CALIFORNIA ANDREA’S Wildfir es MISSION t ormenting Calif ornia · adriscoll@MiamiHerald.com A...

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ACTION LINE.......7B FRED GRIMM.......1BAMERICAS........... 8A LOCAL.................. 1BCLASSIFIED......... 1F LOTTERY.............. 8BCOMICS................ 16E MOVIES................ 15ECORRECTIONS....3A NATION................ 3ACROSSWORD......19E PEOPLE................ 4ADEAR ABBY........ 19E TELEVISION......... 14EDEATHS................ 4B TROPICAL LIFE...1EDILBERT............... 3C WEATHER............ 7BEDITORIALS........ 18A WORLD................ 13A

WEATHER

HIGH 87 | LOW 78Forecast behind Section B

CALIFORNIA

Wildfir est ormentingCalif ornia■ R esidents w atched inhorr or as fire s ra vagingSouthern Californiaburned their homes tothe ground .

BY ALLISON HOFFMANAND GILLIAN FLACCUSAssociated Press

SAN DIEGO — KathieBrowning was ordered outof her house at 4:30 a.m.Monday. She left with herhusband, their two grownchildren and their cats.

Hours later, sobbing onan Interstate 15 overpass, shewatched her Escondidohome of 23 years burn in oneof more than a dozen wild-fires tormenting cities fromSan Diego to Malibu. Morethan 250,000 people wereevacuated in San Diego

County alone, but most canstill hope they have a hometo go back to.

‘‘I’m just standing herewatching my life go up inflames. This is just too unbe-lievable. This can’t be hap-pening to me,’’ Browningsaid. ‘‘Do you ever get up inthe morning and think yourhouse is going to burn to theground when the fire started30 miles away?’’

Authorities said morethan 655 homes and 160 busi-nesses had burned and thou-sands more were threatenedby at least 374 square miles

•TURN TO WILDFIRES, 2A

Three years ago, shefaced her own battlewith breast cancer. NowAndrea Ivory runs anonprofit organizationth at provideslow-income womenwith access to freemammograms.

BY ANDREA ROBINSONarobinson@MiamiHerald.com

As she knocked on doors inNorth Miami, Andrea Ivorynoticed the woman on theopposite side of the streetwatching her. Ivory waved,walked over — and with a

smile , shewent into herspiel:

‘ ‘Hi. I ’mwith the Flor-ida BreastHealth Initia-tive. May I askyou a fewquest ion s ? ’ ’Each word is

bright and steady. The deliveryflows. A pause might give theother woman a chance to getaway, something Ivory can’tallow.

This mission has become

•TURN TO MAMMOGRAMS, 16A

■CANCER STUDY: DOUBLEMASTECTOMY CHOICE ON RISE, 16A

C ONGRESS

Bush r eques ts millionsfor Me xico’s drug fight■ The White House isgoing befo re C ongresswith its announced$1.4 billion anti-drugpr ogram with Mexic o andC entral America.

BY PABLO BACHELETpbachelet@MiamiHerald.com

WASHINGTON — TheBush administration on Mon-day unveiled a $1.4 billion,multiyear aid program to helpMexico defeat drug cartelswhose turf wars have leftabout 2,000 dead this year andled President Felipe Calderónto deploy his military.

The White House said itwants Congress to immedi-

ately allocate $500 million forMexico, plus $50 million forcounter-drug help to CentralAmerica. The request wastucked into an Iraq-Afghani-stan spending bill.

The initiative, the mostambitious U.S. effort in theregion since a similar pro-gram for Colombia wascrafted in the late 1990s,

•TURN TO MEXICO, 9A

■WAR FUNDS: PRESIDENT ASKSCONGRESS FOR $46 BILLION, 3A

A VIATION SAFETY

NAS A w on’t r eleaseair-s afe ty surv ey data■ N ASA fac ed criticismf or withholding thefindings of a majorsaf et y-r elated surv e y ofpilots.

BY DEL QUENTIN WILBERWashington Post Service

WASHINGTON — Mem-bers of Congress and avia-tion safety experts Mondaycriticized NASA’s refusal torelease the results from anextensive survey of pilotsthat may help pinpointpotential safety lapses in thecountry’s aviation network.

The reaction came inresponse to attempts by the

Associated Press to obtain acopy of the database, whichcontains the results of morethan 20,000 telephone inter-views with airline and gen-eral aviation pilots. It is notknown what the surveysuncovered.

