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OCT O B E R 2 0 1 9 IS S UE0 2
MAGAZINE
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E D I T O R IA L
Hello Life! Autumn is back and together with it, a new perspective of life. Nature itself is in a transitional process during this time of the year. Indeed, Autumn is the so called “bridge” between summer and winter. It is a period of hibernation and a time when nature is preparing for the cold, rainy and humid winter. This season starts off with the first fall of leaves in September and finishes with the early signs of Christmas in December. Autumn is also a time when we touch on key issues which merit time to think about and consider ways how to act on them. Indeed, this is a time for Pink October, an annual international health campaign organized by major breast cancer charities every October to increase awareness and to raise funds for research into its cause, prevention, diagnosis, treatment and cure. The campaign also offers information and support to those affected by breast cancer. Autumn is also the time for Movember, an annual event involving the growing of moustaches during the month of November to raise awareness of men’s health issues, such as prostate cancer, testicular cancer and suicide. In this context, this issue of Life seeks to see such key issues from the eyes of specialists, academics and survivors. This issue also includes other key interviews with leading local and foreign personalities who share with us their experience of life. I wish you all a pleasant read and a super autumn!
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CURE THEM AND MAKE THEM FEEL GOOD Dr Chris Fearne Deputy Prime Minister Minister of Health
“Cure them, make them look good and feel good.” This is the mantra at the Agatha Breast Clinic at Mater Dei Hospital. And indeed that is what we are doing. Breast Cancer, with around 300 new cases annually, is the commonest cancer in Malta Clearly this is nothing to write home about, however the work done by our excellent clinicians over the last 20 years to turn around our survival rate is well worth recognising and indeed the results achieved are cause for celebration. 20 years ago, our 5-year survival rate was below 80% and was one of the lowest amongst European countries. Today, Malta’s fiveyear survival rate at 86.9% tops the chart across all EU Member States. A truly remarkable achievement.
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This achievement is the result of a concerted, multifaceted drive focused on achieving this goal. It is true that we have invested in a broad screening programme, in new medicines, in more equipment and technology. However, these investments alone would never have resulted in the achievement we mark today were it not for the multidisciplinary approach to Breast Cancer care adopted by our clinical staff. Each and every week a team of oncologists, surgeons, breast care nurses, psychologists, physiotherapists and anaesthetists come together to discuss around 40 patients. They carefully consider each case, reviewing each individuals’ care plan. What to do, what to do next, what treatment to give, what treatment to change. It is this coordination bringing together all relevant fields of expertise that ensures that patients get the best possible care. As with other cancers, early detection is pivotal to success. This is why during the last few years we have continued to invest heavily in our national free breast-screening programme. The Programme has now been in operation for 19 years and has grown from strength to strength. Initially aimed at women between the ages of 58 to 60 with further cohorts of women were invited to take part in the programme each year. By the end of 2018, all women aged between 50 – 68 were being invited to be screened. Last year as well, the screening interval was decreased from three years to two and a half years. This interval will be further decreased to reach
the 2-year mark by the end of this year. Fundamental to the success of the screening programme were the numerous measures taken during 2017 and 2018 to increase awareness of breast cancer and the importance of screening with the aim of overcoming well-documented reluctance of some patients to undergo screening. Women who had previously failed to participate were contacted on a personal level, with a view to increasing participation. The tireless work of Mrs Michelle Muscat in championing this cause through amongst others the Pink October campaign, has been instrumental in driving a culture shift in attitudes towards screening. This month long activity with the sole aim of raising awareness about the importance of breast screening and encouraging women to speak up and seek medical advice as soon as they feel something abnormal. Again, the results have been significant with the participation rate increasing from 50% to almost 60% in the last 2 years alone. The Malta Breast Cancer story demonstrates unequivocally, that when health awareness, healthier lifestyles and better healthcare come together, they not only have the potential to drive a sea change in our quality of life, but they actually save lives. This is a goal truly worth striving for. Let us continue to work together as a society to have healthier lifestyles. Let us continue to save lives.
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O
materials and shapes when creating its breast
partial compensation, they offer everything expected
which can be filled as preferred. The unique
ur feminine lingerie is perfectly attuned to
Anita care also draws on a wide range of
the needs of women who have undergone breast surgery. From providing first care
forms, from textile initial care models through
immediately after the operation through to full or
to full and partial compensation, and models
of a mastectomy bra: alongside special, exclusive
FlexGapÂŽ technology features a fold for freedom
materials and adapted tailoring, Anita care special
of movement which ensures that the breast
bras also come with integrated pockets to ensure
form moves like a natural breast. A breast form
an optimal fit when wearing a breast form. Anita
developed especially for swimming completes the
care bras are available in fresh colours and modern
collection. Anita care breast forms are tailored
designs, from casual styles to models with delicate
towards different needs in terms of texture and
lace. They are all designed with your well-being,
finish and therefore achieve a natural feeling of
confidence and comfort in mind.
comfort for the wearer.
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MEET THE WOMEN BEHIND BLISS LINGERIE
BLISS LINGERIE
“
FOR
BREAST CANCER
It’s been two years already since
we started operating our shop in Mosta.
Our main aim at Bliss Lingerie is to help
all the women out there who face daily
The attuned trio from Anita care offers optimal support
following breast
problems finding their correct bra and
THE TRIPROVITA SYSTEM – ALL FROM A SINGLE SOURCE
size especially when coming for plus
sizes. With the help of our professional suppliers from abroad which provide us
surgery and a whole
with high-end products, we were always
new lease of life
able to satisfy our customers and that’s what really makes us happy and eager
to keep on going further. We are also the exclusive sellers for ‘Anita since 1886’
here in Malta, Anita specialises in all
type of underwear from A to I cup and
have different ranges of underwear such
as care, comfort, maternity and active. In conclusion, when shopping at Bliss
Lingerie you’re not only getting the best
products but also a better understanding
“
on breast care and health tips because we value our customers and we take
pride in what we do, that’s why we do it
with passion.
74, Constitution street Mosta - 21414831 / 79020014
LOUISE MICALLEF
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Live the life
you deserve T: 2258 4200 | E: info@caremalta.com
www.caremalta.com
HOW TO LOSE BELLY FAT FOR
MEN OVER 40
Dr. Z. Teebi
Dr. Z. Teebi is a Medical Consultant with a special interest in Allergies and Allergy therapy. He studied allergy medicine and graduated from The Imperial College London (UK). Email: info@allergyclinicmalta.com
ARE YOU WONDERING HOW TO LOSE BELLY FAT IF YOU ARE A MAN OVER 40? LOSING BELLY FAT ONCE WE’RE OVER 40 YEARS OLD COMES DOWN TO A SERIES OF STEPS EXECUTED ON A CONSISTENT BASIS UNTIL YOU REACH YOUR GOAL: 1. Know your starting point The first thing you need to know is how much belly fat you must lose. The reason you need to get your body fat percentage is when you’re losing weight you want to make sure its coming primarily from fat and not muscle.
5. Eat fewer bigger meals I recommend eating lightly in the morning and then a large meal for lunch, dinner and having a bed time snack of mainly protein to fuel your muscles. Don’t overcomplicate this though, just make sure you’re NOT exceeding your daily calorie limit.
2. Work out how much fat you need to lose I recommend a goal body fat percentage of 12 to 15%, this is lean enough to see your abs but not super ripped.
6. Strength train using the basics Strength training is a very important part of losing belly fat. Nothing has such a dramatic effect on the male hormonal system like strength training does. By sticking to multiple sets of low reps you’ll gain strength and build a nice natural amount of muscle that will keep your metabolism permanently elevated. The advantage of sticking to compound exercises is you don’t need to lift weights more than 3 times per week to get an awesome body and your workouts will be kept short. This is perfect for busy men over the age of 40 that don’t have much time to train.
3. Get Your BMR Calories (Basal Metabolic Rate) The first thing you need to calculate is your BMR, this is how many calories you need to eat without gaining or losing any weight. You can’t lose fat unless you’re in a caloric deficit, BUT if you eat too few calories your body will slow down its metabolism thinking there’s ‘starvation’ around the corner. Also, if you restrict calories too much, it will be extremely difficult to stick to and encourage binge eating. Now to lose fat, aim for 20% LESS than your BMR calories per day. This will keep you at steady fat loss of 0.5 to 1 kg per week. 4. Break up those calories into the correct macros This is very important. You should be getting about 40% of your overall calories from carbohydrates, 40% from protein and the remaining 20% from healthy fats. Make sure you’re including testosterone boosting foods such as eggs and avocados, keeping our testosterone levels as high as possible is very important for men over 40. Low testosterone = harder to lose weight Therefore, keeping carbs and fat relatively high is very important, a diet too low in these macros will kill testosterone.
