Graphics by Sukaina Imam

By: Rosemarie O’Shea

For many users, the birth control pill’s side effects pose problems beyond spotting and migraines. The pill’s effects on the mental health of women are now being more widely discussed than ever. More women are opening up about their birth control experiences and how it has taken a toll on their mental wellbeing.

A quick YouTube search results in various videos titled along the lines of “Why I quit the pill”, where one video is even titled and thoroughly capitalized “THE PILL IS MAKING ME CRAZY. I QUIT”. Despite all this discussion in the social sphere, the medical research in comparison appears to be lacking.

Upon being made available to Canadians since 1960, the pill quickly became the country’s most popular form of reversible contraception. Now, more than 100 million women worldwide use the oral contraceptive pill to prevent pregnancy or control their menstruation.

Birth control pills contain varying levels of the hormones estrogen and progestin, the synthetic version of progesterone, a natural sex hormone. They prevent the release of the egg to stop ovulation from occurring, whilst also thickening the cervical mucus so that sperm cells are unable to enter the fallopian tubes. Both tactics minimize the chances of the egg meets sperm fertilization fairy tale. Provided it is taken correctly, the pill’s efficiency rate is stated to be 99 per cent effective.

Of course, almost every medication comes with its own set of side effects. The most commonly reported repercussions of the pill include intermenstrual spotting, nausea, breast tenderness and migraines. Slotted amongst these physical reactions, the ever-ominous sounding ‘mood changes’ is also listed.

These ‘mood changes’ are reflected in the most common reason for women to stop taking or change the pill they are using – its ramifications on their mental health.

In the 1970s, women protested for more information to be made available about the side effects of the pill as there were increasing reports of women suffering from heart conditions in connection to it. Eventually, the Food and Drug Administration required manufacturers to include inserts, within its packaging, listing the pill’s side effects and risks.

The FDA also required that the pill’s formula contain a significantly less amount of estrogen which has resulted in a lower risk of cardiovascular events and emergence of cancers. However, the connection between usage and increased risk of experiencing mental health issues weren’t legitimately addressed.

Recent studies have determined a link between the changes in hormone levels and the extent of anxiety and depression prevalent such as in premenstrual syndrome. Furthermore, the progesterone hormone has been shown to induce depression while its synthetic version, progestin, has been discovered to result in the decreased production of serotonin which is the hormone responsible for feelings of wellbeing.

Finding an ethical method of proving the cause and effect relationship between the pill and deteriorating mental health has stunted research in the field as the distribution of placebo pills to study subjects would result in unwanted pregnancies. Though, a study involving celibate subjects would face no ethical deliberation.

The issue remains that the advancement of medical technology concerning all categories that the pill’s side effect falls into: mental health, contraceptive technology and women’s health. Funding for such research is simply inefficient in times where it is most needed and expected by many.

Moreover, there is a consistency in the medical community’s reluctance to connect the pill with mental health issues, despite the large quantity of claims that have supported the correlation. Such reluctance possibly stems from the pill’s profit and value as a commodity.

It also seems to be the most accessible form of contraception to many and, so, slandering its brand so to speak may appear as a brash move.

With so many women experiencing heightened mental health issues in connection to their usage of the pill, this is an issue that needs addressing within the medical community. While the government are pushing more funding into mental health awareness, this problem continues to grow without being adequately addressed by research.

It’s time to shift the focus from dealing with the issues at hand after they conspire to looking at preventative measures that will protect users. The pill and its implications need to be more well researched and users must be informed. It’s time for the medical community to listen to women’s experiences, as neglecting their health and wellbeing is not an option.

 


[1] https://www150.statcan.gc.ca/n1/pub/82-003-x/2015010/article/14222-eng.htm
[2] https://www.k4health.org/sites/default/files/l13.pdf
[3] https://www.medicalnewstoday.com/articles/290196.php
[4] https://medicalxpress.com/news/2018-05-women-link-pill-depression.html
[5] https://www.plushcare.com/blog/birth-control-pill-brands/
[6] https://www.plannedparenthood.org/learn/birth-control/birth-control-pill/how-effective-is-the-birth-control-pill
[7] https://www.plannedparenthood.org/files/1514/3518/7100/Pill_History_FactSheet.pdf
[8] https://www150.statcan.gc.ca/n1/pub/82-003-x/2015010/article/14222-eng.htm
[9] https://medicalxpress.com/news/2018-05-women-link-pill-depression.html
[10] https://medicalxpress.com/news/2018-05-women-link-pill-depression.html
[11] https://www.independent.co.uk/life-style/women/contraceptive-pill-bbc-documentary-horizon-mental-health-depression-anxiety-suicidal-thoughts-zoe-a8645151.html

 

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Photo by Kyle West

By: Kashyap Patel

The safety and wellbeing of the student population should be the top priority of any respectable university. On Jan. 29, McMaster University chose to prioritize profits over the safety of their students.

Despite heavy snowfall and icy conditions, McMaster remained open because “crews [had] spent the night clearing snow and cleaning walkways.” The university simply advised their students to take care when travelling to campus.  

Crews have spent the night clearing snow and cleaning walkways. The University will open for classes this morning and all events and activities will take place as scheduled. Please take care travelling to campus.

— McMaster University (@McMasterU) January 29, 2019

McMaster’s Storm Emergency policy states that the university will be closed “when severe weather poses a danger to students, staff and faculty while on campus or if the weather would prevent large numbers of them from coming to campus or returning safely to their homes.”

For students living on-campus, the inclement weather did not pose as serious of a concern. However, for students and staff who live off-campus and commute, this decision put their safety at risk as roads and pathways leading to the campus were not adequately cleared.

