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  • Cervical cancer elimination initiative updates

    Cervical cancer elimination initiative updates

     

    Banner of the Cervical cancer Elimination newsletter

    February: Garnering international support on the path to eliminate cervical cancer

    On
    5 February, the WHO Executive Board recommended to the 73rd World
    Health Assembly the adoption of the draft Global Strategy to accelerate
    the elimination of
    cervical cancer as a public health problem, and urged its
    implementation. The proposed resolution urges Member States to implement
    the strategy, calling for the support of international organizations
    and other relevant stakeholders, and includes a request
    for the Director General to support Member states in this endeavor.
     The WHA will consider the resolution when it convenes in May 2020.  The
    session included 23 interventions from EB Member States, most of them
    in full support of the Strategy and resolution;
    18 from other Member States, 6 observers and 6 non-state actors. Dr
    Nono Simelela, ADG and Special Adviser to WHO Director-General Dr
    Tedros, responded at the end of the session, thanking delegates for the
    broad support, and addressing some of the comments
    by sharing some of the ongoing work such as the efforts with the
    immunization partners to address HPV vaccine supply challenges and
    transparency in pricing.

    Read the full story

    Read the full draft resolution

    Download the
    Draft Strategy


    Dr Nono Simelela presented the draft Global Strategy towards Eliminating Cervical Cancer as a Public Health Problem during a webinar with partners. This presentation was given as part of
    the Us vs. HPV Prevention Week webinar series hosted by the Global
    Initiative Against HPV and Cervical
    Cancer. While highlighting WHO’s life-course approach to cervical
    cancer control, Dr Simelela also explained the proposed elimination
    threshold and targets as laid out in the strategy. She also discussed
    addressing salient challenges such as redressing inequities
    and taking special considerations for women living with HIV.

    Read the full story

    Listen to the full webinar “Gathering momentum for the global elimination of cervical cancer”

    Watch the video: Cervical Cancer Elimination – developed by Basic Health International (BHI), Union for International Cancer Control (UICC) and the Global Initiative Against HPV and Cervical Cancer (GIAHC)

    Read the story:To eliminate cervical cancer in the next 100 years, implementing an effective strategy is critical


    Dr
    Simelela was invited to Rwanda to support the kick off for a national
    cervical screening program set to put Rwanda on the path towards the
    Global Strategy goals
    for elimination of cervical cancer.

     

    Dr Simelala with the 1st Lady of of the Republic of Rwanda, Mrs. Jeannette Kagame

     

    HPV DNA test self-sampling demonstrated at cervical cancer screening facility, Muhoza Health Center

    Radiotherapy facility at Rwanda Cancer Center, colleagues from MOH, WHO, RBC and CHAI

     

    Amongst
    others, Rwanda’s First Lady Jeannette Kagame received her for a
    discussion on how WHO can support efforts against cervical cancer in her
    own country and
    throughout Africa. Dr Simelela held discussions on cervical cancer
    screening and treatment services, including building radiotherapy
    capacity, with the dedicated staff of Ruhengeri Hospital, Butaro
    Hospital, the Muhoza health center and hospital and the Rwanda
    Military Hospital. While cervical cancer and breast cancer are the most
    prevalent cancers among the women in the country, Rwanda has
    impressively reached a 97% HPV vaccination rate since introducing a
    vaccination programme in 2011, with a target to reach 70%
    screening coverage in five years. We look forward to a continuing and
    fruitful partnership with Rwanda and all the countries who have pledged
    their commitment to eliminate this preventable cancer. Together we can
    answer WHO’s call and improve the lives of
    girls and women around the world. 


