ICA Branches Abroad ENGLAND MUNICH Friends of the Cancer Association Gesellschaft zur Förderung der Krebshilfe in Israel, c/o Berwin Leighton Paisner LLP Komitee für Bayern, Munich Adelaide House Chairperson: Mrs. Anita Kaminski London Bridge Böcklin Str.12 London EC4R 9HA 80636 Munich Registered Charity No 260710 Germany Chairperson: Vered Aaron e-mail: [email protected] e-mail: [email protected] Honorary Treasurer: Jonathan Morris HOLLAND e-mail: [email protected] Friends of the Israel Cancer Association In Holland Stichting B.K.I. GERMANY Chairperson: Mr. Robert Drake BERLIN Register Amsterdam Nr. 204207 Deutsch Israelische Hilfe für Krebskranke Vijverweg. 11 Kinder e.V 2243 HR Wassenaar Holland

Chairperson: Mrs. Friede Springer design: studio billet C/o Albeck-Zehden e-mail: [email protected] Frau Beatrice Loeb Tauentzienstraße 7a SWITZERLAND 10789 Berlin Verein zur Förderung der Krebsforschung in Israel e-mail: [email protected] Chairperson: Dr. Ronald Fried Burgunderstrasse 42

FRANKFURT CH-4051 Basel Switzerland 19591 Frankfurter Gesellschaft der Freunde und Förderer e-mail: [email protected] der Krebsbekämpfung in Israel e.V www.gastropraxis-fried.ch/ Chairperson: Mrs. Petra Kaffeesieder Vereinsregister Nr. 8383 USA Am Lindenbaum 6 Israel Cancer Association USA 60433 Frankfurt Executive Director: Jill Cooper Germany 525 South Flagler Drive, Suite 202 e-mail: [email protected] West Palm Beach, Florida 33401 USA 561-832-9277

e-mail: [email protected] www.icausa.org/ CANADA Chairperson: Doron Opher 142 Glen Park Ave. Toronto, Ontario M6B 2C5 Canada Tel: 416 871 7200 Annual Report 2009 e-mail: [email protected] Annual Report 2009

Table of Contents

Chairman’s Report...... 3 ICA Fight against Cancer Budget Distribution for 2009...... 4 Medical Services...... 5 Oncology Services at Medical and community Institutions supported by ICA...... 7 Public Information and Education...... 9 Early Detection...... 34 Rehabilitation and Welfare...... 39 Home Care Hospice...... 58 Sir Charles Clore Hostel...... 60 Professional Seminars and Conferences...... 61 Professional Training...... 65 International Conferences...... 71 Research...... 73 Memorial Funds Donated to the ICA...... 81 Data Collection and Follow-up...... 83 Equipment, Construction and Development...... 86 Volunteers and Special Projects...... 90 Friends of the ICA Abroad...... 94 Annual "Door Knock" Fundraising Campaign – 2008-2009...... 98 Annual "Door Knock" Fundraising Campaign Chairmen...... 105 Bequests, Legacies and Commemorations...... 107 Committee Members...... 108 ICA Branches Abroad...... back cover

Editing: Ortal Hori * Graphic Design: Billet Studio * Printed by: Translation: Rona Hilu * © All rights reserved by the Israel Cancer Association, 2010 1 2 Annual Report 2009

A Message from the Chairman

2009 has presented us with many challenges and surmounting them is no simple task: continued global and local recession, the security situation, the increasing violence, and lately there has been the added threat of the swine flu and its implications. However, in this complicated reality, cancer continues to be the number one cause of death among adults. The fight against cancer diseases is a continuous and uncompromising one, which requires concomitant activity on several fronts: promoting research, prevention and early detection, enhancing treatment modalities and rehabilitation of cancer patients and their families, promoting patients' rights and improving their quality of life. Prof. Eliezer Robinson The ICA became a signatory to the Framework Convention on Tobacco Control, initiated by the UICC, Chairman, Israel Cancer Association and Immediate and continues to actively promote its targets in Israel. Many achievements have already been recorded, Immediate Past-President of the International Union against such as the reduced smoking rates, improved survival rates in diseases that may be detected at an early Cancer (UICC) stage, and so on and so on. We have continued to invest in promoting cancer research, constructing and renovating oncology departments in medical centers around the country, and we have invested tremendous efforts in conducting information and education activities to increase awareness as to the importance of early detection. Just to name a few examples, the Reuben Breast Health Center at Linn Clinic was recently inaugurated, a Laughter Room opened for children who have cancer and are admitted at Sheba Medical Center; additionally, the ICA assisted in purchasing a bone marrow cancer detection device for Bnei Zion Hospital Leon Recanati and equipment to operate the Breast Health Center at Kaplan Hospital, and the list goes on and on. Vice Chairman, Israel Cancer Association This year saw many conferences and seminars organized for patients and their families, as well as for professional staff and the general population; we succeeded in heightening public awareness of the significance of potentially life-saving early detection, and we have accomplished many achievements in various areas related to cancer diseases. Similarly, we have continued to assist cancer patients, adults, young people and children, in many diverse rehabilitation activities, and we have also endeavored to form a lobby to promote the inclusion of potentially life-saving drugs currently not included in the health care package. I would like to thank you for your loyal support. There is no doubt that your generous assistance has allowed us to see the fruits of our labor. Together we can advance the fight against cancer diseases and improve patients' quality of life, with hope for a cancer-free future.

Sincerely, Prof. Eliezer Robinson Chairman, Israel Cancer Association Immediate Past-President of the International Union against Cancer (UICC) 3 Budget Distribution for the Battle against Cancer - 2009

Projected Programs 1,946 Medical and Organization, Administration and Branch Social Services Offices (over 70 branches throughout Israel) 8,086 Data Collection and 5,057 Follow-up 940 Equipment and Construction 4% 1,000 10% 17% 2% Research and Clinical Professional Protocols Training 2% 2% 3,780 1,000 8%

23%

32% Public Education and Information, Prevention and Early Rehabilitation and Detection Programs Welfare (including 10,994 Hospice and Hostel) 15,772

Appropriations In NIS Percentage Medical and Social Services 8,086 17 Data Collection and Follow-up 940 2 Research and Clinical Protocols 3,780 8 Rehabilitation and Welfare (including Hospice and Hostel) 15,772 32 Public Education and Information, Prevention and Early Detection Programs 10,994 23 Professional Training 1,000 2 Equipment and Construction 1,000 2 Organization, Administration and Branch Offices (over 70 branches throughout Israel) 5,057 10 Projected Programs 1,946 4 Total Appropriations 48,575 100 4 Annual Report 2009

Medical Services

Breast Cancer Treatment Coordinators – The Welfare Service Programs – The ICA continues ICA continues to finance special posts fornurses to finance posts for social workers at the following and social workers, working as breast cancer medical centers: Schneider Children’s Medical care treatment coordinators during all stages Center of Israel, Rabin Medical Center - Belinson of diagnosis, treatment and follow-up. The ICA Campus, Meir Hospital, Wolfson Medical Center, project's goal is to accompany the breast cancer Western Galilee Nahariya State Hospital, Sha’arei patient throughout the treatment process, and Tzedek Hospital, Ha’emek Medical Center, Bnei to provide her with information, support and Zion Medical Center, Poriyah Medical Center, Clalit assistance, thereby significantly easing the burden Healthcare Services, Ma’agan, Laniado Hospital of coping with the disease. This service is currently Netanaya, Sourasky Medical Center, provided in centers nationwide. Others centers have Hadassah Mt. Scopus Medical Center, Hadassah already adopted this service and the ICA continues Ein Karem Medical Center, Holy Family Hospital to update personnel. Thanks to the ICA there is of Nazareth, Barzilai Medical Center, Rambam a national network of professionals who are in Medical Center, and the Rebecca Sieff Medical constant professional contact on the national level Center Safed. for the welfare of breast cancer patients. Psychological Services – The ICA continues The National Umbilical Cord Blood Bank – The to finance the employment of psychologists in Bank was established as a joint venture of the Magen oncology institutes at Hadassah Medical Center David Adom Blood Service, the Wolfson Medical in Jerusalem and the Rambam Medical Center in Center and the Hadassah Medical Organization, , Rabin Medical Center - Belinson Campus, with funding from a munificent donation provided the Western Galilee Hospital - Nahariya and at by the Friends of the ICA in London, headed by Assaf Harofeh Medical Center. Ms. Vered Aaron in memory of Natalie Shaya of blessed memory. The service is operated by the Nursing Services – The ICA finances Magen David Adom Blood Service, as part of its posts for stoma care nurses, National Umbilical Cord Blood Donation Program, palliative care nurses, and nurses with support from the ICA. As part of this project, a who are Bone Marrow Transplant freezer was purchased for preserving umbilical cord Coordinators at the following blood and a lab technician post was also financed. hospitals: Kaplan Medical Center, The maternity wards of the Wolfson Medical Center, Maccabi Healthcare Services, Sourasky Medical Center in Tel Aviv, Hadassah the Western Galilee Hospital Medical Center, and the Red Crescent Medical - Nahariya, Sha'araei Tzedek Center in East Jerusalem, also serve as umbilical Hospital, Assaf Harofeh Medical cord blood collection centers. Hadassah Medical Center, Clalil Healthcare Services, Center performs the tissue-typing tests. Tel Aviv Sourasky Medical Center, 5 Hadassah Medical Center-Mt. Scopus, Hadassah at: Hadassah Medical Center-Ein Karem, Sheba Medical Center-Ein Karem, Holy Family Hospital Medical Center at Tel Hashomer, Tel Aviv Sourasky of Nazareth, Rambam Medical Center, Upper Medical Center, and Rambam Medical Center in Galilee Hospice. Haifa - where the Pediatric Oncology Ward was set up with assistance from the ICA. Additionally, the Dietary Services – The ICA continues to support ICA funds the necessary professional staff. dietary services at the following medical centers: Rabin Medical Center - Belinson Campus, Ha'emek Palliative Care Programs for Advanced Stage Medical Center in Afula, Hadassah Medical Center- Cancer Patients – The ICA continues to support Ein Karem, and Carmel Medical Center. medical care programs combining palliative care and psychosocial nursing care, provided by Bone Marrow Transplants – The ICA continues professionally trained staff. These care programs to finance the necessary professional posts for encompass hospices and home hospice care which the complicated treatment of self bone marrow is provided at the hospice at Sheba Medical Center transplants and bone marrow transplants from Tel Hashomer, set up with assistance from the ICA. a donor, in child cancer patients at the Pediatric These services are designed to provide supportive Oncology Center at Schneider Children's Hospital care for terminally ill patients. These programs in Petah Tikva. The unit's operation has been operate in medical centers and community clinics financed by theICA since its establishment, as have throughout the country (for more on this subject its personnel and training. Additionally, assistance please see the Home Hospice Chapter). has been provided to Pediatric Oncology wards

6 Annual Report 2009

Oncology Services At Medical And Community Institutions Supported By Ica

• Assaf Harofeh Medical Center – Tzrifin: Oncology Tissue Typing Unit, Hematology Ward, Nursing Department, Nursing Services, Gastroenterology Services, Breast Care Clinic, Social Services, Neuro- Institute, Psychological Services. oncology Unit, Psychological Services. • Assuta Hospital: Surgery and Clinics: Nursing • Hadassah Medical Center, Mt. Scopus – services. Jerusalem: Hospice, Home Care Hospice, Early Detection Unit for Breast Cancer, Social Services, • Barzilai Medical Center – Ashkelon: Oncology Nursing Services. Unit, Gyneco-oncology Unit, Social Services. • Emek Medical Center – Afula: Oncology Unit, • Bnai Zion Medical Center – Haifa: Early Detection Nutrition Services, Social Services, Women's Unit for Breast Cancer, Social Services. Dept. • Carmel Medical Center – Haifa: Hematological • Home Care Hospice Upper Galilee of the Institute, Nutrition Services, Social Services, Valleys. Counseling Clinic for Families at High Risk. • Kaplan Medical Center – Rehovot: Oncology • Clalit Health Care Services Regional Clinics: Unit, Breast Healthcare Center. Nursing Services and Social Services in the Head Office and the following districts: Central Region, • Zanz Medical Center Laniado Hospital: Social Northern Region, Haifa and the Western Galilee, Services. Southern Region, Dan-Petah Tikva, Jerusalem. • Ma’agan Center Beer Sheva. • Clalit Health Care Services, Lin Medical • Maccabi Healthcare Services Clinics: Northern, Center - Haifa: Oncology Institute, Zevulun Hashfela (Coastal Plain) Sharon, Negev and Medical Center. Jerusalem Regional Clinics: Nursing Services. • Clalit Health Care Services, Haifa Regional • Meir Medical Center – : Oncology Clinic: Home Care Unit. Institute, Breast Healthcare Center, Pneumo- • Home Care Hospice "House in the Valleys": Oncology Unit, Hematology Clinic, Social Services, Social Services. Psychological Services. • Nof Hadar Hospital - Haifa: Social Services, • The Baruch Padeh Medical Center, Poriya Nursing Services. – : Oncology Institute, Social Services, Gastroenterological Institute. • Hadassah Medical Center, Ein Karem – Jerusalem: Oncology Ward, Pediatric Oncology Day Care Unit, • Rabin Medical Center, Beilinson Hospital – Surgical Complex, Bone Marrow Transplant Dept., Petah Tikva: Oncology Complex, Social Services, 7 Hemato-oncology Department, Urology Institute, • Sir Charles Clore Hostel – Givatayim. Gastro Institute. • Soroka University Medical Center – Beer • Rabin Medical Center, Hasharon Hospital – Sheva: Oncology Institute, Nursing Services. Petah Tikva: Oncology Unit. • Sourasky Medical Center – Tel Aviv: Oncology • Rambam Health Care Campus – Haifa: Oncology Institute, Gastroenterology Institute, Orthopedic Institute, Hematology Institute, Hemato-oncology Oncology Unit, Pediatric Hemato-oncology Department, Gyneco-oncology Department, Bone Department, Breast Healthcare Center, Nursing Marrow Transplant Department, Early Detection Services, Hematology Department, Pain Unit, Unit for Breast Cancer, Nursing Services, Social Gyneco-oncology Clinic, Oncology Day Care Services, Neuro-oncology Dept. Center, Social Services. • Ziv Medical Center – Safed: Early Detection • West Galilee Hospital – Nahariya: Oncology Unit for Breast Cancer, Oncology Unit, Hemato- Unit, Early Detection Unit for Breast Cancer, oncology clinic. Nursing Services, Social Services, Psychological Services. • Schneider Children’s Medical Center of Israel – Petah Tikva: Pediatric Hemato-oncology • Italian "Holy Family" Hospital – Nazareth: Department. Breast Healthcare Center. • Shaare Zedek Medical Center – Jerusalem: • Edith Wolfson Medical Center – Holon: Oncology Unit, Early Detection Unit for Breast Oncology Institute, Early Detection Unit for Cancer, Dietary Services, Nursing Services, Breast Cancer, Hematology Institute. Hemato-oncology Dept. • Sheba Medical Center – Tel Hashomer: Oncology Institute, Pediatric Hemato-oncology Department, Pediatric Hemato-oncology Department.

8 Annual Report 2009

Public Information And Education New Publication

The ICA invests tremendous efforts and huge and who are updated on crucial information that resources to reduce cancer morbidity and mortality patients need. by making up-to-date cancer-related information available to the general public, particularly regarding Breast Cancer Awareness prevention and early detection of prevalent cancers Month such as breast cancer, colorectal cancer, and prostate The International Breast Cancer Awareness Month “Complementary Medicine cancer, in addition to the prevention of smoking takes place in October of every year in order to and Cancer” hazards, mitigating the harmful effects of sun raise awareness of the importance of potentially A booklet that provides information about alternative exposure and promoting early detection of skin life-saving early detection, as well as to numerous medicine, how to best combine it with conventional medicine, cancer, proper nutrition and a healthy lifestyle. breast cancer patients on coping with the disease. information about nutritional supplements and medicinal Additionally, the ICA endeavors to promote a Thanks to the exposure this subject has gained, the herbs, wise consumerism in complementary medicine and healthy lifestyle that is necessary to maintain the code of silence has been broken and many myths cancer and more energy balance – by avoiding obesity, and being have been diffused. Over a decade ago, the ICA physically active, which may reduce the risk of initiated the implementation of activities marking contracting cancer diseases. this month in Israel.

ICA educational activity consists of advocacy New Media Advocacy Campaign campaigns, publication of informative material Marking Breast Cancer Awareness distributed in hundreds of thousands of copies Month 2008 in Hebrew, Arabic and Russian, use of the media, As in every year, the ICA marked Breast Cancer while placing an emphasis on unique sectors of Awareness Month 2008 by holding many activities, the population, and organizing seminars and such as "Celebrating Life", for women recovering conferences, training workshops, lectures and from or coping with breast cancer, seminars for professional training sessions. These diverse women at high risk of contracting breast cancer information activities are conducted in different and young women suffering from breast cancer. A settings such as schools, community centers, the new media advocacy campaign on breast cancer workplace, health care funds, IDF (Israel Defense was also launched through all media channels. The Forces) military bases, ICA branch offices, and campaign was produced on a volunteer basis by other locations. Gitam BBDO SOHO advertising agency and consisted Additionally, the ICA operates a special tele- of a TV and radio public service announcement, information service - ‘Telemeida’, which operates in as well as newspaper ads in the national and local Hebrew, Arabic and Russian. This service provides press, in all the women's magazines and weekly information on all aspects of cancer and its prevention. newspapers, and in the Russian and Arabic press. Additionally, there is a resource center housing The new public service announcement aims to up-to-date professional literature and a link to clarify that a one time mammography screening many databases, where one may receive assistance is not sufficient and that women must undergo from highly skilled information specialists trained a regular mammography screening once every to search international computerized databanks two years. This public service announcement was 9 produced based on the information that 80% of the presence of honorary guest, then Mayor New Publications women report having undergone a mammography of Jerusalem, Mr. Uri Lupolianski, and CEO screening at some point in their lives, however a of Elkalil, representing Estee Lauder in Israel, mere 65% undergo a regular screening once every Mr. Oren Revach, and greetings were delivered two years. Yona Elian volunteered the narration by ICA Director General, Mrs. Miri Ziv. of the public service announcement. Gitam BBDO Concurrent with the Bridge of Strings lighting SOHO volunteered its services in producing the ceremony in Jerusalem, over 200 sites around the announcement. The ads reached the finals in globe were lit up in pink marketing International two overseas competitions and the public service Breast Cancer Awareness Month kickoff. Highlights announcement won the Golden Cactus Award at included the Taipei 101 building in Taiwan (currently the Cactus Festival. “Radiotherapy to the upper the world’s tallest building), the Arena in Italy, abdomen area, esophagus and stomach” Tokyo Tower in Japan, the Taj Mahal in India, the A booklet providing information on radiotherapy to the upper Chain Bridge in Hungary, the SKY Tower in New abdomen area, esophagus and the stomach and its side effects, Zealand, the Belvedere Tower in Austria, the China as well as answers to frequently Millennium Monument, Paris Municipal Building asked questions among patients in need of treatment in France, the Los Angeles International Airport in the United States, and the list goes on and. The Light up in Pink campaign, symbolizing the importance of breast cancer awareness is now in its 9th year in Israel. Additionally, diverse information activities were held by the ICA and pink ribbons were distributed at Estée Lauder and Clinique

"Lighting up in Pink" 2008 The Bridge of Strings in Jerusalem was lit up in pink in early October, marking Breast Cancer Awareness Month kickoff, under the initiative of Mrs. Evelyn Lauder, orchestrator of the worldwide project, Senior Corporate Vice President of the Estée Lauder Companies and Founder and Chairperson of the The message of the Estée Lauder Breast Cancer Awareness Breast Cancer Research Foundation; this event was Campaign: “World Pink. World without Breast Cancer. Wear held in collaboration with the ICA. a Pink Ribbon, make a Difference”. The campaign was held in over 60 countries, with the aim of reaching very corner of the world with the message of the importance of early The Bridge of Strings in Jerusalem was lit up in detection 10 Annual Report 2009

points of sale. In October 2008 over 80 million about 5% lower than the compliance rates among pink ribbons and millions of information booklets who are veteran citizens. The rate of detection New Publication were distributed via Elkalil brand counters as part of tumors in screened women of the target age of the Cancer Awareness campaign. was 5.6 tumors per 1,000 screened women. This percentage meets the national target that has been Summary Of The National Program set according to the anticipated incidence rate of For The Early Detection Of Cancer: breast cancer in Israel. Increase In Early Detection Rate And Bridging Of Gaps Between The New Research In Light Of Breast Different Sectors Cancer Awareness Month: Marking Breast Cancer Awareness Month, Prof. Gad Statins Also Reduce The Risk Of “Radiotherapy to the Head (Brain) Area” Rennert, Director of the ICA National Program for Contracting Breast Cancer A booklet providing information the Early Detection of Breast Cancer implemented Statin drugs have proven to be effective in reducing on radiotherapy to the head (brain) area and its side effects, in collaboration with the Ministry of Health, the risk of various types of cancers, such as prostate as well as answers to some frequently asked questions summed up the annual activity of the National cancer, lung cancer and colorectal cancer, however among patients in need of treatment Program for the Early Detection of Breast Cancer no information has been found relating to the link in Israel. 51 of the 61 mammography institutes between statin consumption and breast cancer. operating in Israel are monitored by the National Scientists headed by Prof. Gad Rennert investigated Program. These monitored institutes implement this link. This research inspected data from 2,252 about 84% of the mammography screenings in cases of breast cancer that were diagnosed in the Israel. Since the program’s inception and up until northern region of Israel from 2002 to 2007, with today, the program monitored 3.6 million breast the control population consisting of 2,252 women images from about 1.2 million women, of which of the general population, respective of age, sex, 38,000 screenings were performed in the Mobile and ethnic group of the subjects. The cases that Mammography Vehicle. participated in the research were examined, inter alia, according to early detection tests, physical In 2007, 381,000 mammography tests were activity performance, use of drugs and nutrition. performed (of which 257,000 were for screening A blood sample was taken from the subjects and – 71%), which demonstrates the growing they were asked about taking statins for at least increase in screening compliance rates. The five years. 781 (17.3%) of all the research subjects National Program estimates that about 75% of took statins. The research results show that statins Israeli women between the ages of 50 and 74 reduced the risk of contracting breast cancer have undergone a test over the last two years and by 25%. "This is a most significant reduction", that about 54% of women in the target group explains Prof. Rennert. "This is an initial research have undergone a test at least twice over the past study with results indicating the need for further four years. studies to examine additional possible advantages The gaps in screening compliance rates once of statins". The research was presented at a press identified as differentiating between sub- conference held by the ICA in October. population groups in Israel have now been narrowed, and the current compliance rates among new immigrants, ultra-Orthodox and non-Jews are 11 Hila March In The Galilee – To Increase Awareness Of Early Detection Of Breast Cancer In its 8th consecutive year, the Hila March in the Galilee 2008, an initiative of the Carmiel-Misgav Pittsburg Women’s Forum and the ICA was held at the end of October in Carmiel, with the aim of increasing awareness of breast cancer. The march gained extensive media coverage on the radio and in the local press, with about 500 marchers participating. Some of the marchers were

“Dancing Life” – Women Who Recovered From Breast Cancer Dancing With The Stars A moving performance was delivered at the ‘Celebrating Life’ seminar for women recovering from and coping with breast cancer – during which dancers from the ‘Dancing with the Stars’ TV program, Danny Yuchtman and Dennis Blatzrokovsky danced with two women who overcame breast cancer.

Danny Yuchtman danced with Mrs. Ditza Katzir. At the age of 39, after her mother, grandmother and two aunts had died of breast cancer, Ditza Katzir discovered a lump in her breast. She underwent a partial mastectomy, radiation therapy and chemotherapy. Following her recovery, and return to her routine, she contracted cancer once again in 2007 and underwent a series of operations. Today she is a mother of three, know how to appreciate life and defines herself as someone who has learned to live once again. Ditza, a make-up artist by profession, volunteers at the Israel Cancer Association in the Look Good Feel Better project and at Yad Lehachlama (Reach to Recovery).

Dennis Blatzrokovsky, who immigrated to Israel as an adolescent, danced with Mrs. Zehava Moshe, his adoptive mother from the who contracted breast cancer two years ago. Both pairs held many rehearsals and showed hundreds of patients attending the seminar that life can beat cancer. Pictured above: Dennis Blatzrokovsky with Zehava Moshe. (For more information about the seminar please see the “Rehabilitation Pictured below, from right: Dennis Blaztrokovsky, Zehava and Welfare” chapter). Moshe, Ditza Katzir and Danny Yuchtman Photo: Ilan Safira 12 Annual Report 2009

cancer patients, others women survivors and their Michal Mobile Mammography Updated Publication families, residents of Carmiel, the Galilee and the Vehicle Continues Its Journey north, Jews, Arabs, women, men and children. Across The Country This year the march focused on reinforcing women The ICA Mobile Mammography Unit operates as and their families in the struggle with the disease part of the National Program for the Early Detection and empowering women who have proven that of Breast Cancer established under the initiative of it is possible to beat cancer. the ICA, in collaboration with the Ministry of Health and healthcare funds. The mobile vehicle is run by the professional staff of Mor-Mar specializing in the operation of mobile imaging services. The Mobile Mammography Vehicle is intended for women residing in remote areas and women

who belong to sectors of the population with a Prostate Gland – when should low screening compliance rate. The vehicle aims to you get checked? bridge the gaps in potentially life-saving screening compliance among new immigrants, women residing in development towns, in Arab villages, and The march consisted of three routes, of varying others. The mobile mammography arrives to each difficulty, and the participants were given pink city and town for a few days or weeks, depending silicon bracelets and white umbrellas. A colorful on the number of women in each location. The happening took place at the end of the march. screening test is free of charge for women of the Adi Eldar, Mayor of Carmiel, Ron Shani, Director appropriate age (all women from the age of 50 of the Misgav Regional Council, and Bilha Keter, to the age of 74, once every two years; and for representative of the Women’s Forum delivered women at high risk who have either a mother or greetings. This was followed by performances sister who contracted breast cancer, from age 40 given by Natasha and Troupe – belly dancing, and and up, once a year). The screening test conducted Amit Alsar performed a warm-up for participants prior to the march. Additionally, there was a belly dancing workshop, a treatment compound, yoga laughter, tai chi, coffee shop, live music and other performances. Conga Energy Band performed upon the completion of the march.

In June, the ICA Mobile Mammography Vehicle visited the Knesset (Israeli Parliament) to increase national awareness of the importance of early detection of breast cancer and to perform early detection tests on Knesset members and staff. Pictured: Minister of Culture and Sports, Limor Livnat (at center), MK Dr. Rachel Adatto (to the right) and Miri Ziv, ICA Director General, at the Mobile Mammography Vehicle stationed at the Knesset. Photo: Flash 90 13 in the mobile mammography vehicle is provided to World Cancer Day Updated Publications members of Clalit, Maccabi, and Leumit healthcare funds who meet the health package criteria. World Cancer Day Was Marked Towards the end of October 2008 the mobile This February Under The Theme "A mammography vehicle completed its rounds through Healthy and Active Childhood" settlements of the central and southern regions and Marking UICC World Cancer Day, the ICA published reached Eilat. In November December and January data demonstrating that one in every 10 children 2009 the mobile vehicle returned to the central worldwide and about 30% of Israeli children are region towns, such as: Ramle, Lod, Bat Yam, Gan over weight or obese. Yavne, Rehovot, Azorei Chen and Sderot. In the Over 7 million people across the globe die each following months the mobile vehicle continued to year of cancer, and about 11 million new cases of Children and youth suffering pass through towns and cities throughout Israel, cancer are diagnosed each year. According to the from cancer while remaining in each location respective of the forecast, based on today’s current situation, in demand and women’s compliance. 2020 about 15 million new cases of cancer will be diagnosed each year, and about 12 million people will succumb to the disease. Hence, this year’s message to parents is: the proper energy balance will reduce your children’s risk of developing cancer during their lifetime. The energy balance is the balance between energy intake from food and drink consumption and the expending of energy through physical activity. The lack of a positive balance leads to over weight and obesity, which may in turn lead to cancer. The prevalence of over weight and obesity has seen a dramatic increase among adults and children throughout the globe. According to the WHO, one billion adults are over weight and at least 300 million are actually obese. It is estimated that 1 in every 10 youth is over weight, and 30-45 million of them are classified as obese. Meaning, about 2-3% of the general child population of the world from the ages of 5 to 17. Israeli statistics are similar: a recently published study conducted by Dr. Yair Ben David of the Soroka Medical Center, indicated that 20-30% of 6-10 year olds in Israel are over weight or obese. Studies show that they have a high risk of becoming obese adults. Investigators of the World Cancer Research Fund (WCRF 2007) estimate that 30-40% of cancer cases, or correspondingly, 3 to 4 million newly 14 Annual Report 2009

detected cancer cases each year may be prevented • Limit consumption of salty foods and other which through the proper diet, regular physical exercise processed with salt. Updated Publication and prevention of obesity. • Limit consumption of alcohol – for men 2 dose "To impart the proper lifestyle habits, we must make a day, for woman 1 dose a day max. according children our target", says Mrs. Miri Ziv, ICA Director to recent studies, 3.6% of cancer cases in the General. "However, in order to have an impact on world are linked to alcohol consumption, and them, adults must set the right example. Parents or 3.5% of all cancer deaths are related to alcohol policy makers who are responsible for food sources drinking. and the extent of physical exercise required in day to day life of children, must conduct themselves Physical Activity accordingly and encourage consumption of healthy In general, it is recommended that adults engage foods, such as fruits and vegetables, unprocessed in moderate or intensive physical activity for 30 Rights and Services for Cancer Patients meat, and whole grains, and contemporaneously, min. or more per day. Children are advised to encourage physical activity. Children still have engage in such activity for 60 min. or more a day. a window of opportunity to take the necessary Correspondingly, it is recommended to restrict precautions to reduce the percentage of future passive activity, such as watching TV or prolonged patients". computer game activity. The UICC emphasizes that activity must occur in the The information campaign launched by world individual level, however policy makers are no less cancer organizations throughout the world is part responsible, both at the national and international of a five year program which began last year to levels: this requires involvements and collaboration reduce cancer morbidity. of politicians, educators, industrialists and media executives. "It is imperative to take action to promote Colorectal Cancer policies that will lead to environmental changes Awareness Month which will make it easier for people to choose healthy options in their place of residence, at the The Israel Cancer Association: The workplace, and in playgrounds. Such changes play Disease Can Be Prevented a decisive role in supporting behavioral change and Colorectal Cancer Awareness Month was held in in promoting long-term behavioral modification", Israel in March 2009, alongside other countries related an official UICC statement. around the globe. Colorectal cancer is the second most prevalent cancer in Israel and has a similar The Practical recommendations: incidence rate in men and women, and particularly Nutrition among those aged 50 and up. According to Israel • Limit consumption of energy-dense foods saturated Cancer Registry statistics delivered by Dr. Micha fats and avoid drinking of sugary drinks. Barhanna, 3,181 patients were diagnosed in Israel • Base your nutrition mainly on vegetables, fruits in 2006 with colorectal cancer. The survival rates and whole grains. of this disease depend on the diagnosis stage. • Limit consumption of red meat and avoid eating Focused and Early stage diagnosis leads to high processed meat (which are risks factor of colorectal cure rates. cancer). Also found that limitation of red and processed meat may reduce the risk of disease During Colorectal Cancer Awareness Month, the recurrence among cancer survivors. ICA launched a media advocacy campaign in the 15 electronic and written media, focusing on the investigators indicate these factors as playing a Updated Publication importance of early detection as potentially life- significant role in this decline. saving. At a press conference that opened "The "Among the Arab population in Israel, incidence Colorectal Cancer Awareness Month" Mrs. Miri rates are lower than among Jews, and a declining Ziv, ICA Director General indicated that "what trend in morbidity has yet to be observed. Slightly makes this cancer unique is the fact that it may be different nutrition than that of the Jewish population, prevented, and one may also recover from it. It is and reduced use of colonoscopy tests may be the possible to increase survival rates to 90% and more. explanation for these findings. The impact of statin And indeed, the colorectal cancer survival rates use on colorectal cancer incidence rates among are steadily on the rise thanks to early detection. the Arab population is unknown". Preventing the disease has led to a decline in the Prof. Yaron Niv, Chairman of the Gastroenterology Knowing more about Acute number of new patients; however, there is still a Lymphoblastic leukemia Complex at Rabin Medical Center and Chairman long road ahead. I call upon the Ministry of Health of the Malignant Diseases of the Digestive Tract and the healthcare funds to step up their efforts to Group of the Israel Association of Gastroenterology, implement the national early detection and monitoring emphasized the importance of early detection program, and I advise the general public – go get using the colonoscopy procedure among high yourself checked and save your lives". risk populations, meaning, relatives of patients. Mrs. Miri Ziv further underlined that "concurrent with "There is a need to address this population in all the importance of early detection, the significance settings, in the community and at hospitals and to of the energy balance should also be kept in mind unequivocally suggest conducting a colonoscopy – maintaining proper nutrition habits and engaging procedure for early detection and prevention. in physical exercise, as a preventative measure in Obviously, in any case of a positive fecal occult general and to prevent colorectal cancer in particular. blood test, the patient must be referred for a According to the UICC, 11% of colorectal cancer colonoscopy, and it must be ascertained that the cases are related to obesity. High alcohol intake test is conducted properly", says Prof. Niv. was also found to be related to the increased risk It should be noted that the ICA has been assisting of contracting colorectal cancer. Physical activity gastroenterology institutes for over a decade in can prevent 30-40% of cancer diseases". developing and implementing program to detect high risk populations, for whom the colonoscopy Dr. Micha Barhanna, Director of the Health procedure is included in the health basket. Ministry’s National Cancer Registry: "In the Jewish population, the incidence rates have been on the Dr. Niva Shapira, clinical nutritionist, Tel Aviv decline in recent years among both sexes. There University, and ICA Advisor: "The food that we are two factors which could serve as a possible consume has already been proven to have an explanation of the decline in colorectal cancer impact on the risk of contracting cancer. One of incidence: the use of colonoscopy procedure and the foods most significantly linked with colorectal the administration of statin drugs (used to reduce cancer is red meat, mainly when it is cooked on the cholesterol levels). We would like to point out that grill, cooked and processed at high temperatures these are merely hypotheses. "We would further and over extended periods of time. For example, indicate that in the United States there has been in a study that was conducted among 47,949 a decline in morbidity for quite some time, and men, it was found that men who ate meat (such 16 Annual Report 2009

cauliflower, and cabbage; garlic and onion as well as green and orange vegetables containing Updated Publication caretinoids, such as broccoli, cabbage, cucumber, lettuce, celery, basil, pears, melon, kiwi, coriander and parsley". Dr. Shapira presented several recipes for healthier meals.