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7. Perform cardio Cardio is important for men over 40 to speed up the fat burning process, it will allow you to eat more calories whilst keeping you in a calorie deficit. I recommend performing a minimum of 2 low impact cardio sessions per week for 30 to 40 minutes using a low impact full body machine such as the cross trainer. This will elevate your heart rate and keep you burning fat. When our bodies are stressed it’s hard to lose fat and our testosterone levels are destroyed. The moderate dose of cardio for belly fat loss is far more effective and sustainable. 8. The ‘Secret’ to succeed: PERSISTENCE! Keep going. Here’s to your success!
I
SEASONAL INFLUENZA
Interview with DR VICTORIA FARRUGIA
SANT’ANGELO,
Principal General Practitioner
Child and Adolescent Health and Immunisation Unit Primary Health - Floriana
NFLUENZA IS AN INFECTIOUS VIRAL DISEASE. IT CAN BE CAUSED BY VARIOUS TYPES OF INFLUENZA VIRUSES. INFLUENZA OCCURS THROUGHOUT THE YEAR, BUT IS USUALLY MORE COMMON IN PERIODS FROM JANUARY TO MARCH/APRIL. THE VIRUS MAINLY SPREADS BY RESPIRATORY DROPLETS WHEN COUGHING OR SNEEZING. THE DISEASE IS CHARACTERISED BY FEVER, SORE THROAT, COUGH, HEADACHE, MUSCLE ACHES, RUNNY NOSE AND GENERAL TIREDNESS. IT IS USUALLY SELF-LIMITING WITH RECOVERY IN TWO TO SEVEN DAYS. HOWEVER, IF PERSONS WITH WEAKENED IMMUNITY AND ELDERLY PERSONS GET INFECTED, IT CAN BE A SERIOUS ILLNESS AND MAY BE COMPLICATED BY BRONCHITIS, PNEUMONIA OR EVEN DEATH IN THE MOST SERIOUS CASES.
Why is seasonal influenza vaccination important?
Health Organisation strongly recommends that certain
means to prevent seasonal influenza and its complications,
• pregnant women
Seasonal influenza vaccination is one of the effective
as well as reduce influenza related hospitalisation and death.
Who is at higher risk of health complications from influenza?
When influenza starts to spread every winter, the World
groups be vaccinated against the disease. These include:
• individuals with chronic heart or lung diseases, renal disease, chronic liver disease, chronic neurological conditions or immunodeficiencies
• people over 55 years, irrespective of other risk factors;
• residents of long-term care facilities for older people and the disabled
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• children aged 6–59 months
• health-care workers, including those who work in
facilities that care for older people or people with disabilities
After receiving the vaccine, it takes 2 weeks to develop
protective antibodies against influenza. However, it is never
too late to be vaccinated if influenza is still circulating.
Vaccination increases the chances of being protected from infection and may lessen severe consequences of the
How can one protect against influenza?
The best way to prevent or minimise severe disease from
disease.
influenza is timely vaccination. In addition to vaccination,
Why do people need to be vaccinated every winter?
These include:
because influenza viruses constantly change, meaning
• covering the mouth and nose when coughing or
immunity from an influenza vaccination decreases over
personal protective measures should always be practiced. • regular handwashing and proper drying of hands
sneezing, and using tissues and disposing of them correctly
• not going to work if feeling unwell or feverish, or when
experiencing other symptoms of influenza and not sending children to school if they are sick
It is important to be vaccinated every year. This is partly
different strains can circulate each year, and partly because time. Seasonal influenza vaccines are updated each year
to provide the highest possible protection by matching the circulating viruses.
Can anyone get the influenza vaccine?
Yes. The influenza vaccine may be taken by anyone
• avoidance of close contact with sick people
• avoidance of touching the eyes, nose or mouth
over the age of 6 months. Seasonal influenza vaccines
When should a person get vaccinated and how often?
administered to millions of people and have a good safety
It is best to get vaccinated before the influenza season
starts. Influenza vaccination campaigns usually take place around October, soon after the vaccine becomes available.
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have been in use for more than 50 years, have been
record. Healthy children and adults should be encouraged to take the influenza vaccine every year to help protect them and their families against the disease.
C
reating a Sustainable KITCHEN
Interview with
KURT MIFSUD
CEO and Founder of the Mediterranean Culinary Academy
The development of a nation’s food culture depends on a country’s ability to disseminate and evolve its culinary roots through education. Indeed, at the heart of every country boasting rich food traditions lie leading culinary academic institutions including Le Cordon Bleu and École Lenôtre in France, Academia Barilla in Italy, Hattori Nutrition College in Japan, the Culinary Institute of America in the US and Tante Marie Culinary Academy in the UK. Credit by Stephen La Rosa
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I always felt that notwithstanding Malta’s
rich and complex food culture, the country lacks
a proper private culinary academy which offers a proper platform for food prospective individuals vying a career in the culinary industry or food enthusiasts
to
further
develop
their
cooking
skills. The establishment of the Mediterranean
Culinary Academy is indeed a breath of fresh air
which through their very interesting curriculum is offering the market genuine training programmes
which seek to stress on the local culinary
traditions, emphasize on sustainability and repropose local food traditions.
The portfolio of courses offered by the
Mediterranean Culinary Academy is impressive
as much as the curriculum of each of its founders which made it worth to discover more about their
work. I called the CEO and founder of the academy,
Kurt Mifsud to meet for a chat which he promptly accepted.
I met Kurt at their busy workshop in Valletta. Whilst
preparing a coffee for both of us, he introduces himself noting that he does not have a chef background.
“I am a Bachelor graduate in gastronomic science
at the University of Gastronomic Science in Pollenzo. During my studies, I realised food was
my passion.” He adds that whilst travelling, he had the opportunity to come across new ingredients
and different food cultures. “My exposure to food
increased my interest and determination to invest in gastronomic dissemination. What started with
a pop up restaurant thanks to a private investor
and four friends who shared the same vision fast developed into a fully-fledged academy. What people
told us was close to impossible, quickly turned out to be a tangible proposition.”
The Mediterranean Culinary Academy is the first
educational establishment of its kind. The Academy
is focused on giving its students the technical
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CREATING A SUSTAINABLE KITCHEN abilities to excel in any culinary role, whether they are
home cooks or professionals. It is intrinsically committed
to developing Mediterranean cuisine in particular, as well
as leading the way with regards to sustainable agricultural practices.
Kurt notes that “the Academy revolves around a unique
set of contemporary values that places the food cycle at
the core of everything it teaches.” From its one-day and
hobby courses to its professional training for chefs, every
student will be provided with a wealth of information and skills on how to make delicious, fresh food in the most
sustainable manner possible. Kurt notes that “it is this that sets all Mediterranean Culinary Academy apart in a world that critically needs to become ever-more globally aware and ecologically proactive.”
I ask him about their teaching methodology. Kurt tells
me that “our approach is quite different. We start with the premise that we do not know it all. We are only guiding
people on how it should be done. We are also very open with
our sources. We have created a network of NGOs, young producers and other key entities and individuals in the industry with whom we work closely. Our aim is to
move local gastronomy forward. We are trying to build a
gastronomic movement to move the concept forward.” He adds that “it is all about being passionate, innovative and work with the right people.”
He proudly tells me that to date they trained over
220 food enthusiasts whose ages astonishingly range
between 23 to 83. “We are pretty happy with what we have achieved. We had our share of disappointments yet life is made of ups and downs. What really matters is that you find a way to move forward.”
Our conversation inevitably focuses on local produce.
Kurt points out that “a local product is definitely good.
The fact that it is freshly picked makes it definitely better.” He notes that we have access to fresh fish and to high
quality pork. From a viticultural point of view, our country Credit by Robert Pace
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“
“
sustainable foraging if done well offers us the possibility to give value to something natural.