NASA officials told theAP — which reported that itrequested the database morethan 14 months ago — thatthey would not release theinformation because it mightshake the public’s confi-dence in the airlines.

Members of Congress

•TURN TO NASA, 2A

MiamiHerald.comNarrated slide showat Today’s Extras

Who will replaceRonnie Brown?DOLPHIN OUT FOR THE SEASON, 1D

MiamiHerald.comInterview withAndrea Ivoryat Today’sExtras

MIAMIHERALD.COM

WHATTHE FIVE!NEW WEB FAD– NETWORKINGWITH YOURPETS

WORLD, 14A

TURKEY URGEDNOT TO ATTACKBUSH WORKS TOPREVENT ASSAULTBY TURKEY AGAINSTKURDS IN IRAQ

LOCAL NEWS, 1B

DIGITAL VIEWOF METROZOOSTUDENTS CAPTUREKANGAROOS ANDTIGERS ON CAMERASAND VIDEO

SPORTS, 1D

HEAT STAYSDOMESTICSO FAR, THE MIAMIHEAT LACKSFOREIGN-BORNPLAYERS

MiamiHerald.comSee the indictmentat Today’s Extras

Retracing ancientMarathon steps2 WOMEN BOUND FOR GREECE, 10E

October is BreastCancer Awareness

After skin cancers,breast cancer is

the most commoncancer among

American women.

There are about2.5 million breast

cancer survivors inthe U.S.

One in every 8women (12.5percent) will

develop invasivebreast cancer.

Breast cancer isthe second leading

cause of cancerdeath in women,

behind lungcancer. In 2007,

about 40,460 willdie from breast

cancer in the U.S.

About 178,480new cases will bediagnosed in the

U.S. this year.

Breast cancershowed a rapidincrease in the

1980s, althoughthe rate of

increase slowed inthe 1990s. In theyears from 2000

to 2004, incidencerates decreased

slightly.

SOURCE: AMERICANCANCER SOCIETY

HAITIAN IMMIGRANTS

F eds: Girl was a slavein home for six years■ A feder al case thruststhe issue of Haitian‘r esta veks’ – childrenf or c ed t o work insla v e-lik e c onditions –into the public spotlight.

BY AMY DRISCOLLadriscoll@MiamiHerald.com

A rolled-up mattress onthe dining room floor servedas her bed. Her shower wasa hose in the backyard.When visitors came over,she was told to hide in acloset or the garage.

Federal court documentspaint a grim picture of aslave-like life for SimoneCelestin — 15-hour work

days, seven days a week, noschooling and no freedom.An orphan smuggled intoMiami from Haiti at age 14,she lived in a SouthwestMiami home for almost sixyears, fearful of beingdeported, under conditionsthat amounted to involun-tary servitude, prosecutorssay.

Four people — a mother,two daughters and one ex-husband of a daughter —

•TURN TO RESTAVEK, 2A

MiamiHerald.comVideo and photosat Today’s Extras

HITTING THE STREETS:Andrea Ivory speaks towomen in North Miami

about free mammograms.Below far left, nursing

student Manuela Notueaids the door-to-door

campaign. Marie Jasmin,center, and Rose

Campbell, right, listen tothe prevention message.

AFP-GETTY IMAGES

ANTI-DRUG EFFORTS: A Mexican soldier stands neartons of marijuana being incinerated in January.

B R Y O G F2

ANDREA’S

!HHHIF|13333Z /a.b.a.s.t

PHOTOS BY NOELLE THEARD/FOR THE MIAMI HERALD

BREASTCANCERFACTS

MISSION

WOMEN’S HEALTH

More inside■ BLACKWATER PROBE, 7A■ SUPERBUG IN DADE, 1B■ HOME LOAN REFORM, 1C

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WOMEN’S HEALTH

Surv iv or raises cancer aw areness•MAMMOGRAMS, FROM 1A

Ivory’s purpose in life. Threeyears ago as she faced herown battle with breast can-cer, she wondered about thehundreds of Miami womenwho lack health coverageand can’t afford treatment.In waiting rooms, she heardhorror stories from womenwho fretted about how theywould pay for treatment orwhether they would have tojuggle medical care withbuying food or paying rent.

‘‘I didn’t have those strug-gles. I had health insurance,and I had the finances tocover my care,’’ said Ivory,48, a commercial real estateagent who lives in North-west Miami-Dade.