Protein That Is A Marker For Cancerous Processes Identified At the press conference, findings from a new research study conducted at the Tel Aviv Medical Center, were revealed. A protein found on cell surface and constitutes a marker for multiple Radiotherapy to the Stomach and Pelvic area cancerous processes, including colorectal tumors, at the pre-cancerous adenoma stage was detected. Upon examining 400 tissue samples that were collected from patients with malignant tumors and pre-malignant tumors, it was found that the protein is expressed in about 90% of tumors. The scientists, headed by Prof. Nadir Arber, Director of the Cancer Prevention Center at Tel Aviv Dr. Niva Shapira and Golan Israeli, Chef at the Sheraton Hotel, Medical Center, and Dr. Sara Kraus, Director of Tel Aviv the Lab, developed a simple and innovative blood as beef or lamb) five times a week and more were test based on the protein presence in white blood at 3.5 times greater a risk of contracting colorectal cells. From the initial research results it emerges cancer than men who ate red meat once a month that the test enables an accuracy level of 80% and or less. The reason for this is related to the ‘HEME’ differentiates between subjects who are patients molecule, a red molecule that carries the iron in and even patients with a pre-cancerous tumor and the blood. This molecule was recently proven in subjects who are healthy. lab tests as bearing the potential to increase the "This is a significant breakthrough", said Prof. Arber. growth of intestinal cells and their proclivity for "We hope to complete the research within a year, becoming cancerous. and if the trials will continue in this direction, the "The results of the studies clearly show that the test will become routine procedure in the future. It risks involved in consumption of red meat may will assist us in detecting patients who are unaware be reduced by eating a higher ratio of fruits and that they are at risk, thus assisting in eradicating vegetables as compared to red meat. If one chooses the disease". to eat red meat, it is recommended to consume the meat together with vegetables at the same meal Summary Of 2008 Activity Of The in order to prevent the carcinogenic effect. National Program For The Early "In addition to the far-reaching recommendation Detection Of Colorectal Cancer to eat fruits and vegetables, Cruciferous vegetables Prof. Gad Rennert, Director of the Health Ministry’s are recommended, such as spinach, broccoli, National Program for the Early Detection of Colorectal 17 Cancer, related that the lives of hundreds of patients instructed me to undergo a colonoscopy. And from Updated Publication were saved this year thanks to early detection tests, there the rest was clear. however only 60%-70% of those who received a "Many a time I found myself looking at my situation positive result in the fecal occult blood test proceeded from the side, I would separate me, the patient, to undergo a colonoscopy. Among those who did from me, the observer. I tried not to get dragged not undergo the colonoscopy procedure, 72 have down with negative thoughts, despite the fact that been diagnosed with advanced stage cancer. I thought them. I used humor, sometimes cynically For more information please see "Early in order to cope and to see things from a different Detection" chapter. angle, a humoristic, playful one. Of course there were moments when my humor would succumb to Anat Fluksman, Colorectal Cancer the tears of fear, sadness and uncertainty. During Larynx Cancer Survivor With An Interactive Display treatments I tried to be constantly on the move, Artist, Mrs. Anat Fluksman, presented the art not to stop and start sinking". display called "Other there" (Sham) at the ICA Colorectal Cancer seminar. Anat Fluksman is a 49 The display which offers a glimpse of Anat’s world, years old, married and has three grown up children. consists of nine art works that are all directly She engages in theatre directing and acting. related, visually and tangibly, to the disease and About a year earlier she began working on an chemotherapy treatments. Such for example, the autobiographical one actress play. She succeeded piece "The one that’s going up or the one that’s in staging only 6 exposure performances, when a going down" in which the observer is exposed to malignant tumor was detected in her intestines. hundreds of thousands of tiny white Styrofoam Thanks to her insistence to have her symptoms balls that are flying inside three huge test tubes checked she was sent on time for a colonoscopy by pressing on bellows. The object symbolizes the and the disease was detected at an early stage. great effort that one has to exert during treatments Since then she has been forced to perform on a so that the white blood cells won’t drop below different "stage"... the level at which one may receive treatment. The display that opened at the seminar was made The observers could try this out themselves by possible courtesy of Roche Pharmaceuticals. operating the bellows and feeling the difference in intensity of the effort. Anat recounts: "It all started during the rehearsals for the play in December 2007. I began having This art work, like all the other pieces enabled those stomach aches that I never had before. I immediately who haven’t been "there" to try and feel a bit of proceeded to my family physician, and unfortunately what goes on inside the body and mainly the spirit for many weeks I had to cope with his persistent when one experiences this disease. Additionally, explanation that apparently these were passing a video film lasting pains and that "you have nothing dangerous". several minutes was Despite his explanations, I was in great distress and screened, describing I didn’t give up. I came on a weekly basis with the the process of the same complaint and I asked him to think of what disease and treatments, else there was to check because the pains were from material that was bothersome. Ultimately, I succeeded in getting a filmed during that referral to a gastroenterologist who immediately same period. 18 Annual Report 2009

Open Line Program on Galei Tzahal the general public, regardless of healthcare fund Radio Station Marking Colorectal membership. Updated Publication Cancer Awareness Month The ICA continues this educational activity throughout In March, the Galei Tzahal radio station broadcasted the year at schools, at municipalities and in the media, an open line program on colorectal cancer, with regarding the early detection of skin cancer and disease Mrs. Miri Ziv, ICA Director General, participating, prevention. Mrs. Miri Ziv, ICA Director General: as well as Dr. Ayala Hubert, Head of the Digestive "Since we first initiated the Skin Cancer Awareness Tract Tumors Unit at the Sharett Institute of Week campaign, 17 years ago, the detection rate of Oncology, Hadassah Ein Karem Medical Center, melanoma in Israel at the early stages in which this and Mrs. Limor Ben Haim, clinical dietitian, Tel deadly disease may be cured, increased at rates of Aviv Medical Center, Clalit Healthcare Services, 90% and higher. The goal of the Awareness Week Dietitians Association. The panel answered listeners’ Soft Tissues Sarcoma is to reinforce ‘sun smart’ behavior, by taking all the questions about prevention methods, diagnosis necessary precautions". The information is particularly and treatment of the disease. important for those who have multiple moles, freckles, Skin Cancer or anyone who has had many sunburns or whoever has any relatives with a lot of moles or who have Some twenty odd years ago, the ICA began contracted skin cancer. educational activities for the general population, with the aim of reducing the harmful effects of the sun and increasing awareness as to the ICA Press Conference held at the 12th World importance of early detection. As part of this Congress on Cancers of the Skin: program, Prevention and Early Detection of Skin Cancer Awareness Week has been held The Early Detection Rate Of Skin annually at the beginning of each summer for Cancer Increased, The Gap In the past 17 years, for the benefit of the general Morbidity Rates Between Women public and children, alongside educational And Men Has Also Increased activities, including seminars, health awareness A press conference held by the ICA marking Skin days and more. Cancer Awareness Week at the World Congress on Cancers of the Skin which was held in Israel from National Campaign For Free Early the 10-15th of May, presented new discoveries in Detection Tests Of Skin Cancer disease prevention and early detection: Initiated By The Ica In Collaboration Dr. Yossi Alkalai, ICA Advisor on Skin Cancer, With The Healthcare Funds Chairman of the Israeli Dermatological Society and As part of prevention and Early Detection of Skin President of the WCCS – the 12th World Congress Cancer Awareness Week, which took place this on Cancers of the Skin - called upon Israelis to year from May 10-15, 2009, 300 skin cancer examine the labels on sun screen products and detection stations were opened throughout Israel, cosmetics and to prefer products that contain UVA from Kiryat Shemona to Eilat, in collaboration with and UVB protection. Dr. Alkalai also addressed for all the healthcare funds, the Israeli Dermatological the first time the issue of organ transplant patients Society and the Israeli Society for Plastic Surgery. and indicated that they are at a significantly higher Free tests were conducted at these stations for risk of contracting skin cancer. 19 Dr. Micha Barhanna, Director of the Health Ministry’s The Ica And Jetix Channel In A Joint Updated Publication National Cancer Registry: The early detection rate Campaign: ‘Sun Smart’ To Protect of skin cancer has increased tenfold as compared Yourself Against The Harmful to the 1990’s. The gap between women and men Effects Of The Sun has increased in terms of morbidity rates. Among ICA and the Jetix Channel launched a joint educational men the disease rates are still on the rise. campaign this summer entitled "Sun Smart", which included new comical skits starring "Micky" (Tomer Mrs. Miri Zvi, ICA Director General: Skin Cancer Ofner), star of the TV show "Billy". The humoristic Week, initiated by the ICA and launched in skits talk about sun smart behavior and last 30-60 collaboration with the healthcare funds, has been seconds. Their content has been specially tailored in operation since 1992. Since then there has been to the target audience of the Jetix Channel, children an increase in early detection rates. This is a life- Secondary Bone Cancer between the ages of 6 and 14. saving activity! However, it is important to note that the disease may be prevented through ‘sun smart’ As part of this campaign, repeats of the "Sun behavior: refraining from sun exposure from 10 Smart" campaign starring Gur and Och (portrayed am to 4 pm (according to daylight savings’ time), by Udi Gotshlek, and Aviad Ben-Tov) were also protecting oneself with a hat when out in the sun, broadcast. This campaign consisted of a series of remaining fully clothed and wearing sunglasses, and intermediate skits addressing the audience in a using sunscreen lotion according to the directions, humoristic tone and teaching them "sun smart" applying it to the exposed skin areas. behavior rules. Dr. Allan Halperin, Deputy President of the American Skin Cancer Foundation, gave an overview of new discoveries in early detection and addressed the issue of Vitamin D in view of research studies that have indicated that the public may be exposed to the sun without the proper protection, as a result of misleading information regarding Vitamin D. According to Dr. Halperin: "According to existing information, people who have a Vitamin D deficiency are advised to consume Vitamin D supplements and not to expose themselves to the sun in order to make up for the deficiency". Melanoma Morbidity Statistics Over 1,200 new patients were detected with melanoma over the past year. The melanoma morbidity rates continue to be high in Israel. The morbidity rates among Jewish males have been on the rise in recent years, whereas the morbidity rates among females have remained stable. About 400 patients were diagnosed with localized disease and Tomer Ofner, star of the “Billy” TV show, portraying a lifeguard the rest were diagnosed with invasive disease. in the comical skits for children on ‘sun smart’ behavior 20 Annual Report 2009

The audience was also invited to choose the funniest sun exposure in a minimal bathing suit without the skit. Each child who ranked the funniest skit and proper shade, as the image in the ad portrays. signed the "I’m sun smart too" petition received "Today it is a known fact that sunscreen lotion cannot an ICA "sun smart" sticker. fully protect the skin against UV rays – certainly not Mrs. Miri Ziv, ICA Director General: "Children’s throughout an entire day. Moreover, according to programs are an important tool for conveying Prof. Ronny Wolf, Director of the Dermatology messages, by using the relevant language and and Venereology Unit at Kaplan Medical Center methods of communication geared toward children. and member of the ICA Advisory Committee Disease prevention saves lives, and we must educate on Skin Cancer, sunscreens’ protection factor children at an early age, particularly during the is measured under optimal conditions, in an air summer vacation when sun exposure is increased. conditioned room. In regular conditions, outdoors, We anticipate the channel’s stars will have an the sunscreen is removed with time due to heat impact on viewers as role models for maintaining and moisture, perspiration and rubbing of the face a healthier lifestyle". and eyes. Likewise, the radiation filters undergo Mr. Shahar Davidson, Jetix Channel Marketing chemical changes when they absorb radiation. It Director: "We are proud to be able to say that this is the has been proven that most of the sunscreens lose channel’s sixth consecutive year in producing refreshing, a significant portion of their effectiveness after high quality, and humoristic TV content to convey the several hours of activity". message of proper behavior in the sun". In the wake of the ICA’s petition, the subject was Upon ICA’s request: investigated and it became evident that the on- air sponsorship was approved for broadcast with Israel’s Channel Two Tv And reservations, based on the advertiser’s commitment Radio And The Ministry Of Health to what was being claimed. According to the letter Joined Together To Remove The in response that Ms. Gitit Levanon, Head of the Misleading On-Air Tv Sponsorship Ads Division at the second authority of TV and For Sunscreen Lotion Radio, delivered to the ICA, from information that The "Piz Buin" company launched an on-air TV the Ministry of Health forwarded to the second sponsorship at prime time, for sunscreen products. authority, it became clear that the product that The ad promised all day protection under the slogan: was being advertised included a restriction on "one day long". In view of the sponsorship, the licensing and marketing: under the condition ICA urgently contacted the Ministry of Health that the caption 1 DAY LONG and LONG LASTING and the second authority of TV and Radio and PROTECTION be removed. informed them: "This ad is significantly misleading the public and could lead to loss of human lives! "This information was not available to the Ads The public cannot distinguish between the proper Division at the second authority when the on-air way of wearing sunscreen, the different types of sponsorship was approved with reservations, and sun rays, etc. Sunscreen lotion is only one kind of hence shall forthwith render the granted approval protective measure against sun exposure, and is null and void, and this on-air sponsorship in its the last form of protection, after making sure to be updated version may not be broadcast", determined in the sun only during safe hours, wearing a hat, Levanon. staying in the shade, etc. It certainly doesn’t allow 21 Moles Stickers At The Ashdod more aware of the harmful effects of the sun Updated Publication Boardwalk As Part Of The and of the importance of early detection, and to Educational Campaign To Increase motivate them to check spots and moles that have Awareness Of The Importance Of appeared or changed on their bodies, by going to Prevention And Early Detection Of a dermatologist for an examination. Early detection Skin Cancer saves lives!" Ashdod residents who arrived at the beach in early August were surprised to discover that The Battle Against Smoking the boardwalk was covered with special stikers The Ica Continues to Endeavor on produced by the ICA. The stickers were positioned All Fronts to Reduce The Smoking around stains as part of the national campaign Rate and Mitigate Its Harmful Esophageal Cancer to increase the awareness of the importance of Effects In Israel prevention and early detection of skin cancer by As every year, and as part of the International 'No diagnosing lesions. The educational campaign Smoking Day' held in all WHO member countries was produced by Gitam BBDO SOHO, which since 1987, the Ministry of Health and the ICA volunteered its services for many years in producing marked this day on May 31st. This unique day seeks ICA educational activities. to place the smoking plague on the global agenda, In its new information campaign, the ICA addressed increase awareness as to prevention of morbidity the general population attending the beaches, and mortality deriving from diseases caused by in order to increase awareness of the fact that tobacco smoking and passive smoke. unfamiliar moles and lesions on the body may be Mrs. Miri Ziv, ICA Director General: "The aim of an early sign of skin cancer, and to motivate them ‘No Smoking Day’ and ICA activity throughout the to contact their dermatologist in order to have year is to fight the smoking plague – the number them checked. Skin Cancer is prevalent in Israel: one leading cause of death in the world that may every year 1,200 Israelis are diagnosed with the be prevented. Additionally, this day is geared disease. Early detection of the disease enables cure toward telling people – adults and youth – around rates of over 90%. the world what they can do to protect themselves from passive smoking and to exercise their right The stickers were produced in three languages: to clean air and a healthy life. The research studies Hebrew, Russian and French, in oreder to convey detailing the harmful effects of smoking have the important message to all residents of Ashdod been steadily on the increase. On this day we and particularly to new immigrants who constitute also call upon the many smokers who would like a significant portion of the city’s population. to stop smoking: "take advantage of this special Mrs. Miri Ziv, ICA Director General: "The aim of day to stop smoking cigarettes or hookahs. It is the campaign is to make the general population in your power to significantly reduce your risk of contracting cancer". About five years ago the government ratified the signing of the Ministry of Health on the Anti-Smoking Treaty signed by 168 enlightened countries that understood that the tobacco plague is a universal problem, with severe implications on public health, 22 Annual Report 2009

requiring extensive international collaboration in order Interactive Information Campaign to provide an effective and comprehensive global As International ‘No Smoking Day’ approached, Updated Publication solution. "In view of the country’s commitment, we an interactive interstitial (promotional webpage), anticipate that in the near future laws will be legislated created under the initiative of Gitam Interactive, constituting actual fulfillment of the commitment was uploaded on Israel’s main websites and portals: that the State of Israel has assumed in ratifying NRG, Ynet, Mako, One, Tapuz, Nana 10, Walla! the Anti-Smoking Treaty. There is much work that and the ICA website. This is a unique tool on an lies ahead", said Miri. "This year international ‘No internet platform, in which most of the large Smoking’ Day revolves around the implementation websites enlisted. of graphic warnings on cigarette packages and we Entering one of the content channels on ‘No hope that the implementation of these warnings in Smoking’ Day, activated the interstitial without any Israel as well will constitute an additional deterrent Ovarian Cancer initiative on the surfer’s part (click). The interstitial against smoking". featured smoke ascending on the screen and hid The smoking plague claims 10,000 victims each the content, with coughing noises sounding in the year in Israel, more than the number of people who background. This was immediately followed by the die in road accidents, in wars and in terror attacks ICA message – "don’t let smoking take control of combined. According to statistics, about five million your life! Every hour at least one person dies of people around the globe die each year as a result a smoking related disease in Israel". The screen of smoking. This is the only product which, when disappeared after a few seconds and the surfer used as directed, kills you. saw the original page once again.

Minister Of Health’s Report On Smoking In Israel As ‘No Smoking Day’ approached, the Minister of Health’s report on this issue was published, with assistance from the ICA. There was a special chapter devoted to the taxation of cigarettes and a survey of smoking among residents of settlements around the Gaza Strip. It also mentioned that a multi-annual follow up of smoking trends in Israel indicates that smoking rates are particularly high among Arab males, and there is a moderate decline in the smoking rate of Jewish males. In an unprecedented move, the report presented "Israel Must Implement The Who statistics on how much cigarette companies invest in Framework Convention On Tobacco marketing cigarettes in Israel, and the figure stands Control" at 37.5 million shekels! The ICA invests endless The ICA sent a letter to Prime Minister Binyamin resources in the battle against smoking, but in view Netanyahu on the day of his swearing in ceremony, of these statistics, it emphasized the importance calling upon him to take practical steps. The of this issue from a national perspective. following is the content of this letter: 23 Prime Minister of Israel Mr. Binyamin NetanyahuJerusalem Prime Minister’s Office,

Dear Sir, On the day of your swearing in ceremony as incoming Prime Minister, we would like to firstly wish much success to Israel’s new government. Particularly on this day, when the security and financial problems stand out on the public agenda, it is important to us to draw your attention to a serious problem that claims the lives of 10,000 Israelis each year – the victims of smoking. The facts are clear cut: Smoking claims more victims than road accidents, wars, murders, drug and alcohol addictions combined, however the scale of the enormous damage that it causes is not sufficiently perceived by policy makers. Thousands of youth begin to smoke each year in Israel. Their “choice” – which has been proven by research studies – is actual addiction, which will impact the rest of their lives: the quality of their lives, significant increase in their risk of contracting diseases and significant reduction of their lifespan, by 10 years on average. The only ones who profit from this industry which manufactures morbidity and death are the cigarette companies. In these times of financial crisis, it is important to draw public attention to the fact that smoking incurs substantial financial damage on the economy. While people begin smoking when they are young, the results begin to manifest themselves at older ages (40+), when a person is supposed to be at the height of his/her career and personal and professional capacities. But instead of blossoming and advancing the economy – the person who has fallen ill as a result of smoking becomes dependent, undergoes treatments that cost the country tremendous sums, is absent from work, or ceases to work completely and the country loses this person’s productivity. In the United States the damage to the economy is estimated at about 193 billion dollars. However, beyond the financial cost there is also the cost of human lives, which have no price. In Israel, as mentioned, about 10,000 people die each year, mainly of cancer, cardiovascular diseases, respiratory diseases, etc. This is not something that is predestined. The situation can be changed. The State of Israel signed The WHO Framework Convention on Tobacco Control. This Convention defines the proven ways of reducing smoking: increasing taxes on tobacco products, protecting non-smokers by legislating laws to implement clear air, banning advertising, promoting smoking cessation and adequate treatment for addiction at healthcare centers, workplaces, and educational institutions, eradicating illegal trade, taking cigarette packages off the shelves where they are prominent, and the list goes on and on. Unfortunately, since the signing of the Convention, there has been no significant implementation of the components of the Convention to which the State of Israel considers itself bound. ICA activity: in schools, in promoting Knesset legislation and scientific research – has led to a continuous decline in smoking rates, from over 40% to 23%, however a long road still lies ahead. In Israel it is still permissible to advertise tobacco products in the press, cigarette packages are placed in a prominent spot in grocery stores and kiosks, cigarette companies address youth by sponsoring popular performances and the law prohibiting smoking in public places is not being enforced as required. The government must perform its role and save the lives of thousands of Israelis each year! The President of United States – Barack Obama - chose to address the smoking problem and its significance, including his own personal smoking habit in all his interviews in the media, starting from his initial days in office. He even announced that the White House would become a smoke free place, thereby setting an example for tens of millions of people. Moreover, his declarations have become deeds. The U.S. government significantly increased the federal purchase tax on cigarettes. As a result, according to the “Campaign for Tobacco-Free Kids” estimate, about one million Americans will be convinced to cease smoking and about 2 million youths will not begin to smoke. The sum that has been added ICAto the endeavors American on economy all fronts will to promoteprovide medical research, insurance prevention for methods,children. and early We still face many health-related problems, and the detection, as well as to enhance treatment modalities and rehabilitation for patients and their families. We have chosen to focus on tobacco and tobacco products that have been declared by the WHO as the number 1 cause of death in the world that may be prevented, a cause which is also responsible for at least a third of cancer mortality cases and 80% of lung cancer deaths. The last commendable change in legislation on forcible smoking was led by MK Gilad Arden – a member of the Likud. We hope that the party that you steer will see to the implementation and enforcement of the current law and will promote new laws and regulations. It is the duty of the state, which you head, to implement the international framework convention which it has signed. This is a duty which is potentially life-saving. Every cigarette that is not lit is another person who will not need to undergo difficult treatments and consume expensive drugs. Every child who does not begin to smoke is an adult who will be in good health, and who will benefit from many productive years of work and contribution to our society. Prof. Eliezer Robinson In gratitude and wishing you much success, Chairman Miri Ziv Israel Cancer Association Director General Israel Cancer Association 24 Annual Report 2009

Increasing Taxation On Cigarettes – A Step In The Right Direction Revoking Vat Exemption On Fruits And Vegetables – A Step In The Wrong Direction ICA also acts in the Knesset as part of its endeavor on all fronts to advance the fight against cancer. In a letter that they sent on the 29th of April 2009 to the Prime Minister, ICA Chairman Prof. Eliezer Robinson, and ICA Director General, Mrs. Miri Ziv wrote:

Prime Minister of the State of Israel Mr. Binyamin Netanyahu Prime Minister’s Office Jerusalem Dear Sir, We were delighted to hear that within a short period of time after the government you steer came into office, you announced that within the economic reform which you are leading, there will be an added tax on cigarettes and tobacco products. As we indicated in our previous letter, this is an important and noteworthy step, which constitutes an additional stride in advancing Israel toward the fulfillment of the WHO Framework Convention on Tobacco Control, on which the State of Israel is a signatory. It goes without saying that this is a hazardous habit that claims the lives of 10,000 people in Israel each year. Last weekend we were also notified that the Deputy Minister of Health, Rabbi Yaakov Lietzman also supports this move which will undoubtedly reduce the smoking rate in Israel and actually save lives. However, at the same time we were shocked to hear that concurrent with the increase in taxes on cigarettes and alcohol (a noteworthy step seeing as excessive consumption of alcohol also increases the risk of contracting cancer and other diseases), the government intends to revoke the VAT exemption on fruits and vegetables. As the Prime Minister of Israel, and as one who serves as the acting Minister of Health, we would like to warn that this is a step that will lead to the decrease in fruit and vegetable consumption among the public. According to the National Council for Oncology recommendations approved by the Ministry of Health, the State of Israel must encourage the consumption of fresh fruits and vegetables that have the potential to reduce the risk of contracting cancer, as well as heart disease and diabetes. Information becoming increasingly available indicates the importance of eating fruits and vegetables as a means of reducing or, if neglected, increasing the risk of developing certain cancer diseases such as colorectal cancer, stomach cancer, lung cancer, breast cancer, prostate cancer, and others. The findings of research studies have led international experts and UICC experts to publish recommendations for proper nutrition which may help reduce the risk of developing cancer. According to these recommendations one must eat at least 5 servings of fruits and vegetables a day, and children even more. If indeed this proposal is implemented, it will undoubtedly be hazardous to public health. As the increase in cigarette prices have proven to lead to reduced smoking, it is clear that raising the prices of fruits and vegetables will lead to recued fruit and vegetable consumption and to consequent health hazards. We call upon the government to cancel this plan to revoke the VAT exemption on fruits and vegetables. Implementing this proposal will make the State of Israel and the Ministry of Health contravene government recommendations – their very own proposals. We are certain that this is not the objective of the plan and we hope that public health will be at the forefront of your concerns when formulating an economic plan during these trying times. Thank you,

Sincerely, Prof. Eliezer Robinson Chairman Miri Ziv Israel Cancer Association Director General Israel Cancer Association 25 Petition To Israel’s Supreme Court: undertook to make an effort and place non- Updated Publication To Separate Between Smoking smoking or ill prisoners in smoke-free cells. We are Prisoners And Non-Smoking Prisoners now awaiting the review of the implementation The "Physicians for Human Rights" organization of these commitments. and ICA petitioned Israel’s Supreme Court to require the Israel Prison Service to separate smokers International ‘No Smoking’ Day – for non-smokers in its correctional facilities. The This Year Under The Theme Of petition was submitted in view of complains from Pictorial Warnings On Cigarette many prisoners who were forced to share a cell Packages with smoking prisoners, thus being exposed to Cigarette packages are the direct link to the consumer, incessant smoking of their cellmates. on the part of cigarette companies, but also on Malignant Melanoma Many countries, including Britain and some of the part of governments’ attempting to convey the prisons in the U.S., recently adopted a policy, the message of awareness of the harm inflicted on whereby non-smoking prisoners are not embedded one’s health by smoking. As the prohibitions against in cells with smoking prisoners. cigarette smoking increase, cigarette companies Despite the known harmful effects of smoking, try to make the package more appealing and even in Israeli prisons there is no such separation policy use the cigarette package design as a means of when prisoners suffering from health problems are advertising and launching special campaigns. Hence, involved and whose exposure to cigarette smoke the insertion of pictorial warnings constitutes an may aggravate their condition. important part of the work plan of the UICC in the Mrs. Anat Levitan, Director of the Prisoners Dept. war against smoking, as part of the international at "Physicians for Human Rights": "The Israel Prison anti-smoking treaty, upon which the State of Israel Service impairs the health of prisoners under its is a signatory (FCTC Framework Convention on care. It is important to note that in the situation Tobacco Control). that ensues in prison, it is difficult for an individual According to the WHO, research studies conducted prisoner to act against a cellmate’s smoking in the in countries where pictorial warnings began to be prisoner’s cell, whether due to lack of awareness or advertised proved that at a relatively low cost for lack of ability to stand up for his/her rights or due high effectiveness, these warnings have a great to the fear of being hurt behind bars". impact on youths or people who haven’t begun to Prof. Eliezer Robinson, ICA Chairman: "Cigarette smoke. Pictorial warnings have a greater impact on smoke contains 4,000 different chemicals, 43 of which those with a lower level of education and children, have been unequivocally proven to be carcinogenic. and those that strike an emotional chord are more All these chemicals are inhaled in the lungs of the effective. There have been no negative responses passive smoker, causing health hazards similar in to pictorial warnings. severity to harmful effects of active smoking, and in The pictorial warnings on cigarette packages turn cause different types of cancer. The percentage currently prevail in 15 countries around the globe, of smokers among the prisoner population is high. such as Canada, Brazil, Romania, Britain, Singapore, The prisoners who do not live with a clear separation Thailand, Jordan, Iran, Australia, New Zealand, between smokers and non-smokers are exposed to Uruguay, Panama and others. The WHO and the the harmful effects of smoking". European health Organization recommend pictorial Due to the petition, the Israel Prison Service warnings as more effective in acting as a deterrent 26 Annual Report 2009

a campaign among the Arab sector in May with financial assistance from a UICC grant, addressed Updated Publication to fathers. The campaign was addressed to fathers seeing as according to Ministry of Health statistics, about 40% of men in the Arab-Israeli society smoke, as opposed to 10% of Arab-Israeli women. The information campaign addressed mothers as well, through the fathers. The campaign message was: parents who smoke next to their children inflict harm upon them. Research studies have proven that the passive Lung Cancer smoker's body absorbs carcinogenic substances similar to those absorbed in the body of smokers. Similarly, it has been proven that children, whose parents smoke at home and are exposed to forcible smoking, are more vulnerable. The information campaign consisted of a radio public service announcement and ads in the written against smoking. The European Union also recently press. In the radio campaign children sang the well published 10 good reasons for pictorial warnings, known children’s song "Baba" while coughing, mainly: they catch the eye; studies have proven that due to their exposure to passive smoking. The a person exposed to a pictorial message identifies moderator was popular radio-presenter Mr. Zoher with the message content 3 times as much when Bahalul. Bahalul and "Aswaek" advertising agency, these are pictorial warnings; 44% of Canadian responsible for the preparation of the public service smokers said that pictorial warnings make the announcement, volunteered their services. cigarette package less appealing. Upon the conclusion of the public service Miri Ziv, ICA Director General: "The warnings announcement, listeners were referred to the on cigarette packages in Israel have enhanced ICA Telemeida in Arabic and smoking cessation awareness of the subject, however as the WHO workshops at 1-800-36-36-55. The public was indicates, warnings on a larger space including also invited to contact the ICA website in Arabic appropriate photographs, have the potential to at: www.cancer.org.il raise the deterrence, and ultimately develop the Mr. Faten Ghattas, ICA Activity Director in the process of reducing smoking rates". Arab Society: "The Campaign constitutes an additional step in educating towards maintaining "Dear Daddy – When You Smoke a healthy lifestyle in Arab society, which has a Next To Your Children, You’re particularly high smoking rate". Inflicting Harm Upon Them" Due to the campaign, hundreds of calls were Information Campaign Targeted At recorded at the ICA, and smoking cessation The Arab Society workshops will soon open. To increase awareness of the harmful effects of smoking, mainly among parents, the ICA launched 27 Prostate Cancer Activities For Updated Publication Awareness Day Children And Youth The ICA marked Prostate Cancer Awareness Day in Each year, the ICA endeavors, in full collaboration September; prostate cancer is the most prevalent with educational institutions, to promote awareness cancer among men in Israel. September saw this and responsibility of youth for health and a healthy awareness day throughout the world in order to lifestyle, with an emphasis on smoking prevention place prevention, early detection and treatment of and proper sun exposure. Each year, ICA instructors prostate cancer on the public agenda. According deliver thousands of lectures and workshops to Ministry of Health National Cancer Registry at schools, preschools, summer camps, youth statistics, about 2,500 mean are diagnosed with movements, youth councils and more, and also prostate cancer each year and 400 men die of distribute a great deal of informative material. the disease. The causes of prostate cancer are not fully known. Additionally, Health Days are conducted in How to be Sun Smart However, it has emerged that men who have paternal collaboration with children and youth and training relatives, a father or brother, who have contracted is delivered to youths so that they may serve as the disease prior to the age of 70, have a higher instructors and deliver messages about smoking risk of developing prostate cancer and they must prevention and sun smart behavior to other be aware of this and undergo a PSA test starting children. from the age of 50 once a year, combined with a rectal ultra sound. There are those who recommend Colleague Seminar the age of 40 as the limit for conducting the test As in past years, the ICA worked in collaboration in this risk group. with the Ministry of Education's School Psychology There are additional factors that increase the risk Services on a unique training program for youth of contracting prostate cancer, such as smoking, in schools and junior high schools. As part of this unhealthy diet, obesity and lack of physical exercise. training program, outstanding and socially active Recently, several new studies were published students are selected and trained to serve as social indicating a link between prostate cancer and mobilizers and to conduct activities on smoking lifestyle. Prostate cancer is common particularly prevention. among men over the age of 50 and its manifestations The Education Dept. is responsible for delivering among younger men are less frequent. As opposed lectures, given by university students, as part of the to other types of cancer, prostate cancer grows very training program. The project was implemented slowly, and so, many a time, particularly among in dozens of schools around the country and this older people, there are no symptoms. There are year over 1,500 colleagues were trained. cases in which the cancer cells are in the prostate gland and the tumor in the prostate can remain "Breathing Healthy Air" Learning unchanged for a lengthy period. According to Centers And School Program scientific evidence, about a third of men over the Development age of 50 and the majority of men over the age of The ICA has acquired seventeen learning centers 80 have cancerous cells in the prostate, however this year, which serve as a forum for hands-on as mentioned, only among a small percentage of information activity regarding smoking and its them does the disease affect life expectancy. harmful effects, cigarette advertising, peer pressure 28 Annual Report 2009

In May, the Rishon LeZion Municipality, under the direction of the Municipal Health Coordinator, held a happening for children under the theme: "Sun Smart". About 300 children from 650 preschools and their parents arrived at the Municipality Square, where an ICA information booth was positioned, to participate in diverse activities. For example, ICA instructors played the "what do you put in your basket when you go to the beach" game with the children, played memory games with them, colored in coloring books, and painted hats.

and more. 50 such centers operate in 50 junior high schools in Israel. Kits are distributed among several schools each year, and enable thousands of pupils to take part in this learning experience. These kits are used by colleagues in youth activity. Likewise, the ICA initiated, wrote and produced programs and training guides geared toward professional teams.

Israel Network Of Healthy Cities Early May saw a memorial evening in honor of a youth who died of cancer held in Or Yehuda. The evening was moderated The ICA is a member of the Israel Network of by students who underwent graining by ICA instructors. An ICA booth was set up with informative materials on cancer prevention, Healthy Cities which has been active since 1990 the dangers of smoking and tips for a healthy lifestyle. School in promoting a "Health for All" policy, which children, also trained by ICA instructors, manned the booths and answered questions. will have an impact on the general population in terms of quality of life and environment, urban planning and more. The "Smoke Free City" was integrated and implemented last year to assist this process; as part of the collaboration between local authorities committed to reduce smoking the ICA and the Kfar Saba Municipality, the city’s rates to enforce the prohibition against smoking Mayor, Mr. Yehuda Ben Hamu, signed a treaty in public places, and more. The ICA has begun in which he undertakes to eradicate smoking in accompanying several cities and local authorities in the city. 29 Additional Activities The ICA, with assistance from Dr. Niva Shapira, clinical nutritionist, and ICA Advisor and lecturer Recommendations Regarding Meat at Tel Aviv University, published recommendations Consumption For Independence for Independence Day and all year round, inter alia: Day marinating meat in advance, turning it around often Grilled meat, which is particularly prevalent on (every minute) and waving the smoke away, restrict Independence Day, involves a health risk of developing the increase in temperature and help prevent the carcinogens as a result of over scorching meat development of carcinogens. and absorbing the smoke in the meat. Cooking at high temperatures for a prolonged amount Streetball Tournament of time and scorching meat on the grill create "Play Ball And Contribute To The substances which impair the DNA contained in Fight Against Cancer" body cells. These substances, even in small amounts The ICA initiated the "Play ball and contribute may cause carcinogenesis. Many research studies to the fight against cancer", national streetball published in recent years found a link between tournament held in May at the Sportek in Herzliya, these substances and the emergence of different in collaboration with the Herzliya Municipality. types of cancer. This is a competitive tournament that encounters the general public (in groups of at least 3 players) with groups from different companies from all industries in the Israeli economy. Each player receives an athletic t-shirt, players in groups who reached the finals won medals, and the winning group was awarded with a cup and its members received professional AND1 basketball shoes. The registration fee for the tournament was a contribution to the ICA. Herzliya’s mayor, Mrs. Yael Gerrman, commended the participants and even participated in the judging committee in one of the competitions.