CREATING A SUSTAINABLE KITCHEN is blessed with several indigenous grape varieties of Ġellewża and Girgentina, which are producing
some excellent wines of distinct body and flavour. From a food point of view Malta boasts several high
quality products including potato, citrus, carob, figs, strawberries, tomatoes, honey, pomegranate, and
olives as well as the small Malta June pear. Kurt
stresses on the distinct taste of local olives and comments that, “We are currently working with local producers on the production of an endemic olive oil. The original species is from Bidnija however the
grove from which we produce our oil is in Wardija. It
is called Bidni. The ‘Bidni’ variety is endemic to Malta but, until just 10 years ago, it was virtually unknown,
with the tree thriving only in a stretch of woodland between Bidnija and Wardija. On average, a ‘Bidni’
harvest produces less olive oil when compared to
other varieties, particularly as the fruit is picked very early on in the season.”
I ask him to what extent does he feel local
produce is appreciated to which he promptly points out “very little.” He adds that it is ironic as people’s
perception is positive, yet restauranteurs selection of
produce is dictated by convenience. He remarks that the government needs to invest in measures which seek to protect and promote local produce. “Unless
there is such a strong push from the government’s
end, respect and appreciation towards local produce will be poor.” Credits by Stephen La Rosa
Our discussion also touches on sustainability. He
notes that there are products which are under utilised. “I believe there is a lot of potential for goat and mutton.
The same goes for chicken, especially the black chicken.” On the other hand, he adds that the sea
offers us several products we often do not give demerit to including mackerel, bogue and saddled
sea bream. We changed recipes and have created
new concepts with basic fish. We consult with NGOs like Fish for Tomorrow and with experts in the industry.
You can get good fish but you cannot have it every
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Credit by Robert Pace
day. You need to know when specific fish is available.”
is that it is limited and there is a lot of ignorance on the
him what are his views about such fish. “Dolphin fish is
well offers us the possibility to give value to something
Given that autumn is associated with dolphin fish, I ask a great fish with a pleasant taste. It is all about catching
it at the right time. Our mode of catch is very sustainable and rekindles memories of our past. For many lampuki is
associated with home traditions where it is often served fried, baked or as a pie.”
In line with the concept of sustainability, we also talk
about foraging. Foraging is the area of expertise of Keith
Abela who has been practicing the profession for the past years. Kurt admits that the major challenge with foraging
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subject. He also adds that “sustainable foraging if done natural. Having said that, you risk a wipeout of indigenous plants.”
Whilst finishing off my last sip of coffee, I ask him
what do they have in store. “We are busy working on new courses aimed at attracting a wider audience. We are also working on the expansion of our oil project. Moreover, we are working closely with local producers and NGOs so
as to continue promoting a sustainable kitchen. Indeed, a very busy agenda ahead!”
T
AKING HE CHALLENGE Interview with
FABIO SPITERI
I met FABIO SPITERI in a Buæibba watering hole. When I asked him what he wanted to drink, I half expected him to order some super extra healthy spinach, ginger and god knows what herb that miraculously helps one keep in shape, but he ordered a pint of beer – “train hard, play hard” he told me in his trade mark smile. He is definetely like a full-bodied red wine… getting better and better with age!
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You are 45 years old, what keeps you going?
I don’t take health for granted, I’ve been into competitive sports for 23 years, and I feel really strong for my age, so I have no
plans of slowing down. Speed decreases naturally with age but endurance increases so I just switched short races to ultraraces, some of them take even 5 days.
How difficult is it to adopt a healthy lifestyle?
Not difficult at all. People just need to be aware of their health, stop smoking if they do, eat healthy if they don’t and consume alcohol within limits, followed by some physical training.
Training can vary from twice to 5 times a week if not more. If
anyone has limited time to train due to a busy schedule one can easily start running 30 minutes leaving from the house to avoid commuting.
What in your opinion, is the biggest obstacle Maltese people find when trying to live a healthier life?
Sports is on the increase at the moment and at times facilities
are full like some swimming pools, running tracks, gyms etc. It’s a good thing as it shows how people are adapting to training, but we need more sports facilities. Cycling has become a
nightmare due to the vast number of cars on the roads and
some careless drivers. Also, healthy food is too expensive to maintain while fast food can cost much much less.
Do you think that leading a healthy lifestyle will
automatically make us more conscious about the environment?
Definitely YES ... I am surrounded by swimmers, cyclists,
runners and triathletes. None smoke so definitely no one
throws cigarette butts on the floor or beach. Lots of sporty
people also are organising clean ups on roads and beaches
from plastic. Also, there are a few long challenges like round Malta and round Gozo swim to create awareness on the
problems created from plastic in our sea waters. Most sporty people are all cautious about environment.
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T
AKING HE CHALLENGE
You have recently started a beach cleaning campaign; do you think that the general public is co-operating? I try to do 3 or 4 clean ups a year with my team. Like
me there are other groups cleaning up beaches, camping areas and trails. I have to believe we are doing some
sort of impact but to be honest we need harsh fines and penalties because that’s when people really learn.
What about cycling lanes?
Recently we’ve seen new cycling lanes around Tal-
Balal and Żebbuġ roundabout. I don’t want to sound
negative, but they are posing danger to cyclists who use them for the simple reason that you can’t go around a
roundabout on the outside lane while cars from the inside need to go straight. Its best to stay on the inside not on the green lane (cycling lane) as painted on the outside.
The coast road cycling lane is good for training however needs to be cleaned frequently in order to avoid several punctures.
What advice do you give young people when it comes to an active lifestyle?
Young people are the future of Malta and sports so it’s
a very important phase in life especially the early years of teens.
Being in a group of healthy friends can keep them
away from smoking, excessive booze and even soft drugs. There can also be great talents in any discipline which can be spotted by other coaches. Sports adds colour to your life!
Is it ever too late to change the way one lives?
Not at all.... especially over 40. I often tell people that
over 40 is a wakeup call. Some people can be overweight, heavy smokers and having health problems. Physical activity will change all this, and everything falls into
place. Even a simple fast walk, one would start noticing
improvement in breathing and weight loss. Older people
should also start swimming or walking which will have no
stress on the joints. So get your runners on, run, jog, walk, but do something!
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PINK OCTOBER
AWARENESS CAMPAIGN ONCE AGAIN, THE PINK OCTOBER AWARENESS CAMPAIGN IS IN FULL SWING. THE CAMPAIGN SEEKS TO RAISE AWARENESS ON BREAST CANCER AND THE IMPORTANCE OF REGULAR SCREENING, WHILST RAISING MONEY FOR A JUST CAUSE. Breast cancer is the commonest cancer in women with
the age of 50 and 69 years. Hundreds of invitation and
year. Encouraging news is that the overall mortality has
and Gozo, encouraging them to participate in the Breast
an average of 300 new cases being diagnosed each decreased over the last
appointment letters are sent daily to women in Malta Screening Programme.
decade whilst the 5-year survival rate has continued
The Breast Screening Team
National Cancer Registry
empower women to make
to
improve.
The
believes in its mission to
Malta
an informed decision as to
within the Directorate for Health
Information
whether they wish to screen
and
themselves
Research has reported an women
diagnosed
not have any symptoms of breast cancer. In keeping
This is one of the highest
with the general principles
rates in Europe and is the
of screening, the aim of
result of a whole chain of
screening is to identify any
multidisciplinary breast care
abnormal lesion or early
services.
by
the
National
Health
Service is routine breast screening.
The
National
breast
intended for women who do
with
breast cancer in 2000-2014.
One of the services offered
for
cancer. Breast screening is
86.9% 5-year survival for
stage cancer as early as
DR. STEPHANIE XUEREB Consultant Public Health Medicine National Screening Programmes, Primary HealthCare
possible and at a stage when
the
treatment
is
easier, more effective and has
a
better
long-term
Breast Screening Programme is one of the screening
outcome. The mammogram can detect small changes
within the Primary HealthCare Department in the Ministry
are too small to be felt on clinical examination of the
programmes offered by the National Screening Centre of Health. This programme is offered to women between
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in the breast tissue which can indicate cancers which breast. It is important that women receive a balanced
PINK OCTOBER AWARENESS CAMPAIGN
FACE YOUR FEAR... LIFE
view of information about breast screening. Whilst
just purchased a new ultrasound machine and is
breast cancer, breast screening is also associated with
the latest technological development.
regular breast screening decreases mortality from overdiagnosis which refers to the detection of cancers
that would otherwise not have come to attention in the woman’s lifetime.
The Breast Screening Programme has evolved over
the years striving to continuously assess and improve
its performance along each step of the screening process. The screening interval has been decreased from three years down to two and a half years and
aims to reach the 2-year target by the end of this year. Women who have been invited in the past and failed to attend are being re-invited.