Haunted by thoughts ofuninsured women who diedbecause they weren’t diag-nosed early or didn’t knowabout the disease, Ivoryformed a not-for-profit orga-nization to target neighbor-hoods where many low-in-come and uninsured peoplelive.

Since March 2006, theFlorida Breast Health Initia-tive has visited 6,154 homesand helped 134 women getfree examinations that mightsave their lives. The grouppartners with MemorialRegional Hospital in Holly-wood, which makes a mobilemedical van available for upto 22 free mammograms peroutreach.

Ivory said the number ofwomen she places for examswould increase if more hos-pitals offered free screen-ings.

Ivory and her husband,Willie, a contractor, startedthe grass-roots organization

with about $7,000 from theirown pockets the first year.Its budget now is about$52,000 annually, fundedmostly through privatedonations. Its volunteer staffand board are as passionateas Ivory about saving lives.

Three weekends eachmonth, she and 30 to 70 vol-unteers — men and women— fan out across Little Haiti,Hialeah, North Miami andOpa-locka seeking womenwho should have mammo-grams.

On the fourth weekend,the teams shuttle clients, atno charge, to Memorial’smobile unit for mammo-grams.

Women who need furtherscreenings and treatments,including mastectomies andlumpectomies, are referredto providers for free or forreduced rates.

EARLY DETECTION

Ivory started annualexams at age 35 because shewas considered high risk.Her mantra: Early detectionis the best protection. Thathelped after her 2004 diag-nosis.

‘‘Early detection gives youchoices in treatment. I didnot have to have radiation,’’she said. Instead Ivory optedfor a double mastectomy.Extreme? Not in her view.The decision added to herpeace of mind.

‘‘Get rid of ’em,’’ she said,explaining the choice shemade to prevent a recur-rence.

She is grateful for herrecovery, and determined togive more women a chanceat survival. ‘‘No one has todie from this disease. We

have to let anyone who’swilling to listen know.’’

Medical experts predict13,430 new cases of breastcancer in women will bediagnosed this year in Flor-ida, and that 2,570 of thosewill die from it. Nationally,about 180,000 women annu-ally are diagnosed, and41,000 die.

SURVIVAL CHANCES

The likelihood of a poorprognosis is greater amonguninsured and low-incomewomen diagnosed at laterstages. The later the diagno-sis, the lower the survivalrate, according to the Ameri-can Cancer Society.

Ivory hopes her projectcan change that outcome forMiami-Dade women.

The homes her teams visitare selected using a mappingprocess based on neighbor-hood demographics. Ivorycreates routing sheets, mail-ing lists and notificationpostcards. Each home gets anotice of an upcoming visit.

Female volunteers talk toresidents, while the menhang back with extra healthinformation packets. Themen also lend moral support,said Travis Brown of MiamiLakes, who joined the initia-tive in April with his broth-ers from Kappa Alpha PsiFraternity.

The men don FloridaBreast Health InitiativesT-shirts, as do other volun-teers. During a recent visit toHialeah, Brown and otherscovered about 350 homes.

Brown said his fraternitybrothers have been soinspired by Ivory that theyare developing a similar pro-ject to target prostate cancer

in men.‘‘What she’s been doing is

very dynamic. Most peopletalk about the concept ofwhat they can do,’’ Brownsaid. ‘‘She’s put her wordsinto action.’’

O n a recent Saturday,Ivory teamed with new-comer Manuela Notue, aMiami Dade College nursingstudent from Cameroon incentral Africa. Ivoryknocked on doors and madeher presentation; Notuepassed out packets andappointment cards for freemammograms. If no oneanswered, she left a doorhanger.

‘‘One lady was concernedbecause she didn’t have acar,’’ Notue said. ‘‘We toldher, ‘You don’t need a car.Meet us at the church andsomeone will take you.’ ’’

Rose Campbell was happyto chat with Ivory andNotue. Campbell lost a goodfriend to breast cancer fiveyears ago, and says womenignore their health.

‘‘At least somebody is get-ting in touch with them,’’Campbell said. ‘‘A lot ofwomen know what they’resupposed to do, but theydon’t do it. They know thefacts, they see the articles,but they don’t do whatthey’re supposed to do.’’

Many women are wary ofstrangers at their doors andwon’t answer, or will send achild to wave them off.Often, Ivory has to persuadewomen that the offer of freescreenings isn’t a gimmick.