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    Cervical cancer elimination initiative updates 1For
    news and real-time updates from around the world,
    follow Dr Princess Nono Simelela on Twitter
    @DrNonoSimelela
    ADG, Special Adviser to the Director-General on Strategic Programmatic Priorities

    Upcoming events

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    8 March 2020
     
    64th Session of the Commission on the Status of Women/Beijing+25
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    24 – 30 April 2020

     

     

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    Cervical cancer elimination initiative updates
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  • Why raising the alcohol content of Europe’s fuels could reduce carbon emissions

    Why raising the alcohol content of Europe’s fuels could reduce carbon emissions

    By 2030, a fifth of the fuel that motorists put into the petrol tanks of their cars could be alcohol, according to research concluding that new petrol and ethanol blends can reduce carbon emissions from Europe’s transport sector with little additional cost to consumers.

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  • Shortage of personal protective equipment endangering health workers worldwide

    WHO calls on industry and governments to increase manufacturing by 40 per cent to meet rising global demand

    The World Health Organization has warned that severe and mounting disruption to the global supply of personal protective equipment (PPE) – caused by rising demand, panic buying, hoarding and misuse – is putting lives at risk from the new coronavirus and other infectious diseases.

    Healthcare workers rely on personal protective equipment to protect themselves and their patients from being infected and infecting others.

    But shortages are leaving doctors, nurses and other frontline workers dangerously ill-equipped to care for COVID-19 patients, due to limited access to supplies such as gloves, medical masks, respirators, goggles, face shields, gowns, and aprons.

    “Without secure supply chains, the risk to healthcare workers around the world is real. Industry and governments must act quickly to boost supply, ease export restrictions and put measures in place to stop speculation and hoarding. We can’t stop COVID-19 without protecting health workers first,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus.

    Since the start of the COVID-19 outbreak, prices have surged. Surgical masks have seen a sixfold increase, N95 respirators have trebled and gowns have doubled.

    Supplies can take months to deliver and market manipulation is widespread, with stocks frequently sold to the highest bidder.

    WHO has so far shipped nearly half a million sets of personal protective equipment to 47 countries,* but supplies are rapidly depleting.

    Based on WHO modelling, an estimated 89 million medical masks are required for the COVID-19 response each month. For examination gloves, that figure goes up to 76 million, while international demand for goggles stands at 1.6 million per month. 

    Recent WHO guidance calls for the rational and appropriate use of PPE in healthcare settings, and the effective management of supply chains.

    WHO is working with governments, industry and the Pandemic Supply Chain Network to boost production and secure allocations for critically affected and at-risk countries.

    To meet rising global demand, WHO estimates that industry must increase manufacturing by 40 per cent.

    Governments should develop incentives for industry to ramp up production. This includes easing restrictions on the export and distribution of personal protective equipment and other medical supplies. 

    Every day, WHO is providing guidance, supporting secure supply chains, and delivering critical equipment to countries in need.  

     *** 

    NOTE TO EDITORS

    Since the start of the COVID-19 outbreak, countries that have received WHO PPE supplies include:

    • Western Pacific region: Cambodia, Fiji, Kiribati, Lao People’s Democratic Republic, Mongolia, Nauru, Papua New Guinea, Samoa, Solomon Islands, Tonga, Vanuatu and the Philippines
    • Southeast Asia region: Bangladesh, Bhutan, Maldives, Myanmar, Nepal and Timor-Leste
    • Eastern Mediteranean region: Afghanistan, Djibouti, Lebanon, Somalia, Pakistan, Sudan, Jordan, Morocco and Iran
    • Africa region: Senegal, Algeria, Ethiopia, Togo, Ivory Coast, Mauritius, Nigeria, Uganda, Tanzania, Angola, Ghana, Kenya, Zambia, Equatorial Guinea, Gambia, Madagascar, Mauritania, Mozambique, Seychelles and Zimbabwe

     

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    https://www.who.int/news-room/detail/03-03-2020-shortage-of-personal-protective-equipment-endangering-health-workers-worldwide

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  • Pregnancy and breastfeeding during an Ebola virus outbreak

    Pregnancy and breastfeeding during an Ebola virus outbreak

    Women who are pregnant or breastfeeding in an Ebola outbreak face similar challenges as other population groups, but they have specific health needs which must be met.