For the first time this year, the ICA initiated a joint march on a walking route at Tel hadid (Ben Shemen forest) in collaboration with the Jewish National Fund. Families and the general population were invited to march together and to make a 10 NIS contribution to the ICA and educate towards physical activity and knowledge of the Land of Israel 30 Annual Report 2009

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31 There was also a festive display game on behalf of the fight against cancer, with Israeli basketball Premier League players vs. an Israeli celebrity team. Among the players were past stars Doron Gamchi, Tal Brody, and Aulcie Perry, soccer star Alon Mizrachi, chef Haim Cohen, standup comedian Avi Nosbaum, winners of "Survivor 2" Arik Halper, Igor and Idan, winner of "The Big Brother VIP" Dudi Melitz and others. The game announcer was sportscaster Rami Weitz. Ron Makrin, ICA Marketing Director and initiator of the concept: "The tournament is serves as a fundraiser for ICA activities – for the patients and against the disease – these are potentially life-saving activities. However, it is important to promote cancer awareness and the proven possibility of reducing the risk of contracting cancer by maintaining an ‘energy balance’: proper diet combined with physical exercise".

Second Annual Cancer Research Day ICA Ad in Impress Competition The ICA marked the second Annual Cancer Research The ad created by Gitam BBDO advertising agency for ICA: Day, initiated by Prof. Yosef Yarden, Chairman of "Smoking wrinkles are the least of your problems. Smoking kills" with a picture of a young woman whose skin is completely creased, the ICA Research Committee. About 120 cancer was selected to compete in the IMPRESS 2008 Competition. investigators from all over Israel participated in this special day, in which Israeli scientists presented diverse research studies conducted with financial serving both Jews and Arabs. (for further details assistance from the ICA and thereby increased about the Laughter Room please see: "Equipment awareness of the significance of cancer research Construction and Development"). (for more details about this day and its lectures please see: the "research" chapter). "Body Worlds" Exhibit The Israel National Museum of Science in Haifa has Laughter room inaugurated at been displaying the "Body Worlds" exhibit since sheba medical center April. This is the "Bodies" Exhibit that was on display The Laughter Room is a special interactive space in many countries across the globe, consisting of where kids can enjoy a break from coping with 20 authentic body exhibits of the human body in their disease and enter a world that is all adventure, full and more than 130 internal organs that have a celebration of the senses and laughter. been preserved. This unique room was inaugurated at the height The ICA was one of the entities collaborating with of the "Cast Lead" Campaign and garnered the museum in this exhibit – to educate the public extensive media coverage seeing as it is a place on how to maintain a healthy lifestyle through: 32 Annual Report 2009

smoking cessation, conducting physical exercise, etc. Lectures were delivered at the museum on these subjects by physicians representing the ICA and appropriate informative material was distributed to museum visitors.

"Face Lift" Exhibit The sterile masks worn by physicians attending cancer patients who undergo bone marrow transplant can also raise a smile and be entertaining. At the "Face Lift" exhibit which has been on display since July at the Oncology and Hematology Institute at Sheba Medical Center, these masks took Haifa took part in the design of the masks. These on a humoristic and esthetic design, as far as the masks are designed to make patients laugh and imagination of design students would go. move them, and to give an artistic and warm characteristic to the sterile masks that symbolize A competition was held prior to the exhibit, with the distance between the attending staff and the patients admitted at inpatient Bone Marrow patient. Transplant Dept. and in isolation rooms, serving as judges and choosing their favorite masks. The The exhibit presents the winning and outstanding medical staff donned the designer masks and made masks that were submitted as part of this project and the connection between patient and attending staff also adds information about the history of hygiene, all the more intimate and less official. the role of laughter in improving patients’ condition and ICA activities in support of patients. Students from Avni Institute – College for Art and Design in Tel Aviv, Shenkar College of Engineering The project was initiated by the ICA Volunteers, and Design in Ramat Gan and WIZO College in whose member Revital Ovadya-Kendler of blessed memory died of blood cancer and was hospitalized during treatments for an extended period in isolation rooms. Together with Efrat, a patient who recovered from the disease and Dr. Yossi Adir, of Sheba Medical Center, the exhibit took shape and became a reality. The exhibit will be on display at other hospitals at a later date.

33 Early Detection

Breast Cancer of detection quality. These institutes under quality assurance, according to standard procedure in National Mammography western countries, receive complete information Screening Program on the detection rate of women examined, on the The National Mammography Screening Program features of tumors detected and possible failure initiated by the ICA and currently run in conjunction indices. with the Ministry of Health and healthcare funds, The main objective of the National Mammography has been monitoring breast cancer detection activity Screening Program is to ensure a decrease in in Israel for the past 16 years – from radiology breast cancer mortality rates, as has been proven diagnosis tests among the general population in population studies that have discovered a 30% in Israel, to surgical procedures, pathological decrease in mortality in women over the age of 50 diagnosis and monitoring of women diagnosed who have undergone mammography screening in with malignant tumors at oncology institutes. controlled programs. Prof. Gad Rennert, Director of the Community This year the scheduled appointments for Medicine and Epidemiology at Carmel Hospital mammography screening continue, conducted heads this program. in close collaboration with the healthcare funds. Since the outset of this project, the number of All women between the ages of 50 and 74 are mammography units operating in Israel has grown invited to be tested once every two years. The from 20 to 61, 51 of which are currently monitored mammography program and summoning activity by the National Mammography Screening Program. have raised the screening compliance rate, which This monitoring program operates under defined currently stands at about 65%. A total of 3.6 million national and international standards, implements mammography tests have been monitored in Israel, standard computing methods that provide the and about 381,000 this past year alone. necessary information and facilitates monitoring Mobile Mammography Vehicle – "Michal" The ICA Mobile Mammography Vehicle – "Michal" is now in its eighth year of operation throughout the country. The objective of the mobile vehicle is to enable women who reside in remote areas, as well as those who are unaware of the importance of the test, to undergo a mammography screening close to home. This project aims to improve accessibility to and compliance with the potentially life-saving screening test. The Mobile Mammography Vehicle "Michal" operates in collaboration with the Clalit, Maccabi and Leumit Healthcare Services. 34 Annual Report 2009

Since the mobile vehicle began operating, the gaps up the work from where the anterior professional in compliance rates that formerly existed between left off: the physician recommends and explains the various sectors of the population have been the test, the nurse contends with obstacles and considerably narrowed. defuses objections vis-à-vis the test and the office receptionist schedules an appointment for the test The mobile vehicle is staffed by the professional Mor- according to the woman’s wishes. Mar team - the company in charge of performing and deciphering screening tests. A personal invitation This program has been operating for about a year letter is sent to women of the appropriate age in and half at 15 clinics where the compliance rates every town the mobile reaches and ads are placed were low, and since the program’s inception the in the local newspapers announcing the mobile’s rate of those undergoing the test has significantly scheduled activity in the region. (For more information increased. At clinics where the Three Station about the mobile vehicle's activity, please see the Model was implemented, there has been an Public Information and Education Chapter) increase of 19% in compliance, as compared to an increase of 6% at clinics where the model was not Program To Bridge The Gaps At implemented. These data rank the central region Clalit Healthcare Fund in first place in mammography screenings of all In order to increase the number of those who eight regions of Clalit Healthcare Services. The undergo testing, Bella Eligulashvilli Director of involvement of the mobile mammography vehicle the Clalit Healthcare Services Homecare Oncology was an important component in the achievements Unit of the Central Region, constructed the "Three that were gained. Station Model for promoting mammography Thanks to the activity of this noteworthy intervention screening compliance among women between plan, Bella Eligulashvilli was presented with the ICA the ages of 50 and 74". Outstanding Achievement Award at the Annual In order to achieve this, clinics with low compliance Israeli Oncology Nursing Society Conference. rates were detected and mapped, and the demographics and socio-economic status of the populace frequenting these locations were also characterized. Additionally, the main obstacles of both the staff and the women were identified. 65% At the next stage, the program was constructed 60% to include intervention to as great an extent as 5.68% 2.0% 7.46% possible, in each one of the entities, and targeted 55% work tools were also established: the invitation form, the presentation for clinic staff, conversation script, 50% changing the invitation to undergo the test in the 18.7% mobile mammography vehicle from a national to a 45% personal invitation and integrating the three station model, comprised of the three main stations: the 40% Center Off project All of physician’s station, the nurse’s station, and the office clinics Israel station, with each one of the professionals picking December 2007 December 2008 35 Regional Early Breast Cancer program combines public education within the Detection Programs community and in the workplace. With the aim of The ICA continues to assist in operating the promoting early detection awareness and raising regional early breast cancer detection stations the test compliance rate, the ICA finances, every throughout the country. A national public education year, two years of special activity at three centers program operates among the general female Israeli that have demonstrated an outstanding program population to promote breast health awareness to detect high risk population, while conducting and to emphasize the importance of early breast training activity for professional staff and educational cancer detection. Many efforts have been invested activity for the general public. in the various sectors of the population, including In 2009, the program was conducted at the the Arab sector, kibbutzim (collective settlements), following medical centers: Hadassah Ein Karem, new immigrants, the ultra-Orthodox sector, and Rabin – Belinson Hospital and the Rebecca others. Informational material was distributed Sieff Hospital in Safed. in hundreds of thousands of copies in Hebrew, Arabic and Russian. The above medical centers were requested to operate according to recommendations formulated at the Familial Cancer – consensus meeting sponsored by the Ministry of Counseling Program For Health, the ICA, and the Israel Medical Association, Families At High Risk with specialists from abroad in attendance. The People with a family history of certain types of recommendations established also the necessity cancer among first-degree relatives, such as of targeted screening for early colorectal cancer colorectal, breast, ovarian and prostate cancer detection among the healthy population over and melanoma, are considered to be at high risk the age of 50, as well as the need to conduct for developing cancer diseases. For the past nine educational activity among professionals and the years, the Carmel Medical Center in Haifa and general public. the Tel Aviv Medical Center, have been operating counseling clinics for high-risk population. National Program For Early Colorectal Cancer Detection This project is run in association with the ICA, The Ministry of Health has responded affirmatively which continues to finance the employment of the to ICA's initiative and has implemented the National professional staff operating the service at Carmel Program for the Early Detection of Colorectal Cancer Medical Center, which serves as the national for the past four years. This program is similar to the headquarters on this subject. longtime National Program for Early Breast Cancer Detection in women. The necessity of this program Colorectal Cancer is evidenced by the fact that it is a disease with high mortality rates; this disease, however, may be Identifying High-Risk Population prevented, and its early detection may significantly For over 10 years, the ICA has adopted the increase chances for a cure and recovery. recommendations of the World Health Organization and the International Union against Cancer (UICC) As part of this healthcare fund program, every regarding the importance of screening populations person over the age of 50 is invited to undergo at high risk for developing colorectal cancer. The an occult fecal blood test once a year. Other 36 Annual Report 2009

high-risk people are entitled to one colonoscopy of hundreds were saved this year thanks to the a year, or as recommended by a physician. The early detection tests, however unfortunately, only report and monitoring are conducted by the 60%-70% of those who received a positive fecal Center for the Early Detection of Colorectal Cancer occult blood test continued with the colonoscopy (coordinates the medical program, computers and procedure; 72 patients who did not proceed with administration and computing personnel), which the colonoscopy were diagnosed with advanced compiles all the information obtained. Upon the stage cancer, and we anticipate that tumors will ICA's recommendation, the fecal occult blood be detected among many others, and in the test has entered the quality indices under review meantime, these tumors will have become more by the Ministry of Health at the various healthcare advanced, and therefore these patients will not funds. benefit from the effectiveness of early detection. Hence, we reiterate and call upon the public: Get In a series of research studies conducted, the yourself tested early and save your lives" (for more National Program for Fecal Occult Blood Tests has information please see the Public Information and demonstrated the capacity to reduce colorectal Education Chapter under Colorectal Cancer). cancer mortality by 30% (about 1,500 people in Israel die each year of the disease) and also to Healthcare Funds’ Reports In The reduce the number of new cases, by detecting National Program: benign lesions and removing them before they In 2008, as part of the National Program for the become malignant. Early Detection of Colorectal Cancer, 335,963 fecal The National Program for the Early Detection of occult blood tests were performed, constituting Colorectal Cancer monitors early detection tests 26% of the entire target population consisting of conducted in Israel and develops databases. men and women between the ages of 50-74. These contain information about colonoscopy In practice, the compliance rate is higher, because activity conducted in Israel and their findings, the above target population also includes high- radiology diagnosis activity, including GI barium risk patients, people with inflammatory intestinal tests and virtual colonoscopy procedures, all the disease and those who have been diagnosed with histological intestinal tissue reports (both benign intestinal cancer and who are not recommended lesions and malignant ones) and information from to be screened using the fecal occult blood test. the oncology institutes. At this stage, only partial If the estimate that 15% of the target population information is transferred from some of the Israeli consists of a sector that cannot be screened using health institutions. the fecal occult blood test, this signifies that the real compliance rate among the target population All this information is monitored in order to ensure a may reach as high as 31%. 85,000 colonoscopy high standard national process, which is anticipated procedures, conducted to further clarify positive to culminate in a drop in the colorectal cancer fecal occult blood tests for symptomatic patients, incidence and mortality rates in Israel. or used to screen high-risk groups due to a "family history", were conducted within the public healthcare Prof. Gad Rennert, Director of the National Program framework. for the Early Detection of Colorectal Cancer, Ministry of Health, said at a press conference at the opening Complying to undergo highly sensitive tests of Colorectal Cancer Awareness Month: "the lives designed to identify fecal occult blood plays a 37 very significant role both in reducing the chances Early Detection Programs of contracting cancer by detecting pre-malignant The ICA encourages the submittal of early detection lesions and removing them, in other words, disease research proposals. As part of the Early Detection prevention, and in reducing the risk of mortality and Committee's activity, the following programs were enhancing quality of life by detecting malignant approved for financing this year: lesions at an early stage, which often precludes • Dr. Liora Or, Haifa University: Factors which have the need for chemotherapy. an impact on compliance rates for colorectal cancer early detection tests among the Arab Skin Cancer Awareness Week population in Israel – with an emphasis on the Now in its eighteenth year, the Skin Cancer cultural components such as ethnic identity and Awareness Campaign aims to increase awareness acculturation patterns. as to the importance of preventing the harmful • Ms. Aviva Yoslis, Beit Nathan Association: effects of the sun and the significance of early skin The impact of clinical breast examinations cancer detection. The campaign emphasizes public performed by female physicians among modest education in all that concerns avoiding exposure populations. to the sun at dangerous hours and taking safety • Dr. Irwin Santo, Tel Aviv Medical Center: precautions for ‘sun smart’ exposure, as well Establishing a clinic for monitoring and early as raising awareness of the importance of early detection for families at risk of Pancreatic Cancer detection (for more information please see the and evaluating collaborative projects. Public Information and Education Chapter). • Prof. Yaron Niv, Rabin Medical Center – Belinson Campus: Survey of the early detection of stomach During Awareness Week, the ICA launches a cancer among high risk population – relatives public information campaign and ICA informative of patients. material is distributed at IDF bases, in schools, etc. Additionally, a national network of 300 screening Additionally, continued financing of programs stations is made available to the public. These booths aimed at identifying population at high risk are manned by dermatologists and plastic surgeons of contracting colorectal cancer was authorized from all healthcare funds throughout the country. at the following centers: Thousands of Israeli participated in the campaign • Hadassah medical Center Ein Karem this year and there were long lines of people waiting • Rabin Medical Cetner – Belinson Campus for tests throughout the year as well. • Rebecca Sieff Medical Center, Safed

38 Annual Report 2009

Rehabilitation And Welfare

The ICA Rehabilitation and Welfare Dept. operates own personal experience. The actors succeeded in in diverse fields and strata, which are all for the skillfully and sensitively depicting personal stories benefit of cancer patients and their families. The that the volunteers who cope with breast cancer Dept. consists of a devoted and dedicated multi- described. professional staff of district social workers, a Chief Nurse, social worker at the Hospice and a Volunteer Coordinator, a nurse who is a Sexuality Consultant, speech therapist, social workers who manage Support Centers in Haifa and in the central region and a dedicated staff of coordinators of various issues relating to material assistance, projects for children, Yad Lehachlama (Reach to Recovery) and nursing care. The main events over the last period will be covered in this report, so that readers may gain an impression of the wide and diverse spectrum of rehabilitation and welfare activities conducted. Towards the end, the volunteers were divided into work groups on "Yad Lehachlama – from "Yad Lehachlama" endeavor to vision", which offered a platform for "Reach to Recovery" voicing opinions and raising suggestions on how The Annual "Yad to improve and promote their activity in the Yad Lehachlama" (Reach to Lehachlama framework. The conference was held Recovery) Volunteers under the courtesy of Roche Pharmaceuticals Conference was held Israel Ltd. in early June at the As agreed upon, the volunteer steering committee Sheraton-Moriah Hotel was set up. Its first meeting was held in early July in Tel Aviv. About 100 2009, and there was very warm feedback from volunteers from all over volunteers. Israel attended and listened to lectures on the Rehabilitation Dept. "Yad Lehachlama" activities, innovations in the therapeutic approach (Reach To Recovery) to breast cancer, medical usage of cannabis and Volunteers At Breast Clinics And interpersonal communication. After lunch the Oncology Institutes volunteers in collaboration with "Theater Play This project, in which "Yad Lehachlama" volunteers Back – the act of life", had a moving experience take turns frequenting Breast Clinics or Oncology when the cast of actors artistically enacted situations Institutes at hospitals and support women coping which four of the volunteers raised from their with breast cancer, has been gaining momentum 39 and has been expanding. One may see "Yad Lehachlama" volunteers in action at the Tel Aviv Medical Center (Ichilov), Ha'emek Medical Center in Afula, and Meir-Sapir Medical Center in Kfar Saba. Soon activity will be underway at Sha'arei Tzedek Medical Center in Jerusalem, at the Government Hospital of the Western Galilee in Nahariya and at Soroka Medical Center in Be'er Sheva, and additional medical centers are anticipated to join the project.

Meeting Of Owners Of Breast Prosthesis Salons A meeting of about 30 salon owners initiated and orchestrated by Yonina Rendler, was held in late March at Beit Mati, with breast prosthesis importers in attendance as well. Orit K., the prosthesis measurement consultant and "Yad Lehachlama" volunteer spoke about her many years of work in consulting on prosthesis purchases and Mrs. Orit Shapira, social worker from the Central Region of the ICA spoke about the rights of cancer patients and held a discussion on the topic. was held under the auspice of the "We all Win" Foundation – an initiative of the women's basketball A Day Of Fun For "Yad Lehachlama" team "Electra Ramat Hasharon" and Roche Volunteers At The "Stucco" Site Pharmaceuticals Israel Ltd, which donate money In Tel Aviv for each basket that the players scores, while the In March, about 50 volunteers gathered for a Fun Day, proceeds going directly to "Yad Lehachlama" in which they participated in a graphology workshop, volunteers. led by Mr.Eilon Ben Yossef. Following lunch they participated in an "enthusiasm management" As part of the activity of this foundation, a flower workshop, led by Mr.Eran Shahar. The meeting planting ceremony was held in early October 2008 at the Ramat Hasharon Square marking Breast Cancer Awareness Month. This ceremony was attended by the mayor of Ramat Hasharon, Mr. Yitzhak Rochberger, members of the "Electra Ramat Hasharon" basketball team, CEO of Roche Pharmaceuticals Israel Ltd., Mr. Avi Danziger, Mrs. Aliza Dolev, ICA Rehabilitation and Welfare Dept. Director, and Mrs. Yonina Rendler-Meller, Yad Lehachlama and Yad Lehachlama Volunteer Group Coordinator. All the participants commended 40 Annual Report 2009

the noteworthy activity made possible by the "We Volunteering In Art All Win" Foundation. "Yad Lehachlama" volunteer, Mrs. Rivka Visbeker, presented her paintings at the "Face Lift" exhibit Meeting Of "Yad Lehachlama" at the Jaffa Antiquities Museum. Rivka Visbeker Volunteers With Medical Students has been painting for many years and painting is "Yad Lehachlama" volunteers met in April with first the main junction in her life. year students at the Medical School at Ben Gurion Marking the Hundredth Anniversary of Tel Aviv, an University in Be'er Sheva. Volunteers, Shon and Yael exhibit of paintings by Mrs. Dana Nachum, "Yad arrived in April, accompanied by Mrs. Rachel Ofir, Lehachlama" volunteer opened in mid-June at the social worker of the southern district of the ICA, to Bible House Museum in Tel Aviv. Dana succeeded in recount their personal stories to the students. An illustrating and perpetuating well-known houses in open discussion was held thereafter. The students Tel Aviv at this exhibit. Volunteers, Dana's friends, were attentive and asked many questions. arrived at the opening ceremony. The aim of this meeting was to directly demonstrate At Beit Ma'agan in Be'er Sheva, which operates in the difficulties involved in dealing with the disease collaboration with the ICA, an exhibit by cancer and all that it implies, in the hopes that these patient Mrs. Ariela Reger opened, entitled "The students as future physicians will attend patients Woman Walking on Concrete Clouds". In this with empathy and understanding. exhibit the artist documents her own personal Updating and Refreshment Workshop for struggle with the disease. The exhibit opened Volunteers, led by Prof. Lea Baider, Head of the with assistance from ICA and courtesy of Roche Psycho-oncology Unit at Hadassah Medical Center Pharmaceuticals Israel Ltd. Ein Karem, was held at the "Yehuda" guesthouse at Givat Mesuah in Jerusalem. "Look Good – Feel Better" This project is directed on a volunteer basis by Lymphadema Association Dr. Francine Robinson and Coordinated by Mrs. Conference Silvia Aleshvilli. In this project beauticians, wig A conference of the Lymphadema Association was stylists, make-up artists and hairstylists volunteer their held in early May at the Faculty of Agriculture in beauty care services to women with cancer throughout Rehovot, in conjunction with the Israel Cancer Israel, at hospitals and at ICA branches. Association. Among the lectures that were delivered at the conference: diseases of the blood vessels, Dimona Women Featured In The lymphoscintigraphy as an aid to diagnose causes "Look Good – Feel Better" Poster of edema in the limbs, a personal story of body In early 2009, a poster featuring the women of image for women suffering from lymphadema. Dimona, produced as part of the "Look Good – Feel Additionally, an innovative procedure involving better" project, was advertised at hospitals and "operations to improve the lymphatic blood flow" ICA branches. To produce this poster, 18 women conducted by Prof. Kampisi in Italy, including who are undergoing or completing treatments, a personal story and information regarding the from Dimona to Givatayim, arrived to participate surgical procedure were presented, and a lecture in a beauty care and make-up workshop at ICA was delivered on "Understanding the body-soul head offices. The objective of the workshop was connection". to show women undergoing oncology treatments 41 that with the help of the right make-up, beauty "Look Good – Feel Better" care and hairstyling, they can look good and thus Volunteer Meeting feel better. A meeting of "Look Good – Feel Better" volunteers was held in May this year at Beit Mati, ICA head At the beginning of the meeting it seemed as though offices. The volunteers- beauticians, makeup artists, the participants were restrained and serious, and hairstylists, and wig stylists from all over Israel some of them were even in low spirits, however, attended the meeting. The participants recounted very quickly, a change in their mood became the satisfaction they gain from their volunteer work apparent. At first they had their hair styled by and the difficulties they encounter in their work hairstylists and wig stylists who volunteered their with patients at oncology institutes. Additionally, services, adjusting their wigs and styling their hair, they received training on how to cope with these followed by skin care treatments, and finally, the difficulties. Similarly, the participants enjoyed lectures women enjoyed the services of a professional on "Image, Fashion and Choosing Colors". Anther makeup artist. All the services were offered with meeting, which included a creative workshop, was sensitivity and professionalism. And then when the held at December 2009. participants looked glamorous and beautiful, they were photographed by a professional photographer. Additional Project Activities: At the end of the day, the participants expressed A makeup workshop for the Sir Charles Clore Hostel their satisfaction with this experience and a shining patients and "Strong Together" patients was held smile appeared on their faces. in July at the Sir Charles Clore Hostel with volunteer makeup artists (more on the special workshop in parenthetical clause). The project director, Dr. Francine Robinson, is endeavoring to expand this project to wigs and hairstyling.

Workshops For Staff Involved In Promoting Sexual Health The ICA continues to hold workshops for staff that treat cancer patients at medical centers and within the community, under the direction of Mrs. Livia Kislev and Mrs. Lena Kurtz. These workshops include an overview of attitudes and difficulties, imparting knowledge regarding the impact of the disease and treatments on sexual health, providing tools for basic intervention, which combine exercises according to recognized professional models. So far, the workshops have been conducted at many medical centers in Israel, Such a workshop ended recently at the Bone Marrow Transplant Dept. at Sheba Medical Center, Tel Hashomer. The process that takes place during the workshop and the 42 Annual Report 2009

change in attitude towards this subject consequently and problems and to provide relevant information led to the presentation of these workshops at the about sexual health changes that occur due to Bone Marrow Transplant Conference in Europe, cancer – the physiological, psychological and social and it sparked a great interest and enthusiastic factors behind these changes; coping methods for feedback. contending with these changes; the process which An additional workshop was held at Meir Medical partners undergo; the resources which are available Center in Kfar Saba, with the Dept.'s interdisciplinary within the community and at hospitals. staff members participating. An additional workshop A meeting on "Intimacy and couple hood as part is currently being held at Kaplan Medical Center of coping with the disease" with Lena Kurtz, and the Hematological dept. at Tel Hashomer Oncology Nurse and ICA Sexuality Consultant, Medical Center. was held at Beit Ma'agan in Be'er Sheva during A Workshop on Sexual Health for patients was May 2009. The meeting was organized by social held at Laniado Hospital in Netanya, under the worker Rachel Ofir. direction of Mrs. Lena Kurtz, Oncology Nurse and Mobile sexual counseling – sexual counseling ICA Sexual Health Consultant. Women who arrived has been conducted for several months once a for four meetings participated in the workshop month at the ICA branch in Haifa. This service once a week, attending 2-hour long meetings. The is obviously free of charge and is geared toward workshop consisted of free dialogue, discussions, providing a solution to patients who reside in the lectures, simulation exercises and group exercises. periphery. The workshop aimed to legitimize participants' feelings, due to the changes that have occurred Sexual counseling is provided by the ICA in Russian in their sexual health during the disease and as well, thus expanding the circle of those who thereafter; to provide answers to their questions benefit from this service.

Makeup Workshop For Patients At Sir Charles Clore Hostel "Look Good – Feel Better" Project This project involves patients who have contracted cancer, coped with cancer or still cope and battle with the disease, and who want to look good and feel good. In July women of all ages participated in a "Look Good – Feel better" event sponsored by the ICA; these patients were from the Sir Charles Clore Hostel and from "Together we are strong" group, cancer patients and survivors. With assistance from makeup artists from the Yarin Shahaf Makeup School, who volunteered to do a makeup job for these women, the patients could forget their treatments for a few hours and enjoy themselves. Each participant was photographed at the end of the workshop and received a gift. "I had my misgivings about participating in this workshop, but today is my birthday and I'm glad I came, because I received a wonderful gift and I'm going to celebrate now", said A., a 29 year old mother of two from Ramat-Gan. 43 "Impact" Project Workshops And Activities The "Impact" Project of the Israeli Soldiers Association For The Wellbeing Of Cancer and the ICA, coordinated by Social Worker Patients Mrs. Dalia Stern is currently in its fifth year. This The Art At Oncology Institutes is a project that provides combat fighters who Project completed their military service with scholarships As Purim approached, the patients, led by in return for community service hours. May Mrs. Merav Pollack, created colorful models of students seek to volunteer at the ICA. 140 students heads, according to the spirit of the holiday. The volunteered over the past year throughout Israel participants decorated and painted the heads and and contributed a total of 18,033 hours of activity gave personal creative expression to their inner among the community of cancer patients and world in color, and using diverse materials. This their families. activity was conducted as part of the Art Room at Students were active in several tracks: Accompanying the Oncology Institute at Sheba Medical Center, and supporting children with cancer, accompanying run by the ICA. Patients and their escorts can and supporting children who have a parent or take a break from treatments here and let their sibling who has cancer, assisting patients who imagination and creativity run wild. live on their own, and elderly cancer patients, providing assistance in the oncology wards and institutes at hospitals. At least once a month, the project coordinator touches base with each of the students to provide them with professional guidance, counseling, accompaniment and support. In addition to the regular personal contact with the students, two group meetings were held over the course of the year, in each one of the ICA regions. The first meeting was held at the Day Of Fun At The Luna Park beginning of the volunteer year, and focused on In Tel Aviv orientation for activity. The second meeting was The Events Dept. at the Tel Aviv-Jaffa Municipality held towards the end of the year and focused on continues its longtime tradition for the benefit preparing for the anticipated parting from the of children with cancer from all over Israel, and child/family/staff. The group meetings provide each has forwarded 800 admission tickets to the Luna student with a 'platform' to recount the nature of Park during the intermediate days of the Passover his/her activity and to share unique experiences, holiday. difficulties encountered, doubts that arise, as well as pleasure and satisfaction gained. Additionally, Meeting On Processing tools were provided for coping with the content Bereavement that was raised. The warm response from the February saw a meeting on how to cope with ground emphasizes the great significance of this bereavement held at Beit Mati, and attended by noteworthy project. social workers of the pediatric oncology departments at the following hospitals: Schneider, Sheba, Ein 44 Annual Report 2009

Karem, Dana, Meir, Bnei Zion and Ha'emek. The workshop was delivered by Mrs. Tamar Granot, The Annual Vacation For Families With A a social worker who professionalizes on coping Child Who Has Cancer with loss. Once again this year the Rehabilitation and Welfare Dept. held the ICA annual Sukkot family vacation for children and their families, which provided "Hope For Life" children and their families with a brief respite to enjoy themselves and be The end of June saw project activity for 2009 draw happy. The four days vacation took place at the Shefayim Hotel and Water to a close, with students assisting hundreds of Park. The participants enjoyed diverse activities such as a kite workshop, a children with cancer who miss school due to their foam truck, an illusion performance, balloon making, and improvised artistic disease and treatments which they must undergo. performances, spent time at the Water Park and Motor Park and more. This According to students' reports, progress has been year the participants enjoyed a visit from actors of the tv show "a star is achieved among the children whom they have born" Rony Dalomy, Mey Finegold and Vlady Blayberg, and "Nachshon taught, and moreover, the investment in them and and Friends" from the Hop channel. Other diverse activities were held for their future, provides them and their families with the children and their families throughout the day. The artists' visit was made the strength and hope to continue coping with possible by the Electric Co. and upon the initiative of Mr. Mottti Wagner, the disease. The program will open once again in Welfare Director of the Electric Co. in the north, who collaborated with October for the 2009-10 year. producer Mr. Arale Giladi. The children and their siblings also received an assortment of gifts that were contributed to the project. The vacation was "Computer For Every Child" Project organized by the ICA Rehabilitation and Welfare Dept. and coordinated by The ICA distributes dozens of PC's to children Mrs. Aliza Dolev and Mrs. Zehava Katz. 103 Jewish and Arab families with cancer throughout Israel whose families from across the country participated in the vacation this year. cannot afford to purchase one. The computers are distributed in order to enable child patients to play, to learn and to be in contact with their friends and teachers, even when they are confined to a bed. About 50 computers were distributed since the beginning of the year.

"Give Kids the World" project in memory of Miri Shitrit, of blessed memory - as part of the "Give Kids the World" project, financially supported by the Shtirit Family Foundation, the ICA finances a trip for families of children with advanced- stage 45 cancer for a week-long vacation at the Children's Galilee together. The group members met in the Village in Florida, United States. During their stay, summer at Hokok beach for what has become a the children visit the various parks and enjoy free traditional experience: building rhapsodies, sharing admission to facilities and additional attractions. The a meal and having a sing-along until the wee hours families receive a car for their use and are provided of the night. The next day they finished constructing with an English speaking escort as required. About the rhapsodies and when the western wind began 20 families go on this trip. to blow, they embarked on a sailing trip towards Dugit beach and crossed the Sea of Galilee. "The Carriage" Theater Project The rhapsody sailing trip was made possible The theater ensemble tries to relieve children courtesy of "Partner Communications", whose undergoing treatments and assist them in coping workers volunteered their services in orchestrating and returning to their normal life's routine through the event. drama, by writing a life story and conducting The Young Adults Embark on a Challenge different activities that get the children involved. Journey along the Coast of Holland The project is operated out of the Hadassah At the end of August a group of about 20 Young Medical Center Ein Karem in Jerusalem, under the Adults accompanied by Central Region Social direction of Mr. Erez Meshulam, for the benefit Worker Mrs. Orit Spira and Dr. Ayzikil Flechter, of all children in the area. Oncologist at Rambam Health Care Campus, and volunteers Mr. Shmolik Ganon and Mrs. Ayelet Chayat, and Young Adult Graduate, Ms. Shimrit Barnes, gathered for a challenge sail off the northern coast of Holland. According to tradition, the trip is made on an authentic sailboat on the North Sea facing the magical shores of Holland. On the journey, the participants steered the ship, hoisted the sails, prepared food, cleaned and maintained the ship. They also went on hikes and bike trips along the picturesque islands of Holland. The journey was made possible with resources "Young Adult Cancer Survivors – Embarking collected by dedicated volunteers. on Life" – this group is a community that was Running a Support and Internet Rights Forum – conceived by the ICA and designed to meet the The Support and Rights Forum opened on the ICA needs of young single cancer survivors between website as part of the new forums which operates the ages of 20 and 30. Meetings are held with under the supervision of Mrs. Orit Shapira, center volunteers evolving around activities and a trip on district social worker of the ICA. a sailboat to Holland, once a year. Summary of Student Projects at Tel Hai Academic "Young Adults" crossed the Sea of Galilee College – this is the third annual joint activity held on a Raft – In July, about 30 members of the ICA with the community in the Social Work Department "Embarking on Life" group, in collaboration with at Tel Hai Academic College. This year the students the "Roach Tova" Association, crossed the Sea of located potential volunteers for the ICA branch Galilee. They built rafts and crossed the Sea of in Kiryat Shemona. Once the volunteers were 46 Annual Report 2009

located, they were trained and integrated within At the continued treatment unit – Maccabi the database of volunteers who make home visits, Healthcare Services Ramat Gan, Tel Aviv Sourasky promote early detection issues, answer patient Medical Center, Hadassah Medical Center, Mt. phone calls, etc. Scopus and Ein Karem, at the Sha'arei Tzedek Medical Center, and Kaplan Medical Center. Cancer Patient Rights Panel – as part of the There are training sessions for Shahak (social services productive collaboration between the ICA and Beit for the community) and Impact volunteers in the Ma'agan Be'er Sheva, a panel on cancer patient central region. rights was held in March. Representatives of the National Insurance Institute in Be'er Sheva who Seminars For Patients attend to all applications in the southern region, And Their Families attended the meeting. They answered attending The Rehabilitation Dept. organizes many seminars, patients' questions and provided them with focusing on a variety of subjects relating to cancer important information. diseases and their ramifications, such as: treatment Monthly Meetings for Women who have methods, side effects and different aspects of coping Cancer in Dimona – the goal of these meetings is with the disease – from the patients' perspective to provide a platform for women coping with cancer and their families' perspective. and to discuss their difficulties, coping strategies, These seminars are attended by hundreds of and various means of support. The meetings are participants who provide positive feedback and held at the ICA branch in Dimona, headed by warm responses, further demonstrating their Abraham Azarzar, Chairman of the branch, who significance and reinforcing the need to continue provides all the necessary assistance. these seminars each year for the benefit of cancer patients and their families. Support Groups For Cancer Patients Several support groups were established at Beit Mati, honoring the memory of Matilde Recanati of blessed memory, the ICA offices in Givatayim: A support group for men whose wives have contracted cancer was set up for the first time this year. A support group for young women with cancer. A support group for "Young Adults". A group for bereaved parents who have lost National ICA Conferences adult children. Seminar for Prostate Cancer Patients and their Additionally, the "Women and Cancer" support Partners was held at the end of September 2008 at group operates in Netanya and there is a volunteer Kfar Hamaccabiya in Ramat Gan, with 900 people training session held once a month. in attendance. Prof. Yaakov Ramon, Director of Professional training meetings in the the Urology Dept. at Sheba Medical Center, Tel community: Hashomer, moderated this seminar. 47 The attendees heard lectures about: prostate female breast cancer patients. The seminar was cancer – prevention, detection and risk factors, moderated by Dr. Bella Kaufman, Director of surgical treatment of prostate cancer patients, the Breast Health Unit at Sheba Medical Center, innovative technologies in treating prostate cancer, Tel Hashomer, and the following lectures were updates and innovations in treating prostate cancer delivered to hundreds of participants: innovations patients, radiation therapy for prostate cancer, in treating breast cancer, late side effects of the supportive nutritional treatment of prostate cancer treatments, innovations in breast restorations, patients, as well as coping with sexual functioning physical activity and nutrition, safety of medicinal in view of prostate cancer. The seminar concluded plants and nutritional supplements, couple hood, with a question and answer session with a panel of intimacy and sexuality – to make the impossible experts. The following were the featured lecturers: Dr. Ilan Leibovitz, Prof. Ofer Nativ, Dr. Menahem Laufer, Dr. Eli Rozenbaum, Dr. Mark Vigoda, Mrs. Limor Ben Haim, Mrs. Livia Kislev, and Prof. Avishai Sella, Director of the Oncology Institute at Assaf Harofeh Medical Center, who moderated the panel of experts, in which Mrs. Amira Shtenger, Oncology Nurse, Urology Coordinator, joined the other participants. This seminar was held courtesy of Novartis Oncology and Sanofi-Avnetis. Seminar for Young Women (under the age of 40) possible. Featured lecturers: Dr. Noa Efrat (Ben who contracted breast cancer was held at the end Baruch), Dr. Nava Zigelman-Danieli, Dr. Yoav of September at Beit Mati, ICA offices in Givatayim. Barnea, Dr. Yoni Yarom, Dr. Lee Goldstein and The seminar was moderated by Dr. Ella Evron, Mrs. Gila Bruner. In addition to these lectures, Director of Breast Cancer Services at Assaf Harofeh physiotherapist Mr. Jill Bracha and Mrs. Sigal Medical Center. Mrs. Miri Ziv, ICA Director General, Frishman, Director of Clinical Welfare Services opened the seminar with greetings, followed by at Rabin Medical Center, participated on the the subsequent lecturers: innovations and updates expert panel. in treating breast cancer in young patients, "You descended from me" about parenting adolescents Following the lectures, a unique and moving and coping with cancer, breast restorations at a young performance was rendered by "Yad Lehachlama" age – trends and innovations, options for preserving volunteers, along with women who beat breast fertility in breast cancer patients, breast cancer and cancer, who joined dancers from "Dancing with female sexuality, breast cancer heredity – should you the Stars" TV show to perform a dance (further know about it at a young age? Featured lecturers: information below). The seminar concluded with Dr. Bella Kaufman, Dr. Inbar Cohen, Dr. Din a question and answer session with a panel of Ad-El, Dr. Fuad Azam, Dr. Liora Abramov, and experts. The seminar was held courtesy of Roche Dr. Michal Sagi. The seminar was held courtesy Pharmaceuticals Israel Ltd. of Roche Pharmaceuticals Israel Ltd.