A team of specially trained female radiographers are
continuously upgrading its equipment to keep up with
From the start of the Breast Screening Programme in October 2009 to date, over 170,000 women were
invited to participate. Participation in the Breast Screening Programme continues to improve each year and reached 65% in 2018. From the 13,000 women
who are screened each year, around 6% are recalled
for further investigations and under 1% of all women screened are diagnosed with breast cancer. To date a total of 535 breast cancer cases have been diagnosed
through the screening programme, with these clients
being immediately referred for further management by the multidisciplinary team at Mater Dei Hospital.
always available at the Screening Centre and the
Breast screening is not the only action that women can
to minimise waiting time as much as possible. Not
with regular exercise, eating a balanced nutritious diet,
time of appointments for mammograms is staggered
all women may be able to attend in the morning due to various commitments. Following this feedback
from our clients, late afternoon and Saturday morning mammogram clinics have been added. All
mammograms are independently assessed by two
different radiologists from our team of radiologists specialised in breast imaging.
A small number of women do require additional
take to beat breast cancer. Adoption of a healthy lifestyle maintaining a healthy weight, avoiding tobacco use and limiting alcohol intake are all measures that decrease
risk of developing breast cancer. Breast cancer is not a disorder that is specific to women and men also need
to be aware that 1% of breast cancer cases occur in males. Therefore, both women and men should be
aware of how their chest usually feels, be alert to any changes and when in doubt discuss with their doctor.
investigation and are recalled to the Centre for a
Women are encouraged to make use of the
radiographers. During this specialised clinic any
are aged 50 to 69 and have not received your
one-stop service led by the team of radiologists and
required investigations such as ultrasound and even
biopsies are carried out. The Centre has in fact
National letter, on
Breast
contact
21227470/1
Screening
the
National
and
Programme.
make
Screening an
If
you
Centre
appointment.
...GET SCREENED LIFE
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National Obesity Conference 2019 Conference Organiser: Geoffrey Axiak Date:
15th November 2019
Venue:
Luzzu Conference Centre, Seashells Resort at Suncrest, Dawret il-Qawra, Qawra
Registration:
8:00am-9:00am
Conference time:
9:00am-15:30pm
Price:
€60 (normal) / €45 (student)
Website:
https://nationalnutritionconference.yolasite.com
Contact No:
99822288 (Conference Organiser) / 27422299 (LCTS)
Email address:
maltanutritionconference@gmail.com
Mailing address:
LCTS, 49, St Monica Str G’Mangia/Pieta PTA114
Cheques payable to: The Conference Organiser Direct debit details available on the website and application form
OMALTA BESITY IN
Obesity in Malta is a big problem with the greatest percentage being found in Maltese children who ranked the highest in the world, while Maltese adults ranked second to the USA. What is the reason? Why is it so high in Malta?
The reasons can be several. Dietary habits is obviously one reason. As we all know, the Maltese dietary habits are changing from a healthy Mediterranean diet to a more Westernised style diet, moving from more vegetables, fish and fruit to junk food and fast food. This is not the only reason however. Other reasons can include heredity and genetics, hormonal influence, environmental factors, educational level, financial status, psychological stress and several other factors that are individual to each and every person and family. What can be done to counteract and maybe start solving this problem? Many things can help. Adopting a healthy lifestyle, whatever the problem, situation or causative factor, would therefore have a positive effect on obesity. Adopting a healthy exercise plan, guided by a qualified personal trainer who can build an exercise program that is appropriate for you. Adopting a healthy
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diet will also be beneficial, based on your age, medical condition, lifestyle, work and other factors that might affect your lifestyle. Psychological and family support is also very important and has a direct impact on what we eat, how much we eat and the control we have on our body. All these factors make us what we are and affect how we live and what we do. A conference that is being organised on the 15th November 2019 will be discussing all these issues. The speakers will all be local experts on the topic and will deal with children, adults and elderly persons in relation to obesity and food consumption. All the speakers will also offer practical tips as to what can be done to help deal with the problem of obesity. All the details about the conference can be found on the website https:// nationalnutritionconference.yolasite.com. The idea is that we teach you to live a healthy life, adopt a healthier lifestyle and live a longer and healthier life.
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AN
UNCONFORMIST
APPROACH
S
UPER BUSY DENISE GAFA HAS FINALLY FOUND SOME TIME TO SIT DOWN AND HAVE A CHAT. BETWEEN HER FISH MONGERING DUTIES, CROSS FIT, RUGBY, GYM, THE TATTOOIST’S PARLOUR AND THE CATWALK, SHE BARELY HAS TIME TO SLEEP, NEVERTHELESS HERE SHE IS AT MY MERCY.
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Do you consider yourself a health freak? What triggered this?
As much as I hate the term “health freak”, I
understand the meaning of it, and I am very much
aware of my health. As a teen I used to smoke, eat
junk and drink alcohol every weekend. Even though the partying was fun, the aftermath was never
something I enjoyed. It made me feel sluggish and
sad. I started suffering from anxiety and this made me realize that my lifestyle might be the reason for it. It
was then I decided to hit the gym, quit smoking and
only allowed myself an occasional glass of wine. It took a while to get used to, like a breakup or breakthrough, there was a process. Nowadays it’s a habit. However now, my target is also my performance.
Is it a matter of feeling and living well? Do you ever feel that you are pushing yourself over the limit? When it comes to living healthy, you’re never
pushing yourself anywhere. It doesn’t have to be
boring to maintain a good diet. If you feel like fast food,
there’s nothing wrong with having an occasional burger
of the process. Anything we do, requires some form
for lunch, I make sure to keep it light at dinner and
unhealthy food and do absolutely nothing productive,
or pizza. It’s all about keeping it moderate. If I eat pizza maybe even work a little harder in training, so I don’t
of struggle. If we choose to stay on our sofas, eat we’ll be struggling to maintain good health. So, if
put on the extra weight.
everything has its own struggle, might as well pick the one which gives you the most.
Considering the fact that you are on Instagram
every other minute and that you are in fact one of
How difficult is it to maintain a health regime?
you are a catalyst for many who until they started
and self-discipline, which in time turns to habit and
the top influencers on the island, do you think that following you were couch potatoes?
Not as much as you think. It’s all about balance
becomes as easy as breathing.
My aim was never to influence people, as it’s not
my business what anyone prefers to do with their time.
Is it ever too late to start eating and living well?
It was the saddest phase of my life, until I found what
living well. Once you start seeing the difference in
struggle itself to get up from my comfortable bed and
happen overnight, but it will definitely happen once you
I was once as lazy as being called a “couch potato”. I actually enjoy doing despite how difficult it is. It’s a
It’s never too late to do anything, especially to start
your body, this becomes easier by the day. It does not
drive to the gym but struggling is an important part
put your mind to it.
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THE FEELING OF LONELINESS LIFE
INTERVIEW WITH ÇIKKU
LONELINESS IS MY LEAST FAVORITE THING ABOUT LIFE. THE THING
THAT I’M MOST WORRIED ABOUT IS JUST BEING ALONE WITHOUT ANYBODY TO CARE FOR OR SOMEONE WHO WILL CARE FOR ME.
ANNE HATHAWAY Mother Theresa once noted, ‘Loneliness and the
lives also an Indian community yet they hardly spend
Audrey Hepburn went even a step further by declaring,
alone to ask or see whether something happened to
feeling of being unwanted is the most terrible poverty.’ “When you have nobody you can make a cup of tea
for, when nobody needs you, that’s when I think life is
any time at home. How can anyone stop for a chat, let me?”