    As the second largest Ebola outbreak in history continues in the Democratic Republic of Congo, WHO has released new clinical guidelines for healthcare providers supporting pregnant or breastfeeding women in the context of Ebola virus disease.

    Improving clinical care and reducing mortality

    92-4-000138-1Clear and coherent guidance is needed to meet the combined needs of women requiring Ebola treatment, pregnancy care and management of complications.

    Information on how to protect breastfeeding children and other members in the community from transmission of the disease is also critical.

    Limited scientific evidence on how to best manage these needs has previously been a challenge for affected countries. In addition, misconceptions that pregnant women have a higher mortality rate than other populations with Ebola may in some contexts have put pregnant women at risk of not receiving standard care.

    WHO’s Guideline on the management of pregnant and breastfeeding women in the context of Ebola virus reviews existing evidence and provides a single set of recommendations on the care continuum for women exposed to, diagnosed with, or recovered from Ebola.

    This will enable healthcare providers, emergency response teams and health policy-makers to improve prevention and treatment measures in an Ebola outbreak.

    Obstetric care at an Ebola Treatment Centre

    Optimal supportive care should be offered to all pregnant women with Ebola. Likewise, they should be offered experimental treatment and vaccination under the same conditions as non-pregnant populations.

    Ebola virus disease does increase the risk of miscarriage and early labour, requiring close clinical management at Ebola treatment centres. It is important to engage both obstetric providers and those trained in Ebola response.

    This dual expertise is also important because early Ebola and pregnancy-related symptoms can overlap. Pregnant women should be prioritised for testing to confirm an Ebola infection.

    Ebola virus can persist in pregnancy related fluids as well as breastmilk. If healthcare providers are not clear on how to manage Ebola infection risk, they may be less willing to provide care. This stigma can be life-threatening for women who experience complications during delivery.

    The new WHO guidelines advise healthcare workers on how to protect themselves while caring for pregnant women with Ebola virus disease. This includes induced labour or surgical procedures, which carry greater risk of transmission in cases of acute infection. Any invasive treatments should be carried out in full personal protective equipment.

    Breastfeeding recommendations in an Ebola outbreak

    WHO recommends that women with suspected or confirmed Ebola immediately stop breastfeeding and are prioritised for diagnostic testing. Any child exposed to Ebola through breast milk should be placed into safe care, closely monitored for symptoms over a 21-day period and fed with an appropriate breast milk substitute.  

    The guidelines strongly recommend that breastfeeding is only restarted following two consecutive negative tests of breast milk, separated by 24 hours.

    A breast milk substitute should be used even if infection is confirmed for both the mother and her child. Exceptions can be made for infants under 6 months of age who are already infected, if breast milk substitutes are not feasible, affordable, sustainable or safe and separation cannot be implemented safely.

    Women’s health and rights in a disease outbreak

    A disease outbreak does not change women’s and adolescent girls’ fundamental human right to sexual and reproductive healthcare, including evidence-based care during pregnancy and childbirth.

    Women need support to make informed reproductive health care choices for themselves and their children. Women living in an Ebola outbreak should have access to all relevant reproductive options, regardless of economic, cultural, racial or religious status, including contraception and safe abortion to the full extent of the law.

    Pregnant and breastfeeding women across affected communities need equitable and respectful care that considers the risks they face and supports the choices they make.

    Accessing the guidelines and further research

    These guidelines are now available online and may be freely downloaded. The executive summary will be available in French.

    WHO will closely monitor new data as it emerges, as there is still a pressing need to prioritise ongoing research related to Ebola virus transmission.

     

     

     

    Pregnancy and breastfeeding during an Ebola virus outbreak
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  • WHO and FIND formalize strategic collaboration to drive universal access to essential diagnostics

    Geneva, Switzerland – 10 February 2020 – The World Health Organization (WHO) and the Foundation for Innovative New Diagnostics (FIND) announced today that a memorandum of understanding has been signed by the two organizations to formalize a strategic collaboration that will strengthen diagnosis in resource-poor countries by closing major diagnostic gaps at country level and bolstering disease surveillance that will inform public health initiatives and enhance outbreak preparedness and response.