The "Celebrating Life" Seminar was held at the end of October at Kfar Hamaccabiya for 48 Annual Report 2009

"Dancing Life" Prof. Einat Even-Sapir, Dr. Maya Gips, and Dr. Alon Ben Nun. The seminar was held courtesy Women Who Recovered from of Roche Pharmaceuticals Israel Ltd. Breast Cancer Dance With The Stars A moving performance was delivered at the end of "Green Lungs" Art the ‘Celebrating Life' conference – during which Installation dancers from the ‘Dancing with the Stars' TV program, Mr. Danny Yuchtman and Mr. Dennis As A Symbol of Hope Blatzrokovsky danced with two women who Participants in the seminar for lung cancer patients have overcome breast cancer, Mrs. Ditza Katzir assembled a puzzle together, which depicted an and Dennis Blatzrokovsky's adoptive mother (for image of green lungs, symbolizing hope. Each further information please see the Information participant was asked to insert a piece of the and Education chapter). puzzle on the surface whereby the entire picture was assembled. The puzzle remained in the lecture National Conference of the Israeli Stoma hall during the seminar. Patients Organization was held at Beit Mati in A seminar for women at risk of contracting early November. The conference opened with an breast and ovarian cancer was held in early exhibit, followed by a round table discussion with November at Beit Mati. The seminar was moderated stoma nurses in which participants heard lectures by Prof. Catane, Director of the Oncology about the body and stoma – from incompleteness to Institute at Sheba Medical Center, Tel Hashomer, completeness and reconciliation, wise consumerism and featured lectures on the following topics: risk in supplementary medicine, updates and innovations factors, prevention and early detection, updates from the healthcare system and from the European conference of the Stoma Patients organizations held in the Czech Republic. Mrs. Livia Kislev, ICA Head Nurse, held a ceremony in honor of Mrs. Aliza Yaffe, ICA Head Nurse who has retired. Featured lecturers: Mrs. Aviva Eisenberg, Dr. Ofer Caspi, Mrs. Yafit Naor, and Mr. Meidad Gissin. A Seminar for lung cancer patients took place in mid-November at Beit Mati, where on the lawn at the entrance to the building a "Green Lungs" art installation was constructed by the participants. The Yossi Frankel, of Kiryat Motzkin, concludes the assembly of the seminar was moderated by Prof. Ofer Marimsky, art installation Director of the Oncology Unit of Skeletal and Soft and innovations in breast cancer treatment Tissue, at Tel Aviv Sourasky Medical Center, featuring (including preventative medicinal treatment), lectures delivered on updates and innovating in genetics, family and breast cancer, physical activity treating lung cancer, PET CT in lung cancer, surgical and nutrition, nutritional factors, obesity and treatment of lung cancer and enhancing quality of life cancer disease in women, life in the shadow of of lung cancer patients. The lectures were followed carrying genetic mutations. Featured lecturers: by a question and answer session with a panel of Dr. Sholamit Rizel, Dr. Hadassa Goldberg, Dr. experts. Featured lecturers: Dr. Maya Gottfried, Michal Sagi, Dr. Itay Ziv, Mrs. Flora Lubin and 49 Dr. Pnina Mor. The seminar was held courtesy Mrs. Orit Shapira. The seminar was held courtesy of Roche Pharmaceuticals Israel Ltd. of Novartis Oncology. A seminar for colorectal cancer patients was A seminar for head and neck tumor patients was held in March at Kfar Hamaccabiya in Ramat held at the ICA offices in Givatayim in early May.Dr. Gan. Hundreds of participants heard lectures Gideon Mahrshak, Director of Head-Neck Tumors on: risk factors, prevention, genetics and Service, Davidoff Center, Rabin Medical Center, disease development mechanism, up-to-date moderated the seminar which featured lectures on medicinal treatment of advanced colorectal patho-physiology of head-neck tumors, innovations cancer, local treatment of advanced colorectal and updates in treatment and radiation treatment cancer, recommendations for the proper nutrition of head-neck tumors, oral health of the oncology during the disease and an empowerment lecture patient, swallowing and speech rehabilitation, and on "From crisis to growth". A question and making sounds after treating head-neck tumors. answer panel was held at the end of the seminar. Featured lecturers: Prof. Dan Flis, Prof. Abraham Featured lecturers: Prof. Dan Adreka, Dr. Baruch Kuten, Dr. Rafael Pfefer, Prof. Mark Leitner, Dr. Brenner, Dr. Ayala Hubert, Mrs. Limor Ben Shiri Ben-Naim and Mrs. Frieda Kornbrut. Haim, and Dr. Shirli Shapira. Mrs. Yehudit The seminar concluded with a panel that raised many Mendel, Community Stoma Care Nurse, joined question regarding the principles of treatment and the the seminar lecturers on the panel. possibilities for functioning in terms of swallowing, The installation "Shem (Name)" by artist speech, teeth transplants, etc. From the feedback Mrs. Anat Fluksman was on display at the questionnaires it emerged that respondents were seminar. Anat Fluksman contracted colorectal satisfied with the subjects and lecturers. cancer (for more information please see the The seminar was held courtesy of Merck MSD Information and Education Chapter). The seminar Israel. was held courtesy of Roche Pharmaceuticals Israel Ltd. A seminar for lymphoma, CLL and acute A seminar for neuro-endocrinological tumor leukemia patients was held at the end of May patients was held in April at Beit Mati. The at Kfar Hamaccabiya in Ramat Gan, under the seminar was moderated by Prof. David Gros – direction of Prof. Ofer Shpilberg – Director of Coordinator of the Treatment Complex for Patients the Hematology Complex at Davidoff Center, with Neuroendocrinological Tumors at Hadassah Rabin-Belinson Medical Center and Chairman of Medical Center, Ein Karem. Participants heard the Hematology and Blood Transfusion Association. lectures on the following topics: patient with a neuro-endocrinological tumor – diagnosis, treatment and genetics, new horizons in treating patients with endocrinological tumors, surgical treatment of endocrinological tumors, coping with chronic pain, rights and services for patients with endocrinological tumors, the seminar concluded with a question and answer session with a panel of experts. Featured lecturers: Prof. David Gros, Dr. Asher Shalmon, Prof. Abraham Cherniak, Dr. Itay Gur-Arie, and 50 Annual Report 2009

After the seminar was convened and refreshments Center, moderated the seminar, featuring lectures were served participants heard lectures on: treating about updates and innovations in treating kidney CLL and acute leukemia's, treating lymphomas – cancer and bladder and urinary tract cancer, surgical present and future, bone marrow transplant: new treatments for these diseases, and intimacy in the hope for patients with lymphoma and CLL and an shadow of the disease. additional therapeutic line for leukemia patients, The seminar ended with a question and answer the approach to comprehensive palliative care for session with a panel of experts. Featured lecturers: hemato-oncology patients, "from crisis to growth". Dr. Wilmosh Marmarstein, Dr. Eli Rozenbaum, The seminar concluded with a question and Dr. Micky Cohen and Mrs. Livia Kislev. The seminar answer panel featuring the following participants: was held courtesy of Pfizer Oncology. Prof. Dina Ben Yehuda, Dr. Abraham Avigdor, A seminar on primary liver tumors was held Dr. Ztila Zuckerman, Dr. Dina Attias, and in June at the ICA offices.Dr. Efraim Idilevitz, Dr. Shirli Shapira. The seminar was held courtesy Director of the Digestive Tract Tumors Unit at Kaplan of Roche Pharmaceuticals Israel Ltd. Medical Center, moderated the seminar featuring A seminar for ovarian cancer patients was held lectures on hepatoma – from an incurable disease in June at ICA offices in collaboration with the Israeli to a problem that can be solved. The importance of Society of Gynecological Oncology, headed by early detection, surgical treatment, and transplants in Dr. Ofer , Director of the Oncology Gynecology liver cancer, invasive treatments using imaging of the Unit at Carmel Medical Center, who moderated liver and oncological treatment of hepatoma. the seminar. Dozens of participants heard lectures The seminar ended with a panel of experts. Featured about the perspective one gains after 30 years of lecturers: Prof. Ran Oren, Prof. Eitan Mor, treating ovarian cancer as well as about innovations Prof. Allan Blum and Dr. Efraim Idilevitz.The in treating the disease, sexual rehabilitation in the seminar was held courtesy of Bayer Israel Ltd. shadow of ovarian cancer, heredity and genetics in ovarian cancer, treatments for urine leakage, Regional Conferences: combining supplementary medicine and oncological Seminar on Lymphoma and Chronic Lymphocytic treatment for ovarian cancer, and psycho-social Leukemia (CLL) – the ICA held a seminar for aspects of how women and their families cope patients and their families on lymphoma and with ovarian cancer. chronic lymphocytic leukemia (CLL) at the end of The seminar ended with a question and answer November 2008 at Soroka Medical Center in Be'er session with a panel of experts. Featured lecturers: Sheva. The seminar featured the following lectures: Prof. Uzi Beller, Prof. Ami Fishman, Dr. Michal Non-Hodgkin's Lymphoma (NHL) and its treatment, Luria, Dr. Yaakov Korach, Dr. Lior Levenstein, Hodgkin's Lymphoma and its treatment, Lymphocytic Dr. Eran Ben Arie and social worker Mrs. Michal Leukemia (CLL), switching to chemotherapy/palliative Izraeli. The seminar was held courtesy of Janssen- care. The seminar ended with a question and Cilag, GSK, and Lilly. answer session with a panel of experts. Featured A seminar for kidney cancer patients and lecturers: Dr. Itay Levi, Dr. Ori Robio, Dr. Yom bladder cancer patients was held at the beginning Tov Gal, and Dr. Anat Rabinovticz. The seminar of July at Kfar Hamaccabiya, and was attended by was held courtesy of Roche Pharmaceuticals hundreds of patients. Prof. Avishai Sella, Director Israel Ltd. of the Oncology Institute at Assaf Harofeh Medical 51 Joint Rambam Medical Center-ICA Seminar – a February saw a seminar at Ganei Moriya Hotel seminar for lymphoma and chronic lymphocytic where attendees heard lectures on "Fatigue and leukemia (CLL) patients was held in collaboration sleeping disorders during treatments", "Innovations with the ICA at the end of November at Rambam in diagnosis and in surgical treatment of cancer", Medical Center. The lectures covered the following and "Buffoonery in the service of medicine". topics: What is lymphoma and how can it be treated? Mrs. Michal Dahan, ICA branch volunteer assisted Hodgkin's Lymphoma as a model for innovative in organizing the event. treatment, CLL in the 21st century, bone marrow A seminar on colorectal cancer was held at the transplants in lymphoma, a new hope for patients beginning of June, at the Rambam Medical Center whose disease has changed, supportive treatments in Haifa. Dr. Alex Benny, in charge of the digestive for lymphoma patients. The seminar concluded tract, moderated the seminar featuring the following with a question and answer panel. Featured lectures: analytical approach to colorectal cancer, lecturers: Dr. Irit Avivi, Dr. Eldad Dan, Dr. Dina being healthy – from early detection until prevention Attias and Dr. Tzila Zuckerman. The seminar or recurrence of colorectal cancer, innovations in was held courtesy of Roche Pharmaceuticals treating advanced stage disease, cancer and the Israel Ltd. family system – psycho-social aspects, intimacy and A seminar for cancer patients and their families sexuality during treatments. Featured lecturers: was held in January 2009 at Naamat Center in Dr. Daniel Duek, Dr. Yaktarnia Shulman, Mrs. Hadera. The seminar featured lectures on topics Neta Ziv, social worker Mrs. Liora Grossman and such as: innovations in treatments, intimacy and the nurse Mrs. Elham Badrana. The seminar was held sexuality during treatments, activity at the Rambam courtesy of Roche Pharmaceuticals Israel Ltd. Oncology Institute, as part of the ICA "Steps to A seminar on colorectal cancer was held in early being healthy" project. Featured lecturers: Dr. July at "Ma'agan" Be'er Sheva featuring lectures on Orit Sofer, Mrs. Naama Shnitzer, and Mrs. prevention methods for colorectal cancer, innovations Lena Kurtz. The branch volunteers headed by in treatment, treating pain and other symptoms. Mrs. Ilana Dotan lent a hand to make this Featured lecturers: Prof. Alex Fish, Dr. Alex Gluzman, event a success. and Prof. Pesach Schwartzman. The seminar was A seminar for female breast cancer patients held courtesy of Merck MSD Israel. and their families was held in February 2009 at A seminar on potentially life-saving early the community center in Safed. The detection: about treating breast cancer was attendees heard the following lectures: safe use held in the Upper Galilee in July at the Chabad of medicinal plants and nutritional supplements, House in Kiryat Shemona. Featured lecturers: innovations in breast cancer diagnosis and treatment, Dr. Amram Hadari. innovations in surgical treatments and plastic surgery for breast cancer, and supportive care A seminar for breast cancer patients was held in to enhance quality of life. The seminar closed July at Rambam Medical Center. After the meeting with a panel of experts. Featured lectures: Dr. was convened and greetings were delivered attendees Lee Goldstein, Prof. Jamal Zidan, Dr. Igor heard lectures on "Monitor me – monitoring, early Waxman, and Mrs. Amira Avzach. The seminar detection and surgical treatment of breast cancer, was held courtesy of Roche Pharmaceuticals early detection of breast cancer through surgical Israel Ltd. means, innovations and updates in the treatment of 52 Annual Report 2009

breast cancer, from disease to recovery, to realizing the end of life: what do patients want and what one's dreams and self-fulfillment through personal do physicians think and do. The seminar ended coaching. The seminar ended with a question and with a panel of experts who presented a case and answer panel. Featured lecturers: Prof. Abraham a productive discussion ensued held among the Kuten, Dr. Dan Hershko, Dr. Zehava Galimidi, seminar participants. Dr. Georgette Frid, and Mrs. Liora Grossman. Dr. Shlomit Perry, Chair of the Israeli Psycho- The panel was moderated by Mrs. Hanna Zohar, Oncology Society, Director of the Psycho-Oncology Breast Health Nurse. Unit at Davidoff Center and a volunteer consultant at the ICA, organized this seminar. A meeting on the importance of early detection of breast cancer as a potential life-saver was Breast Health Social Workers Forum – convenes held in August at Avital and featured four times a year at the ICA. The regional ICA social lectures on the diagnostic and surgical approach to workers also participate in these meetings. breast cancer and breast cancer – how to reduce the Meetings resumed for Sexual Health Nurses risks, heredity and treatments. Featured lecturers: who care for cancer patients – in December Dr. Lev Kolton and Dr. Bella Kaufman. meetings of the interest group of oncology nurses Continuing Education resumed to promote sexual health of cancer patients, Courses For Professionals led by Mrs. Lena Kurtz and Mrs. Livia Kislev. The first meeting was attended by 22 nurses from The professional continuing education courses over ten medical centers. The meeting theme was are an important part of ICA activity to train to devise nursing diagnoses for nurses devoted to professionals in treating cancer patients and this issue. The lecture at the meeting was delivered their families. This training is specifically on female sexuality. designated for oncology and is not provided in an academic framework. The ICA is an Continuing guidance course for oncology institution that is recognized by the Ministry of nurses on "psycho-social aspects of coping Education as one that provides the framework with cancer" moderated by Prof. Lea Beider for a study fund. (ten sessions). An ICA seminar on Psycho-oncology under the A combined continuing education course for theme: "Treating the elderly cancer patient", breast health social workers and nurses held in the was held with financial assistance from theLea spring was moderated by Prof. Lea Beider, and and Eliyahu Foundation, at Beit Mati, consisted of six meetings. The aim of this continuing in early November 2008. The participants heard education course: to enhance collaboration between lectures on the following subjects: characteristics of the nurses and social workers at hospitals for the psycho-social treatment of elderly cancer patients, benefit of breast cancer patients. The continuing geriatric oncology: do geriatric cancer patients education course was held courtesy of Roche have to receive different treatment from younger Pharmaceuticals Israel Ltd. patients with the same diseases? The tablets and the fragments of the tablets: the elderly and the A continuing guidance course for novice social patient from a Jewish perspective, being elderly workers at oncology departments was led by and a cancer patient: legal and ethical issues in the Dr. Shlomit Perry. treatment of cancer patients, medical treatment at 53 Meetings Of Interest Groups For Ica Booklets Written And Updated Breast Health Nurses On The Following Subjects: Meetings for breast health nurses continue, An information sheet on main catheters has been coordinated by Mrs. Livia Kislev, ICA Head Nurse, completed, in collaboration with Mrs. Amira Morag to update nurses' knowledge, share problems of Davidoff Center, Rabin Medical Center. A draft and experience in ongoing work, and to provide was written on chemotherapy, in collaboration with mutual counseling. Additionally, the nurses work Mrs. Dafna Ahitov and Mrs. Bruria Yachini. on several subjects of their choice. Two sub work A booklet on sexual health for males is now groups conduct nursing research studies. One study underway and is being edited and proofread, and is on "The breast health nurse's contribution from a booklet on sexual health for the ultra-orthodox the patients' perspective". The draft outline of the sector, in collaboration with Dr. Anna Robal of research proposal has been completed. The second the Hadassah Medical Center and Puah Institute research study is on the sexual health of women in Jerusalem, is now underway. which is in the initial stages.

Stoma Health Care Group Meetings of the Stoma Health Care Nurses resumed under the direction of Mrs. Livia Kislev, and are similar to the Breast Health Nurses group meetings. Two meetings were held recently. A work plan was formulated for the rest of this year and for 2010.

Meetings of Palliative Care Nurses New Meetings of the Palliative care nurses, from hospitals and the community, under the direction of Mrs. Livia Kislev began since December 2009, similarly to the Breast Health Nurses group meetings.

Sexual Health Nurses These group meetings continued, under the direction of Mrs. Lena Kurtz, ICA Consultant Stoma Patient Organization on this issue. Guest lecturers were invited to the Activities meetings to update knowledge, case studies were These activities are organized by Mrs. Livia Kislev, presented, simulation exercises were conducted Mrs. Silvia Alashvili, and Mr. Meidad Gissin. and ideas were raised for a collaborative research "Young stoma patients". Three meetings were study. held over the past year at homes of group members. An application was submitted to include sexual Mrs. Yafit Naor and Mr. Ran Rubinstein, who performance enhancing drugs for prostate cancer set up the group with Mrs. Aliza Yaffe, currently patients in the health package. coordinate its activities. 54 Annual Report 2009

Clinical Training For Nurses At The • Groups for patients with various cancers – a Home Hospice co-ed group (male and females) coping with the Livia Kislev, ICA Head Nurse, serves as a clinical treatment of the disease coupled with mixed consultant at the Home Care Hospice for nurse emotions, such as fear of recurrence, body taking advanced oncology courses, along with image, relationships with family members and Mrs. Saray Cohen, Home Hospice Nurse. The returning to normal life routine. students are accompanied on home visits, and • Group for young women with a feminine participate in multi-disciplinary staff meetings and cancer – focuses on clarifying emotions that in clinical discussions. accompany the disease and the struggle against it, coping with family members, medical system, "Strong Together" Activity workplace and friends. Summary The Wellness Community • Group for cancer patients who are parents Beit Mati, Ica Head Offices to school-age children – answers questions In Givatayim of parents coping with cancer. The group raises questions such as: what to tell your child and The Wellness Community "Strong Together" how, how do children cope with a parent's center, established 8 years ago, is a support center disease? How can we identify distress signals? for cancer patients and their families, according to the American model which operated at Beit Mati, • Group for family members – focuses on named after Matilde Recanati of blessed memory, techniques for coping geared towards family ICA headquarters in Givatayim. This center is members who are accompanying the patient. operated by the ICA. The group deals with subjects such as: sharing, The Tel Aviv School of Social Work and School of enlisting one's support, getting involved, openness Health Professions provide professional patronage between spouses and more. to projects and research activities. "Strong Together" serves as a home within the community offering patients, and their families, diverse activities that assist them in emotionally coping with the disease, thus complementing treatment provided by the medical system. All the meetings for patients and their families are offered free of charge. About 700 patients and their families currently participate in these activities.

Diverse activities held over the past year: Support groups – cancer is a journey that is experienced by the individual, life partners, and family. Support groups enable patients to expand their coping strategies to contend with the disease. The center runs support groups which assist in various areas: 55 • Groups for personal loss and bereavement can gain access to information about activities and – focus on mourning processing that occurs participate in them. when one loses a dear one who dies of cancer, Community Support Groups – groups convened adapting to a new reality and finding balance in Ramat Aviv, Jaffa and Shapira neighborhood. A and meaning in life. series of meetings with welfare services were held in Workshops – the center offers many workshops, Tel Aviv, Givatayim, and Ramat Gan and with social such as: creative therapy, cooking nutrition and a workers who are responsible for the healthcare healthy lifestyle, "connecting with your heart", funds. Objective – referring patients to the center "ways of finding meaning", coaching groups, and constructing a program of lectures and meetings humor and laughter, painting, photography. at the various clinics in collaboration with social works of the clinic under our direction. Body-soul Activities – diverse activities are offered: Yoga, Feldenkreiz, Chi Kong, and Pilates - physical Summary Of Activities At coaching emphasizing muscle strengthening, Claire And Emanuel G. developing the right posture, balance, flexibility and Rosenblatt Activity And stretching capacity. These activities enhance functional Support Center Located capacity, stamina and muscle tone and maintain At The Olga And Aaron the balance between the body and soul. Rosenfeld House In Bat Lectures – two-three lectures are held during each Galim, Haifa month, on a variety of subjects such as: "Buddhist The following activities addressing a wide range of tools to enhance life – not just for Buddhists ", subjects are conducted at the Activity and Support ""Ways of finding meaning", "About giving and Center in Haifa: receiving", "Rachel and Leah", "Culture and illness Body-Soul Activities – regular activities are held in contemporary Japan", "The consumerist culture once a week such as yoga, belly dancing, Pilates, vs. environment problems". chi-Kong, Feldenkreiz and applied arts. An extra Trips – three trips were held to various places in sculpting with Fimo class was added to the list in Israel: the Zichron Yaakov area, Hadera and Caesarea the afternoons. and Jerusalem area. Two of them accompanied by Lectures – lectures are delivered on many topics a guide who played the accordion. such as: personal coaching "From crisis to growth", Book Club Meetings – two book club meetings intimacy in the wake of cancer. were held on the stories of Ida Fink (a Holocaust "Cultural Café" – the object of this activity is to writer). provide enrichment and a setting for social encounters Library – the library is open for exchanging books. that are not focused on cancer. The lecture that The library contains recent novels. opened this series of meetings discussed "Jewish last names throughout history". Volunteer Groups – a volunteer group has been formed consisting of veteran Wellness participants, "Health Group" – participants acquired body-soul with the aim of promoting the Wellness Center skills such as meditation, movement, guided and at clinics and hospitals by distributing pamphlets active imagination, proper breathing, using arts, and reading material so that additional patients chi-Kong and more. 56 Annual Report 2009

Commendable collaboration has been formed Trips – this year there were trips to Jerusalem and between the Activity and Support Center in Haifa Moshav Shadmot Dvora. More trips are planed in and the Faculty of Art Therapy (graduate degree) at the future. Haifa University. As part of their field work, students Lectures – lectures were delivered on various topics studying in this faculty practice conducting individual such as: Bach flowers, pain, safety of nutritional treatments that are administered to patients and/ supplements and medicinal plants, how to cope or to their families under the direction of the Art with pain. Clinic run under the auspices of the university. "Coffee time" – once a week participants sit at Summary Of Activities At The their leisure, drink a cup of tea/coffee, and partake Ruthi Verubel (Schneider) in refreshments and talk about any topic they'd Wellness Community like in a relaxed and pleasant atmosphere. Every Support Center In Afula now and then representatives from different organizations (from the ICA, from National Insurance, Support Groups – for cancer patients, led by group leaders, etc.) relate their activity and answer oncology social workers, twice a week. The support questions. group serves as an effective therapeutic tool, "I have a small suggestion", a log of suggestions improving coping and adaptation mechanisms in and tips. This log was created at "Coffee time"; high pressure situations. The group allows people to while participants took part in discussions and form a common bond with people going through told stories of what they are going through and and coping with the same situations related to how they cope with certain situations, the need their health condition. emerged for a written documentation of their tips Workshops – yoga, music therapy, art therapy, and suggestions. Every so often, a participant takes incorporating cooking in therapy – cooking therapy, the log and adds good bits of advice or a tasty and puppet theater, Tibetan bowls workshop, belly healthy recipe suggestion. dancing – Middle Eastern dance, combined arts, "About Art".

57 Home Care Hospice

The Home Care Hospice service was established by coping with the disease and with the feelings of the ICA in 1989 to provide a solution to advanced- anxiety, helplessness and so on. stage cancer patients who prefer to remain at home, enabling a better quality of life for these The nurses support patients and their families by patients. providing regular counseling and guidance relating to the patient’s physical and emotional state. This service is operated by an interdisciplinary staff The nurses, who are available around the clock, trained in coping with the complexities of the disease including Saturdays and holidays, make initiated itself and complications deriving from treatments. house calls and also visit patients’ homes upon The supportive home care staff comprised oncology request from the patient and/or family. nurses, physicians and social workers, headed by Mrs. Saray Cohen, Head Nurse and Medical The physicians make house calls with the nurses to Director, Dr. Alexander Waller. evaluate the patient’s situation and to make decisions regarding optimal treatment for any related signs This ICA care service for cancer patients and their and symptoms of advanced cancer. families is available 24 hours, 365 days of the year. Since 2006, there has been a 60% increase A social worker also lends assistance by providing in the number of those seeking this service. emotional support and guidance for patients The service relieves patients of related side effects, and their families at times of crisis. She informs such as pain, nausea, vomiting, constipation, and the patient and family regarding their due social sleep disorders, and also assists them and their rights and assists in exercising them. She also family members in physically and emotionally intermediates between the patient and family

58 Annual Report 2009

and additional care giving institutions within professional Israeli and international meetings in the community. Israel and abroad. The team is updated on issues related to palliative care. The service operates through the "Home Care Hospice" offices (funded by theICA ) located Likewise, the Home Care Hospice was assigned at the "Friedman House" inpatients Hospice at the task of delivering practical and theoretical Sheba Medical Center which was partly funded training to 2nd year medical students attending the by the ICA as well. This service provides care to Sackler School of Medicine at Tel Aviv University, patients who live in 30 km radios from Shiba to doctors from general wards in Shiba Tel Tel Hashomer Medical Center. The treatment Hashomer Medical Center and other hospitals is also suitable for patients who receive active and medical institutions in Israel and abroad. oncology treatment and are in need of pain and The home care hospice was elected to give the symptoms relive. clinical and theoretical experience to nurses from the Advanced Oncological Curse. This service is available on the request of hospital/community physicians, nurses and social The Home Care Hospice has cared for 192 workers who are familiar with the patients and patients from November 2008 to November their families. 2009. These patients were referred from all healthcare funds. The interdisciplinary team convenes on a weekly basis to discuss issues regarding patients, families The Home Hospice offers patients the following and continues care. Similarly, lectures on palliative services: care are delivered by the Medical Director, Dr. • Guidance and counseling Waller and other palliative care lecturers. The • 24 hour hotline Home care Hospice delivers clinical training to • House calls nurses and the hospice team. The team actively • Emotional support for patients and families participates as well in seminars, courses, and

59 The Sir Charles Clore Hostel

The Sir Charles Clore Hostel was established by The Sir Charles Clore Hostel offers the following the ICA (in 1976) with the help of a generous services: contribution provided by Sir Charles Clore of blessed • Accommodations 5 days of the week, from memory. The ICA-operated Hostel is located in Sunday morning to Thursday afternoon. The Givatayim, adjacent to the ICA offices, Beit Mati, Hostel is closed on weekends. in a building encompassed by a beautiful garden. • Spacious rooms shared by two patients, including The building was recently renovated with financial en suite bathrooms, air conditioning, and a assistance from the Clore Foundation, for the welfare patient-nurse call system. of Hostel patients. The Sir Charles Clore Hostel • Cultural activities room, TV rooms, arts and crafts takes in cancer patients who receive treatment at room. oncology institutes at the largest hospitals located • Three meals a day, including fresh and assorted in the central region. The Hostel can attend to foods, cooked on site, and adapted to patients' up to forty patients at once. dietary needs. • Daily transportation to and from treatments at The Hostel staff consists of certified oncology hospitals, accompanied by trained volunteers. nurses, headed by Mrs. Roma Luria, have the • A wide variety of leisure activities: exercise, capacity and experience to assist patients with a handicrafts, a tour group that tours the city wide array of oncology-nursing related problems. accompanied by a volunteer, cosmetics, internet The nurses are in regular contact with the attending station. physicians at the oncology institutes and attend to • Support groups and lectures led by professional any side-effects caused by treatments. moderators. The nursing staff has vast experience in treating Additionally, patients enjoy the atmosphere of Jewish patients who require professional supervision, as festivals. On Hannuka, for example, volunteers well as experience in coping with chemotherapy from the Tel Aviv Chapter of Bnei Akiva, Chabad and radiation treatment side-effects and with House Givatayim, and Tel Aviv’s "Good Neighbor other diseases from which patients may suffer. In Association" distributed jelly doughnuts donated addition, the kitchen staff cooks hot meals on a by Beit Hatzvi bakery of Bnei Brak and lit candles daily basis with a diverse menu, according to the with them; on Tu Bishvat, the residents enjoyed special needs of each patients and the cleaning dried fruits and on Purim they read the Scroll of maintenance staff sees to the cleanliness and Esther and received mishloach manot. tidiness of the rooms and provides a warm and July saw the "Look Good Feel Better" workshop, homey atmosphere for Hostel residents. which featured beauticians and hairstylists who About 678 patients were accommodated gave the patients facials and styled their hair. from August 2008 till the end of July 2009, Patients are also invited to participate in diverse most of whom reside a far distance from activities held by the "Strong Together" Support the medical center where they received Center located at Beit Mati, ICA Headquarters, treatments. adjacent to the Hostel. 60 Annual Report 2009

Professional Seminars And Conferences

The AACR (American Association for and from across the globe, and they heard Cancer Research) in conjunction with lectures on a wide array of topics: clinical trials, the ICA (Israel Cancer Association) Joint strategies in drug development, biological Jubilee Conference entitled: "Translational components of cancer treatment, advanced Cancer Medicine 2008: Bridging the Lab treatments for different types of cancers, and the Clinic in Cancer Medicine". tumor response to chemotherapy, cancer- related immunology topics, angiogenesis The AACR-ICA Joint Jubilee Conference and the micro setting of tumors, inter-cell entitled "Bridging the Lab and the Clinic in responses, as well as an open panel on Cancer Medicine" was held in early November "Challenges in cancer research in Israel", 2008 at the Congress Center in Jerusalem, fundamentals of breast cancer treatment, headed by Dr. Margaret Foti. identifying a mechanism that may assist in The AACR is an important organization of evaluating the risk and early detection of international repute and the fact that its Jubilee lung cancer, real time molecular imaging, Conference was held in Israel expresses the clinical treatment of ovarian cancer and AACR’s support and recognition of Israel for its breast cancer, new biomarkers imaging in significant contribution to cancer research. oncology, cancer and epigenetics.