We promptly inquire about his nephews to which he
over.”
replies, “Would you believe me if I say that I barely
see them or hear any news from them? They are busy
The world grows ever smaller, more connected,
with their own daily chores. They do not have time for
more crowded, and ironically, increasingly lonely for
themselves let alone for me. I only ask for a call or for
many of us. This is a problem with a whole host of
someone to pay a short visit. That would be enough to
unhappy consequences, not just for the individuals
make me feel I am not alone.”
who experience it, but for society as a whole. Indeed, loneliness is not only emotionally painful, but can be
Although the house was well kept from the outside
many psychiatric illnesses.
maintenance, the moment we stepped into his house,
more damaging to our physical and mental health than
“I live alone, in solitude without any person with whom I can share a word or two. Most probably, no body
will realize I have passed away and it will only be the
stench behind my door which will urge people to break into my house.” These were the sad and shocking
words of Ċikku who for the past twelve years since his wife passed away, spends his days and nights in total solitude.
except for the door which required some routine
we could note the strong sense of abandonment. Ċikku promptly warned us,”Be careful where you
put your feet!” Indeed, the corridor was packed with
boxes and other unused items which made it hard for us to walk through. He adds, “Those boxes are used
to deliver my shopping order. I call Maria from time to time who delivers my order in a box. I used to clean
the house yet have now lost interest to do anything
in my last days of my life. I simply throw the boxes on the side. I feel like everything is behind me, and that
We naturally ask Ċikku if he has any children or
there’s nothing to look forward to.”
nephews. He looked down and with a broken voice said that they barely visit him, but when they do he
Ċikku explains to us that his life has turned into a
that sadly these moments are rare. We also ask him
of waking up at around 09.00am and prepare for his
enjoys every minute with them. He continued to say
vicious circle of daily routine actions which consist
on his relationship with his neighbours. “Up to a few
usual walk up to the village square. There he meets
years ago, we used to meet outside for a chat yet
unfortunately they all passed away. Their houses have been filled by families from outside the village who
I barely come across. Moreover, a few doors down,
up with three other people his age with whom he
shares a few thoughts up to midday. He sadly points
out that this week “we were only two of us since one
was ill and another was recently hospitalised.” After a
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THE FEELING OF LONELINESS
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quick bite at home, he takes his routine nap following
“
which he watches his daily TV programmes or a DVD.
At around 10.00pm he calls it a day. Ċikku clarifies that in winter he rarely walks out of his house as the cold
hits very hard on him especially since he suffers from
Loneliness and the feeling of being unwanted is the most terrible poverty
arthritis. He also notes that at times he attends events organised by the local council yet regretfully such
initiatives often consists in bingo which he is not too
fond of. At times, he is also invited to join his nephews for a drive yet he feels there is no place better than home.
His eyes glow and open a window on his inner feelings. His eyes convey his deep solitude, his anger towards
life which has left him alone and above all with a strong sense of helplessness. His story is that of many other
Ċikkus across Malta who time has spared no mercy on them and are alone on a couch, on a village bench or
homebound. His story sheds light on the growing issues which hamper our society. It is such a great irony that
solitude is taking its toll at a time when we have never been better connected, or more adrift.
“
The issue isn’t just social, it’s a public-health crisis in
waiting. If you suffer from chronic loneliness, you run
the risk of illness, and premature death. I recently read a good article on loneliness which pointed out that
loneliness is the longing that dare not speak its name as it carries with it the whiff of failure. There is such a
stigma about it. People will talk about having depression
MOTHER THERESA
or even schizophrenia, but not about feeling lonely. The clock behind Ċikku indicates to us it is time to
call it a day yet before leaving we ask him what can be done to curb the problem of loneliness. “Society
should be more sensitive towards the issue. We need
to acknowledge that the matter needs to be addressed and fast. We need to have more day centres in towns and villages where people can meet for a chat over a
cup of tea. We also need to dig deeper into society and
look at cases of people who are home bound alone with only a television or a wall to talk to.”
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IGNÉ POINT BACHELORS GERARD JAMES BORG latest publication
I
T’S SEXY, INDULGENT, SUSPENSEFUL, AND MIND-BLOWING! GERARD
JAMES BORG IS BACK WITH A COMPULSIVE PSYCHOLOGICAL THRILLER THAT CHALLENGES NEW BORDERS AND IS SET TO KEEP YOU UP ALL NIGHT! AFTER THE TRAILBLAZING SUCCESS OF “SLIEMA WIVES”, “MADLIENA MARRIED MEN”, AND “BORMLA BABES”, IT’S TIME FOR SOME FORBIDDEN TEMPTATION IN THE FORM OF “TIGNÉ POINT BACHELORS.”
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IGNÉ POINT BACHELORS
Gerard’s new book will be released on October 9. This time we should expect something darker and sexier with alternating narrators and a hefty dose of infidelity in the playground of the rich and beautiful. With the first few chapter titles inspired by the book of Genesis like “Forbidden Fruit” and “Original sin”, all the way to “Sushi and sex”, “Private act”, and “Dangerous minds”, it promises some delightful surprises and a compulsive read. The story revolves around an attractive lawyer who slips into an intoxicating affair with his best friend’s fiancée… An erotically-charged temptress who turns out to be an obsessive stalker… and a handsome psychiatrist, master-seducer and manipulator pursuing the object of his desire… Like all of Gerard’s books, the story is set in Malta around luxurious surroundings, giving the reader an amazingly detailed account of the sex, drama and intrigue that go on behind closed doors… Tigné Point Bachelors is available from October 9 in all leading bookshops.
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PINK RIBBON THE
MOTORCYCLE CLUB
HER NAME IS FLEUR CILIA BUCKETT. SHE IS THE FOUNDER OF THE PINK RIBBON MOTORCYCLE RIDE - ESTABLISHED 2015. EVERY YEAR SHE FUNDRAISES FOR THE MONTH OF OCTOBER FOR ABCF - ACTION FOR BREAST CANCER FOUNDATION. THIS YEAR WE MEET ON THE 27TH OCTOBER 8.30 ONWARDS AT LUXOL GROUNDS FOR A BIKE RIDE THAT LEAVES AT 10AM SHARP FOR ALL BIKERS AND CLUBS.
It is a family fun day this year which starts from 8:30am
wings for awareness. She is a passionate biker and she
cheap products and all profits go to the charity. There are
October.
till about 2pm. This year there are artisan stalls selling
disney characters for the children to have photos with and
wears them on her leather attire throughout the month of
a bouncy castle. Food and beverage stalls will also be
To raise funds for the cause Fleur approached all
also attending the event.
students
present. His Excellency The President and his wife are
As a cancer patient herself this cause is very special to Fleur. She is known as the pink ribbon angel of Malta you can follow Fleur on her page: https://www.facebook. com/Pink-Ribbon-Angel-130001321088421/ and follow the
event
on
facebook:
government schools and private schools and invited
to do the 2 euro challenge and in turn the
children got coloured crayons.
She also sent the price list of goods which are for sale at the charity event to private companies to collect funds.
https://www.facebook.com/
Fleur has done bus stop adverts promoting cancer
https://www.facebook.com/5th-Pink-Ribbon-Motorcycle-
shows to show the world even after cancer one is still
events/315593035697161/. The like page on facebook is: Ride-926438997422569/
Fleur buried her mum when she was 16. Her mother was only 45 yrs old. Six years ago her sister lost her battle
to cancer at the age of 39 and last year she lost her last family member, her father, at 90 years of age. Fleur wears
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awareness and modelled as a cancer survivor in fashion beautiful even though the treatment is hard to endure
BUT life is so beautiful. Its easy for the average person to
talk about fighting and being strong, but its another thing
hearing it from someone who actually lived the battle.
Fleur and cancer survivor stories are the perfect source of inspiration.
‘’Se nkomplu nħarsu l-interess nazzjonali fl-Unjoni Ewropea biex inġibu l-aqwa riżultati għal pajjiżna.’’ Il-Ministru Edward Zammit Lewis
MINISTERU GĦALL-AFFARIJIET EWROPEJ U L-UGWALJANZA
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A
HEALTHY
DIET GEOFFREY AXIAK
A healthy diet means eating small amounts of all kinds of food. Although we know that fruit and vegetables are the healthiest kind of food, it is important to include other food. According to the latest research, brown bread, pasta and rice are much healthier than their white versions because they contain a larger amount of fibre.
Nuts, seeds and legumes contain healthy oils that accumulate in the joints and are therefore very important for people suffering from arthritis. As part of a healthy diet it is also important to include meat and other proteins such as fish, chicken, rabbit, poultry and other meats that contain less fat. Dairy products are also crucial as sources of calcium to strengthen bones. These are especially important for children and elderly persons. Red meat and butter are also important in small amounts. These fats provide a layer of insulation under the skin and around the internal organs to protect them and keep them warm. In conclusion, therefore, it is important to eat the correct amounts of each type of food. Combined with a moderate amount of exercise one will be promoting a healthy lifestyle and maintaining his health.
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WHAT IS SCREEN TIME?