Each home brings a differ-ent experience, said Char-lene Thomas, 38, of WestMiami-Dade. ‘‘You neverknow, one of those people

may really need it. You can’tgive up if one person doesn’topen the door,’’ she said.

Thomas knows the bene-fits of the initiative as bothvolunteer and participant:She is uninsured. On Oct. 1,she was diagnosed withbreast cancer after a biopsythat the initiative arranged.

Thomas learned theremight be a problem afterpaying $800 out-of-pocketfor a screening six monthsago. She couldn’t afford afollow-up, but the FloridaBreast Health Initiative paidfor it.

‘‘I probably would nothave gone back for a secondmammogram, not anytimesoon,’’ she said. ‘‘Thisrelieves worries.’’ She’s opti-mistic because the tumorwas caught early. ‘‘Now I’mwaiting for the opportunityto have it removed.’’

THE SPOTLIGHT

Ivory’s efforts havegained national attention.This year, she was named aYoplait yogurt breast cancerchampion. A segment abouther work aired on ABC’snational news, and WPLG-ABC 10 in Miami.

The attention doesn’t fazeher. She remains driven bythe hope that hospitals willoffer more free services,benefactors will providecash, and foot soldiers willknock on doors to help fulfillwhat she sees as her destiny.

‘‘Before my diagnosis Iwas on a quest for my pur-pose in life. I wanted God touse me,’’ Ivory said. ‘‘As timewent on, God let me knowthere was a purpose for this.My cancer wasn’t for me. Itwas for all women.’’

CANCER STUD Y

Morechoos er adicalpa th■ Mor e w omen a re h a vingboth breasts remo v edwhen cancer strikes one,a study found, but doctorssaid the surgery is not aguar anteed p rev entiv emeasur e .

BY LAURAN NEERGAARDAssociated Press

WASHINGTON — Morewomen who have cancer inonly one breast are havingboth breasts removed, saysnew research that found thetrend had more than doubledin six years.

It is still a rare option:Most breast cancer in theUnited States is treated bylumpectomy, removing justthe tumor while saving thebreast.

But the study suggests 4.5percent of breast cancer sur-gery in 2003 involved womenhaving cancerous and healthybreasts simultaneouslyremoved, a 150 percentincrease from 1998 — with nosign the trend was slowing.

Young women are mostlikely to choose the aggres-sive operation, researchersreported Monday in the Jour-nal of Clinical Oncology.

The concern is whetherthey are choosing in the heatof the moment — breast can-cer surgery often is withintwo weeks of diagnosis — orwith good understanding ofthe pros and cons.

‘‘Are these realistic deci-sions or not?’’ asked Dr. ToddTuttle, the cancer surgerychief at the University ofMinnesota who led the studyafter more women sought theoption in his own hospital.

‘‘I’m afraid that womenbelieve having their oppositebreast removed is somehowgoing to improve their breastcancer survival,’’ he said. ‘‘Infact, it probably will not affecttheir survival.’’

The original tumor mayhave already spread to keyorgans, Tuttle explained.

But removing the remain-ing healthy breast does lower,although not eliminate,chances of a new cancerdeveloping on the other side.

Don’t underestimate thepeace of mind that brings,said Trisha Stotler Meyer ofVienna, Va., who had herbreasts removed recently.

‘‘Doctors are not up atnight crying’’ in fear of theirnext mammogram, saidMeyer, 37, who went back fora double mastectomy afterher initial cancer surgery.

‘‘I don’t want to have todeal with the stress,’’ sheadded.

I n a single day last week,Dr. Shawna Willey of George-town University’s LombardiCancer Center had twopatients seek the operation.

One needed a cancerousbreast removed, and immedi-ately asked to have thehealthy one removed, too.Another woman had recentlyundergone a lumpectomy andwas sick from chemotherapy— and returned to ask thatboth breasts be removed.

‘‘Her perception is, ‘If Ihave my breasts taken off, Inever have to do this again,’ ’’said Willey, who asked thewoman to see a counselor andfinish chemotherapy beforedeciding.

‘‘I can understand thatpoint of view. But I alwaystell them, it’s not a guaran-tee.’’

The American CancerSociety estimates 178,480 U.S.women will be diagnosedwith breast cancer this year.About 40,460 will die of it.

Some women at high risk,because of breast cancergenes or family history,choose preventive mastecto-mies before cancer strikes.

Tuttle’s study is the firstnational look at how manywomen choose to removeboth a diseased and healthybreast together.

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