About 300 participants attended the conference, Conference For The Prevention including oncologists, hematologists, oncology And Early Detection Of Malignant surgeons and researchers hailing from Israel Diseases: Innovations And Points Of Contention November 2008 saw the Joint Conference of the Israeli Association of Public Health

61 Physicians, Family Physicians and oncologists Seminar Of The Israeli Society Of held at Kfar Hamaccabiya. Mrs. Miri Ziv, ICA Surgical Oncology And The Israel Director General, delivered greetings. Surgical Association Additionally, November saw a seminar of the The conference featured sessions on cancer Israeli Society of Surgical Oncology and the prevention, public health as well as points of Israel Surgical Association, which discussed: contention: early detection of colorectal cancer Complete response following neoadjuvant and a vaccination to prevent cervical cancer. therapy – should surgery be performed?" with Dr. Schwartzman, a Family Physician of the a focus on esophageal cancer, liver cancer, Tel Aviv District of the Israel's largest HMO, rectal cancer and breast cancer. described how the ICA Mobile Mammography The seminar ended with presentations of Vehicle has succeeded in completely bridging cases for discussion. the compliance gaps between women from the social periphery and women of a high MDS Patients Forum socio-economic status. In Collaboration With The ICA A Forum for MDS Patients and their families was Israeli Society Of Breast Diseases held in early January at the David Intercontinental Conferences Hotel in Tel Aviv, led by Prof. Moshe Mittleman. The Israeli Society of Breast Diseases seminar The meeting was open to patients with was held at the end of November at Beit Mati, Myelodysplastic Syndrome (MDS), their families ICA Headquarters. The seminar opened with and anyone interested. The Forum featured greetings from Prof. Reuven Orda, Chairman lectures about the disease as well as a discussion of the Israeli Society of Breast Diseases, concerning related problems; additionally, followed by a discussion on "Over Treatment of a platform was provided for questions and Breast Cancer (or when is it not)". Additional answers. The meeting was held courtesy of lectures were delivered about the surgical, the International MDS Foundation, the Israeli systemic and radiation aspects; the role of Society of Hematology and Blood Transfusion the MRI in DCIS diagnosis and treatment; and the ICA. the Radiologist's Perspective; the Surgeon's Perspective; the Pathologist's Perspective. A ISCORT Conference case was presented followed by a discussion The 8th annual conference of the Israeli Society with the participants. of Clinical Oncology and Radiation Therapy – February saw an additional seminar of the ISCORT was held in January. Diverse topics were Israeli Society of Breast Diseases held at ICA discussed at the conference, covering a wide Headquarters. A mini-symposium was held on: spectrum of oncology subjects, while placing papillary tumors from a surgical, radiological an emphasis on clinical aspects as well as up- and pathological aspect, and lectures were to-date research that have ramifications for delivered on updates from the San Antonio clinical decision making and the comprehensive Conference, the MRI in breast cancer: too approach to treating patients. Mrs. Miri Ziv, much or too little? opened the conference with greetings and 62 Annual Report 2009

awarded the Outstanding Specialist Award for invasive bladder cancer – when, how to Dr. Zvi Bernstein of the Rambam Medical much and for whom; optimal treatment for Center for his contribution, dedication and invasive bladder cancer; restoration of the professionalism in oncology. lower urinary tract following radical removal of the urinary bladder. Cases studies were Dr. Bernstein, who has been working for presented for discussion following the lectures. 16 years at the Department of Oncology at The meeting was held Rambam Medical Center, also serves as a courtesy of "Abbott . role model of successful assimilation in Israel: Laboratories" following a career as a senior surgeon in the An additional meeting of the Urologic Oncology former Soviet Union, he was forced to start Group was held at the end of July on: "Tumors anew in Israel as a gas station attendant and a of the Upper Urinary Tract". security guard at a construction site. However, The lectures covered the following: Epidemiology – within a short time, and in spite of personal preoperative diagnosis and evaluation of upper difficulties, he passed the licensing exams urinary tract tumors, preservative surgical of the Ministry of Health and the Physician’s treatment of upper urinary tract tumors, Union of the Israel Medical Association and supplementary treatment following endoscopic was hired to work at the Dept. of Oncology removal of the upper urinary tract tumors, at Rambam Medical Center. oncological results of preservative surgical Dr. Bernstein has accomplished impressive treatment of upper urinary tract tumors, and achievements at Rambam Medical Center. He presentation of research studies and research is engaged in radiotherapy (radiation) and in proposals for prospective studies. The meeting the development of brachitherapy (a type of was held courtesy of "Abbott Laboratories" internal radiation therapy) and has contributed and "Medical Enterprise". significantly to the development of quality control in radiotherapy. He recently formulated Inaugural Meeting Of The Israeli guidelines in the planning of a three-dimensional Society For Cancer Research technique for the treatment of gastric tumors. The Inaugural Meeting of the Israeli Society His work will soon be published as guidelines for Cancer Research was held in February at of the European Organisation for Research the University of Tel Aviv, courtesy of the ICA. and Treatment of Cancer (EORTC). This meeting brought together close to 600 scientists and physicians featuring lectures The Urologic Oncology Group delivered by 18 of Israel’s leading cancer Meetings research scientists as well as the President of January saw a meeting of the Urologic Oncology the European Association for Cancer Research Group dealing with bladder tumors. The (EACR), Prof. Anne-Lise Borresen-Dale. lectures discussed the following topics: High Additionally, 120 research studies were Risk Superficial Bladder Cancer – definitions, presented in the form of scientific posters. diagnosis and treatment options; preoperative ICA helped finance the participation of students evaluation of invasive bladder cancer – Staging and also assisted in organizing the logistics beyond the CT; preoperative chemotherapy of this meeting. 63 The Northern Israel Annual A seminar was held in June at Beit Mati on Meeting On Pediatric Oncology Updates in Palliative Care. The following The Annual Meeting on Pediatric Oncology lectures were delivered: "Strong Together", held in March at the Technion in Haifa was support center for cancer patients and their dedicated to "Pediatric Clinical Oncology families – what’s new here?; Palliative care for Research". Mrs. Miri Ziv, ICA Director General advanced Parkinson’s disease; Logotherapy as delivered greetings at the opening session. an outlook and as a therapeutic tool in work Lectures were delivered on: Implications of Phase with chronic patients. I Cancer clinical trial participation on children with cancer; presentation of a case study: the Breast Imaging Conference dilemma of children’s participation in clinical A course on Breast Imaging Updates – 2009 trials; the need for random prospective studies was held at the end of June at the Sheraton for new radiation technologies; ethical aspects of Plaza Hotel in Jerusalem, under the initiative of clinical studies involving children; development Prof. Michael Linver, a Clinical Professor of of a treatment protocol for children with a Radiology hailing from the University of New treatment-resistant malignant tumors or tumors Mexico and Prof. Rachel Brem, a Professor with a background of genetic proclivity. of Radiology hailing from George Washington University Medical Center in the United States. Colorectal Cancer Conference Mrs. Miri Ziv, ICA Director General, delivered A conference of The Israel Association of Gastro- opening greetings. enterology and Hepatology and the Malignant The course was designed for breast health Diseases of the Digestive Tract Group headed by care providers engaged in the detection and Prof. Yaron Niv, was held in April at Beit Mati. diagnosis of breast cancer in general, and for The conference theme was "Colorectal Cancer radiology technicians involved in breast imaging can be Prevented". Lectures were delivered on: in particular. A separate session was held for The Colonic Capsule, CD24 – a marker for CRC, the technicians as part of this course, and new technologies, preparation for colonoscopy, they were trained with ICA "Michal" Mobile the small polyp, "Excellent colonoscopy" and Mammography Vehicle equipment. the CORI database. The conference ended with a discussion on colonoscopy data in Israel. The Second Annual Cancer Research Day Of The Israel Cancer Meeting Of The EORTC Association Radiotherapy Group On the 8th of July, the ICA marked its Second A meeting of the EORTC Radiotherapy Group Annual Cancer Research Day, initiated by Prof. was held in May in Haifa and was dedicated to Yosef Yarden, Chairman of the ICA Research molecular imaging in radiation oncology, with Committee. About 120 cancer researchers lecturers from Israel and abroad participating. from all over Israel participated in this event About 280 participants arrived at the conference: featuring presentations delivered by Israeli oncologists, nuclear medicine specialists, scientists on a variety of studies that have physicians of other disciplines, physicists, been conducted with financial assistance technicians and nurses. from the ICA (for more information about 64 Annual Report 2009

the lectures delivered at this meeting, please Society of Clinical Oncology and Radiotherapy, see the "Research" chapter). conducted a conference on updates in the treatment and follow up of cancer diseases. Seminar On Onco-Genetic Testing The conference was held at the Hilton Hotel Of The Digestive System And The in Tel Aviv, with 300 physicians from across Reproductive System the country in attendance. Mrs. Miri Ziv, Early November saw a seminar on Onco-genetic ICA Director General, opened the lecture testing of the digestive system and the reproductive with greetings, and Dr. Amnon Lahad, system at Beit Mati, ICA Head Offices. This Vice Chairman of the Israel Association of seminar was held in collaboration with the Family Physicians, lectured on “Updates and ICA and the Israeli Medical Association (IMA). Innovations in Prevention and Early Detection”. Prof. Eliezer Robinson, ICA Chairman, Immediately following, the conference was delivered opening greetings, followed by a guest divided into four subjects dealing with different lecture: The Dutch Multidisciplinary Guidelines aspects related to cancer disease: updates on Hereditary and Familial Colorectal Cancer, in surgical oncology, therapeutic options for Dr. Fred Menko, MD, PhD, Clinical Onco- similar diseases, follow up and supportive Geneticist, Department of Clinical Genetics, treatment for side effects. The conference VU University Medical Centre (Academisch ended with a question and answer panel Ziekenhuis Vrije Universiteit), Amsterdam. and three case studies were presented for Fascinating lectures were delivered on additional discussion. related subjects, such as the importance of genetic testing in making a surgical decision Winter Meeting Of The Breast in the case of colorectal and uterine cancer, Diseases Consortium cumulative experience gained in Israel in Lynch The winter meeting of the Israeli Society of diagnosis, which genetic testing is conducted Breast Diseases was held at the end of December in Israel, and other topics. The day ended with at Beit Mati, ICA Head Offices. The meeting a question and answer panel on the need for was moderated by Dr. Michael Kurtz of the conducting genetic testing and for which Soroka Medical Center. Prof. Reuven Orda, patients it is recommended. This seminar was Chairman of the Israel Society of Breast Diseases, moderated by Prof. Paul Rozen of the Tel Aviv delivered opening greetings. Participants were Sourasky Medical Center and held courtesy then informed of updates on breast cancer of the Sestopali Found for Gastrointestinal delivered at the San Antonio Conference, and Cancer Prevention. heard about innovations in S part inhibitors, received updates on screening of breast cancer, Israel Cancer Association innovations in surgical treatment, and ethical Conference For Family Physicians aspects. Additionally, a case study on this topic On Updates In Treatment And was presented for discussion. Follow Up Of Cancer Diseases The ICA in collaboration with the Israel Association of Family Physicians, the Israel Society of Surgical Oncology, and the Israeli 65 Professional Training

• In view of the fact that precise data and proper interns at Oncology Institutes, in order to encourage conclusions are derived from broad-based research work in these settings. research studies, the ICA encourages Israeli This year's grant recipients were: centers to participate in international clinical • Dr. Irina Lazarev of Soroka Medical Center, research conducted under the auspices of EORTC continuing education course on Breast Cancer: (the European Organization for Research and current controversies and new horizons" in Treatment of Cancer). Boston, United States in July 2009. • As an appendage of a large-scale project, some • Dr. Ravit Geva, Tel Aviv Medical Center for a of the centers participate in high level clinical continuing education course at Oxford University, research studies, control and quality control. England. Prof. A. Kuten is a member of the Steering • Dr. Ofir Morag, Dr. Shani Paloch, Dr. Iris Gluck, Committee of the EORTC Radiotherapy Group. Sheba Medical Center, Tel Hashomer (further to This year as well, the ICA continues to support the research of Dr. Yaakov Lawrence) as part of the participation of Oncology Departments in a clinical project on: "Epidemiology of Prostate EORTC Radiotherapy Group activities with the Cancer" (see insert). aim of encouraging them to participate in general • Dr. Avivit Peer, Rambam Medical Center, European clinical research. urooncology continuing education program in • The ICA supports the participation of research Indianapolis, United States. students and interns in the annual conference • Dr. Reines-Carmel Rinat, Sha’arei Tzedek of the Cancer Biology Research Center. Medical Center, research project examining • The ICA finances the purchase of professional targeted treatment in a human ovary growth, literature and scientific journals for oncology by guiding lysosomes to the Laforet receptor. departments in medical centers throughout the • Dr. David Gefen, Soroka Medical Center, country. Thanks to this project, new and up to clinical project on: "Oncotype tests on clinical date information is available to professionals. decisions". Likewise, the ICA Information Center is a resource • Dr. Alona Zer, Rabin Medical Center – Davidoff available to professionals, where they may Institute, clinical project on: Pro-malignancy conduct a search of international computerized chemokines in breast cancer: Regulation by databases. genetic and signaling determinants • Over 1,000 meetings are held each year at Beit Mati, ICA headquarters to train multi-professional Travel Grants For Long-Term staff, as well as to provide support and guidance Advanced Study Abroad for cancer patients and their families. • Dr. Almogi Benny, Extra fertility Unit, Tel Clinical Research Project Aviv Medical Center, long-term continuing 2009 education course on Endocrinology of Fertility and Fertility Preservation, Montreal, Canada, The ICA continues to fund basic or clinical research August 2008-August 2010. projects carried out by Oncology Department • Dr. Avergel Avraham, Ear Nose and Throat 66 Annual Report 2009

Dept., Tel Aviv Medical Center, long-term • Dr. Shani Paloch-Shimon, Oncology Complex, continuing education course on Endoscopic Sheba Medical Center, studies towards a Master’s Oncologic Surgery of the Base of the Skull and degree in Epidemiology by correspondence with of the Larynx and Throat-Preservation Surgery, the University of London, as of October 2008. at Adolph Rothschild Hospital in Paris, France, • Dr. Einat Shalom-Paz, Gynecology and May 1, 2009-April 30, 2010. Obstetrics Dept., Hillel Yaffe Medical Center, • Dr. Gavriel Haim, Ear Nose and Throat Dept., long-term continuing education course on Assaf Harofeh Medical Center, long-term Fertility Preservation, Montreal, Canada, August continuing education course on Head and 2008-August 2010. Neck Oncologic Surgery, Melbourne Australia, • Meiron Tikva, Radiotherapy Dept., Rambam September 2009-September 2010. Medical Center, long-term continuing education • Dr. Yehudit Hever-Kraus, Pathology Institute, course on Supportive Care for Advanced-Stage Ha’emek Medical Center, Afula, long-term Cancer Patients at the University of Nottingham in continuing education course on Sun Burns as a England, September 2008-September 2009. Risk Factor for the Development of Melanoma, • Dr. Zvi Vaknin, Department of Gynecology, New York, United States, October 1, 2008 – Assaf Harofeh Medical Center, long-term March 31, 2009. continuing education course on Gyneco-oncology, • Dr. Netanel Avraham Horowitz, Hematology Montreal, Canada, July 1, 2008 – June 30, and Bone Marrow Transplants Institute, 2011. Rambam Medical Center, Post doc research • Katia Voskoboinik, Pathology Institute, Bnei fellowship on: "Interrelationship between Zion Medical Center, studies at the School of coagulatory system components and cancerous Cytotechnology, August 2008 – August 2009, tumors", Cincinnati, Ohio, United States, May Los Angeles, California. 1, 2008- May 1, 2011. • Dr. Nir Yitzhak, Surgery Ward A, Hadassah • Dr. Daniela Katz, Oncology Dept., Hadassah Medical Center, long-term continuing education Medical Center, Ein Karem, long-term continuing course on Oncologic Surgery at Memorial education course on: Sarcoma at Anderson M.D. Sloan-Kettering, New York, United States, July Texas, United States, September 2008-August 1, 2009-June 30, 2010. 2010. • Dr. Kouniavsky Guennadi, General and Invitations To Guest Lecturers Oncologic Surgery Dept., Sheba Medical From Abroad Center, long-term continuing education course on Endocrine Tumor Surgery and Research, • Dr. Sigal Sadetzki, of the Epidemiology of Baltimore, Maryland, United States, January 26, Cancer and Radiation Unit, Sheba Medical 2009-January 31, 2010. Center, initiated the invitation of Dr. Jill Susan • Dr. Helena Martinez de Mornatin, Dermatology Barenholtz-Sloan of Cleveland University, Dept., Tel Aviv Medical Center, fellowship for Ohio, United States to assist in performing a an international course on Dermascopy. statistical analysis on "The Link between ATM • Dr. Ehud Miller, Plastic Surgery Dept., Sourasky gene mutation carriers and the Development of Medical Center Tel Aviv, long-term continuing Tumors induced by Radiation". She also lectured education course on Mohs Surgery, January 15, on: Using genetic ancestry estimates in cancer 2009 – January 30, 2010. epidemiology studies, May 17-20, 2009. 67 • Dr. Thomas Spitzer, Chairman of the Israeli Society of Head and Neck Surgery and Oncology, Clinical Research Which Received A Grant initiated the invitation of Prof. R. Gilbert of From The Ica: Diabetes And Metabolic Toronto Canada, to lecture at the Israeli society of Syndrome Reduce The Risk Of Prostate Cancer Head and Neck Surgery and Oncology conference Each year, over 400 Israelis die of prostate cancer and 2,200 Israelis are at Cnaan Spa Hotel in Safed, November 6-8, diagnosed with the disease. According to U.S. statistics, about 11% of the 2008. adult population in the United Sates suffers from diabetes and 22% of the • Dr. Ran Balicer, Public Health Physicians population suffers from Metabolic Syndrome (a group of risk factors for Association, initiated the invitation of cardiovascular disease). Prof. Paul Brandt-Rauf, Dean of the School There are several criteria: waistline measurement, blood pressure exceeding of Public health at the University of Illinois at 135/85, high blood sugar levels after an 8 hour fast - 100, a small quantity Chicago, United States to lecture at a conference of good cholesterol (HDL). These three criteria suffice for a person to be on Prevention and Early Detection of Malignant considered to have Metabolic Syndrome. It is common mainly among those Diseases – Innovations and Points of Contention, between the ages of 50-60. About 40% of the members of this age group November 24, 2008, at Kfar Hamaccabiya. are diagnosed as suffering from Metabolic Syndrome. • Dr. Nir Natanzon, Director of the Pigmentation In a research study conducted at Sheba Medical Center and which won a Ailments Clinic, Sheba Medical Center, initiated prestigious award presented by the ASCO Association, the investigators, the invitation of Dr. Harold Rabinovitz of Florida, headed by Dr. Yaakov Lawrence, examined the link between the diseases. United States, to lecture at the 3rd Israeli course The study was made possible thanks to an ICA research grant. The scientists on Dermascopy held Dec. 6-7, 2008 at Avenue, monitored 13,000 subjects who suffer from heart disease over a 12-year Airport City. period and cross checked data with the National Cancer Registry of the Israeli • Prof. Pessach Shwartzman and Dr. Doron Ministry of Health. The research results indicate that Diabetes or Metabolic Garfinkel, Israeli Association of Palliative Care, Syndrome reduce the risk of contracting prostate cancer. initiated the invitation of Dr. Lawren Shaiova, Dr. Lawrence: "This research – which was a product of collaboration between assistant investigators Dr. Ofir Morag of the Sheba Oncology Institute, Director of the Metropolitan Hospital Pain statistician Dr. Valentina Boiko of the Israel Society for the Prevention of Medicine and Palliative Care Center, United Heart Attacks (ISPHA) adjunct to the Neufeld Cardiac Research Institute at States, to lecture at the 14th Annual Conference Tel Hashomer and the Israel Cancer Association – constitutes a model for of the Palliative Association held Feb. 4, 2009 quality research and has garnered international recognition". (due to "Operation Cast Lead" the lecturer did "This is a primary research with interesting results", explains Dr. Morag, "as not arrive). we continue the research study we would like to examine the link between • Prof. Miriam Ben-Arush, Chairperson of the each one of the features of Metabolic Syndrome and Prostate Cancer. The Israeli Society of Pediatric Hematology and results may have implications for future medical procedure, and may uncover Oncology initiated the Invitation of Dr. Jeffrey prostate cancer prevention-measures. S. Dome, Pediatric Oncologist of Washington, Dr. Lawrence won the MERIT AWARD presented by the American Society to lecture at the annual conference of the Israeli of Clinical Oncology (ASCO) for this research study and received credit at Society of Pediatric Hematology and Oncology, the organization’s annual conference in Orlando Florida. About 25,000 held April 23-25, 2009 at Moshav Ramot in the oncologists from all over the globe attended this conference. Golan Heights. Prof. Eliezer Robinson, ICA Chairman: "This is a great honor for the • Prof. Miriam Ben-Arush, Chairperson of the researchers, for Sheba Medical Center and the Israel Cancer Association Israeli Society of Pediatric Hematology and which is proud of the role that it has endeavored to play by promoting cancer Oncology initiated the Invitation of Dr. Brigit research and prevention in Israel". Widemann, from NCI Bethesda, United States, 68 Annual Report 2009

to lecture at The Northern Israel Annual Meeting • As per the request of Prof. Adit Ben Baruch, on Pediatric Oncology held in march 3, 2009. the ICA assisted in financing the conference of • Prof. Shlomo Walfish, Chairman of the Israel the Cancer Biology Research Center held on Society of Colon and Rectal Surgery initiated the May 7-9, 2009 at the Hacienda Forest Hotel, invitation of Prof. Tomas Skricka of the Czech Ma’alot. Republic to lecture at the Annual Conference of • As per the request of Dr. Monel Rorlich, Secretary the Israel Society of Colon and Rectal Surgery of the Occupational Medicine Association, the held in Sept. 11-12, 2008. ICA assisted in financing workshops on the • Dr. Myra Shapira, Breast Imagining Dept., initiated prevention of smoking at the Annual Conference the invitation of Prof. Werner Kaiser of Germany of the Occupational Medicine Association held to lecture at a course on Magnetic Resonance in May 2009. Breast Imaging held in February 2009. • Prof. Avraham Kuten, Director of the Oncology Travel Grants For Short-Term Institute, Rambam Medical Center, initiated the Advanced Study Abroad And invitation of two guest lecturers, Prof. Perry Participation In International Grigsby of the University of Washington, United Conferences States, and Prof. Richard Wahl of the United • Kassem Badarna, El-Taj Association, International States, to meet with an EORETC Radiotherapy Palliative Care Conference, Rome, Italy, November Group in Haifa, May 14-15 2009. 2008. • Prof. Shlomo Constantini and Prof. Shaul Harel • Prof. Bikles Yaakov, Orthopedic Oncology initiated the invitation of Prof. Frederick A. Boop Dept., Tel Aviv Medical Center, continuing of the University of Tennessee, United States, to education course in Innovations in Orthopedic lecture at the international conference - New Oncology, June 1, 2009 – Sept. 30, 2009, Horizons in Pediatric Neurology, Neurosurgery California, United States. and Neurofibromatosis, held March 16-19, 2009, • Dr. Mariela Tamar Bernstein, Orthopedics at Isrotel Royal Beach Hotel, Eilat. Dept., Hadassah Medical Center, Ein Karem, • Prof. Yaron Niv, Director the Gastroenterology long-term continuing education course on Complex, Rabin Medical Center initiated the Tumors at Rizolli Hospital, Bologna, Italy, Feb. invitation of Prof. David Lieberman of Portland, 2, 2009 – April 30, 2009. United States to lecture at the conference • Bleich Yael, Upper Galilee Hospice, advanced on "Colorectal Cancer can be Prevented" continuing education course for oncology nursing held on April 30, 2009 at the Suzy Hall at ICA professionals in Portugal, March 20, 2009 – March headquarters. 27, 2009. Support For Professional • Cohen Gania, Oncology Institute, Kaplan Conferences Medical Center, EAPC European Palliative Care Congress, Vienna Austria, May 2009. • As per the request of Dr. Roberto Einbinder, • Cohen Rivka, Hematology Institute, Rambam the ICA assisted in financing The Sixth Annual Medical Center, EBMT conference on Intravesical Workshop on the Prevention of Cancer Morbidity hydrostatic pressure treatment for control of and Mortality in honor of Dr. Erica Harel held bleeding from bladder following transplants, on May 11, 2009. Sweden, March 2009. 69 • Har-Zion Lital, Bone-marrow Transplants • Yahel Anat, Pediatric Oncology Dept. Schneider Dept., Schneider Children’s Medical Center Children’s Medical Center, course on Pediatric – EBMT conference in Sweden on Intravesical Bone-Marrow Transplants, Italy, June 2009. hydrostatic pressure treatment for control of • Dr. Wolf Ido, Oncology Institute, Sheba bleeding from bladder following transplants, Medical Center, AACR Conference in Denver, March 2009. Colorado, United States, on the Role of the • Dr. Hatzuvi Yissaschar, Surgery Ward A Kaplan klotho hormone as a potential tumor suppressor Medical Center, continuing education course in pancreatic cancer cell growth, April 2009. on breast cancer surgery – Innovative Techniques and Therapeutic Approaches, Milan, Italy, Feb. International Conferences 1, 2009 – April 30, 2009. • As per the request of Dr. Yossi Alcalay, the ICA • Dr. Koval Svetlana, Oncology Institute, Assaf assisted in financing the 12th World Congress Harofeh Medical Center, EORTC GU GROUP on Cancers of The Skin, held in May 2009. meeting on Urologic Tumors, Rome, Italy, May 2009. Summer Grants • Leibovitch Yaron, Oncology Institute, Soroka Medical Center, IMRT course in Milan, Italy, The ICA continues its summer grants program for May 2009. medical students at oncology institutes. This year’s • Livne Jessica, Day Care Oncology Institute, grant recipients were: Sheba Medical Center, continuing education • Sara Abu-Ganam for a summer project at the course at St. Jude Children’s Research Hospital oncology Institute at Soroka Medical Center, in Memphis Tennessee, United States, May Be’er Sheva. 2009. • Gali Yaakovson for a summer project at the • Dr. Matzayevsky Diana, Oncology Dept., Tel Oncology Institute at Soroka Medical Center, Aviv Medical Center, continuing education Be’er Sheva. course on Advanced Radiation Therapy for Breast • Nur Mafra for a summer project at the Oncology Cancer, Michigan, United States, December Institute at Rambam Medical Center, Haifa. 2008. • Karin Avitan for a summer project at the • Dr. Samionov Valentina, Home Hospice, Oncology Institute at Rambam Medical Center, Southern Region, Be’er Sheva, continuing Haifa. education course on Palliative Care and Pain • Yasmin Abu-Ganam for a summer project at Treatment for Oncology Patients in Germany, the Oncology Institute at Sheba Medical Center, May-June 2009. Tel Hashomer. • Trantiav Marina, Radiotherapy Dept., Hadassah • Haggai Ligomesky for a summer project at the Medical Center, Ein Karem, ESTRO IGRT course, Oncology Institute at Sheba Medical Center, Tel December 2009, Brussels, Belgium. Hashomer. • Dr. Urieli-Shoval Simcha, Hematology Dept., • Albert Greenspon for a summer project at the Hadassah Medical Center, Mt. Scopus, Oncology Institute at Hadassah Medical Center, International Cancer Congress, June 2009, in Ein Karem. Beijing, China.

70 Annual Report 2009

Summer Grants – The 2009 ICA award winners were: Vienna, Austria • The Israeli Society of Pediatric Hematology and Oncology: th For the 13 consecutive year, the WHO organized Outstanding Specialist Award was presented summer grants for a two-week international to: course in oncology for medical students held at the Dr. Gad Campino, Sheba Medical Center University of Groningen, Holland and alternately in Vienna, courtesy of the UICC. The course covers • The Israel Oncological Association: oncology-related subjects, and places an emphasis Outstanding Specialist Award was presented on the principles of prevention, early detection and to: palliative care. The ICA believes that it is imperative Dr. Zvi Bernstein, Rambam Medical Center. that physicians be involved in these fields; hence, this See expanded report in the "Public Information year as well, it was decided to grant 2 scholarships and Education" Chapter. to medical students enrolled at higher institutes • The Israeli Oncology Nursing Society: of learning in Israel, so that they may participate The Development of Cancer Patient Services in this course in Vienna, Austria. Award was presented to: Ms. Bella Eligolshvilli, Clalit Healthcare Services, This year's grant recipients were: Central Region • Liat Zwergel – Technion, Haifa • Ohad Gluck – Tel Aviv University • The Nursing Research Award was presented to: Awards Ms. Anat Pelles Buratz, Schneider Children’s Medical Center This year the ICA presented annual awards to physicians and nurses who care for cancer patients • The Oncology Association Award was and demonstrate professionalism in their work presented to: while excelling in humanitarian relations with their Dr. Robinov Karen of the Oncology Institute, patients. The relevant professional associations Soroka Medical Center. select the award recipients who in turn receive the award at the specific association’s annual conference.

71 International Conferences

Nursing Research Conference In representatives of over 100 countries across Austria the globe attending. Rivka Froehlich Zeltzer, At the conference held in Vienna in September ICA Information and Education Director and 2008 on Nursing Research, Livia Kislev, Head Spokesperson of the ICA, participated in the Nurse at the ICA Rehabilitation and Welfare Dept. conference on behalf of the ICA. Dozens of presented her thesis on white lies that couples tell lectures and research studies were delivered each other, when one of them is at an advanced during the five days conference with the aim of stage of cancer; her presentation sparked a great constructing a bigger, global picture of the war interest. One of the subjects discussed at this against tobacco and to reduce morbidity and conference was research methodology in nursing, mortality from smoking related diseases. with an emphasis on Mix Methodology, which Mr. Richard Pito, a British scientist, presented grim combines quantitative research methods with statistics which indicate that if by 2050 global policy qualitative ones. will not change, the number of tobacco-related deaths is projected to reach over 300 million people. Cancer Information Centers Scientists from Germany and Lebanon demonstrated Workshop In Germany the hazards of hookah smoking and its impact on Nira Tammuz, ICA Information Center Director, the health of the local population and smoking participated in a two-day workshop in February habits. Mrs. Barbara Zulti from the WHO gave hosted by the Cancer Research Center in Heidelberg, a fascinating workshop on constructing effective Germany. The workshop theme was: "Cancer information campaigns and more. Information Centers in Europe Today – Priorities and Challenges", with 20 representatives of European The State of Israel is part of the WHO FCTC Information Centers in attendance. – Framework Convention on Tobacco Control – wiritten by the World Health Organization that On the first day of the workshop participants lectured dictates the necessary steps to significantly reduce on their experience, achievements and challenges the globalization of the tobacco epidemic. It may that lie ahead, and Nira Tammuz presented the be said that Israeli legislation is relatively advanced work done by the Information Center at the ICA. in comparison to its neighbors across the border, On the second day an open discussion was held and in comparison to some of the developing on possible collaboration between centers with countries; however, a long road still lies ahead in the aim of expanding and developing information legislation, and particularly in law enforcement, services for callers. Work groups were set up on in order to reach FCTC targets. different subjects in order to further develop and achieve the workshop objectives. Mr. Ian Grey, Policy Director at the Center of Environmental Health in London, lectured on England’s Tobacco Or Health? World Health thorough preparations for the implementation of Organization 14th Conference the law which bans smoking in public places. By The 14th World Conference on Tobacco or Health getting organized properly, months in advance, was held in March 2009 in Mumbai, India, with appointing smoking ban supervisors, and launching 72 Annual Report 2009

government information campaigns - the country methodical early detection network, inaccessibility succeeded in fully implementing the non-smoking to a therapeutic framework, and the non-allocation in public places law in one day. of resources to treat breast cancer.

The declaration that closed the conference called on Mrs. Stella Kyriakides, President of Europa Donna, world leaders to enlist their support for the cause raised the urgent need to represent and promote and to implement the items of the treaty. the needs of breast cancer patients worldwide and among all the care-giving and adjuvant entities. She The 15th Reach To Recovery called upon the participants to construct partnerships International Breast Cancer that will increase the prospect of making a collective Support Conference In Australia change. Mrs. Mary Onyango, Executive Director, The International Breast Cancer Support Conference Kenya Breast Health Programme, recounted the was held in May in Brisbane, Australia, and grim details of the dire situation prevailing in her engaged in the interrelationship between the country and in neighboring African countries. organization, the volunteers and the patients who Her talk was accompanied by findings obtained join the circle, under the theme "one journey – in research studies conducted in Africa, and the many people". Mrs. Miri Ziv, ICA Director General main findings were: lower survivability for women and Mrs. Aliza Dolev, Rehabilitation and Welfare who have contracted the disease. Such that, for Dept. Director participated on behalf of the ICA. instance, breast cancer is the number one cause Each one of the three days of the conference of mortality over the age of 15. focused on a subject related to coping with the The lectures delivered later on discussed the disease: the first day mainly discussed survivors, the importance of maintaining treatment continuity, second day discussed constructing the capacity to the need to identify and mend possible rifts in this establish and preserve frameworks for promoting continuity. A program monitoring the distribution of treatment and research and the third day focused the disease in geographic areas was also presented on mutual support. and intervention guidelines were elucidated, consisting Prof. Annette Stanton of the United States focused mainly of conveying knowledge, empowerment, on the expansion of a Psycho-social Intervention representation and consolidating forces. during post-treatment period, and emphasized Prof. Susan Chang, Director of the Research Unit of the aspects related to quality of life of survivors. the Cancer Organization in Queensland, Australia, Prof. Stanton described a research which studied discussed depression and anxiety among cancer 48,000 female patients, spanning a period of 30 patients. Mrs. Jane Turner, a lecturer at the Dept. years, monitoring their coping and capacity to find of Psychiatry at the University of Queensland, placed the strength for this battle. an emphasis on the need to provide assistance to Prof. Chang Har Yip of Malaysia (who at the end patients’ spouses and children, taking into account of the conference won a Special Citation Award for the various needs of children at each one of the her cancer research activity) presented grim findings development stages. Mrs. Ann Steyn, Reach to from Third World countries, where the disease is less Recovery International President, expanded on prevalent than in the West, but the mortality rates the subject of support groups and the role of the are much higher. She attributed this to the lack of a volunteer. 73 Research

Each year, the ICA awards dozens of fellowship Dr. Itamar Simon of Hebrew University: Chormatin grants to physicians in medical centers and to Immunoprecipitation-on-Chip Reveals Stress- scientists in research institutes and universities Dependent p53 Occupancy in Primary Normal throughout the country. This involves basic, clinical, Cells but Not in Established Cell Lines and epidemiological research, as well as studies Dr. Ada Refaeli of Rabin Medical Center: investigating the psycho-social aspects of the Enhancement of anticancer efficacy and reduction disease and the coping strategies of cancer patients in therapy associated toxicity in breast carcinoma and their families. The ICA plays a significant and overexpressing Her-2/neu receptor by AN-7, the leading role in the support of cancer research in HDAC inhibitory prodrug Israel and considerable achievements have been accomplished by top scientists in this field withICA Dr. Dan Eldad of Rambam Medical Center: assistance. Mrs. Vardit Danziger, ICA Assistant Risk adapted BEACOPP based on early interim to the Director General, oversees the Research scintigraphy can be used for reduction of cumulative Committee. close of chemotherapy and preservation of fertility in patients with standard and high risk Hodgkin The ICA marked its Second Annual lymphoma HD Cancer Research Day in Israel Dr. Ziv Gil of Tel Aviv Medical Center: Imagining of The second Annual ICA Cancer Research Day was lymph node micromestastases using an oncolytic held at Beit Mati. This special day was initiated herpes virus and [18]feau pet by Research Committee Chairman, Prof. Yosef Yarden, with the enthusiastic endorsement of Dr. Ella Evron of Assaf Harofeh Medical Center: A the Research Committee members. Similar Cell specific Pattern for HoxA Methylation About 120 cancer research scientists from all over in Normal and in Cancer Tissues Israel convened to participate in this special day, which featured Israeli research fellows presenting Dr. Ido Wolf of Sheba Medical Center: The a wide range of ICA-funded research studies. hormone klotho: a novel tumor suppressor in Additionally, the scientists presented scientific breast cancer posters and outstanding posters were selected. Dr. Dan Mishmar of Ben-Gurion University: mtDNA The Research Day opened with greetings delivered genetic landscapes formed in tumors and during by Prof. Yosef Yarden, ICA Research Committee human evolution are shaped by similar selective Chairman (see separate insert). This was followed constraints. by greetings and an overview of ICA's extensive activity, delivered by Mrs. Miri Ziv, ICA Director Dr. Efrat Dagan of Haifa University and Rambam General. Medical Center: Prevention or Surveillance – a study among BRCA ½ mutation carriers. The Research Day featured the following lectures: Dr. Bella Kaufman of Sheba medical Center: Dr. Ronit Pinkas-Kremersky of Tel Aviv University: Breast Cancer – from Bench to Bedside Mechanism of Beclin 1 mediated autophagy 74 Annual Report 2009

Greetings delivered at the Cancer Research Day by Prof. Yosef Yarden, Chairman of the ICA Research Committee:

Dear Researchers,

ICA Cancer Research Day is geared towards increasing reciprocity between The second Annual members of the community of cancer researchers in Israel.