THE IMPACT OF SCREEN TIME As children get older, too much screen time can
get in the way of reading, doing homework, playing with friends, and spending time with family, and
can also increase their risk for being overweight
“Screen time� is any time spent in front of a screen, such as a TV, computer, video game player, or tablet. Screen time is a sedentary activity. Very little energy is used during screen time.
or obese. There are a number of ways that screen time can be unhealthy:
1. Children are spending more time sitting and very little time moving their bodies.
2. Children learn unhealthy eating practices from advertisements.
3. Sitting in front of the TV can increase the desire to snack.
4. Overstimulation can prevent children from getting the sleep they need at nap time.
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LIMITING
SCREEN TIME
DR MALCOLM PAUL GALEA
SCREEN TIME AND ACADEMICS
THE IMPACT Middle school children who OF SCREEN TIME watched more television, movies and
SCREEN TIPS TO REDUCE SCREEN TIME
TIME AND INVITE PARENTS to ACADEMICS ask questions and share ideas on how
Middle they limit screen time at school home.children who watched more television, movies and video As children get older, too much screen time can get in the way of ESTABLISH A SCREEN-TIME reduction policy video games did worse in school games did worse in school thanand reading, doing homework, playing with friends, and spending time those watched less. time weekly to determine a system for who tracking screen with family, and can also increase their risk for being overweight than those who watched less. or obese. There are a number of ways that screenadhere time cantobe your policy. Third graders with a bedroom TV Third graders with a bedroom TV unhealthy: DETERMINE A SYSTEM forseven eachtoclassroom to prioritise scored seven to nine points lower scored nine points lower standardised tests than those 1. Children are spending time time isonintegrated howlittle screen into weekly lessons. on standardised tests than those more time sitting and very without a bedroom TV. Screen Time moving their bodies. TO CHILDREN why Television it’s important to among limit screen without a bedroom TV. Screen Time eating practicesEXPLAIN and Sleep viewing 2. Children learn unhealthy from advertisement. infants and children is associated 3. Sittingviewing in front of the TV can increase the desire to snack. time. Use clear and easy-to-understand language. Ask and Sleep Television among with irregular sleep schedules. Teens 4. Overstimulation can prevent children from getting the sleep older children to plan their own activities to replace infants and children is associated watching more than three hours of they need at nap time. screen time. with irregular sleep schedules. TV per day are more likely to have sleep problems early adulthood. MAKE AGE-APPROPRIATE use ofintechnology within the Teens watching more than three
TIPS TO REDUCE TIME to have sleepSCREEN problems in early hours of TV per day are more likely adulthood.
INVITE PARENTS to ask questions and share ideas on how they limit screen time at home. ESTABLISH A SCREEN-TIME reduction policy and determine a system for tracking screen time weekly to adhere to your policy.
screen time limit.
DETERMINE A SYSTEM for each to unplug for a Screen-Free classroomCHALLENGE to prioritise how FAMILIES screen time is integrated weekly andinto give away prizes! lessons. MAKE AGE-APPROPRIATE use of EXPLAIN TO CHILDREN why it’s technology within the screen time important to limit screen time. limit. Use clear and easy-to-understand language. Ask older children to plan CHALLENGE FAMILIES to unplug their own activities to replace screen for a Screen-Free Week and give time. away prizes!
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Week
SAVING
LIVES by Miriam Dalli
As a nation, we are known for reaching out and
solution to their health problems or the health of some-
our local communities or at national level: offering our
This month and the next are dedicated to raise
helping the most in need. We see it around us within
one who is very dear to them.
support to individuals, charities or organisations that try
awareness on women’s and men’s health. Pink Octo-
period. It is not simply limited to the annual mara-
to raise awareness on breast cancer and screening. In
to better the lives of persons going through a difficult
ber, which started off as a 5k race back in 1997, aims
thons aimed at providing financial support to suffering
November, we have Movember, dedicated to raising
individuals and their relatives. Today, we have months
awareness on men’s health issues, such as prostate
dedicated to raising awareness on certain illnesses.
cancer, testicular cancer, and men’s suicide.
All-year round, citizens and clubs raise money for a
As a Member of the European Parliament I sit on
good cause.
the public health committee. During these past years
about its people, its neighbours. We all know someone
both national and European level. Throughout these
This is heartening as it reflects a society that cares
I have met with families, organisations and NGOs at
who is going through a difficult time. We can see their
years I have learnt that financial burdens are a struggle
financial struggles as they attempt to find a medical
– but with the right support it is overcome. What re-
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from different countries, I am certain that we can provide
HEAD OF THE MALTESE LABOUR PARTY’S DELEGATION TO THE EUROPEAN PARLIAMENT
a better future for our children and young people with cancer.
I believe in cross-border cooperation and sharing
of information. The expertise is there but it needs more dedicated research and supporting funds. The alloca-
tion of resources to childhood cancer research could be
I BELIEVE THAT CHILDREN’S WELFARE IS THE ONE THING THAT BRINGS PEOPLE TOGETHER, IRRESPECTIVE OF THEIR SOCIAL BACKGROUND OR POLITICAL BELIEFS.
partly directed towards big data and deep learning tools. This is where technology and innovation merge for the
benefit of patients and for health experts to better understand the situation at hand.
There are disparities across member states on
the survival rates of children with cancers, and this is
something that can be addressed through cross-border cooperation as well as support from one member state
to another. This inequality should be fought back: every child deserves the best available treatment and expertise.
Interoperability, harmonization and security of
eHealth platforms can foster cross-border research and knowledge transfer for the benefit of childhood cancer patients and survivors.
At a time where the world is developing at an un-
precedented speed, we should foster an enabling legis-
lative environment for faster and more efficient develop-
ment of affordable innovative medicines for children with cancer and other life-threatening diseases. Legislators
and specialists should come together to support collaborative efforts on the development and implementation of appropriate surveillance guidelines and long-term models of care for survivors of childhood cancer. mains to be effectively addressed are the rare diseases
Reports in the media quoting pediatric oncologist
and the different cancers affecting children.
consultant Dr Victor Calvagna show that Malta has a
cancer high up on my political agenda. Creating a plan
children’s cancer. According to the same media report,
to come together: policymakers, patient, parent, survivor
cancer every year in Malta, while an average of five
better success rate than the EU average in the cure of
Which is why I have pledged to place childhood
and drafting legislation requires for different stakeholders
an average of 12 children under the age of 16 fall ill to
groups and the industry.
adolescents aged 16 to 24 are diagnosed with cancer.
paediatric oncology. Yet, childhood cancer remains the
Malta.
and represents a collection of rare diseases at the same
patients with the option to receive specialized treatment
It cannot be denied that progress has been made in
leading cause of children’s death by disease in Europe
Together, they amount to 1% of cancers registered in
We are fortunate that as a nation we provide cancer
time.
abroad.
ulatory framework enabling research, innovation and
we can do more to save the lives, including those who
With the proper research strategy and collaboration,
I reiterate my support towards a political and reg-
progress. If we bring together research and treatments
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have been diagnosed with a rare form of cancer.
HEALTHY
LUNCHES
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We all know and hear that breakfast is the most important meal of the day. But having a nutritious lunch is also essential in most diets. Eating the right foods at lunchtime helps keep us energized and more focused throughout the day, as well as ensuring that we are getting enough of those nutrients that our bodies need. Skipping a meal usually leaves us starving by the time we get home from work or running errands, making it more likely to binge eat and give into temptation later in the day. Having that midday meal helps to avoid that. Lunch is one of those meals that requires planning, effort and motivation because most of us are at work. It’s very easy to turn to the closest cafe or take away, which sometimes is necessary, but it doesn’t have to be the everyday norm. Home prepared lunches have the benefit of being less costly and tend to be lower in calories and fat.
HERE ARE SOME SUGGESTIONS ON HOW TO TRANSFORM YOUR LUNCHTIME MEAL: 1. Make veggies the star of your dish
3. Plan ahead
Many a time the focus of a meal is
Yes, we’ve all heard it before... the
an animal based protein. One way
This is no exception for your lunch
either the carb like pasta or rice or
early bird does catch the worm.
of making a meal healthier and more
meals. For it to be as hassle free as
versatile is using a vegetable or two
possible stock up on healthy staple
as the main component of the meal.
foods, make extra portions to take
There are so many veggies out there
with you and/or re-purpose your left
you can’t ever get bored, they pair
overs. Also, don’t get into a slump,
well with so many other foods and
incorporate foods you actually enjoy
can still fill you.
into
recipes,
embracing
those seasonal foods we’re so lucky to have.
2. Enjoy a balanced meal for lunch Having a healthy and well portioned mix of
healthy
lower glycaemic index
4. Don’t eat at your desk
carbohydrates (i.e. more veggies),
So many of us are guilty of doing this.
mean a more varied and tasty meal.
eating place. One of the biggest
healthy fat and lean protein will
The desk was not designed to be an
It also won’t lead to that feeling
drawbacks to eating at your desk is
of drowsiness that one gets after
having too much food and heavy carbs.
that you’re not focused on your food
MAXINE ZERAFA Nutritionist & Dietitian
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but on working -- the perfect recipe for mindless overeating.