    “This collaboration is an inspiring development that will take us a long way towards ensuring access to diagnostics to all who need them,” said Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization. “Global health challenges such as the ongoing novel coronavirus (2019-nCoV) outbreak demonstrates that without these essential elements of health systems, we cannot hope to promote health, keep the world safe, and serve the vulnerable. I look forward to working closely with FIND to determine what countries need and to forge a path to deliver these innovations so that no one is left behind.”

    Diagnosis is a driver of patient, financial and health systems impact, and a critical enabler of universal health coverage, but it is also the weakest link in the care cascade. This is especially true in primary healthcare settings in low- and middle-income countries. A unique and unprecedented opportunity exists to expand the role and impact of diagnostics to fully realize their potential to address major health security threats and evolving disease burdens through technological and digital advances.

    FIND has been an active partner with WHO since 2008 and a WHO Collaborating Centre since 2014, acting in the areas of laboratory strengthening and diagnostic technology evaluation. This expanded collaboration will put in place the building blocks necessary to enable transformative change in a move toward a country-led diagnostics alliance. Initial workstreams will focus on demand-driven access to essential diagnostics and the development of national Essential Diagnostics Lists, alongside collection of data that assist the scale up of diagnostics to support low- and middle-income countries on their paths to universal health coverage.

    “Each and every person has the right to a quality, timely diagnosis,” said Catharina Boehme, CEO of FIND. “Comprehensive diagnostic services underpin functional and efficient health systems not only to manage day-to-day healthcare needs, but also to ensure new disease outbreaks can be spotted and contained quickly. Working closely with WHO as part of a country-led alliance, we will strive to ensure that low- and middle-income countries have what they need to develop their own comprehensive, data-driven diagnostic strategies that enable universal health coverage and empower disease surveillance. Our ambition is that all patients, providers and decision-makers have access to the diagnostic solutions needed for optimal health outcomes.”

    The strategic collaboration agreement will initially run for a period of 5 years, until 2025.

    #  #  #

    About FIND

    FIND is a global non-profit organization that drives innovation in the development and delivery of diagnostics to combat major diseases affecting the world’s poorest populations. Our work bridges R&D to access, overcoming scientific barriers to technology development; generating evidence for regulators and policy-makers; addressing market failures; and enabling accelerated uptake and access to diagnostics in low- and middle-income countries (LMICs). Since 2003, we have been instrumental in the development of 24 new diagnostic tools used in 150 LMICs. Over 50 million FIND-supported products have been provided to our target markets since the start of 2015. A WHO Collaborating Centre, we work with more than 200 academic, industry, governmental, and civil society partners worldwide, on over 70 active projects that cross six priority disease areas. FIND is committed to a future in which diagnostics underpin treatment decisions and provide the foundation for disease surveillance, control and prevention. For more information, please visit www.finddx.org

     

    About WHO

    The World Health Organization is the directing and coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends. WHO is committed to the enjoyment of the highest attainable standard of health as one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition. WHO’s current global programme of work sets out three interconnected strategic priorities: ensuring healthy lives and well-being for all at all ages; achieving universal health coverage; and addressing health emergencies and promoting healthier populations. These priorities are linked to three ambitious targets, the “triple billion”: one billion more people to benefit from universal health coverage; one billion more people better protected from health emergencies; and one billion more people enjoying better health and well-being.

     

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    https://www.who.int/news-room/detail/10-02-2020-who-and-find-formalize-strategic-collaboration-to-drive-universal-access-to-essential-diagnostics

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  • US$675 million needed for new coronavirus preparedness and response global plan

    US$675 million needed for new coronavirus preparedness and response global plan

    To fight further spread of the new coronavirus (2019-nCoV) outbreak in China and globally, and protect states with weaker health systems, the international community has launched a US$675 million preparedness and response plan covering the months of February through to April 2020.

