a Corporate Partner -Sponsorship
 Cause-related marketing – Drive sales through donating a percentage of salesCause-related marketing – Drive sales through donating a percentage of sales
of your products or servicesof your products or services
 Box support – raise funds through selling Pink Ribbon Day merchandise atBox support – raise funds through selling Pink Ribbon Day merchandise at
retail outlets nationallyretail outlets nationally
 Event participation – hold a Girls’ Night In event, wear Pink, and many moreEvent participation – hold a Girls’ Night In event, wear Pink, and many more
opportunitiesopportunities
 Events - Organise a pink event or a Girls’ Night In and engage staff andEvents - Organise a pink event or a Girls’ Night In and engage staff and
customers with a keynote speaker, run auctions, raffles and competitions.customers with a keynote speaker, run auctions, raffles and competitions.
 Site Stalls - Host Pink Ribbon Day stalls at offices nationally by orderingSite Stalls - Host Pink Ribbon Day stalls at offices nationally by ordering
merchandise from localmerchandise from local Cancer Council Cancer Council. .
 Volunteering – Staff sell merchandise on Pink Ribbon Day Volunteering – Staff sell merchandise on Pink Ribbon Day
 Payroll Giving – allow staff to contribute to the cause from their pre-tax payPayroll Giving – allow staff to contribute to the cause from their pre-tax pay
and set up a one-off online donation for the occasion.and set up a one-off online donation for the occasion.
http://www.pinkribbonday.com.au/become-corporate-partner

Fund raising approach ByFund raising approach By
Corporates on Rose DayCorporates on Rose Day
 EndorsementEndorsement
 Corporate Social ResponsibilityCorporate Social Responsibility
 Corporate Venture – Image buildingCorporate Venture – Image building
 Pharma – NGOs tie upsPharma – NGOs tie ups
 Involve opinion leaders, journalists and donorsInvolve opinion leaders, journalists and donors
in fund raising activitiesin fund raising activities
 Collaborative projects with American CancerCollaborative projects with American Cancer
Society and Queensland Cancer FundSociety and Queensland Cancer Fund

Other supportive activitiesOther supportive activities
 Dedicated voluteersDedicated voluteers
 Suggestions in interest of patients careSuggestions in interest of patients care
 Donations in case/kindDonations in case/kind
 Sponsorship for patient oriented events viz., Holi, Diwali andSponsorship for patient oriented events viz., Holi, Diwali and
Christmas celebrationsChristmas celebrations
 Sponsorhip for fund raisersSponsorhip for fund raisers
 Donation of a van for shuttle service for the patientsDonation of a van for shuttle service for the patients
 Sponsoring health check up campsSponsoring health check up camps
 Sponsoring the printing of stationary of NGOsSponsoring the printing of stationary of NGOs
 Getting up space in the newspapers/magazinesGetting up space in the newspapers/magazines

International trends inInternational trends in
Cancer AwarenessCancer Awareness

CollaborationsCollaborations
 A collaboration of national public serviceA collaboration of national public service
organizations, professional medical associations,organizations, professional medical associations,
and government agencies working together toand government agencies working together to
promote breast cancer awareness, sharepromote breast cancer awareness, share
information on the disease, and provide greaterinformation on the disease, and provide greater
access to services.access to services.

Collaborating OrganizationsCollaborating Organizations
 National Cancer Control Programme (NCCP)National Cancer Control Programme (NCCP)
 Cancer Patients Aid Association (CPAA)Cancer Patients Aid Association (CPAA)
 Macmillan Cancer SupportMacmillan Cancer Support
 American Cancer Society (ACS) American Cancer Society (ACS)
 American College of Obstetricians and Gynecologists (ACOG)American College of Obstetricians and Gynecologists (ACOG)
 American College of Radiology (ACR)American College of Radiology (ACR)
 The American Society of Clinical Oncology (ASCO) The American Society of Clinical Oncology (ASCO)
 The American Medical Women's Association (AMWA)The American Medical Women's Association (AMWA)
 National Medical Association (NMA)National Medical Association (NMA)
 The Oncology Nursing Society (ONS) The Oncology Nursing Society (ONS)
 Prevent Cancer FoundationPrevent Cancer Foundation
 Centers for Medicare & Medicaid Services (CMS)Centers for Medicare & Medicaid Services (CMS)
 National Cancer Institute (NCI)National Cancer Institute (NCI)

Thank YouThank You
Caring for patients through Awareness,Caring for patients through Awareness,
Education and RehabilitationEducation and Rehabilitation

BC Myths and Facts - revised ppt 3.6.14

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BC Myths and Facts - revised ppt 3.6.14