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* Good Hygiene Practice Has Shown its Power on Coronavirus Prevention4
http://www.hsvg.org/ Guahan Global Foundation
Guahan Global Foundation P.O. Box 206, Hagatna, GU 96932, USA
(October 16, 2026) Aware of it but no action on it To promote breast cancer awareness, prevention, and research in October, the American Cancer Society recently released the findings of its new survey, pointing out that significant gaps exist between awareness of modifiable breast cancer risk factors and taking positive action to lower risk.   After decades of campaigning breast cancer awareness in October, it is exciting that the survey found 99% of 32,775 survey respondents know that smoking raises cancer risk. 91% of them learn low physical activity levels raise risk. 89% of women know excess body weight increases risk. 85% of ladies know alcohol use is also going to raise risk.   The survey also looked into awareness of breast cancer risk and protective factors by race and ethnicity. Among Asian Americans, Native Hawaiians, and Pacific Islanders (AANHPI), 99% of women in this group know that smoking raises cancer risk. 92% of them learn low physical activity levels raise risk. 89% of them know excess body weight increases risk. The percentage of AANHPI women knowing alcohol use could raise risk is also 89%.   It is great to learn that the awareness levels of breast cancer risk factors among AANHPI ladies are as high as overall survey respondents.   However, while 91% of women surveyed know that low levels of physical activity increase cancer risk, only 27% of the same respondents meet the American Cancer Society’s recommendation of 150 to 300 minutes of moderate-intensity activity, or 75 to 150 minutes of vigorous-intensity activity, each week.   Alcohol use shows the second-widest gap in the survey, with 85% of women knowing alcohol raises cancer risk and 69% still report drinking to some extent.   In addition, 89% of women know excess body weight increases cancer risk, but only 47% meet the American Cancer Society’s recommendation of staying at a healthy body weight throughout your life. And, 99% of ladies know smoking raises risk, but 28% of them do not avoid smoking or quit.   The research of the survey did not further investigate the awareness-action gaps of each ethnicity group. Given that Guam’s adult obesity prevalence was getting higher in recent years, it is reasonable to infer that quite a number of people in our island community did not take action to really balance their food intake and physical activity even though the awareness of risk factors may be high.   When the U.S. Centers for Disease Control and Prevention (CDC) released 2023 Adult Obesity Prevalence Maps for 48 states, the District of Columbia, and 3 territories in September 2024, Guam’s adult obesity rate was above 35% for the first time. On the CDC’s 2024 maps released in December 2025, Guam’s adult obesity rate increased again and was surprisingly jumping to 40.2%. There were only 3 states or territories with 40% or higher adult obesity rates.   However, in addition to diet and exercise, body weight is affected by many other factors, including genetics, hormones, environment, medications, and stress. An individual’s willpower alone does not drive weight-loss outcomes. A supportive ecosystem is crucial and necessary.   So, our foundation wants to point out that the American Cancer Society actually emphasized their survey results highlight the importance of initiatives to expand access to “safe, walkable community” and “affordable, healthy food” to help people easily take action in their daily life to increase physical activity and eat healthy.   Regarding “safe, walkable community,” it means people are able to safely and comfortably walk around their neighborhood, instead of driving to certain places and then walking or running there. Obviously, the system on our island has to allocate lots of resources to improve certain infrastructure to reach this goal. In addition, at the same time, the issues of stray dogs must be addressed. Otherwise, many people will not feel safe walking around their village.   Our island community also needs to work harder to secure the stability of the shipment of fresh food from off-island as well as the supply of the locally produced food, helping people's access to “affordable, healthy food.” That is why our foundation appreciates the hard work of the Port Authority of Guam, the shipping companies, and all related parties. We also admire the continuous efforts made by many local farmers, experts, and organizations that try to strengthen our island’s food resiliency.   The American Cancer Society also mentioned in its report that the findings of the survey have implications for public health awareness efforts as well as conversations between healthcare providers and their patients.   For example, breastfeeding for women who have children and can breastfeed is the least-known protective factor in the survey. Only 55% of women know that breastfeeding for several months after childbirth may offer the added benefit of reducing breast cancer risk. Its awareness level is much lower than other factors’. The percentage of AANHPI women knowing this protective factor is also just 57%. Some improvement could be made through public health awareness efforts or conversations between healthcare providers and their patients.   It is also important that people pursuing a healthy body weight can learn the science behind weight management from professionals. Our foundation looks forward to more relevant conversations between healthcare providers and their patients to facilitate the learning and motivate patients to take action on obesity or other health issues.   Finally, we would like to stress once again that steady lifestyle changes are helping long-term well-being. Once you make a start, even small improvements can bring meaningful benefits. So, regarding prevention, please do take action to make some changes after you are aware of the risk factors. Let’s close the awareness-action gaps. (This op-ed article is Guahan Global Foundation's column published in the Guam Daily Post on October 16, 2026) http://www.hsvg.org/hot_540987.html * Aware of it but no action on it 2026-10-16 2027-10-16
Guahan Global Foundation P.O. Box 206, Hagatna, GU 96932, USA http://www.hsvg.org/hot_540987.html
Guahan Global Foundation P.O. Box 206, Hagatna, GU 96932, USA http://www.hsvg.org/hot_540987.html
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February 7, 2020

Good Hygiene Practice Has Shown its Power on Coronavirus Prevention



While more import and domestic cases were reported in different countries around the world, public health experts got the chance to learn more about the coronavirus that causes an outbreak of pneumonia-like disease, and predict the epidemic.



So far, the majority of infected people outside China have very mild symptoms. What they are experiencing is an illness similar to flu. That means the virus can do human to human transmission, but it does not always cause severe illness and lead to death everywhere.



Germany’s first four domestic cases gave the world the best example. Bavaria health officials said on January 28 that the first case had contracted the disease from a Chinese colleague who had visited the area for a company workshop a week ago. Another three patients were "connected" to the first case. Four cases work together in the company and their illness was very mild.



The most dangerous place is Wuhan city in China, where the virus originated. That is why Japan’s charter flight has evacuated its citizens who work or live in Wuhan. Many other China’s cities and villages are affected as well because people were moving around for their lunar new year plan before some places got locked down by Chinese government for outbreak control purposes. That is why Palau only blocks flights from China and does not block other countries.



The reason why China’s epidemic looks much more serious than the rest of the world, for example, the virus led to more death in China, might be related to certain personal hygiene issues, poor performance of outbreak response system and insufficient medical support in many rural areas. However, Chinese government has been making a lot of efforts to control the epidemic, including the lockdown of the seriously affected areas, suspension of outbound tour group and so on, so we believes it is very likely that China would see a trend of calming down in one or two weeks.



Regarding China's epidemic control measures, we want to remind Chinese government to take good care of people's medical needs and human rights especially in the lockdown areas. We also think it is the best time that Chinese government encourages its citizens to practice better personal hygiene from now on to enhance disease prevention and public health in the country.



It is worth to notice that Taiwan has not reported any domestic case for a week since the government confirmed the second one on January 30, although there are still import cases reported. We believe it means that Taiwan people's good personal hygiene practice in the past several weeks, for example, wearing a mask and washing hands more often, has shown its power of blocking the transmission of the virus in the community. We suggest that other governments, for example, Hong Kong. Macau, Japan, Thailand and Singapore, should promote good personal hygiene harder to avoid the coronavirus spread among its citizens and visitors.


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