    “My biggest worry is that there are countries today who do not have the systems in place to detect people who have contracted with the virus, even if it were to emerge,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “Urgent support is needed to bolster weak health systems to detect, diagnose and care for people with the virus, to prevent further human to human transmission and protect health workers.”

    The Strategic Preparedness and Response Plan (SPRP) for the new coronavirus lays out activities and resources needed by international health organizations globally, including WHO, to implement priority public health measures in support of countries to prepare and respond to nCoV-2019 for a period February-April 2020. The objectives of the plan are to  limit human-to-human transmission of the virus, particularly in countries most vulnerable if they were to face an outbreak; identify, isolate and care for patients early; communicate critical risk and event information; minimize social and economic impact; reduce virus spread from animal sources; and address crucial unknowns.

    The plan focuses on:

    • Rapidly establishing international coordination and operational support;
    • Scaling up country readiness and response operations;
    • Accelerating priority research and innovation.

    “The effectiveness of outbreak response depends on the preparedness measures put in place before outbreaks strike,” said Dr Mike Ryan, head of WHO’s Health Emergencies Programme. “That is why we are seeking resources to safeguard the most vulnerable countries to protect people from the new coronavirus before it arrives on the doorstep.”

    As noted in the SPRP, WHO assesses that the outbreak poses a very high risk in China, and high risk regionally and globally. The risk assessment was based on factors including the likelihood of further spread, the potential impact on human health, and the varying levels of effectiveness in national preparedness and response measures. Accelerated action, as called for in the plan, can address these risks and areas requiring support.

    As of 10 a.m. Central European Time on 5 February, 25 countries have reported confirmed cases of the new coronavirus, including China, where 24,363 people had contracted the virus, or over 99% of all cases. In all other countries, 191 cases have contracted the virus.

    US$675 million needed for new coronavirus preparedness and response global plan
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    https://www.who.int/news-room/detail/05-02-2020-us-675-million-needed-for-new-coronavirus-preparedness-and-response-global-plan

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  • Heavy hitters: Obesity rate soars among professional baseball players

    Heavy hitters: Obesity rate soars among professional baseball players

    Major League Baseball players have become overwhelmingly overweight and obese during the last quarter century, say health researchers.

    David E. Conroy, Penn State professor of kinesiology, and colleagues looked at 145 years of data on professional baseball players’ body mass. The researchers found that the athletes’ weight held steady for over 100 years, with the majority of them weighing in at what is considered “normal,” – i.e., with a body mass index (BMI) between 18.5 and 24.9.

    However, around 1991 the average player’s BMI began to rise, and over the last 25 years nearly 80 percent of players fall into the overweight or obese category with a BMI above 25. Obesity in the general U.S. population began to rise in the mid-1970s, according to the Centers for Disease Control and Prevention.

    “Research exists that shows how having extra weight can help with certain aspects of baseball,” said Conroy, also professor of human development and family studies. “The more force a batter can put into the ball, the further it will travel.”

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  • Air New Zealand tests beds for economy passengers

    Air New Zealand tests beds for economy passengers

    Air New Zealand on Wednesday announced a proposal to put beds in economy-class, which it claimed could prove a “game changer” for passengers desperate to stretch out on long-haul flights.

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  • The Four Horsemen of Marital Apocalypse

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    Stop to consider your last fight with your spouse. The exact subject may escape you at the moment. We understand. After a while, the spats – over bills, your job, in-laws or the dishes still in the sink – can all blur together. But contrary to popular belief, it’s not the amount of conflict in your marriage or what you argue about that determines your relationship’s survival rate. to marriage researchers, how a couple fights tends to be the best predicator of whether they’ll end up enjoying their golden years together or battling it out in divorce court. So learning to fight less may not be quite as important as learning to fight fair.

    Four Deadly Sins of Marriage

    Dr. John Gottman of University of Washington, one of the foremost marriage researchers, claims he can predict with 90 percent accuracy if a couple will divorce. In his storied “love lab,” Gottman studies how couples interact, particularly how they communicate with each other in heated moments. After 30 years of research, he has pinpointed four behaviors that seem to invariably spell disaster in any marriage. He ominously refers to them as “The Four Horsemen of the Apocalypse.” Every couple needs to be vigilant and ensure none of the four gallop into their marriage and wreak irreversible havoc.