We held the Inaugural Cancer Research Day last year. The positive feedback that we received encouraged us to make this Research Day an annual event.

As you all know, the ICA supports a wide spectrum of research studies, from fundamental molecular biology processes, to clinical and behavioral science research. Hence, Cancer Research Day hosts a plethora of scientists, with the aim of engendering mutual productivity based on information exchange and with the hope of creating a dynamic forum mainly for oncologists and biochemists to conduct new collaborative projects. Our meeting at ICA headquarters in Givatayim has an additional objective and that is to strengthen ICA is a unique organization in the Israeli research scene, both in terms our ties with the ICA. The ICA will become of the diversity of its activity, its relative volume and public support, which is unprecedented in Israel. I hope that the research that we will conduct under the umbrella of the a noteworthy tradition, as well as a significant element withinICA ’s broad-based activity to promote prevention and find a cure for the disease.

Sincerely,

Prof. Yosef Yarden Research Committee Chairman Israel Cancer Association

Prof. Haim Azhari of the Technion: Feasibility study and Dr. Francine Robinson, presented the "Look of breast tumor detection and characterization Good Feel Better" project. using computerized ultrasonic mammography This year for the first time, fellowships were awarded and contrast materials from the foundation established from the estate of Prof. Haim Sieder of Hebrew University: Gene Mr. Israel Yaakov and Mrs. Layla Alter of blessed silencing in Cancer memory earmarked for fellowships for research related Mrs. Aliza Dolev, Rehabilitation and Welfare Dept. to environmental and/or epidemiological factors and Director, gave an overview of her Dept.’s activity their impact on the development of cancer. 75 The fellowships were awarded to Dr. Itzik Levi of The fellowship is financed by the fund that was Schneider Medical Center, Prof. Dan Engelhard established by the family and friends of the late CRA of Hadassah Medical Center, and Dr. Kasis Imad Ronit Zilberfarb (Mehr) of blessed memory. of Ha’emek Medical Center, for their research on: Epidemiology of Infections in children with cancer undergoing chemotherapy: Prospective Outstanding Female Researcher multicenter research in Israel; and to Dr. Efrati Grant Edna, Prof. Kreiboi Noberto and Dr. Elhasid In 2009, an augmented fellowship grant Ronit of Rambam Medical Center, for their research was presented to Prof. Orli Reiner of the on: Epidemiological and Pharmacogenic Aspects Weizmann Institute for her research on the of Pediatric Bone Marrow Transplants. unique Mitotic functions of DCDC5, a novel member of the doublecortin superfamily. This year for the first time, a research fellowship was This grant was provided by the Outstanding awarded to Dr. Barshak Iris and Prof. Ramit Mer for Female Researcher Fund established by the their research on: Human B cell colonial evolution children of the late Prof. Dafna Izraeli and in inflammatory and neoplastic processes in the late Prof. Dov Izraeli, in memory of stomach revealed by analysis of immunoglobulin their parents. gene lineage trees

76 Annual Report 2009

The following is a list of the fellowship grants that received funding in 2009:

Inst. + Researcher Research subject Funded By Prof. Leibovici L. Optimal diagnosis and treatment of Dr. Paul M. infections in patients with cancer Rabin Medical Center, Beilinson and neutropenia: Integration of PCR Campus, Petach Tikva technology and computerized decision support system. Prof. Glun E. The role of STAT3 in inflammation The Ber-Lehmsdorf Memorial Dr. Sonnenblick A. associated cancer Fund Hadassah Medical Center, Ein- Karem, Jerusalem Dr. Martin E. Unexpected Link Between p53 and Dr. Ashur - Fabian O. Lipid-Related Genes: Meir Medical Center, Kfar Saba Novel Targets for Chemotherapy Treatments in Cancer Prof. Yefenof E. Novel Insight into Glucocorticoid- Linda R. Kaminow in honor The Hebrew University of Induced Apoptosis of Lymphoma of Alex Wexelman Jerusalem Cells: Exploring The Role of (ICA - USA) Glycogen Synthase Kinase 3 Key Dr. Levy I. Epidemiology of infections in The late Alter Jacob Israel Prof. Engelhard D. pediatric cancer patients: A & Layla enviorment and Dr. Kassis I. prospective multicenter study in epidimiologic Research Dr. Averbuch D. Israel Foundation Schneider Children's Medical Center, Petach Tikva Dr Eylon Y. Drug delivery to mitochondria as an ICA USA in honor of Dr Tirosh B. approach to cancer therapy Charles Bronfman The Hebrew University of (ICA - USA) Jerusalem Dr. Barshack I. Human B cell clonal evolution Friends & Family Cancer Prof. Mehr R. in inflammatory and neoplastic Research Fund in memory Sheba Medical Center, processes in stomach revealed by of the late CPA Ronit Tel Hashomer analysis of immunoglobulin gene Zilberfarb (Mehr) of lineage trees blessed memory

77 Inst. + Researcher Research subject Funded By Prof. Ravid S. The role of the tumor suppressor The Boaz Adar Memorial The Hebrew University of lethal giant larvae (Lgl) in Foundation Jerusalem metastasis Dr. Aroeti B. Hepatitis C viral proteins manipulate Through Louis & Marcia The Hebrew University of lipid droplets in liver cells: possible Schneider Fund (ICA USA) Jerusalem implications for elucidating the basis for viral-induced liver cancer Dr. Wolf I. Structure-function analysis of Peter & Nancy Brown in Sheba Medical Center, klotho growth inhibitory activity in memory of Eric & Melvin Tel Hashomer breast cancer Brown (ICA USA) Dr. Gal-Yam E. A comprehensive characterization Peretz & Gitel Weisman Sheba Medical Center, of epigenetic reprogramming in Tel Hashomer transforming prostate epithelial cells Dr. Lavie G. Mechanisms mediating Rick and Rita Weinstein In Sheba Medical Center, enhancement of glioblastoma Memory of Beatrice Kaplan Tel Hashomer tumor cell killing by the DNA Brown (ICA USA) alkylating agent - temozolomide through combination with hypericin Dr. Mishmar D. Co-mutations in the mitochondrial Ben Gurion University DNA of human cancerous tissues - a novel genetic approach to cancer Prof. Shoenfeld Y. IVIG as a supportive therapy in Dr. Damianovich M. metastatic cancer Sheba Medical Center, Tel Hashomer Prof. Or R. Activated mesenchymal cells and The ICA friends in London Hadassah Medical Center, Kynurenine as therapy for graft Ein- Karem, Jerusalem versus host disease in bone marrow transplanted mice Prof. Kupiec M. Telomeres and Genome Stability Harvey & Lee Poppel in Tel-Aviv University Memory of Fritzi Poppel and Mary Daigneault (ICA USA)

78 Annual Report 2009

Inst. + Researcher Research subject Funded By Dr. Rosin-Arbesfeld R. Involvement of the EDD E3 Louis & Marcia Schneider Tel-Aviv University ubiqutin ligase in Wnt signaling Fund (ICA USA) and colorectal cancer Dr. Ben-Porath I. Stem cell-associated transcription ICA USA gala chairwomen: The Hebrew University of factors as regulators of aggressive, Cobey Rapaport, Nancy Jerusalem Basal-like breast cancers and Brown, Jan Willinger Elizabeth Thompson (ICA - USA) Dr. Gross A. The role of BID in inhibiting Weizmann Institute of Sceince, hematological malignancies Rehovot Prof. Lapidot T. Regulation of motility, proliferation Donated by David & Rhoda Weizmann Institute of Sceince, and BM repopulation by leukemic Chase in Loving Memory of Rehovot human AML cells via the Marlene Apter Kittredge membrane protease MT1-MMP (ICA - USA) by catecholamines and myeloid cytokines Dr. Ziv G. Impact of nerve stroma on head Donated by Ellen & Tel-Aviv University and neck cancer invasion and Emanuel Kronitz in memory growth of Dr. Leon Kronitz Dr. Efrati E. Epidemiological and The late Alter Jacob Israel Prof. Krivoy N. Pharmacogenetic Aspects & Layla enviorment and Dr. Elhasid R. of Pediatric Bone Marrow epidimiologic Rambam Medical Center, Haifa Transplantation Research Foundation Dr. Dekel B. Targeting malignant renal stem/ The Azeez Foundation Sheba Medical Center, progenitor cells (ICA - USA) Tel Hashomer Prof. Reiner O. Mitotic functions of DCDC5, a The Outstanding Research Weizmann Institute of Sceince, novel member of the doublecortin Fund in memory of the late Rehovot superfamily Prof. Dafna and the late Prof. Dov Izraeli Prof. Glickman M. Ubiquitin-proteasome targeting of The ICA friends in Holland Technion, Haifa mitochondrial proteins

79 Inst. + Researcher Research subject Funded By Prof. Israel O. Comparative analysis of the Nesher Israel Cement Rambam Medical Center, Haifa performance of 18F-Fluoride Bone Enterprises Ltd. PET/CT, F18-FDG PET/CT and 99mTc-MDP whole body SPECT in diagnosis and monitoring response to treatment of bone metastases in patients with advanced or recurrent breast cancer Dr. Avni D. Transcription silencing of The Ber-Lehmsdorf Prof. Sidi Y. oncogenes with siRNA targeting memorial Fund in memory Sheba Medical Center, there promoter of the late John Furman Tel Hashomer Prof. Azhari H. Contrast enhanced computerized The ICA friends in London Technion, Haifa ultrasonic mammography Dr. Leiser Y. The Study of Heparanase The Ber-Lehmsdorf Rambam Medical Center, Haifa Intra-Cellular Localization and Memorial Fund Quantification in Oral and Maxillofacial Neoplasm's and the Possible Role of Heparanase in Cellular Differentiation Using the Neuronal Model PC12 Cell Line Dr. Dubnov - Raz G. The effect of physical activity on Hadassah Medical Center, the mental and physical health of Ein- Karem, Jerusalem children with ALL in remission Dr. Osherov N. Identification of novel antifungal The Ber-Lehmsdorf Tel-Aviv University compounds targeting the fungal Memorial Fund in memory cell-wall of the Late Prof. Nathan Trainin Dr. Barzilai A. BRAF Mutations in Ultraviolet Dr. Hodak E. Treated Patients Sheba Medical Center, Tel Hashomer

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Inst. + Researcher Research subject Funded By Prof. Fishelson Z. Analysis of Complement Activation Tel-Aviv University Pathways induced by Combined Treatment with Fresh Frozen Plasma and Rituximab (Mabthera) in Advanced Refractory Chronic Lymphocytic Leukemia Dr. Dann E.J. Tailored Therapy for Hodgkin Dr. Bairey O. lymphoma based on predefined Dr. Paltiel O. risk factor and early intrim PET for Rambam Medical Center, Haifa response assessment and further therapy decisions Dr. Voronov E. The role of host-derived IL-1 and IL-17 Ben Gurion University, in the tumorigenesis and invasiveness Beer- Sheva of murine colorectal cancer Dr. Caspi O. Is add-on integrative medicine in Prof. Shemer J. non small cell lung cancer (NSCLC) Rabin Medical Center, Beilinson economically efficient? Campus, Petach Tikva Prof. Meirow D. The protective effect of the Sheba Medical Center, immnomodulator AS101 against Tel Hashomer chemotherapy induced damage to male fertility Dr. Rephaeli A. Dr. Kessler-Icekson G. Tel-Aviv University Dr. Barda-Saad M. Potential usage of specific hemopoietic Bar Ilan University, Ramat-Gan cytoskeletal proteins as a target of T-cell lymphoma Prof. Bruck R. Cofocal endomicrosoy as a tool for Tel Aviv Sourasky Medical earlt cancer detection in high risk Center population Dr. Satchi-Fainaro R. Targeting pancreatic cancer with David Markin in honor of his Tel-Aviv University polymer conjugates of angiogenesis wife Tracy (ICA - USA) inhibitors

81 Inst. + Researcher Research subject Funded By Dr. Flescher E. The cooperative therapeutic potential Tel-Aviv University of methy1 jasmonate and endoplasmic reticulum stress inducers - Tunicamycin and Thapsigargin, evaluated in human colon cancer cells Dr. Isakov N. Characterization of a newly discovered Harry & Ida Shooster, Florida Dr. Sztarkier I. leukemia tumor cell marker (ICA - USA) Ben Gurion University, Beer-Sheva Dr. Pinkas-Kramarski R. Mechanism of Beclin 1 mediated Tel-Aviv University autophagy Dr. Gal G. Risk for cancer in subgroups of Sheba Medical Center, schizophrenia and their first degree Tel Hashomer relatives Dr. Bar-Noy Z. Communication of genetic information Tel-Aviv University to cancer patients relatives: practice, law and ethivs in israel Dr. Itamar S. Differential gene regulation by the The Hebrew University of tumor suppressor P53 - the role of Jerusalem modifications and cofactors Dr. Hochhauser E. Regeneration following subtotal Rabin Medical Center, Beilinson hepatectomy: the effect of erythropietin Campus, Petach Tikva post irinotecan / oxaliplatin asministration Dr. Livne O. Structural studies of intrinsically active The Hebrew University of ERK2 variants: basis for anti cancer Jerusalem drug design Prof. Sredni B. Interference with the interaction of VLA- Dr. Kalechman Y. 4 on AML cells and Fibronectin, by the Bar Ilan University, Ramat-Gan Tellurium compound AS101 results in their sensitiztion to chemotherapy Prof. Fisch B. Fertility Restoration to Cancer Patients ICA USA in honor of ida & Dr. Abir R. by Use of Multiple Growth Factors Harry Shooster (ICA - USA) Rabin Medical Center, Beilinson Campus, Petach Tikva 82 Annual Report 2009

Inst. + Researcher Research subject Funded By Prof. Razin E. Developing a novel inhibitor peptide The Hebrew University of as a potential drug for melanoma and Jerusalem prostate cancer Dr. Eden S. Inhibition of Rac-induced The Hebrew University of actinpolymerization, a key process in Jerusalem cell migration and metastasis Dr. Cohen Y. The role of ETS transcription Sheba Medical Center, factors in human prostate cancer Tel Hashomer tumorigenesis Prof. Shoshan-Barmatz V. The mitochondrial protein VDAC1 as Ben Gurion University a novel target for including cancer Beer- Sheva cells death Prof. Gopas J. Mechnisms of NF-Kb inhibition and Soroka Medical Center, apoptosis by hydroxythionuphlutine Beer- Sheva B (NUP) in Hodgkins lymphoma cell lines Dr. Abdu U. Combined bichemical, molecular & Harry & Ida Shooster, Florida Ben Gurion University, genetic approach to elucidate the (ICA - USA) Beer- Sheva function of checkpoint kinase 2 in including tissue-specific appotosis during Drosophila meiosis Dr. Bakhanshvili M. The role of tumor suppressor protein Sheba Medical Center, p53 in ARE-mRNA degeradiation Tel Hashomer Dr. Mecklankin A. Targeting invasiveness inducing high Hadassah Medical Center, molecular weight melanoma associated Ein- Karem, Jerusalem antigen with highly functional cytotoxic T cell Dr Halaila I. O-GlcNAc modification in cancer Ben Gurion University, metastasis Beer- Sheva Prof. Friedman E. Promotor methylation as putative Sheba Medical Center, modifier of penetrance in BRCA 1 / Tel Hashomer 2 mutation carriers 83 Inst. + Researcher Research subject Funded By Dr. Cohen M. Perceptions, Emotional Reactions and Haifa University Ways of coping of Arab women with breast cancer Dr. Nissan A. Nancy and Peter Brown Hadassah Medical Center, (ICA - USA) Ein- Karem, Jerusalem Dr. Margel D. Auto-antibody profiles for the diagnosis Rabin Medical Center, Beilinson of transitional cell carcinoma of the Campus, Petach Tikva bladder Dr. Avni D. Profiling the expression patterns Sheba Medical Center, of mirRNAs during the malignant Tel Hashomer evolution of malignant melanoma - umplication for diagnosis, prognosis and therapeutics Dr. Ben-Baruch A. I n fl a m m a t o r y c y t o k i n e s a n d Linda R. Kaminow in memory Tel-Aviv University chemokines in breast cancer: Possible of Claire and Emanuel G. role in Epithelial-to-Mesenchymal Rosenblatt (ICA - USA) Transition Prof. Kleinberger T. Study of e4orf4 nduced cancer specific Technion, Haifa apoptosis in vivo in a drosphilia model system Dr. Yavlonsky D. Molecular mechanisms of metastasis: Technion, Haifa odentification of genes required for chemokine-inducted cell migration Prof. Ron D. The relationship between hSef loss Technion, Haifa of expression and the malignant process Dr. Larisch S. Investigating the role of the pro- Haifa University apoptotic protein - arts in lymphoma, as basis developing an anti-cancer drug

84 Annual Report 2009

Memorial Funds Donated To ICA

• The Boaz Adar Memorial Fund established by students and young doctors working in the by Yael and Shimon Adar, in memory of their Oncology Department at the Rambam Medical son Boaz, for the provision of research grants. Center in Haifa.

• The Israel Yaakov and Layla Alter Memorial • The Raya (Rela) Golombo Memorial Fund Fund for the provision of an annual research grant bequeathed by the late Raya (Rela) Golombo for outstanding research project in environment in memory of Reuven and Meir Golombo and and/or epidemiology. their mother Sonya Golombo; Miriam Gerster and her parents Raphael Gerster and Rela (Raya) • The Israel Yaakov and Layla Alter Memorial Fund Gerster-Golombo nee Kaplanowitz; Sonya for the operation of the Activity Support Center for Lev, husband Yossef and their daughters Kasnya cancer patients and their families in Jerusalem. and Avigail, who perished in the Holocaust; • The Lea Arbel Memorial Fund for provision of Yossef Golombo and Dina Kaplanowitz. training programs for para-medical professionals • The for special who treat cancer patients. Ronit Greenfas Memorial Fund projects. • The Ber-Lehmsdorf Memorial Fund managed by executors of the estate of the late • The late Simon and Irma Gross Fund for cancer Dr. Ber-Lehmsdorf of Switzerland, for the research. provision of research grants. • The Rafael Hadar Memorial Fund, for the • The Chaya and Naftali Bloch Memorial Fund establishment of the Oncology Day Center at bequeathed by the late Chaya Bloch for the Sha'rei Tzedek Medical Center. provision of research grants. • The "I Care" Fund in memory of the late Ofira • The Annetta Cherna Fund, bequeathed by the Navon, for the support of psycho-oncology deceased to finance activity on behalf of child conferences, workshops and seminars. cancer patients. • Joint Headquarters of Quality Assurance • The Sir Charles Clore Foundation in support Fund of maintaining the Sir Charles Clore Hostel in • Fund bequeathed by the late Prof. Daphne Givatayim. Izraeli and the late Prof. Dov Izraeli to finance • The Ethel Cohen Memorial Fund for the the Outstanding Female Researcher fellowship provision of cancer research grants. grant.

• The Rivka Dror, Esther and Leon Arditi, Miriam • The Yehudit Kleinberger Memorial Fund of and Shlomo Hasid Fund for cancer research Munich for the provision of research grants. and for the acquisition of medical equipment. • The Charlotta Kolber Memorial Fund bequeathed • The Dina and Zalman Goldberg Memorial by the late Charlotta Kolber for the provision Fund for the promotion of research conducted of research grants. 85 • The Mina Margot Laveh Memorial Fund for • The Alexander Smidoda Memorial Fund the support of cancer research. bequeathed by the deceased for the provision of research grants. • The Sara Markovitz Memorial Fund bequeathed by the late Sara Markovitz in memory of her • The Leah and Yosef Solomon Fund bequeathed children Micki and Shimon Salpeter of blessed by the late Yosef Solomon to finance fellowship memory who perished in Holocaust, for the grants. provision of treatment and rehabilitation for • The Miriam and Benjamin Stanton Fund cancer patients in need in the Rehovot area and established by Miriam and Benjamin Stanton of to finance social work positions. England, for the support of cancer research. • The for Mathilde Recanati Memorial Fund • The Hanna Uldak Memorial Fund, for the the support of special programs in the battle purchase of computers for children who have against cancer. cancer, as part of the home tutoring support • The Tamar Rodich Memorial Fund established network. by her son Ilan Rodich to support Hospice and • The Moshe Wolf Memorial Fund for the Home Hospice Care (special programs). provision of cancer research grants.

• The Avraham Rubinstein Memorial Fund • The Ronni Yudison Memorial Fund, established bequeathed by the deceased for home tutoring by the deceased’s husband, Meir Yudison, for of child cancer patients. the provision of research grants. • The Miriam Eva Sharoni (Stern) nee Lang • The Ronit Zilberfarb (Mer) Memorial Fund Memorial Fund established by her husband, for financing a stomach cancer research Avraham Sharoni, to support ICA activities. fellowship.

86 Annual Report 2009

Data Collection And Follow-Up

The National Mammography optimal quality of life free of restrictions for Project the recovering child. The aim is to "tailor" the The ICA assisted in establishing an infrastructure for appropriate treatment for each child according mammography quality control as well as with the to the unique type of leukemia and risk level, as purchase of new equipment for screening centers well as to prevent the use of chemotherapy and located throughout the country. Approximately aggressive radiation for low-risk cancers, and to 61 operating centers have the Ministry of Health’s increase treatment and chances of survival for approval of equipment quality and radiation levels. those with high-risk cancer. The Ministry stipulates that each center run regular The ICA continues to provide financial aid to collect tests to examine image quality and film development and process data on children afflicted with acute procedures. lymphatic leukemia and who are undergoing Fifty-one mammography centers currently operate treatment according to the National Protocol, which under clinical quality assurance, within the framework is a unique extension of the German Protocol – BFM. of the joint ICA-Ministry of Health National All statistics are processed with ICA funding by the Mammography Project. In this ICA-financed program Department of Statistics at Hebrew University. The mammography centers have been computerized, Protocol is coordinated by Prof. Batya Shtark and and all test results undergo comparative data Prof. Shai Izraeli. analysis performed by radiologists, surgeons and Since the protocol’s inception some 17 years ago, oncologists. there is no longer any disparity regarding So far, this program, headed by Prof. Gad Rennert the survival rates of children afflicted with of Carmel Medical Center, has collected data on leukemia treated at the various medical centers. 3.6 million tests. The ICA funds the data quality Additionally, there is no longer a gap between control. the survival rates of Jewish and Arab children Following an ICA-initiated discussion at a meeting afflicted with the disease. of the Israel National Oncology Council, a special task committee was formed to recommend rules The past decade has seen the development of of procedure reflecting further aspects to be methods for submicroscopic detection of leukemia implemented by the Ministry of Health. (Further cells, whereby intensive treatment in patients information on the National Mammography at low risk for recurrence may be reduced, thus Program may be found in the "Information and saving long-term treatment damage and enabling Education" chapter). the detection of high risk patients who require potentially life-saving intensive treatment. The ICA Upgrading National Protocol has assumed the task of assisting in the upgrade of Of Childhood Acute Lymphatic this method until its effectiveness is proven. Leukemia The main aim throughout the globe and in Israel New lab methods (MRD) have been implemented is to help all children get well, while maintaining and established by the ICA for detection purposes, 87 as well as the use of new technologies to diagnose a research study under the direction of Prof. Efrat minimal traces of the disease. Additionally, the ICA Levi-Lahad, acting as a representative of the has enabled the integration of the Israeli group Israel Breast Cancer Consortium, in conjunction within the international group to follow up and with Prof. Mary Claire King of Washington treat leukemia in children, and this item has been University, Seattle. included in the health package. Over 660 BRCA1 and BRAC2 gene mutation carriers in Israel and the United States were Involvement Of Pediatric Oncology examined in this research. This study appeared in Wards In Israel In The Treatment Of scientific publications, demonstrating that familial Children With Rhabdomyosarcoma factors may have a significant impact on the risk And Other Sarcomas According To of contracting a specific type of malignancy in The European Protocol BRCA1 and BRCA2 gene mutation carriers. The For the past two years, Israel has been involved ICA supports Consortium activity and also finances in the European Protocol for the treatment of software as well as the post of a research nurse children with soft tissue sarcomas, coordinated who coordinates the activity. by Prof. Miriam Ben-Harush. The ICA finances two trips a year for Israeli delegates in this Protocol Israeli Breast Implant Registry For and assists in funding part-time technician posts Reconstruction Purposes to implement the molecular biology tests at Sheba The ICA has assisted in establishing an Israeli Breast Medical Center and at Schneider Medical Center, Implant Registry of women who have undergone for the rest of the medical centers throughout mastectomy and reconstruction with implants and the country. is endeavoring to integrate Israel's registry within the International Registry network. Dr. Morris Central Data Collection Of Children Topaz, Director of the Plastic Surgery Ward at Hillel With Cancer In Israel Yaffe Hospital in Hadera, and Chairman of the The ICA continues to finance the Data Manager International Breast Implant Registry, coordinates posts, coordinated by Dr. Nili Remo, to enable the Israeli registry. the compilation of national data, expand national protocols and strengthen international ties with Cancer Patient Databases Europe and the United States. In the past, the ICA installed computer systems in oncology institutes, with the aim of enhancing ICA-funded Israel Genetic Diagnosis database quality; a Data Collection Sub-Committee Consortium has formulated a standard data structure which The Israel Society of Clinical Oncology and may be integrated in any information system that Radiotherapy and institutes engaging in cancer is available. genetics research continue to conduct a joint study Every year, patient data obtained from oncology on the Genetics of Breast Cancer in Israel. institutes are transferred to the Cancer Data Prof. Efrat Levi-Lahad of Shaarei Tzedek Hospital Collection Unit at the Ministry of Health in a format coordinates the research in collaboration with the formulated and defined by a Sub-Committee Sheba, Rambam, Rabin, Sourasky Wolfson, Kaplan, consisting of members of the Data Collection Soroka, Rebecca Sieff, Sha'arei Tzedek and Carmel and Follow up Committee. In order to implement Medical Centers. The Consortium is also conducting this project, the ICA finances listings and follow 88 Annual Report 2009

up on new patients in many oncology centers among women of Eastern/Western European throughout the country. Over the past year, upon descent, there are high hopes for Israel's participation the recommendation of the ICA Data Collection in this research and for the capacity of its scientists and Follow up Committee, the institutes were to promote this research. required to include disease staging data during The research objective is to conduct an experiment diagnosis in their mid-annual reports (according at the second stage to compare the administration to the system used by the institutes, which for the of docetaxale chemotherapy to that of carboplatine most part is TNM, or other cancer staging system) chemotherapy in women who have genetic breast within their regular reports. cancer and have developed metastases. The research will recruit BRCA 1 carriers and BRCA Joint Anglo-Israeli Multicenter Clinical 2 carriers who will be randomly treated with Research On Breast Cancer Patients docetaxale or carboplatine in a ratio of 2:1 in favor Who Are Brca Gene Mutation Carriers of carboplatine. Several Israeli centers have agreed to take part in The research began in 2009 and subject recruitment a multicenter international research program as is underway at Sheba Medical Center, Tel Hashomer, part of an Anglo-Israeli collaborative effort which the Western Galilee Hospital in Nahariya, and began three years ago at an ICA workshop on Soroka Medical Center. A research coordinator, genetics, under the initiative of Prof. Mike Baum Ms. Lena Halili has been recruited to work out of of London. ICA headquarters to mediate between the various Since the BRCA 1/2 mutation is more prevalent centers and the center in England.

89 Equipment, Construction And Development

Expansion of the Suzy Eban Unit Director, Mrs. Rachel Moriah, Nursing Care Oncology Unit at Ziv Medical Director and Dr. Anthony Lauder – Pediatric Center in Safed through the Department Director. Clore Israel Foundation The Suzy Eban oncology Unit at the Ziv medical Initiation of the center in Safed was expanded by the Clore Sara Markovitch Breast Care Center Foundation. at Kaplan Medical Center An urgent need for expanding this unit arose as a The construction of the Sara Markovitch Breast result of the increasing number of patients at the Care Center has been completed at the Kaplan Oncology Ward at the Ziv Medical Center. Prior to Medical Center, in memory of Sara Markovitch's the expansion the unit attended to 350 patients children Micky and Shimon Slepter of blessed each month. Since the unit’s expansion, the number memory. The Breast Care Center was inaugurated of patients has increased to 480 a month. This in a festive and moving ceremony in October. The gala ceremony was attended by Mrs. Suzy Eban, ICA’s founding President, and representatives of the Clore Foundation donors, Foundation Chairperson, Mrs. Dame Vivien Duffield, Foundation Director, Mrs. Tamar Galai-Gat, Sir David Sieff, Mrs. Kay Weinberger, Mr. Alan Saks, Mrs. Caroline Deletra and Mrs. Miri Ziv, ICA Director General. Participants representing the Ziv Medical Center: Mr. Meir Moskovitch, Chairman of the Ziv hospital friends foundation, Dr. Oscar Ambon, Director of the Medical Center, Dr. Kalin Shapira, Deputy Director of the Medical Center, Prof. Jamal Zidan, Oncology

90 Annual Report 2009

following delivered greetings at the ceremony: Purchasing New Equipment Prof. Yaakov Yahav, Kaplan Medical Center Director, To The Early Detection Of Skin Advocate Mrs. Ruth Salpeter, Executrice of the Cancer For The Tel Aviv Sourasky late Sara Markovitch’s estate and Mrs. Miri Ziv, Medical Center Clinic For Mapping ICA Director General. This is a comprehensive, Malignant Skin Lesions professional and high quality center designed to The ICA assisted in the purchase of medical provide comprehensive treatment, medical service, equipment for the early detection of skin cancer and personal accompaniment and support from the for the Tel Aviv Sourasky Medical Center Clinic moment of diagnosis to the completion of treatments for Mapping Malignant Skin Lesions, enabling and throughout the rehabilitation process. mapping under optimal and standard conditions, thereby increasing the chances of diagnosing and Assistance In Purchasing detecting melanoma. Medical Equipment For Medical Centers Purchasing New Equipment to The Early Detection of Skin Cancer Clinic Purchase Of A Bone Marrow Cancer at Assaf Harofeh Medical Center Detection Device At The ICA assisted in the purchase of medical equipment Bnai-Zion Medical Center for the early detection of skin cancer at the Assaf With the generous assistance of Mrs. Sonya and Harofeh Clinic for Mapping Pigmented Skin Lesions, Mr. Avraham Leis of blessed memory, a Bone to enable the diagnosis and documentation of Marrow Cancer Detection Device was purchased pigmented lesions and detect melanomas at an at Bnai Zion Medical Center. early stage. This device serves to detect bone marrow cancer for the entire population of the northern region Earmarked Donations of Israel. For Constructing Wards And Purchasing Medical Equipment The ICA assists in constructing wards and clinics, and in purchasing state-of-the-art medical equipment for treating cancer patients. The ICA raises earmarked funds to finance the costs involved in this activity. No overhead is taken from the earmarked donations.

The Estate Of Rafael Hadar Of Purchase Of Equipment For The Blessed Memory Comprehensive Breast Care Center Departmental Oncology At Kaplan Medical Center Supervision Unit At Shaare Zedek ICA financed the purchase of equipment necessary Medical Center for the operation of the Sara Markovich Breast A ceremony was held in November to inaugurate Care Center at Kaplan Medical Center. the Departmental Oncology Supervision Unit at 91 Waiting Lounge and Recovery Room for children with cancer undergoing radiotherapy, which was named after Mr. Israel Yaakov and Mrs. Layla Alter of blessed memory.

Shaare Zedek Medical Center. The inauguration of this unit was made possible thanks to a donation made to the memorial fund in honor of Rafael Hadar of blessed memory.

The Estate Of Israel Yaakov Alter Of Blessed Memory • An offices floor was purchased to serve as a Support Center for cancer patients and their families, as well as to serve as home of the ICA Jerusalem Branch. Officess were purchased with financial assistance from the estate of Mr. Israel Yaakov and Mrs. Layla Alter of blessed memory. • The ICA has assisted the Rabin medical Center in financing the purchase of software with the aim of improving service provided to patients at the new Radiation Center at Davidoff Center. 92 Annual Report 2009

The software are: • ARIA – software, servers and stations for managing patient medical files in order to monitor radiation and its effects. • IGRT – linear accelerator hardware and software to help determine the optimal location of the patient prior to administering radiation treatment. • D4 Simulator – server and software that neutralize the volatility of organs in order to optimize radiation precision level. The initiation ceremony of the room took place in January 2010. This assistance was made possible through the estate of Mr. Israel Yaakov and Mrs. Layla Alter of blessed memory.

The Estate Of Avraham Stuczinski Of Blessed Memory Institute at Assaf Harofeh Medical Center • A Laser Device for photodynamic treatments for through the Mrs. Sophie and Mr. Avraham solid tumors was purchased for the Oncology Stuczinski Foundation.