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HEALTHY
LUNCHES
KEEPING THESE TIPS IN MIND, HERE IS A WINTER WARMING RECIPE GREAT FOR LUNCHTIME:
GRILLED RED PEPPER AND TOMATO SOUP
WITH HALLOUMI AND WALNUTS
Ingredients: (makes 4 portions)
Method:
1 large onion, diced
In a dish place the diced onions, bell peppers,
4 tomatoes, diced
herbs and seasoning, and drizzle with some
3 red bell peppers, diced
tomatoes and garlic. Season using the spices,
2 garlic cloves, peeled
oil. Place the dish in the grill under medium
1 tsp smoked paprika
heat for about half an hour or until slightly
1 tsp dried rosemary
charred. This allows for the vegetables to
½ tsp chili powder (optional)
develop smoky, sweet flavours.
Salt and pepper, to flavour
In a large pot heat up the vegetable stock until
1 tsp plant based oil
250ml water, with 2 tsp vegetable stock powder 3-4 slices Halloumi
Handful of walnuts, chopped
simmering.
Remove the vegetables from the grill and place
into the pot along with all the juices released during cooking. Simmer for about 10 minutes
until all vegetables has softened. Remove from the heat and blitz using a blender.
For the Halloumi, shallow fry in a non stick pan until browned. Serve on top of the soup along with the crushed walnut.
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HEA
LTH
Y
People, as a rule, strive to live a healthy lifestyle. Often, they are aware and value the importance of being healthy to become more productive as well as to feel better. Healthy living may be described as having the possibility, capability and incentive to act in ways that positively affect their physical, mental and emotional wellbeing. These three components of health and wellbeing must be in harmony with each other, such that a change (positive or negative) in anyone will directly affect the others. A healthy lifestyle is made up of different components such as a proper diet and regular physical activity, stress management, adequate hydration and good sleep patterns.
2. Drink water Adequate hydration is known to energise muscles, manage weight, regulate body temperature in hot weather and maintain good brain function.
Paying attention to these different components can help people to set and achieve their own wellbeing goals. However, there is no ‘one size fits all’ approach to health. Different life experiences require skills to adapt to one’s specific health needs.
3. Exercise The World Health Organisation recommends 150 minutes of moderate physical activity per week. Exercising for 30 minutes in the morning is a great way to feel energised for your working day – however one may pick a more convenient time schedule in the day. Some other fun activities include dancing, swimming, hiking, aerobics and running.
Healthy living also means being mindful of risky behaviours that include consumption of junk food, tobacco, alcohol, drugs, gambling and unsafe sex. Such risky behaviours must be tackled without much delay as otherwise such behaviours can easily become addictive; making one’s own recovery journey harder to attain; whilst negatively affecting, if not destroying, the wellbeing and lives of loved ones surrounding such individuals. There are different sources of help and information to support individuals in changing their behaviour to improve one’s health and wellbeing. Here are some easy steps when opting for a healthier lifestyle: 1. Including fruits and vegetables in one’s own dietary plan Vegetables and fruit contain several nutrients and antioxidants that help boost one’s ability to fight infections and disease. Antioxidants help with protecting our vision, promote healthy skin and overall health. The World Health Organisation recommends eating five or more servings of varied vegetables and fruit daily.
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4. Manage one’s own mental wellbeing Often it is easier to focus on physical aspects whilst ignoring the mental aspects of a healthy lifestyle. It is important to assess and manage one’s own feelings and be mindful that negative personal feelings could cause more unhappiness in one’s own living environments (such as home, school, work). There are ways in which one’s own mental health be improved. For example: getting enough sleep, regular physical activity, practicing positive thinking, socialising with friends and family as well as being creative. 5. Reducing stress Different people may have different ways to unwind and destress. It is helpful to stop, take a deep breath and relax. Finding some quiet times is beneficial for good mental and physical health. Engaging in relaxing activities can help like listening to one’s favourite music, reading and exercising For more information, contact the Health Promotion and Disease Prevention Directorate on 23266000
INTEJBU L-HAJJA
Tal-Anzjani
More than 1,000 elderly persons reside at St. Vincent de Paul. With more than 1,800 staff members and family members who are constantly visiting their loved ones, St. Vincent has become more of a lively village for the elderly, that changed the expectations of a long-term care facility. Providing holistic quality care for elderly residents at St. Vincent de Paul is our main priority. As the facility caters for elderly with high dependency needs, the service provided focuses on aspects beyond medical support. In fact, various initiatives are held that foresee the social, cultural and spiritual elements towards one’s wellbeing. This goes hand-in-hand with Malta’s political vision to enhance active ageing amongst our elderly community. To reach high standards of quality, continuous improvement in the service provision as well as the infrastructure is essential. This is therefore the reason why we strive to complete one project after the other at this longterm care facility. Recent capital investments involved the refurbishing of the Rużar Briffa complex, physiotherapy department, and the only public kitchen in our country, which was previously left in a desperate state of neglect. Moreover, three wards have been renovated as to cater for elderly persons with dementia. Ultimately, one of this years highlights was the ‘Silver Hub’, the first ever day centre for elderly persons with high dependency needs in our country. The success of these projects, however, is merely the result of the investment which adds up to more than €20 million, but rather due to the dedication and significant efforts of staff at St. Vincent de Paul that go beyond their respective duties.
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Saint Vincent De Paul
PARLIAMENTARY SECRETARIAT FOR PERSONS WITH DISABILITY AND ACTIVE AGEING
long term care facilty
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THE MALTA NATIONAL PARK PROJECT
– AN INVESTMENT IN YOUR QUALITY OF LIFE
T
where they can cut away from the hectic urban day to
HE FIRST PRIORITY OF ANY COUNTRY, OF ANY ADMINISTRATION SHOULD BE THE PEOPLE AND THE QUALITY OF LIFE THAT THEY LIVE. HAVING MADE THIS STATEMENT, IT IS IMPERATIVE TO TAKE A STEP BACK AND THINK ABOUT WHAT IT IS THAT HAS AN IMPACT ON THE STANDARD OF LIVING OF THE COUNTRY.
day environment.
So this is the reason why we took the decision to
deliver the Malta National Park in Ta’ Qali. This is our dream, a dream for many but most importantly a dream that the government is adamant on turning into reality.
We are speaking here about 450,000 square me-
tres of green spaces, double the size of today’s park at
Ta’ Qali, the size of 60 football grounds. We want to deliver a park that will cater for a multitude of needs, that
Infrastructure is at the very top of that list, and when
will be able to offer different experiences to different
we speak about infrastructure, we want to do so holisti-
people. After the launch of this project in May, we went
cally. People’s infrastructural wishes do not only relate
back to the board and continued working on refining
to roads but they also have a desire for open spaces
our plans. Because we want to deliver the best experi-
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ing more than for our current generations to experience
ences possible, not only the best infrastructure.
tangible improvements in their quality of life. The Mal-
Planned facilities range from thousands of square
ta National Park means that right in the centre of our
er’s market, from an extended dog park to a dedicated
South, East and West, to enjoy a space unlike any oth-
ing sites for enthusiasts, a 5km walking and cycling
stress, a space that disconnects us from our busy lives
children can try out new experiences and so much
peace of mind.
metres for picnic areas to the rehabilitation of the farm-
country, we will bring together communities from North,
concert space, from playing areas for children to camp-
er – detached from urbanisation, from life’s day to day
track, a space for BMX enthusiasts, a lagoon where
and connects us with our families, our friends, and our
more.