    Horseman #1: Criticism

    The most common horseman that emerges in long-term relationships is criticism. Frustrations, annoyances and resentment inevitably build up when couples live together – day in and day out. And criticism can be how these emotions manifest in the heat of an argument.

    Note that criticism differs from complaining. Criticism focuses on the person. Complaining focuses on the behavior. This may seem like subtle nuance but research shows it is a distinction that makes a significant difference in the long term. For example, this is a critical statement: “You always drive around in circles. You are an awful driver with a terrible sense of direction.” These words are dripping with blame and accusation. They are a personal attack.

    Unlike criticism, complaining has more to do with how the other person’s behavior makes you feel. Complaining usually begins with an “I” instead of “you”: “I get so frustrated when you are driving and don’t know where you are going.” See the difference? The second statement is a negative comment about something you wish were otherwise. So though “I” statements can seem awkward, they really help keep the carnage manageable during explosive moments.

    Horseman #2: Contempt

    You’re an idiot. You can’t do anything right. You make me sick. These contemptuous words have no place in any relationship you value. They are meant to explicitly humiliate or wound. They are toxic and indefensible. Period.

    Contempt includes but is not limited to name-calling, hostility and sarcasm. Keep in mind that contempt can also be conveyed non-verbally. An excessively harsh tone or disgusted eye roll can escalate your garden-variety argument into WWIII in the blink of an eye. Avoid contempt in your arguments at all cost. It is the basest, most childish tactic to resort to in a fight. Strive to respect your wife even when you disagree or feel upset with her. Contempt is like a poison. It will single-handedly erode intimacy. It destroys a sense of security and mutual respect. It does real damage because it makes a partner feel belittled and unloved.

    Horseman #3: Defensiveness

    Criticism+Contempt=Defensiveness. Defensive statements become practically an involuntary reflex in homes where contempt and criticism are regular visitors. It is understandable. After all, who wouldn’t put up their guard in response to an accusatory, belittling spouse? Defensiveness is fundamentally a self-preserving tactic.

    As understandable as this response can be, it is still hugely destructive. It builds walls. Rather than allow room for connectedness, the foundation for conflict resolution, it tends to breed emotional distance. Defensiveness blocks healing and forgiveness.

    Horseman #4: Stonewalling

    Because stonewalling is not explicitly aggressive, couples often underestimate its destructive potential. But it can be just as devastating to a relationship in its passiveness. It is, in effect, giving up. It is withdrawing emotionally. It is essentially closing the door to a resolution.

    Stonewallers withdraw partly because they can feel overwhelmed with emotion. They may keep their faces expressionless, avoid eye contact, hold their posture rigid, avoid any signs of listening such as nodding or encouraging sounds. They radiate icy distance and disapproval to their partners.

    The Secret to Fighting Fair

    Now that you know the four horsemen, make a conscious effort to keep them in the stable before they trample your marriage. One of the best ways to do this is to make “repair attempts” during your next argument. According to Gottman, repair attempts are any words or actions that prevent a conflict from escalating out of control. As simple as it sounds, repair attempts keep a marriage from becoming negative, hostile and distant.

    Repair attempts can be as basic as changing the topic, giving a compliment, apologizing or saying, “I’ve been cranky all day, can we start over?” It can be as simple as saying, “Don’t worry, we’ll get through this” or cracking a joke to diffuse tension. Research even shows couples who touch during arguments also tend to show higher relationship satisfaction. Do whatever works for you when conflict rears its ugly head.

    Remember, the more entrenched the negative patterns of behavior in your marriage become, the more difficult it becomes to break them. Don’t become a victim of these negative cycles. When two mature people can take ownership and be flexible, they will keep their marriage strong even though they may not always agree. As a Scottish proverb says, “Better bend than break.”

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    Source by Grant Langston

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