93 Volunteers And Special Events

Thousands of ICA volunteers dispersed throughout over 70 branches all across Israel actively participate in diverse events throughout the year, initiating conferences, performances and special events, the proceeds of which go to the ICA. Some of these events have become a long-standing tradition. Main Fundraising Events Held This Year Netanya Branch Bricks Along The Journey In October 1996 Mrs. Ellen Ganson was diagnosed fundraiser spread throughout Cincinnati and a lot with breast cancer. She told her mother: "I feel of friends, family members, and artists volunteered as though I was hit with a ton of bricks. I want their time and effort in preparing this event. Ellen to fight back... and make a change – if not for Ganson of blessed memory died when she was myself, then for my daughter, my nieces, and all only 49; however, her family and friends continued of their daughters". her legacy by selling bricks. A colorful ornament in the garden, made of a broken The project was initiated by Mrs. Beth Goldfarb brick inspired her to create art works from bricks in of Cincinnati who helped realize the project and order to fundraise for breast cancer research. attended the opening ceremony, delivering a She and her aunt Mrs. Marcia Levitas, an artist moving speech. who also contracted breast cancer over thirty In collaboration with the city of Cincinnati, the ICA years ago, reviewed the idea of putting bricks that Netanya Branch, headed by energetic coordinator Marcia painted in different places and contributing Mrs. Dina Rothschild, rolled up her sleeves and the proceeds to the Cincinnati Breast Cancer initiated, organized and implemented the Bricks Foundation. This is how the "breast cancer brick along the Journey project in Israel, in collaboration auction" was born. The rumor about this unique with Cincinnati’s Jewish Federation Partnership 2000

94 Annual Report 2009

initiative, in which Netanya and Cincinnati are "sister cities", and also in association with the Netanya Artist’s Association and the Municipality of Netanya. The festive auction was held in a gallery on a cliff in Netanya, courtesy of the mayor of Netanya, Mrs. Miriam Feiberg Ikar, ICA Director General Mrs. Miri Ziv, and Chairperson of the Partnership 2000 Initiative Netanya-Cincinnati, Mr. David Kraus. The public auction was moderated by Mr. Menahem Ne’eman who volunteered his services. Mr. Ne’eman is also the moderator of the Netanya Outstanding Citizens Award Ceremony. All the bricks were donated by Ackerstein Company of Herlizya and the members of the Netanya Painters Association, along with artists from outside Netanya, who volunteered to paint the bricks. The event opened with a performance by the Elazarki Children’s Choir of Netanya. The city’s mayor event. All the event proceeds were dedicated to a delivered greetings, as did ICA Director General and research, education and support project for breast Chairperson of Partnership 2000 initiative Netanya- cancer patients. Cincinnati. During the ceremony, certificates of appreciation were awarded to Mrs. Beth Goldfarb Haifa Branch of Cincinnati and to all those who contributed to Public Auction And Bazaar the event. A special donation was received from The Claire and Emanuel G. Rosenblatt Support the Hadarim Shopping Mall in Netanya, to assist in and Activity Center at Olga and Aharon Rosenfeld the project which was the focus of the evening. All House, ICA Haifa Branch, held a public auction the newspaper, billboard, radio, and Internet ads and bazaar at the "Tiltan" College for Design and and invitations were donated by the Municipality Communication in Haifa, the proceeds of which of Netanya. Radio 90 FM also enlisted its support went to the ICA. for this cause and broadcast a special public service announcement for several days to promote the Art works, Judaica, silver articles, jewelry and paintings by Israeli artists were all sold at the public auction. Among the items that stood out were a silver Hannuka menorah and a pair of silver candlesticks from Poland dating from 1864. Hundreds of guests who arrived enjoyed the wine and refreshments. Prof. Eliezer Robinson, ICA Chairman, Mrs. Miri Ziv, ICA Director General, and Mr. Erez Yisascharov, Managing Director of "Tiltan" College, delivered greetings. Tiltan College donated the space that became a colorful 95 Over 350 guests who arrived at the event received a rose from a Branch volunteer standing at the entrance, and a pair of South American musicians-singers enthused guests, getting them into the spirit of the occasion. Participants enjoyed refreshments based on South American cuisine, served by "Chic Eruim". Sensual tango music, orchestrated by International Judge Mr. Eli Mizrahi and his dance studio, captivated the audience, with Mizrahi leading the dance in and unique bazaar. The college staff and some person and enthusing the dancers. The music and of the students designed and photographed lighting were courtesy of "Vertigo". The evening a catalog produced with the approach of the ended with a raffle moderated by Menahem Perry. public auction. One of the guests won first prize – a pair of flight tickets to Turkey, donated by the "Magic Carpet" The auction was initiated and successfully orchestrated (Hashatiach Hame’ofef). by Branch Chairman, Advocate Mr. Meir Hefler, the driving force behind this event, in collaboration with Mrs. Yaffa Koren, Branch Director, and the Branch secretary, the indefatigable Judy Rabinovitch. The ICA Haifa Branch is a hub of diverse activity, workshops, classes, lectures and support for cancer patients and their families. The items that were left over from the auction and other items were sold at booths that operated on Fridays at the "Kabbalat Shabbat" (welcoming the Sabbath) events held by the Municipality of Haifa.

Jerusalem Branch Purim Ball In Red And Black The ICA Jerusalem Branch, headed by lively Chairperson, Advocate Mrs. Ettya Simcha, held its annual Purim Ball in March at the Bible Lands Museum, in collaboration with incoming mayor of Jerusalem, Mr. Nir Barakat. The theme of this year’s ball was "Tango in Red and Black", and it was in this spirit that the hall and invitations were designed. The hall donated by the museum, was decorated by Mrs. Nitza Nave, the Branch’s in- house designer who volunteered her services. 96 Annual Report 2009

Dimona Branch gave each child a sticker bearing the "Sun Smart" "Sun Smart" logo and a coloring book on the subject. Early Childhood Program The Dimona Branch works a great deal among As part of the ICA "Sun Smart" Campaign, children children and has raised their awareness of the from "Reut" preschool in Dimona were guests of dangers involved in uncontrolled sun exposure, the city’s ICA Branch, where they received a very starting from preschool age. This is done early on warm welcome. The Branch’s dedicated Chairperson so that the children internalize the warnings and Mr. Avraham Azarzar, spoke with them, and also pass on this vital message to their parents. explained the dangers involved in uncontrolled exposure to the sun. Nurit, a Branch volunteer, *Additionally, events were held at other branches throughout Israel. The ICA Ramat Hasharon Branch deserves honorable mention for holding a fundraiser with singer dancer Mrs. Galit Giat and the Latin Americano Ensemble, and the ICA Ashdod Branch once again held its traditional ball in the presence of the city’s mayor, Mr. Yehiel Lasri, who delivered greetings, and with performing artists, Adam and Dafna Dekel who volunteered to perform, moving the audience with their personal story of their mothers who died of cancer, and the list goes on and on.

97 Friends Of The ICA Abroad

ICA USA dedicated a donation in honor of Alex Wexelman, and a donation in memory of Claire and 2009 started with the annual Gala featuring a "Hooray Emanuel G. Rosenblatt; Nancy and Peter for Hollywood" theme. Rhoda & David Chase, Brown1 dedicated a donation in memory of Eric Grand Honorary Chairmen; Nancy Brown & and Melvin Brown; Harvey and Lee Poppel Jan Willinger, Honorary Chairmen; Alec & dedicated a donation in memory of Fritzi Poppel Miriam Flamm, Grand General Chairmen; and and Mary Daigneault; Rhoda and David Chase Lexye Aversa, Gala Chairman, were honored at dedicated a donation in loving memory of a kick-off reception, hosted by Palm Beach jeweler Marlene Apter Kittredge; David Markin dedicated Tracy Dara Kamenstein. The Gala took place a donation in honor of his wife Tracy; Rita and at The Breakers in Palm Beach. Special thanks to Richard Weinstein dedicated a donation in Nancy & Peter Brown, Rhoda & David Chase, memory of Beatrice Kaplan Brown. and Lee & Harvey Poppel, the Gala’s Hollywood ICA USA dedicated a donation in honor Mogul Benefactors; Film Director Patron of the 2008 Gala Co-Chairwomen: Miriam & Alec Flamm; and all of our Red Carpet Cobey Rapaport, Nancy Brown, Jan Willinger, Stars and Celebrity Supporters. and Elizabeth Thompson. In addition, the ICA USA cancer research fellowships for 2009 were ICA USA dedicated a donation in honor of donated by: The Azeez Foundation; The Louis & Mr. Charles Bronfman and another donation in Marcia Schneider Fund1; Harry and Ida Shooster; honor of Ida and Harry Shooster. The Polishook Family; Linda R. Kaminow Additionally, Education Donor Gene Hoffman’s generous contribution will be used to provide tutors for children in Israel who are being treated for cancer (Hope for Life project.)

Professor Yosef Yarden, Professor at the Weizmann Institute of Science, Chairman of the ICA Scientific Research Committee and internationally reputed scientist, was invited in April to be a guest of ICA- USA. During this visit, Prof. Yarden met with scholars at the Sari Asher Center for Integrative- Cancer Care at the Palm Beach Cancer Institute in West Palm Beach, Fla. In addition, Prof. Yarden conducted a Lunch and Learn session entitled, "Therapy of Cancer: Reasons for Hopeful but Cautious Optimism." and introduced the ICA activities. Dr. Neal E. Rothschild, Chairman of the ICA USA Regional Scientific Board

Left to right: Rhoda and David Chase 1 Funded multiple fellowships 98 Annual Report 2009

served as host for the event. Peter & Nancy Brown been in the securities business for more than 14 hosted a lovely dinner at their beautiful Palm Beach years. Dr. LaManna is an extensively published home in Yarden’s honor to meet with donors and specialist in nuclear medicine and nuclear cardiology. board members. In oncology, her expertise is in positron emission Following this visit an initiative was prompted to tomography – PET and PET/CT. In cardiology, she is hold a scientific meeting between Israeli scholars an expert in coronary CT angiography, SPECT, and and scholars from the Cancer Center at the Scripps cardiac PET. Israeli-born Dr. Peles is a hematologist/ Research Institute in Florida. This meeting took place on oncologist at Palm Beach Cancer Institute. He is January 20, 2010, with Prof. Yosef Yarden, Miri Ziv also a consulting associate in the Department of – ICA Director General, Prof. Batsheva Kerem, Medicine at Duke University Medical Center. Prof. Doron Ginsberg, Dr. Ronit Satchi-Fainaro Mr. Richard Karp is the new president of the ICA and Prof. Shai Izraeli in attendance. USA Board of Directors. Executive Vice-Presidents are Deena Freeman, Gene Hoffman and Harvey L. Poppel. Treasurer is Dianne Meckler and Secretary is Celia Jacobs. Nearly 200 people attended the Annual Membership Brunch in December at The Four Seasons Resort in Palm Beach, Fla. ICA USA awarded two doctors from the Palm Beach Cancer Institute, Dr. Neal E. Rothschild and Dr. Robert J. Jacobson, with the Emanuel G. Rosenblatt Award for Scientific Achievement in recognition of their outstanding commitment to their patients and furthering the cause of cancer research in Israel. Guest speaker, John L. Cleveland, Ph.D., Professor Left to right: Professor Yosef Yarden and Gene Hoffman and Chair of The Department of Cancer Biology at In addition to the scientific meeting, the participants The Scripps Research Institute at Scripps, Florida, will be holding meetings with the ICA-USA Executive Board, donors and potential donors. The Board of Directors installed four new board members: Dr. Richard Boxer and Jeremy Schneider; and Margaret M. LaManna, M.D. and Dr. Shachar Peles, as part of the Regional Scientific Board.

Dr. Boxer is Chief Medical Officer of TelaDoc Medical Services. He won a national award for cancer research and was awarded a Presidential Citation from the American Urological Association for excellence in Urology. Mr. Schneider is a Vice Left to right: Dr. Robert J. Jacobson, Jane and Richard Karp, President at Deutsche Bank Alex. Brown and has Dr. Neal E. Rothschild. 99 presented, "Cancer Campaigns: New Avenues for Prevention and Cures." Jane Hausman Karp of Palm Beach, Florida, served as membership brunch chairwoman; Linda R. Kaminow was honorary chairwoman; Peter Brown, Judy Messing, and Jan Willinger were vice chairmen. Canada Left to right: Ruth Hofmann and Petra Kaffeesieder Mr. Doron Opher, Chairman of the Friends of the Frankfurt, has been supporting the activity of the ICA in Canada continues his efforts on behalf of the Frankfurt Branch for the past three years. This year, ICA. The Friends of the ICA in Canada held a wine seeing as the event coincided with Valentine’s tasting event on the 14th of June at the home of Day, each participant received a rose from the Ms. Ida Tilis in Toronto, with the assistance from hotel, in addition to a free guest pass to use the Ms. Simona Shnaider. Mr. Amir Gissin, Israel’s Fitness Center’s facilities over the weekend. The Consul General for Toronto and Western Canada, evening concluded with a speech delivered by the spoke about the ICA activity and the ‘Michal’- Chairperson, Mrs. Petra Kaffeesieder, about the National Mammography Project. All wines were activity of the Friends of the ICA in Frankfurt on donated by Mr. Gabriel Regev. behalf of children with cancer.

Left to right: Left to right: Simona Shnaider, Amir Gissin Israel’s Consul Daphna and Doron Opher General for Toronto and Western Canada, and Ida Tilis Israeli Mezzo-soprano Dalia Schaechter performing Jiddisch Songs at the 25th anniversary celebrations of the ICA Friends Frankfurt, Germany in Frankfurt Friends of the ICA in Frankfurt celebrated 25 years of activity in February. The first Chairperson of the Berlin, Germany Branch, Mrs. Ruth Hofmann, who established the Throughout the year of 2009 the Joint Israel- Friends of the ICA in Frankfurt, and the energetic Germany Friends of the ICA, headed by Chairperson Mrs. Petra Kaffeesieder, the current chairperson Mrs. Galinski, Vice Chairperson Mr. Zehden, of the Branch, who has been serving for the past Vice Chairperson Mr. Weiss, Communication decade, joined in the celebration. Manager Mrs. Groth and Communication Assistant The evening also featured a performance by soprano Mrs. Loeb, continued their dedicated efforts on Dalia Schaechter who sang songs in Yiddish. behalf of children with cancer. In December 2009 The "Wave" Fitness Center, headed by manager Mrs. Friede Springer was appointed as new Mr. Mosby, and located at the Hilton Hotel in Chairperson of the Joint Israel-Germany Friends of 100 Annual Report 2009

the ICA. In 1987, Mrs. Springer fulfilled the wish Holland of her late husband Axel Springer by dedicating a generous donation, assisting the ICA to purchase The Friends of the ICA in Holland, headed by a new linear accelerator for the Tel-Aviv Medical Mr. Bob Drake, continues its dedicated support of the Center. Linear accelerators, which are powerful ICA activity. This year the Friends of the ICA in Holland and sophisticated pieces of equipment, are used assisted in financing research on: "Ubiquitin-proteasome for radiation therapy for oncology patients. targeting of mitochondrial proteins", a study conducted by Dr. Michael Glickman at the Technion in Haifa, Munich, Germany in collaboration with Dutch scientist, Dr. Weib Eva at the Cancer Institute in Holland. Additionally, the The annual fundraiser of the Friends of ICA in Munich, Friends of the ICA in Holland assists Dr. Ehud Miller headed by the dedicated Mrs. Anita Kaminski, was at the Tel Aviv Sourasky Medical Center during his held in November 2009 at "Seehaus im Englischen year of continuing education concerning the Moss Garten" restaurant, situated in Munich's famous English technique (removal of skin cancer growths), in the Garden. Thanks to the generosity of Mr. Roland Kuffler, city of Rotterdam in Holland. During his stay in Israel the owner of the restaurant, the annual event has in honor of the Maccabiah Games, Mr. Bob Drake been taking place at the "Seehaus" for many years. visited the ICA offices in Givatayim and met with The event included a 3 course dinner followed by Mrs. Miri Ziv, ICA Director General. a unique dessert of homemade cakes prepared by Mrs. Joya Gitbud. The guests enjoyed the show London, England performed by popular composer and comedian The Friends of ICA in London, headed by energetic Mr. Willy Astor. In addition, Prof. Schaffer Moshe, Mrs. Vered Aaron and committee members held the Radiotherapy oncologist at Rambam Medical Center annual event on January 2009. There was a delicious (Haifa) gave a lecture. The successful evening buffet dinner prepared by the committee members. The concluded with a special auction of a flight to Spain evening continued with an auction with all proceeds going with Limousine service to the airport. towards the advancement of the fight against cancer diseases in Israel. The wonderful evening ended with a presentation of Dr. Sigal Sadetski on her research of the impact of new and old technologies of cell phones and x-rays. Through the funds raised at the event, the Friends of the ICA in London assisted in promoting cancer research: the research study of Prof. Haim Azhari at the Technion on "Contrast enhanced computerized ultrasonic mammography", and the research study

Left to right: Helga v.Ferenczy, Nira Schneider, Anita Kaminski, of Prof. Reuven Or, at Hadassah Medical Center, Ein Elik Ohana, Laili Gitbud, Ulli Heuss, Christa Volke Karem, on "Activated mesenchymal cells and Kynurenine Switzerland as therapy for graft versus host disease in bone marrow transplanted mice.", has been financed as well. In addition, The Friends of the ICA in Switzerland, headed Friends of ICA in London assisted in the purchase of an by devoted Dr. Ronald Fried, continue their ovary freezing system for unmarried women, prior to dedicated efforts and support of various cancer chemotherapy treatment. The system was purchased research fellowships. for Soroka Medical Center in Beer-Sheva. 101 Annual Door Knock Fundraising Campaign – 2008/2009

2008/2009 "Door Knock" colonoscopy) and more. "The morbidity rates among Fundraising Campaign the Jewish population of Israel in all diseases have Kickoff moderately increased since the 1990’s, and have remained stable", indicated Dr. Barhanna. "Since The ICA held a press conference in October in honor 2002 a consistent declining trend in morbidity rates of the opening of the "Door Knock" Fundraising has been recorded in all malignant diseases among Campaign for 2008-2009, in which up-to-date women. Among men, there has been a moderate statistics on morbidity in Israel were announced increase in morbidity rates up until 2004, followed featuring the following details: morbidity trends by a decline in morbidity. This declining trend in according to types of cancer, the progress of the morbidity rates stems mainly from the decline that National Program for the Early Detection of Breast has been observed in breast cancer among women, in Cancer, the Framework Convention on Tobacco colorectal cancer among both sexes and the decline Control, a special survey conducted by the ICA in morbidity rates in throat and lung cancer". and new research studies underway. Additionally, the annual "Door Knock" Fundraising Campaign Prof. Gad Rennert reported on the statistics of the kickoff was announced on Oct. 27. National Program for the Early Detection of Breast Cancer. These data indicate that there has been The press conference was attended by Prof. Eliezer an increase in the number of women tested, as Robinson, ICA Chairman, Dr. Micha Barhanna, well as in early detection rates; additionally gaps in Director of the Health Ministry’s National Cancer compliance rates between different sectors of the Registry, Prof. Gad Rennert, Director of the population have been narrowed. He also referred National Program for the Early Detection of Breast to the new research study, in which scientists under Cancer, and Chair of the Door Knock Campaign his tutelage examined the link between statin for 2008, Mr. Haim Katzman, Chairman of Gazit consumption and breast cancer. Statistics from Globe Real Estate Company. Mrs. Miri Ziv, ICA 2,252 cases of breast cancer were reviewed for Director General moderated the event. this purpose; these subjects were diagnosed in the northern region of Israel from 2002 to 2007, with Dr. Micha Barhanna presented the trends in the control population consisting of 2,252 women morbidity over the past 20 years. According to from the general population, respective of age, sex these statistics, one may discern that in recent and ethnic background of subjects. years that has been a trend of decline in diseases that are preventable and may be detected early on, The subjects were asked whether they took statins which are ICA’s mainstay: lung cancer (reducing for a period of at least 5 years. 781 (17.3%) of all smoking), invasive breast cancer (mammography subjects in the research study took statins. The screening and awareness of the importance of early research results indicate that statins decreased detection), colorectal cancer (fecal occult blood and the risk of contracting breast cancer by 25%. 102 Annual Report 2009

"This is a most significant decrease", said Prof. to say: "Gazit sets itself the objective of assisting Rennert. "This is an initial research study with results the fight against cancer. There is no doubt that the indicating the need for further studies to examine ICA bears the heavy onus of the war on cancer, the possible advantages of statins". through different and diverse channels, from assisting patients to promoting research, in order Prof. Eliezer Robinson, ICA Chairman, reported to find a cure for the disease. This is not an easy that "at the UICC conference held in Geneva in time for the corporate sector, and the darkness August, a World Cancer Declaration was formulated, that has befallen us has not yet dispersed, and will providing the current status of cancer diseases and not disperse in the near future. It is particularly calling for international action to reduce cancer during these trying times that we as members morbidity and mortality. Over 60 top experts and of the business community must remember our activists throughout the globe signed the declaration duty and our right to continue assisting those addressing all governments, experts and volunteer same entities which remain uninfluenced by representatives, and referring to the complexity the financial situation and continue to have the involved in the scale of cancer morbidity, as well as same needs. steps that must be taken and priorities that must be set in order to reduce cancer morbidity and "Cancer does not distinguish between highs and mortality. According to the convention, about 7 lows, between children and elderly", added Mr. million people die each year of cancer diseases. If Katzman. "Those who need treatment cannot the known measures for disease prevention and wait for a different timetable when the economy early detection will not be implemented deaths will improve. They need treatment now! Research from cancer worldwide will soar to an estimated cannot wait either. It needs financing now! Please 12 million in 2030, more than those who die of allow me to call upon my fellow business community AIDS, typhus and malaria combined. colleagues and enlist their support for this campaign; I would request that they contribute generously Cancer is the leading cause of mortality around to the ICA. I would like to wish a speedy recovery the globe, and the main cause which may be to all the cancer patients and good health to the prevented is smoking, added Prof. Robinson. people of Israel. Thank you to all the supporters and Avoiding smoking can significantly reduce cancer volunteers who take part in this crucial activity and morbidity and mortality in general as well as thank you to the ICA for giving me the opportunity lung cancer morbidity and mortality in particular. to assist in such a noteworthy endeavor". Additional leading causes are: nutrition that leads to obesity, lack of physical exercise, excessive alcohol consumption, viruses and occupational exposure 7.3% Of The Public Thinks That to carcinogens. In the wording of the declaration Cancer Is Not Predestined a guideline for reducing cancer morbidity and A Survey Of Beliefs And Perceptions mortality was drafted for countries to follow. "I About Cancer Conducted By The Ica can say with satisfaction that the guidelines that Marking The Launch Of The "Door were formulated correlate with ICA priorities", Knock" Fundraising Campaign Prof. Robinson summed up. Beliefs and perceptions regarding cancer prevention, Mr. Haim Katzman, Annual Door Knock Fundraising early detection and treatment of the disease, have Campaign Chairman for 2008, had the following a direct effect on lifestyle, participation in screening 103 programs for early detection and personal decisions World Cancer Declaration defined was the change regarding treatment in case of coping with the in erroneous perceptions about cancer and coping disease. Over the past year, the UICC, in collaboration with the disease. with cancer organizations, has conducted a broad- "The ICA launched an information campaign this based survey of 29 countries examining beliefs and year calling for the adoption of a healthy lifestyle. behaviors regarding cancer. In total 29,925 people National programs could help change beliefs and were surveyed. The ICA participated in this research lifestyle and thereby save lives. We shall continue with the initial results announced upon the approach to promote this potentially life-saving activity". of the Door Knock Fundraising Campaign, and also conducted an omnibus survey in Israel. The survey Closing Ceremony Of The results show that 82.2% of Israelis believe that one "Door Knock" Fundraising may influence the chances of a cure. Campaign And Event According to a UICC survey, 83% of inhabitants of Marking The End Of countries with a high per capita income believed 2008 Activity that there is a possibility of influencing the chances An auditorium decorated with flowers and signs of a cure, as opposed to 61% of inhabitants of welcomed ICA volunteers who arrived at the closing countries where the per capita income is average ceremony of the "Door Knock" campaign and the and only 52% of those residing in countries where event marking the end of 2008 activity, held in the per capita income is low. These statics reflect March at the Givatayim Theater. The moving song the expectations from the medical system. In low of Boaz Sharabi, "Latet" (giving) could be heard in income countries, technology is less developed the background and slides were screened on the and there are almost no early detection programs wall, demonstrating the diverse activities conducted available, meaning the disease is detected at a later by ICA branches throughout the year. stage, when there are few treatment options. In countries where there is a high income per capita, The ceremony opened with the piano playing of people believe more in the capacity to cure the an ICA employee, Mr. Edi Shapiro, and his wife disease. The survey further indicates that 18.2% of Mrs. Genia Shapiro. Following greetings delivered Israelis believe that cancer is predestined and that by the mayor of the host city, Mr. Reuven Ben it cannot be prevented, however 70.3% believe Shachar, a speech was delivered in memory of that certain types of cancer can be prevented by Mr. Benny Gaon of blessed memory who served adopting a healthy lifestyle. as ICA President, and his commendable volunteer activity to promote the fight against cancer diseases This improves the statistics in Israel. In a survey was also cited. conducted by the ICA three years ago it emerged that 23% believed that cancer is predestined and ICA Chairman, Prof. Eliezer Robinson, and ICA 66% thought that in some cases the disease may Vice Chairman, Mr. Leon Recanati, delivered be prevented. "The survey indicates that despite greetings and emphasized the commendable activity the improvement in the public’s attitudes, there of ICA volunteers and their significant contribution are still erroneous perceptions about causes of to the war on cancer. Mr. Recanati commended cancer", said Mrs. Miri Ziv, ICA Director General, Mrs. Rivka Balistra, ICA Branch and "Door Knock" and added that "one of the targets that the UICC Campaign Director, upon her assuming the position 104 Annual Report 2009

"Door Knock" Fundraising Campaign Ceremony 2008-2009 At The Presidential Residence

In a gala and impressive ceremony, the President of the State of Israel, Mr. Shimon Peres, dignitaries and many volunteers gathered at the Presidential Residence for the opening ceremony of the "Door Knock" Fundraising Campaign 2008—2009. Among the personalities present at the ceremony were the President of the State of Israel and ICA patron, Mr. Shimon Peres, ICA Chairman Prof. Eliezer Robinson, ICA Vice Chairman, Mr. Leon Recanati, this year’s Door Knock Fundraising Campaign Chairman, Mr. Haim Katzman, ICA supporters hailing from London, the Reuben family, Prof. Daniel Kopans, and Prof. Varda Rotter. Traditionally, the ceremony was moderated by ICA Director General, Mrs. Miri Ziv, and was accompanied by moving songs by Tal Bornstein, who is a participant in the ICA "Young Adults" group, for young people who have contracted and are coping with cancer as they start their lives as independent adults. A certificate of appreciation was awarded toProf. Daniel Kopans, a radiologist and Director of the Breast Imaging Dept. affiliated with the Harvard School of Medicine in Boston, who assisted along with Prof. Sickles, in conducting intensive workshops to train radiologists in Israel, and a certificate of appreciation was also presented to Prof. Varda Rotter, Director of the Molecular and Cell Biology Dept. and a senior investigator at the Weizmann Institute of Science, for her contribution to the ICA as a longtime member of the ICA Executive Committee. Prof. Rotter engages in the research of processes involved in the development of cancerous growths and in detecting processes that have an impact on the resistance of tumors towards anti-cancer drugs, and was also responsible for new findings of great significance. A day before the ceremony at the Presidential Residence, thanks to the significant contribution made byDavid, Debra, Simon and Joyce Reuben, and a fundraiser held by the Friends of the ICA Chapter in London, headed by Mrs. Vered Aaron, the Reuben Foundation Breast Health Center was inaugurated at Linn Clinic in Haifa. The Reuben family enabled the ICA to establish the Nancy Reuben Comprehensive Breast Health Center at Meir Hospital four years ago with their generous contribution. Now, as mentioned, again thanks to their munificent assistance, this new professional and high quality center has been established to provide women of the Haifa and northern region with state-of-the-art comprehensive breast cancer care, including personal accompaniment and support from the moment of diagnosis and throughout all stages of the coping and rehabilitation process. For their highly commendable contribution to the advancement of the fight against cancer in Israel, the President of the State of Israel, Mr. Shimon Peres awarded David and Simon Reuben, and their wives Debbie and Joyce, with a special certificate of appreciation. As every year, Mr. Leon Recanati, ICA’s dedicated and energetic Vice Chairman, passed the 2008-2009 campaign torch to Mr. Haim Katz, the incoming Campaign Chairman, and Mr. Shimon Peres, the President of the State of Israel, awarded the presidential Residence’s donation to the Door Knock Campaign to three outstanding students: Eden Levi, sixth grader at the Ashlim elementary school in Holon, and Wahil Athmana and Teddy Mamo, 9th graders at the Experimental School in Jerusalem.

105 formerly held by Mr. Gabi Weiss. Following a brief branches and their employees. The ceremony overview of the "Door Knock" campaign by Mrs. participants also updated on the collaboration Meira Gluska, the Volunteers Coordinator who between the ICA and external entities: retail outlets, orchestrated the ceremony, excited representatives EL AL airlines and the Israel Prison Service, and there of 11 schools came up to the stage and received was a screening of a clip produced in the wake of cups for outstanding volunteerism. Adir Hanuni, a a collaborative project with EL AL. sixth grader from "Ofira Navon" school in Kfar Saba Mrs. Miri Ziv, ICA Director General, warmly expressed thanks on behalf of the students. greeted the volunteers and gave an overview of Mrs. Dalia Slutzki, Tiberias Branch Chairperson, ICA activity over the past year. The research grants and her daughter Dafna moved the audience when were awarded by Prof. Yosef Yarden, ICA Research they sang their rendition of the song "Amen" and Committee Chairman. garnered a huge round of applause. During the second half of the ceremony, participants The main motif that accompanied the ceremony heard an extensive overview of branch activity this year was the collaboration between the ICA conducted through various channels during 2008,

106 Annual Report 2009

107 volunteers who had passed away were remembered of the Beit Shemesh Branch and an ICA volunteer and, on a happier note, mention was made of all for the past 35 years, Mrs. Hanaa Hilu, Director the volunteers who received citation awards for General of the Yefie Council and anICA volunteer outstanding service in their place of residence, for over 40 years, and Mrs. Naomi Meir, volunteer for commendable volunteer activity. Certificates in collecting charity boxes and in various activities were distributed to the outstanding branches in at the Haifa branch for over 35 years. This year, for all areas of activity. Mrs. Hava Tzruya, veteran the first time ever, a Lifetime Achievement Award Coordinator of the Kfar Saba Branch, delivered was presented to Mrs. Hava Waterman of the greetings on behalf of the volunteers. Netanya Branch, who has been an ICA volunteer for 53 years. Hava, a 90 year old continues to volunteer During the ceremony, Mr. Michael Hayat shared and assists in accompanying and supporting patients; the audience with his personal story. His daughter, additionally, she volunteers for the "Door Knock" late Sigal, died from cancer during her military Campaign activity held at the branch. service. Michael described his daughter's struggle to disease and noted the support of the Association The duo Avi Russo and Edith concluded the and its contribution to his family difficult moments. ceremony with Israeli folk songs and songs from Three certificates were awarded to outstanding the sixties, enthusing the crowd who joined in the volunteers: Mrs. Rina Berkovitz, Chairperson singing and clapped their hands.

108 Annual Report 2009

Annual ‘Door Knock’ Fundraising Campaign Chairmen

The following is a list of public figures who served as ‘Door Knock’ Campaign Chairman on behalf of the Israel Cancer Association. Former Chairmen and the positions held at the time of appointment:

1962 – Lt. General (Res.) Mr. Haim Laskov (dec.), 1979 – Mr. Benno Gitter (dec.), Economist, Managing Director, Port Authority Businessman 1963 – Attorney Gideon Hausner (dec.), Government 1980 – Mr. Moshe Schnitzer (dec.), President, Legal Advisor Israel Diamond Exchange 1964 – Mr. David Ben-Gurion (dec.), Israel’s 1981 – Mr. David Hachamy (dec.) Chairman, first Prime Minister and a Member of Insurance Companies Association Knesset 1982 – Mr. Yekutiel Federman (dec.), Industrialist 1965 – Mr. Kadish Luz (dec.), Knesset Speaker and Businessman 1966 – Mr. Yisrael Barzilai (dec.), Minister of 1983 – Mr. Aharon Meir (dec.), Managing Director, Health Bank Hamizrahi Hameuhad 1967 – Mr. Yigal Alon (dec.), Minister of Labor 1984 – Mr. Avraham Agmon (dec.), Managing 1968 – Mr. Teddy Kolleck (dec.), Mayor of Director, Delek Co. Jerusalem 1985 – Mr. Mordechai Gur (dec.), Minister of 1969 – Mr. David Horowitz (dec.), Governor, Health Bank of Israel 1986 – Mr. Shlomo Lahat, Mayor of Tel Aviv 1970 – Prof. Albert Sayvin (dec.), President, 1987 – Mr. Yisrael Kessar, Secretary General, Weizmann Institute of Science Labor Union 1971 – Mr. Victor Shem Tov, Minister of 1988 – Mr. Dani Gillerman, President, Chamber Health of Commerce Association 1972 – Mr. Yosef Almogi (dec.), Minister of 1989 – Mr. Leon Recanati, Co-Director, I.D.B. Labor 1990 – Mr. Ehud Olmert, Minister of Health 1973 – Mr. Shimon Peres, Minister of Defense 1991 – Mr. Simcha Dinitz (dec.), Chairman, 1974 – Mr. Asher Yadlin (dec.), Chairman, Clalit Jewish Agency Healthcare Fund 1992 – Mr. Eli Horowitz, Managing Director, 1975 – Dr. Yosef Burg (dec.), Minister of the Teva Pharmaceutical Industries Ltd. Interior 1993 – Mr. Benny Gaon (dec.), Managing Director, 1976 – Mr. Mark Moshevitz (dec.), President, Koor Industries Ltd. Manufacturers Association 1994 – Mr. Emanuel Gil, President, Elbit 1977 – Mr. , Minister of Housing and 1995 – Mr. David Wainshal, Managing Director, Construction Migdal Insurance Ltd. 1978 – Mr. Yisrael Pollack (dec.), Industrialist, 1996 – Mr. Yair Hamburger, Managing Director, Textile Conglomerate Owner Shiloah-Harel Insurance Ltd. 109 1997 – Mr. Yaakov Peri, President and Managing 2003 – Mr. Shraga Biran, Attorney and Director, Celcom businessman 1998 – Ms. Galia Maor, Director General, Bank 2004 – Mr. Muzi Verthaim, Chairman Coca Cola Leumi Israel 1999 – Mr. Shlomo Nechama, Managing Director, 2005 – Mr. Israel Makov, CEO Teva Pharmaceutical Arison Investments, Chairman of the Board Industries Ltd. of Directors, Bank Hapoalim 2006 – Mr. Avigdor Kaplan, CEO Clal Insurance 2000 – Mr. Kobi Alexander, Chairman of the Company Board of Directors and International 2007 – Mr. Benny Steinmetz, businessman President, Comverse Technology 2008 – Mr. Haim Katzman, chairman of real 2001 – Mr. Lev Leviev, Chairman, Africa Israel estates company "Gazit Globe" Investments 2009 – Mr. David Franklin, chairman, board of 2002 – Mr. Yossi Meiman, President of Merhav directors "Sugat" Industries Ltd. Group and Chairman of the Board of Directors of Channel 10

110 Annual Report 2009

Bequests, Legacies And Commemorations

The Israel Cancer Association deeply appreciates all its friends and volunteers who during their lifetime left special bequests to continue contributing to ICA activities for cancer patients and their families.

• Ben-Eliezer Avigdor Hadera • Iser Fishel of blessed memory • Berger Adela of blessed memory • Kleinman Hava of blessed memory Kiryat Tivon • Bertel Adela of blessed memory Jerusalem • Levi Gertrude of blessed memory Herzliya • Dror Halina of blessed memory Tel Aviv • Levinger Erica of blessed memory Tel Aviv • Faulkner of blessed memory Germany • Lieberman Stephania of blessed memory • Fenster Zvi of blessed memory Holon Haifa • Fishel Iser of blessed memory Kiryat Ata • Lies Sonya of blessed memory Kiron • Gibli Binyamin of blessed memory Tel Aviv • Lobel Gita of blessed memory Ashdod • Gilad Simcha of blessed memory Petah Tikva • Lobovsky Arela of blessed memory Haifa • Grimberg Paulina Tel Aviv • Ser Dorin of blessed memory Tel Aviv • Gurevitch Eliyahu of • Shalom Yitzhak of blessed memory Jerusalem blessed memory Yavnel • Wolf Hava of blessed memory Haifa • Harris Asher Felix of • Zisser Roche of blessed memory Tel Aviv blessed memory Jerusalem

Commemorations Commemorations honoring the memory of loved ones may be made through the Israel Cancer Association in several ways: The name of the loved one may be engraved on an ornate plaque on the Commemorative Wall situated in the Sir Charles Clore Hostel garden, or at ICA headquarters, or in different hospital wards around the country.