And whilst we continue our tireless work on vari-
80,000 – that is the number of trees that will be
ous other projects, we remain committed to delivering
open spaces, because we want nothing more than for
success, another tangible piece of proof of our commit-
and greener than the one we inherited. We want noth-
our people for generations to come.
planted at the Malta National Park, together with green
the Malta National Park, another tangible result of our
our future generations to inherit a country that is better
ment and determination to improve the quality of life of
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LA VITA È BELLA
Photos credit Giada de Laurentiis
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THE GRANDDAUGHTER
OF FAMED PRODUCER DINO DE LAURENTIIS, GIADA DE
LAURENTIIS IS ONE OF THE
MOST POPULAR HOUSEHOLD NAMES. SHE IS A BESTSELLING AUTHOR AND
WELL-KNOWN CULINARY
PERSONALITY THANKS TO
HER UNDISPUTED CHARISMA, HER CAPTIVATING SMILE AND HER UNIQUE APPROACH TO
RELATE FOOD AND LIFESTYLE. INDEED, GIADA HAS OVER THE YEARS EARNED A
REPUTATION THANKS TO HER UNIQUE FLAIR TO RELATE
FOOD WHICH CONVEYS HER ITALIAN ROOTS AND HER
EXTENSIVE TRAVELLING. SHE ALSO ESTABLISHED
Interview with
HERSELF AS A SUCCESSFUL RESTAURANTEUR WITH
GIADA DE LAURENTIIS
HER FIRST RESTAURANT,
CALLED GIADA, INSIDE THE CROMWELL IN LAS VEGAS,
Chef, Writer, and Television Personality
NEVADA. GIADA, SHARED WITH US HER ITALIAN ROOTS, HER
INTERPRETATION OF BEAUTY AND HER LATEST PROJECTS INCLUDING GIADZY.COM
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LA VITA È BELLA
In a recent interview you noted, “family
team around me and I try my best to be fully
viewers and fans inspire me, the people I meet
not going to do it 110%, I just don’t do it
inspires me, travelling inspires me, my
present when I’m at work or with my family. If I’m
on tours also inspire me.” Can you elaborate? Family is my biggest inspiration. My first
What about your new on-line platform Giadzy.
to make pizza, and now I love sharing those
Giadzy is my passion project and what I’m
com?
memories are of my grandfather teaching me traditions with my daughter. She has such a fresh
spending most of my time focusing on right now.
perspective on everything. Travel is inspiring
Giadzy was my nickname growing up and it’s
because I get to experience new places and
what my family still calls me. I put all of my new
cultures. I always love connecting with people
recipes out on Giadzy.com first, my travel tips for
through food. Social media is great too because
Italy, entertaining ideas and videos. We do a lot
you can see feedback in real time. It’s really
of quick, easy meals for weeknights too. I always
inspiring to put out a recipe and see people
wished there was somewhere that shared that
making it that night in their homes for their
kind of Italian food and travel content when I was
families.
growing up, so it’s fun for me to share that with
others now. I am sort of making it up as I go but
You have also noted that, “I feel like I only
I think that’s the beauty in it. It’s very real and
have a limited amount of time on this planet.
organic. Oh, and we’re working on an entertaining
I have to get as much done as possible.” In
product line too! Very excited about that!
what way do you maximise your time around? I am really good at multi-tasking, like many
Apart from being famous for recipe books,
focus on the most important things to me, like
books. What triggers you to cater for such a
you have also published a series of childrens’
modern working women are, so that way I can
specific audience?
spending time with my daughter and enjoying the simple things. I’ll take calls while I’m walking my
Having a daughter opened up a new chapter in
dog or email on my phone when I’m waiting in
my life. It’s a big part of who I am now. I think
line. I also have a great espresso maker that gets
it’s really important to start speaking with kids
it’s fair share of use!
at a young age about food and to get them in
the kitchen to experience it for themselves. It’s
What is your interpretation of beauty?
very empowering and it’s an audience that I will
In a time when there is so much negativity, I think
always care about deeply.
a simple smile is so beautiful.
Any new plans in the pipeline?
How do you manage to find the right balance
Yes! I’m working on a new product line for Giadzy
between work and your personal life?
that I’m really excited about. A new show in Italy.
I say no a lot. Earlier in my career, I said yes to
And hopefully another restaurant. I have two in
everything but now that I have my daughter, I’m
Las Vegas and one in Baltimore, so who knows
more selective. I also ask for help. I have a great
where we will go next!
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CALABACITAS CON QUESO
INGREDIENTS CALABLACITAS ▶ 2 thick slices bacon, preferably maple cured ▶ 1 garlic clove, very finely chopped ▶ 1 pound zucchini, cut into large dice ▶ 1 large tomato, cored, seeded and diced ▶ 1 scallion, thinly sliced ▶ 1 tablespoon Cilantro-Cotija Pesto
▶ ½ cup crumbled queso blanco (preferable Cacique) ▶ Freshly squeezed lime juice ▶ Salt and freshly ground black pepper
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METHOD: ▶ In a large skillet, cook the bacon until crisp and
brown, approximately 5 minutes. Remove bacon
and let rest on a paper towel lined plate. When cool
enough to handle, dice the bacon and set aside. ▶ Using the same pan with the reserve bacon fat,
add the garlic and set it over medium heat. Cook
the garlic for approximately 1 minute, until it starts to turn golden brown. Add the zucchini and cook,
stirring occasionally, until the zucchini has softened slightly, about 3 minutes. Add the tomato and
scallion and cook until the tomato begins to break
down, about 5 minutes. ▶ Take the skillet off the heat and stir in the CilantroCotjia Pesto and queso blanco until the cheese starts to melt. Season with lime juice, salt and pepper to taste. Top with bacon and serve immediately.
CILANTRO-COTIJA PESTO ▶ Preheat the oven to 400 degrees F ▶ Spread the pumpkin seeds in an even layer on a dry baking sheet. Put the sheet in the oven and
bake, checking them and shaking the pan every 3
minutes, until they start to dance, puff up and brown lightly, about 10 minutes. Take the pan out of the
CILANTRO-COTIJA PESTO
oven, transfer the seeds to a bowl and let cool to
room temperature. ▶ Put the cilantro, basil and olive oil into a food
▶ 1 cup unsalted raw or roasted pumpkin seeds ▶ ½ bunch fresh cilantro, stems trimmed 2 inches
processor, and puree for 2 minutes. Add the chile,
from the bottom
garlic, pumpkin seeds and cotija and pulse until you
▶ 1 cup fresh basil leaves ▶ 1 cup olive oil, plus extra for storage
have a coarse puree. Season with salt and pepper
to taste. ▶ To store, put it into a container with a tight-fitting lid
▶ ½ serrano chile or 1 jalapeno, coarsely chopped (include seeds for additional spice) ▶ 2 garlic cloves, coarsely chopped ▶ ½ crumbled cotija (preferably Cacique brand) or
and pour ¼ inch of olive oil over the surface to keep out the air. Each time you use it, stir that oil in, and
replace with another ¼ inch of oil before closing the
shredded pecorino or Parmesan ▶ Salt and freshly ground black pepper
container, this makes an airtight seal that will keep it tasting fresh for up to 10 days.
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SMOKED SALMON SANDWICH
INGREDIENTS
METHOD:
▶ 225g cream cheese ▶ 2tbsp fresh dill finely chopped
▶ Mix together cream cheese and dill, add lemon juice to taste, then
▶ ½ lemon ▶ Salt and pepper to taste
▶ 200grms smoked salmon ▶ ½ red onion, minced
▶ Sandwich bread to your liking
such as whole wheat or white
season to taste with salt and pepper. Remove crust from sliced
bread and using a rolling pin, gently flatten each slice of bread. ▶ Take 4 slices of the flattened bread and spread with a quarter of the cream cheese mixture. Cover with 4 slices of bread. Spread
with another quarter of the cream cheese mixture. Divide smoked salmon and onions evenly between the four sandwiches. Spread
another quarter of the cream cheese mixture on remaining bread
and place cream cheese side down on top of salmon. Spread with
remaining cream cheese mixture and top with remaining bread. Cut the sandwiches diagonally and serve.
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ITALIAN STUFFED
PORK TENDERLOIN
INGREDIENTS
METHOD:
▶ 250ml plain yoghurt or Greek
▶ Spread out the pork tenderloin and get
yoghurt ▶ 1 large pork tenderloin ▶ 2 8oz packets cream cheese (we used about 2 1/2) 1 jar
roasted red peppers ▶ 1 packet bacon cooked, crumbled ▶ 2 packets dried pesto
seasoning ▶ Spinach leaves fresh (to taste) ▶ Olive oil ▶ Salt & Pepper ▶ Paprika
it nice and flat. ▶ Once the tenderloin is flat and has a
good surface area, spread the cream
cheese all over the top. Lay the roasted red peppers over the cream cheese
then sprinkle on the crumbled bacon.
Evenly sprinkle on the packages dried pesto seasoning and lay the spinach
leaves all over the top. ▶ Roll the pork up and tie it shut with kitchen twine. Next, rub olive oil,
paprika, salt and pepper all over the
pork and place in a greased baking dish or you can put it on a greased cookie sheet. Bake at 350˚C about 6090
minutes or until pork is cooked through. Once cooked, slice and serve.