Commemorative Wall in the Sir Charles Clore Hostel garden in Givatayim 111 The Israel Cancer Association Prof. E. Robinson Chairman Mr. L. Recanati Vice Chairman Board And Committee Members Prof. A. Durst Mr. Y. Feldshaw 2008-2009 Prof. A. Levitzky Prof. M. Mittleman Executive Board Prof. T. Peretz Oncologist Prof. E. Robinson Chairman Prof. E. Rachmilewitz Hematologist Mr. L. Recanati Vice Chairman Prof. G. Rennert Epidemiologist Prof. A. Durst Prof. V. Rotter Scientist Mr. Y. Feldshaw Prof. M. Schlesinger Scientist Prof. A. Levitzky Prof. M. Shani Healthcare Systems Specialist Prof. M. Mittleman Mr. M. Shitrit Former Minister and MK Prof. Y. Skornik Surgeon Executive Committee Prof. S. Slavin Hematologist Mrs. S. Eban Founding President Prof. A. Sulkes Oncologist Public Figure Prof. Y. Weitz Scientist Prof. E. Robinson Chairman, Oncologist Prof. Y. Yitzhak Radiologist Mr. L. Recanati Vice Chairman, Corporate Prof. A. Zeligson Hematologist Executive Dr. G. Rennert Epidemiologist - ICA Advisor Dr. A. Azizi Dermatologist on Epidemiology and Cancer Dr. Y. Balshar IMA Chairman Control Dr. S. Batzia Public Figure Dr. Y. Alkelai Dermatologist - ICA Advisor Prof. H. Brenner Oncologist on Early Detection of Skin Prof. R. Catane Oncologist Cancer Prof. S. Chaitchik Oncologist Prof. R. Shafir Plastic Surgeon - ICA Advisor Prof. Y. Cohen Oncologist on Educational Activities in Prof. A. Durst Surgeon Schools Mr. Y. Feldshaw Public Figure Prof. M. Inbar Oncologist Board of Trustees Prof. Y. Kedar Scientist Mrs. S. Eban Founding President Ms. A. Kimchi Health Educator Public Figure Prof. Y. Klausner Surgeon Ms. M. Klein F o r m e r I C A D i r e c t o r Prof. E. Robinson Chairman General Mr. L. Recanati Vice Chairman Prof. A. Kuten Oncologist Corporate Executive Prof. S. Lelchuk Surgeon Judge S. Adler President Prof. A. Lubin Nuclear Medicine National Labour Relations Prof. M. Mittleman Internist Board 112 Annual Report 2009

Mr. D. Agmon Public Figure Prof. B. Fiyora Gyno-oncologist Ms. S. Akerstein CEO, Akerstein Prof. B. Freund Surgeon Ms. G. Almagor Former Chairperson Mr. M. Gaon Business Person Tel Aviv Branch Mr. A. Gil Business Person Ms. Y. Alon Chairperson, Prof. M. Green Chairman National Disease Holon Branch Control Center Dr. A. Ambon Hospital Director Prof. A. Halevi Surgeon Prof. S. Ariad Oncologist, Soroka Medical Prof. Y. Halevi Hospital Director Center Dr. A. Halperin Hospital Director, Rabin Mr. A. Azarzer C h a i r m a n o f D i m o n a Medical Center Branch Ms. N. Hilu Former MK Prof. A. Azizi Dermatologist Mr. A. Horowitz Chairman, Teva Dr. Y. Balshar IMA Chairman Prof. M. Inbar Oncologist Ms. O. Banai Actress Prof. V. Insler Gynecologist Prof. R. Bar Internist, Technion Prof. A. Israeli Ministry of Health Prof. G. Barabash Hospital Director Director General Dr. S. Batsia Public Figure Mr. A. Kaplan CEO, Clal Insurance Prof. G. Ben-Ari Surgeon Prof. Y. Kedar Scientist Prof. Y. Ben-Bassat Hematologist Ms. A. Kimchi Health Educator Prof. M. Ben-Harush Pediatric Oncologist Prof. Y. Klausner Surgeon Mr. A. Ben-Nun Public Figure Ms. M. Klein Former Director General, Prof. H. Ben-Shachar Public Figure ICA Mr. R. Ben-Shaul Corporate Executive Ms. L. Koenig Actress Dr. Y. Berlovitz Hospital Director Prof. A. Kuten Oncologist Prof. R. Bier Rambam Medical Center Mr. G. Lahav Public Figure Director General Mr. D. Lautman Public Figure Mr. S. Biran Attorney Prof. S. Lavi Scientist Prof. H. Brenner Oncologist Prof. S. Lelchuk Surgeon Judge A. Carmi Mr. L. Leviev Business Person Prof. R. Catane Oncologist Prof. A. Levitzky Scientist Prof. S. Chaitchik Oncologist Mr. D. Levitan Public Figure Mr. Y. Ciechanover Public Figure Prof. A. Lubin Nuclear Medicine Prof. Y. Cohen Oncologist Mr. Y. Makov Public Figure Mr. A. Dar Actor Ms. A. Manoach Public Figure Mr. Y. Dori President Dori Group Ms. G. Maor Director General Mr. B. Dotan Public Figure Bank Leumi LeIsrael Prof. A. Durst Surgeon Prof. Y. Menczer Gyno-oncologist Ms. Y. Efron Director General, Oceana Ms. L. Meridor Public Figure Judge Eilon Retired Judge Prof. O. Merimsky Oncologist, Tel Aviv Sourasky Mr. A. Eiran Public Figure Medical Center Dr. Y. Farbstein Hospital Director Prof. J. Mishel Hospital Director Mr. Y. Feldshaw Public Figure Prof. M. Mittleman Internist 113 Dr. M. Modaei Public Figure Ms. R. Shitrit PR Rep., Chairperson Prof. S. Mor Yosef Hospital Director ICA Foreign Relations Mr. S. Nehama Public Figure Division Mr. Y. Nimrodi Public Figure Advocate A. Simcha Chair, Jerusalem Branch Prof. A. Novogrodestky Prof. Y. Skornik Surgeon of blessed memory Cancer Research Scientist Prof. S. Slavin Hematologist Prof. R. Orda Chair of the Israeli Society Dr. M. Steiner Oncologist of Breast Diseases Ms. D. Stern Public Figure Prof. Y. Orgler Former Chairman of the Prof. A. Sulkes Oncologist Board Mr. D. Tal Former MK Stock Exchange Prof. H. Tabenkin Director of the Family Medicine Prof. T. Peretz Oncologist Ward at Ha'emek Hospital Mr. Y. Perry Chairman, Bank Mizrachi Dr. D. Tchernihovsky Ad-hoc Advisor on Medical Dr. Y. Peterburg Public Figure Economics Prof. S. Pinchas Former Hospital Director Mr. D. Wainshal Public Figure Ms. D. Rabin-Philosoph Public Figure Prof. Y. Weitz Scientist Prof. E. Rachmilewitz Hematologist Prof. Y. Yodfat Family Physician Ms. T. Raveh Attorney Dr. G. Zaidan Oncologist Prof. M. Ravid Internist Prof. A. Zeligson Hematologist Prof. G. Rechavi Hematologist Dr. Y. Zilberg Hospital Director Prof. G. Rennert Epidemiologist Dr. M. Rimon Surgeon Early Detection Committee Prof. M. Roa Former Hospital Director Prof. Y. Skornik Chairman – Surgeon, Tel Aviv Prof. P. Rosen Gastroenterologist Sourasky Medical Center Prof. V. Rotter Scientist Dr. F. Barak Oncologist, Barzilai Medical Prof. Y. Rowe Hematologist Center Mr. A. Sadeh Public Figure Prof. M. Carmon Surgeon, Sha’arei Tzedek Ms. R. Saker Honorary President Medical Center Haifa Branch Dr. Y. Dresner Family Medicine, Clalit Mr. A. Sapir Public Figure Healthcare Services Prof. M. Schlesinger Scientist Prof. A. Friedman Oncogenetics, Sheba Medical Prof. P. Schwartzman Director, Family Medicine Center, Tel Hashomer Dept., Beer Sheva Dr. M. Haj Breast Health Center, Ms. A. Serugi Public Figure Nahariya Prof. A. Shani Oncologist Dr. T. Karni Surgeon, Assaf Harofeh Prof. M. Shani Gartner Institute Hospital Prof. Y. Sheinfeld Internist Prof. M. Kraus Surgeon, Rambam Medical Prof. Y. Shemer Public Figure Center Dr. S. Sherf Hospital Director Dr. H. Levavi Gyno-oncologist, Rabin Ms. M. Shezifi Former Chairperson Medical Center Haifa Branch Dr. N. Mavajish Urologist, Tel Aviv Sourasky Mr. M. Shitrit Former Minister and MK Medical Center 114 Annual Report 2009

Prof. A. Nativ Urologist, Bnei Zion Medical Data Collection and Follow- Center, Haifa up Committee Prof. Y. Niv Gastroenterologist, Rabin Dr. M. Bar-Hanna Chairman, Cancer Registry Medical Center Prof. S. Ariad Oncologist, Soroka Medical Dr. M. Ramon Surgeon, Holy Family Center Hospital Prof. D. Adreka Oncologist, Sheba Medical Prof. G. Rennert ICA Adviser on Early Center, Tel Hashomer Detection Dr. L. Friedman Bar-Ilan University Dr. S. Sadetzki Gartner Institute, Sheba Dr. T. Safra Oncologist, Sourasky Tel Aviv Medical Center, Medical Center Tel Hashomer Dr. A. Solomon Oncologist, Hadassah Medical Dr. M. Sklare-Levi Imaging Institute, Sheba Center Medical center Prof. G. Zaidan Oncologist, Rebecca Sieff Professional Training Hospital Committee Prof. A. Kuten Chairman – Oncologist, Medical & Welfare Services Rambam Medical Center Committee Dr. T. Elweiss Surgical Ward, Kaplan Medical Prof. M. Mittleman Chairman – Internist, Tel Aviv Center Sourasky Medical Center Prof. M. Gutman Surgeon, Meir Hospital Prof. M. Cohen Social Worker, Haifa Prof. S. Izraeli Pediatric Hemato-oncologist, University Sheba Medical Center, Dr. A. Fenig Radio-oncologist, Rabin Tel Hashomer Medical Center Dr. A. Levi Hematologist, Soroka Medical Dr. A. Gez Oncologist, Sourasky Center, Center Tel Aviv Dr. S. Nakar Family Medicine, Clalit Dr. M. Gottfried Oncologist, Meir Hospital Healthcare Services Dr. A. Hubert Oncologist, Hadassah Medical Dr. S. Reiss Family Medicine – Haifa Center, Ein Karem Prof. S. Schneibaum Surgeon, Tel Aviv Sourasky Ms. N. Pessach Social Worker, Ministry of Medical Center Health Prof. A. Sela Oncologist, Assaf Harofeh Ms. S. Reicher Nursing Services, Ministry of Medical Center Health Dr. N. Zigelman O n c o l o g i s t , M a c c a b i Dr. D. Weiss Head of Community Nursing Healthcare Services Division, Clalit Healthcare Services (CHS) Research Committee Dr. S. Winker Family Medicine CHS Central Prof. Y. Yarden Cancer Research Scientist, District Weizmann Institute - Dr. Y. Yaniv Pediatric Hemato-oncologist chairman Schneider Children’s Medical Prof. R. Apte Scientist, Ben-Gurion Center University 115 Prof. M. Ben-Harush Pediatric Oncologist, Prof. M. Cohen Social Services, Haifa Rambam Medical Center University Dr. N. Ben-Baruch Oncologist, Kaplan Medical Dr. E. Nahshoni Psychiatrist, Rabin Medical Center Center Prof. R. Catane Oncologist, Sheba Medical Dr. S. Perry Social Services, Rabin Medical Center, Tel Hashomer Center Dr. D. Engelberg S c i e n t i s t , H e b r e w University Dr. E. Pikarski Clinician - Scientist, Hadassah Committee for Continuing Medical Center, Ein Karem Education Abroad Prof. O. Gilbar Psycho-oncologist, Linn Prof. B. Klein Chairman – Oncologist, Meir Clinic Haifa, Clalit Healthcare Hospital Services Prof. U. Beller Gyno-oncologist, Sha’arei Prof. M. Horowitz S c i e n t i s t , Te l A v i v Tzedek Hospital University Ms. S. Ben Ami Oncology Nurse, Sheba Dr. B. Kaufman Oncologist, Sheba Medical Medical Center, Tel Center, Tel Hashomer, and Hashomer Public Representative Dr. D. Hershko Investigator, Surgeon, Prof. E. Levi-Lahad Geneticist, Shaarei Tzedek Rambam Medical Center Medical Center Prof. Y. Kapaloshnik Pediatric Oncology, Soroka Dr. B. Leshem Chief Scientist's Office, Medical Center Ministry of Health Prof. O. Merimsky Oncologist, Tel Aviv Sourasky Prof. U. Nir S c i e n t i s t , B a r - I l a n Medical Center, University Chairman of the Israeli Prof. G. Rennert Epidemiologist, Carmel Society of Clinical Oncology Medical Center & Radiation Therapy Prof. O. Spielberg Hematologist, Rabin Medical Dr. S. Perry Social Services, Rabin Medical Center Center Prof. I. Voldevski Oncologist, Hadassah Medical Prof. A. Sela Oncologist, Assaf Harofeh Center Ein Karem/Technion Hospital Dr. M. Vigoda Radiotherapy, Hadassah Psycho-oncology Research Medical Center, Ein Karem Sub-Committee Prof. O. Gilbar Psycho-oncologist, Linn Audit Committee Clinic Haifa, Clalit Healthcare Prof. Y. Orgler Chairman – Former Chairman Services - chairman of the Board of Directors, Dr. B. Kaufman Oncologist, Sheba Medical Stock Exchange Center, Tel Hashomer, and Mr. N. Gur Public Figure Public Representative Mr. D. Levitan Corporate Executive Dr. N. Ben-Baruch Oncologist, Kaplan Medical Center 116 Annual Report 2009

Finance Committee Dr. M. Freund Ministry of Agriculture Prof. Y. Orgler Chairman – Former Chairman Dr. A. Garuto Head of Public Health Services, of the Board of Directors, Ministry of Health Stock Exchange Dr. Y. Katz District Pharmacist, Coastal Ms. A. Zochovitzky CPA, Company CEO Plain Region Mr. N. Gur Public Figure Dr. S. Kendel Nahal Sorek Mr. D. Levitan Corporate Executive Prof. Y. Lerman Head of Occupation Medicine Prof. A. Ofer Tel Aviv University Center, Clalit Healthcare Mr. Y. Shahak CPA Services Dr. D. Yariv Bank of Israel Dr. A. Levinger Physicist, Hadassah Medical Dr. Z. Yosef Ipex Center, Ein Karem Mr. M. Levita Physicist, Tel Aviv Sourasky Investments Committee Medical Center Prof. R. Eldor Chairman, Multidisciplinary Dr. E. Neeman Environment Institute Center Mr. A. Pardo Environment Center Mr. D. Friedman Former Chairman, Union Dr. A. Priel Ben-Gurion University Bank Dr. L. Pushnoi Chief Physician, Industry Mr. Y. Katz Economist Trade and Labor Ministry Prof. A. Ofer Tel Aviv University Prof. Y. Riback Head of the National Institute Mr. A. Sapir Chairman, Ma'alot of Occupational Health Mr. Y. Toitsh IBI Ms. R. Sapir Pharmacist, Sha’arei Tzedek Dr. Z. Yosef Ipex Medical Center Prof. T. Schlesinger Nuclear Physicist, Nahal Advisory Committee on Sorek Environmental Carcinogens Dr. A. Stern Gartner Institute Dr. Y. Shacham Expert on Carcinogens, Dr. R. Versno Food and Nutrition Services, Head Physician of the Ministry of Health Government Employees Dr. A. Weiner Rambam Medical Center Service - chairman Ms. R. Ashkenazi Ministry of Agriculture Special Advisory Committees Dr. Y. Bar-Or Chief Scientist, Ministry of Dermatology: Environment Dr. Y. Alkalay Dermatology, Maccabi Dr. M. Bar-Hanna Cancer Registry Unit, Ministry Healthcare Services, Chairman of Health of the Israel Dermatological Dr. S. Brenner P r i v a t e C o n s u l t a n t Society o n E n v i r o n m e n t a n d Dr. A. Avinoach Pathology, Wolfson Medical Environmental Health Center Prof. Y. Cohen Oncologist Prof. R. Bergman Dermatology, Rambam Ms. D. Cohen Ministry of Health Medical Center Dr. L. Cordova Environment Ministry Dr. A. Chodek D e r m a t o l o g y, R a b i n Eng. T. Enavy Expert on Hazardous Dust Medical Center 117 Dr. F. Feldman Dermatologist, Clalit Prof. M. Kremer Lung Institute, Rabin Medical Healthcare Services Center Dr. L. Gilad Dermatologist, Hadassah Dr. O. Merimsky Oncology, Tel Aviv Sourasky Medical Center Medical Center Prof. A. Ingber Dermatology, Hadassah Dr. B. A. Sela Institute of Pathological Medical Center, Ein Karem Chemistry, Sheba Medical Dr. M. Lotam Dermatology, Hadassah Center, Tel Hashomer Medical Center at Ein Dr. D. Shacham Guided Imaging, Hadassah Karem Medical Center, Ein Karem MPharm A. Marom Senior Assistant to Dr. A. Sichon Oncology, Assaf Harofeh Pharmacology Division Hospital Manager, Ministry of Health Dr. D. Mimuni Rabin Medical Center Intestinal Tract: Dr. N. Nathanson Dermatologist, IDF Dr. A. Benny Oncology, Rambam Medical Dr. Y. Pappo Surgery, Assaf Harofeh Center Hospital Dr. Y. Ilone Internal Medicine, Hadassah Dr. Pavlotzky Dermatologist, Sheba Medical Center, Ein Karem M e d i c a l C e n t e r, Te l Prof. N. Arber Gastroenterology, Tel Aviv Hashomer Sourasky Medical Center Prof. L. Rosenberg Plastic Surgery, Soroka Dr. B. Brenner Oncology, Rabin Medical Medical Center Center Dr. Y. Shechter Oncology, Sheba Medical Prof. Z. Fireman Gastroenterology, Hillel Yaffe Center, Tel Hashomer Medical Center Dr. Y. Tzhelinski Plastic Surgery, Sheba Prof. A. Friedman Oncogenetics, Sheba Medical M e d i c a l C e n t e r, Te l Center, Tel Hashomer Hashomer Prof. P. Greif Surgery, Rabin Medical Dr. A. Winkler Chairman, Israel Society of Center Plastic Surgery Dr. A. Hubert Oncology, Hadassah Medical Dr. R. Wolf Kaplan Medical Center Center, Ein Karem Prof. H. Kashtan Surgery, Kaplan Medical Lung: Center Dr. M. Kropasky Lung Institute, Sheba Medical Prof. B. Klein Oncologist, Meir Hospital Center, Tel Hashomer Prof. Y. Niv Gastroenterology, Rabin Dr. Y. Ben-Dov Lung Institute, Sheba Medical Medical Center Center, Tel Hashomer Prof. M. Rabaw Surgery, Tel Aviv Sourasky Dr. L. Besset Lung Institute, Rambam Medical Center Medical Center Prof. A. Rivkind Surgery, Hadassah Medical Prof. A. Eliraz Lung Institute, Kaplan Medical Center, Ein Karem Center Prof. A. Shani Oncology, Sheba Medical Dr. M. Gottfried Oncology, Meir Hospital Center

118 Annual Report 2009

Prof. S. Shneibaum Surgery, Tel Aviv Sourasky Dr. A. Nissan Oncology, Hadassah Medical Medical Center, Chairman of Center, Ein Karem the Israeli Society of Surgical Prof. M. Pappa Surgery, Sheba Medical Oncology Center, Tel Hashomer Ms. R. Tziperstein Stoma Nursing Services, Ms. R. Peleg Physiotherapist, Tel Aviv Tel Aviv Sourasky Medical Sourasky Medical Center Center Prof. T. Peretz Oncology, Hadassah Medical Dr. N. Woloch Oncology, Assaf Harofeh Center, Ein Karem Hospital Ms. D. Sadeh-Tessa Social Services, Tel Aviv Dr. Y. Ziv Gastroenterology, Assaf Sourasky Medical Center Harofeh Hospital Dr. F. Sperber Radiology, Tel Aviv Sourasky Medical Center Breast: Dr. Y. Shtadler Surgery, Tel Aviv Sourasky Dr. N. Barak Oncology, Tel Aviv Sourasky Medical Center Medical Center Dr. A. Winkler Surgery, Sheba Medical Dr. N. Ben-Baruch Oncology, Kaplan Medical Center, Tel Hashomer Center Dr. Zingelman-Danieli Oncology, Maccabi Healthcare Dr. T. Elweiss Surgery, Hadassah Mt. Services Scopus Dr. A. Evron Oncology, Assaf Harofeh Urology: Hospital Prof. O. Nativ Urology, Bnei Zion Hospital Dr. Z. Fried Oncology, Rambam Medical Prof. G. Beniel Urology, Belinson (Davidoff) Center Medical Center Dr. H. Goldberg Oncology, Nahariya Dr. Y. Chen Urology, Tel Aviv Sourasky Prof. H. Gutman Surgery, Rabin Medical Medical Center Center Dr. A. Gez Oncology, Rambam Medical Dr. D. Hershko Surgery, Rambam Medical Center Center Prof. A. Kuten Oncology, Rambam Medical Dr. I. Kadmon Breast Care Nursing, Hadassah Center Medical Center, Ein Karem Dr. I. Leibowitz Urology, Meir Hospital Dr. H. Kaplan Plastic Surgery, Sheba Medical Prof. A. Lindner Urology, Assaf Harofeh Center, Tel Hashomer Hospital Dr. V. Katz Breast Surgery, Soroka Prof. H. Matzkin Urology, Tel Aviv Sourasky Medical Center and Le'umit Medical Center Healthcare Fund Ms. A. Morag Nursing Services, Sheba Medical Dr. B. Kaufman Oncology, Sheba Medical Center, Tel Hashomer Center, Tel Hashomer Dr. A. Neuman Oncology, Meir Medical Prof. M. Kerner Pathology, Rambam Medical Center Center Dr. B. Ra’anan Oncology, Sheba Medical Prof. B. Klein Oncology, Meir Hospital Center, Tel Hashomer Dr. M. Kurtz Surgery, Soroka Medical Prof. Y. Rimon Urology, Sheba Medical Center Center, Tel Hashomer 119 Dr. A. Rosenbaum Oncology, Rabin Medical Prof. S. Constanini Neuro-oncology, Tel Aviv Center Sourasky Medical Center Prof. A. Sela Oncology, Assaf Harofeh Ms. D. Gerbler Head Nurse Palliative Care, Hospital Sheba Medical Center, Tel Hashomer Neuro-oncology: Dr. Y. Kapalushnik Pediatric Oncology, Soroka Dr. D. Blumenthal Neuro-oncology, Tel Aviv Medical Center Sourasky Medical Center Prof. Y. Meller Orthopedic Oncology, Tel Aviv Dr. P. Bukstein Neuro-oncology, Tel Aviv Sourasky Medical Center Sourasky Medical Center Dr. M. Michowitz Neuro-surgery, Schneider Dr. S. Constanini Pediatric Neurology, Tel Children’s Medical Center Aviv Sourasky Medical Prof. G. Rechavi P e d i a t r i c O n c o l o g y, Center Sheba Medical Center, Tel Ms. A. Friedman Pediatric Neurosurgery, Hashomer Tel Aviv Sourasky Medical Dr. N. Remo Oncology, Hadassah Medical Center Center, Ein Karem Dr. D. Loven Oncology, Ha'emek Medical Dr. M. Sadeh Pediatric Neuropsychology, Center Israel Cancer Association Dr. S. Maimon Neurology, Rabin Medical Dr. A. Toren P e d i a t r i c O n c o l o g y, Center Sheba Medical Center, Tel Dr. R. Pfeffer Oncology, Sheba Medical Hashomer Center, Tel Hashomer Dr. M. Weintraub Pediatric Oncology, Hadassah Dr. T. Ram Neuro-surgery, Tel Aviv Medical Center, Ein Karem Sourasky Medical Center Dr. M. Sadeh Palliative Care: Ms. R. Seat Social Services, Sheba Medical Ms. S. Ben-Ami Oncology Nursing Services, Center, Tel Hashomer Sheba Medical Center, Tel Prof. T. Segal Neuro-oncology, Hadassah Hashomer Medical Center, Ein Karem Dr. F. Barak Oncology, Barzilai Hospital Dr. R. Speigelman Neurology, Sheba Medical Dr. G. Bar Sela Oncology, Rambam Medical Center, Tel Hashomer Center Dr. T. Tzuk-Sheena Neuro-oncology, Rambam Prof. R. Catane Oncology, Sheba Medical Medical Center Center, Tel Hashomer Dr. N. Cherney Pain Clinic, Sha’arei Tzedek Pediatrics: Hospital Dr. Y. Yaniv Pediatric Oncology, Schneider Dr. A. Eisenberg Pain Clinic, Rambam Medical Children’s Medical Center Center Prof. M. Ben-Harush Pediatric Oncology, Rambam Dr. S. Perry Social Services, Rabin Medical Medical Center Center Ms. A. Buchval Nursing Services, Schneider Prof. P. Schwartzman Family Medicine, Ben-Gurion Children’s Medical Center University 120 Annual Report 2009

Dr. Y. Singer Home Hospice, Beer Sheva Prof. R. Catane Oncology, Sheba Medical Dr. A. Waller Home Hospice, Israel Cancer Center, Tel Hashomer Association Dr. A. Fieder Gastroenterology, Sheba M e d i c a l C e n t e r, Te l Gyneco-oncology: Hashomer Dr. S. Reizel Oncology, Rabin Medical Prof. A. Friedman Genetics, Sheba Medical Center Center, Tel Hashomer Prof. A. Beller Gyneco-oncology, Sha’arei Dr. R. Gershoni-Baruch Genetics, Rambam Medical Tzedek Medical Center Center Prof. G. Ben-Baruch Gyneco-oncology, Sheba Medical Prof. A. Levi-Lahad Genetics, Sha’arei Tzedek Center, Tel Hashomer Hospital Prof. A. Cohen Gynecology, Meir Hospital Dr. A. Or-Ortergar Genetics, Tel Aviv Sourasky Ms. Z. Duvdevani Nursing Services, Clalit Medical Center Healthcare Services Dr. M. Sagi Genetics, Hadassah Medical Dr. A. Fenig Oncology, Rabin Medical Center, Ein Karem Center Prof. M. Shochat Genetics, Rabin Medical Dr. E. Fishman Former Chair of the Israeli Center Gyneco-oncology Society Dr. D. Grisaro Gynecology, Tel Aviv Sourasky Medications: Medical Center Prof. A. Gabizon Oncology, Sha’arei Tzedek Dr. H. Levavi Gyneco-oncology, Rabin Hospital Medical Center Prof. N. Chaim O n c o l o g y, R a m b a m Dr. E. Lavi Chair, Israeli Society of Hospital Gyneco-oncology Prof. D. Edreka Oncology, Sheba Medical Dr. T. Levi Gyneco-oncology, Wolfson Center, Tel Hashomer Medical Center Prof. M. Inbar Oncology, Tel Aviv Sourasky Prof. E. Levi-Lahad Genetics, Sha’arei Tzedek Medical Center Hospital Prof. E. Livneh Microbiology, Ben-Gurion Dr. D. Meirov Gynecology, Sheba Medical University Center, Tel Hashomer Prof. A. Shani Oncology, Sheba Medical Dr. R. Pfeffer Oncology, Sheba Medical Center, Tel Hashomer Center, Tel Hashomer Prof. A. Sulkes Oncology, Rabin Medical Dr. T. Safra Oncology, Tel Aviv Sourasky Center Medical Center Dr. T. Tishler Oncology, Sheba Medical Center, Tel Hashomer Genetics and Bio-markers: Dr. S. Argov Pathology, Soroka Medical Hemato-oncology: Center Prof. D. Ben-Yehuda Hematology, Hadassah Dr. V. Barak Oncology Lab, Hadassah M e d i c a l C e n t e r, E i n Medical Center, Ein Karem Karem Dr. A. Birk Genetics, Soroka Medical Dr. R. Appelbaum Oncology, Rambam Medical Center Center 121 Prof. A. Balin Pediatric Hemato-oncology, Orthopedics: Wolfson Medical Center Dr. Y. Bikles Orthopedics, Tel Aviv Sourasky Prof. Y. Cohen Oncology, Soroka Medical Medical Center Center Prof. Y. Meller Orthopedic Oncology, Tel Aviv Dr. A. Levi Hematology, Soroka Medical Sourasky Medical Center Center Prof. O. Merimsky Oncology, Tel Aviv Sourasky Prof. M. Mittelman Internal Medicine, Tel Aviv Medical Center Sourasky Medical Center Dr. N. Meushar Orthopedics, Rambam Medical Prof. A. Nagler Hematology, Sheba Medical Center Center, Tel Hashomer Dr. G. Moses Orthopedics, Tel Aviv Sourasky Prof. A. Naferstak Hematology, Tel Aviv Medical Center Sourasky Medical Center Prof. M. Sallie Orthopedics, Rabin Medical Prof. Y. Or Hematology, Hadassah Center Medical Center, Ein Karem Dr. R. Pia Hematology, Belinson Ear, Nose and Throat: Medical Center Prof. R. Feinmesser Ear Nose Throat, Rabin Prof. M. Prokochimer Hematology, Rabin Medical Medical Center Center Prof. D. Felis Ear Nose Throat, Tel Aviv Prof. Y. Row Bone Marrow Transplants, Sourasky Medical Center Rambam Medical Center Ms. F. Kornbrut Speech Rehabilitation, Israel Prof. A. Speilberg Hematology, Belinson Medical Cancer Association Center Dr. M. Litner Tel Aviv University Dr. Maharshak Oncology, Rabin Medical Radiotherapy: Center (Hasharon) Prof. A. Kuten Oncology, Rambam Medical Prof. D. Ofir Ear Nose Throat, Meir Hospital Center Dr. H. Sela Ear Nose Throat, Hadassah Dr. R. Bar-Druma Oncology, Rambam Medical Medical Center, Ein Karem Center Prof. Y. Cohen Oncology, Soroka Medical Psycho-oncology: Center Ms. R. Abramov Social Services, Hadassah Prof. B. Koren Oncology, Tel Aviv Sourasky Medical Center, Ein Karem Medical Center Prof. L. Baider Psycho-oncology, Hadassah Prof. A. Fenig Oncology, Rabin Medical Medical Center, Ein Karem Center Dr. M. Braun Psycho-oncology, Hadassah Dr. S. Fireman Oncology, Soroka Medical Medical Center, Ein Karem Center Prof. S. Carmel Center for Multi-disciplinary Dr. R. Pfeffer Oncology, Sheba Medical Research in Aging, Ben-Gurion Center, Tel Hashomer University Dr. M. Vigoda Oncology, Hadassah Medical Dr. M. Cohen Oncology, Rambam Medical Center, Ein Karem Center

122 Annual Report 2009

Dr. S. Perry Oncology, Rabin Medical Dr. O. Kaspi Complementary Medicine, Center Davidoff Center Prof. R. Yaakovi Psychology Department, Tel Prof. A. Kuten Oncology, Rambam Medical Aviv University Center Dr. S. Lev-Ari Research in Complementary Imaging: Medicine, Tel Aviv Sourasky Prof. O. Israel Nuclear Medicine, Rambam Medical Center Medical Center Dr. Y. Maimon Complementary Medicine, Dr. A. Angel Medical Imaging, Rambam Tel Aviv Sourasky Medical Medical Center Center Dr. Y. Bar-Ziv Medical Imaging, Mor Mar Prof. S. Pintov Complementary Medicine, Institute Assaf Harofeh Hospital Prof. E. Even Sapir Nuclear Medicine, Tel Aviv Dr. L. Schechter "Maccabi Natural", Maccabi Sourasky Medical Center Healthcare Services, Prof. M. Gomori Medical Imaging, Hadassah Complementary Medicine Medical Center, Ein Karem Dr. N. Sheinman Complementary Medicine Prof. M. Greif Medical Imaging, Tel Aviv Dr. A. Shiff Internal Medicine, Bnei Zion Sourasky Medical Center Medical Center Dr. Y. Kraus Nuclear Medicine, Hadassah Dr. Y. Ziv-Ner Complementary Medicine, Medical Center, Ein Karem Sheba Medical Center, Tel Dr. M. Shapira Medical Imaging, Meir Hashomer Hospital Dr. M. Sklaire-Levi Medical Imaging, Sheaba Cancer Prevention: Medical Center Prof. N. Arber Gastroenterology, Tel Aviv Dr. F. Sperber Mammography Unit, Tel Aviv Sourasky Medical Center Sourasky Medical Center Dr. A. Bar-Ziv Expert on Sports Medicine, Tel Aviv University Complementary Medicine: Dr. N. Constantini Sports Medicine, Hadassah Prof. E. Robinson Israel Cancer Association Medical Center, Ein Karem Dr. G. Bar-Sela Oncology, Rambam Medical Mr. Y. Karni Expert on Sports Medicine Center and Nutrition Prof. R. Catane Oncology, Sheba Medical Mr. Y. Lahav Dietitian, Wingate Institute Center, Tel Hashomer Ms. A. Raz Dietitian, Tel Aviv Sourasky Prof. D. Edreka Oncology, Sheba Medical Medical Center Center, Tel Hashomer Prof. G. Rennert Community Medicine and Dr. N. Esna Complementary Medicine, Epidemiology, Carmel Tel Aviv Sourasky Medical Hospital Center Dr. N. Shapira Dietitian Dr. L. Goldstein Pharmacology, Ha’emek Dr. Y. Yarom Sports, Meuhedet Healthcare Medical Center Services

123 Thyroid Cancer: Administration and Dr. A. Cohen Endocrinologist, Sheba Medical Department Directors Center, Tel Hashomer Mrs. M. Ziv Director General Prof. T. Dikstein Endocrinologist, Bnei Zion Mrs. V. Danziger Assistant to Director Hospital General Prof. D. Gross Endocrinologist, Hadassah Mr. M. Bar Haim Chief Financial Officer Medical Center, Ein Karem Mrs. R. Froehlich-Zeltzer Spokesperson and Director, Dr. S. Gruzinsky Endocrinologist, Rabin Public Education and Medical Center Information Department Dr. T. Horn Nuclear Medicine, Assaf Mrs. N. Tammuz Director, Resource Center Harofeh Hospital Mrs. R. Balistra Director, Branches Dept. and Dr. Liel Endocrinologist, Soroka ‘Door Knock’ Fundraising Medical Center Campaign Manager Dr. M. Malul Isotopes, Meir Hospital Mr. R. Meekrin D i r e c t o r, M a r k e t i n g Dr. S. Mechlis Nuclear Medicine, Rabin Department Medical Center Mrs. A. Dolev Director, Rehabilitation and Dr. A. Shalmon Oncology, Hadassah Medical Welfare Department Center, Ein Karem Mrs. R. Idan Director, Human Resources Prof. N. Stern Endocrinologist, Tel Aviv Dept. Sourasky Medical Center Mr. A. David Director, Maintenance and Dr. B. Uzieli Oncology, Hadassah Medical Logistics Dept. Center, Ein Karem Mr. S. Dolinski Internal Comptroller Dr. M. Weiss Endocrinology, Assaf Harofeh Hospital Prof. G. Zidan Oncologist, Rebecca Sieff Hospital Advisors Advocate Y. Horesh, Legal Advisor S. Horowitz and Associates Luboshitz Kasierer – Ernst & Young, Chartered Accountants A. Ben Cochav, Computing Consultant

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