In the opinion of many students on social media, the cancellation of classes should have been deemed a necessity. Students used the closure of the Hamilton-Wentworth District School Board schools, which are located in the same area as McMaster, to support their views.

Due to the inclement weather, all schools and administrative buildings are closed and transportation is cancelled today, Jan 29. All exams scheduled for today will be written tomorrow, Jan 30.

Enjoy the snow day! ❄️ pic.twitter.com/WpmHYJnFAD

— HWDSB (@HWDSB) January 29, 2019

Many students could not make it to campus due to Go bus cancellations and delays. The university clearly overlooked these legitimate concerns despite the potential negative impacts on students’ academic standings.

This incident begs the question: does McMaster value profits over the safety of its students? Given this instance, I believe the answer is yes. This decision was careless and irresponsible considering that most students attending McMaster either commute or live off-campus. These severe weather conditions also made it impossible for students using accessibility devices to safely reach campus.

Furthermore, many students that braved the conditions and commuted to campus found out that their instructors had cancelled their classes. The lack of coordination between the university and its faculty led to students unnecessarily putting their safety at risk.

Students also pointed out that several walkways on-campus were not cleared even though the university claimed otherwise. McMaster should be more truthful about the statements they disseminate to the public. Students use this information to make decisions about their commute and how they navigate the campus in a safe manner.

https://twitter.com/obeng_lily/status/1090300759802109952

It is difficult to pinpoint what sources of information the university used to inform their decision. The weather forecast predicted a snow storm at approximately 4 p.m. the day prior. The local facilities in Hamilton such as the YMCA and public libraries were also closing for the day. Buses and trains were also delayed or canceled in several locations throughout the southern Ontario area.

McMaster University should take a multi-faceted approach when making weather-related closure decisions. Transportation, safety and the effectiveness of the clearing crew needs to be evaluated before making a decision that can impact the safety of thousands.

Student safety should be of paramount importance to educational institutions. There seems to be a disconnect between McMaster and its students regarding the implementation of the inclement weather policy.

McMaster should re-evaluate the actions it took on Jan. 29 and learn from this incident. Students need to know that their safety is valued and plays a key role in the decision-making processes of their university.

 

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By: Abdullah El-Sayes

Antibiotic resistance has been an issue for decades. Infections that were once easy to cure are no longer treatable as microbes have become resistant to the drugs that kill them. This leads to detrimental effects. It has been 30 years since the last antibiotic drug has been released. The World Health Organization accentuates that impact this may have on humanity and has released a list of pathogenic superbugs in an effort to increase antibiotic research and development through government and the private sector investments.

How did this start in the first place? 

When antibiotics are prescribed to patients, they are expected to comply with the usage instructions and continue taking the drugs even if the symptoms have vanished to ensure all the pathogenic microbes are eliminated from the body. When this procedure is not abided, pathogens remain and drug-resistant bacteria may be formed via mutations and increase the population of resistant microbes. WHO claims that in countries without standard treatment, antibiotics are over-prescribed and overused by the public. This only adds to the problem. Antibiotics used for cattle within farms further contribute to the misuse of these drugs, and elevate the chance of microbes becoming drug-resistant.

What are the consequences we face? 

A growing list of infections such as pneumonia, tuberculosis, blood poisoning and gonorrhoea are becoming harder to treat as they become more resistant to antibiotics. Some infections are now untreatable. An infamous example of this would be the TB pandemic. During mid-late twentieth-century, TB was once treatable using antibiotics, but infections resurged during the 1980s and thereafter due to drug resistant strains making them harder to treat. This case draws attention to the importance of antibiotic research and development. As more microbes become resistant, more antibiotics will be required to subside the associated infections.

What can we do to prevent further harm?

WHO claims that behavioural changes are important to reduce antibiotic resistance. These actions include being careful with vaccinations and sharing needles, always washing our hands, practising safer sex, and good food hygiene. Nonetheless, these measures are not adequate to eliminate neither these microbes nor their harm among us. Dr. Eric Brown and his team based at McMaster University have conducted promising work towards resolving this crisis.

What research is being done now, and what has been discovered? 

This research team has tested 1440 drugs with expired patents against some of the most deleterious bacteria. The specific microbes were gram-negative bacteria, which have a rigid protective outer shell. Due to this, few antibiotics are able to defeat this specific bacteria type. However, pentamidine, a drug used to fight parasites in the 1930s, was found to form holes in the rigid outer shell of the bacteria. Additional antibiotics may then be supplemented to reach beyond the holes of the shell and finally devastate the bacteria and the infections associated with them. The experiments were conducted in dishes and mice. The results have been great, but still have a long way to go.

When asked about what the next steps are, Dr. Brown stated, “A trial in humans. … After all, pentamidine is already a drug that could be combined with other antibiotics in order to gather evidence in the clinic that this will work in humans.” He also added, “Pentamidine does have well known side effects, but these are manageable.”

Although this research is a relief to us, we cannot become too content, as resistant bacteria strains are not shy of showing up and causing damage.

“No one, including the public, should feel comfortable with the state of the art in antibiotic therapies. … The problem of drug-resistant bacteria is large and becoming worse every day,” said Dr. Brown.

Overall, antibiotic resistance is a serious tribulation we face, but research at McMaster University has taken a leap forward at resolving this issue. Let’s keep our fingers crossed for greater investment towards antibiotic research and development, so that we no longer have to stress about this pressing issue.

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By: Jennifer La Grassa

As children, we’re told to never talk to strangers. This firm command from our teachers and parents could be what has potentially engrained the avoidant response that we express when confronted by someone who is unfamiliar. When someone approaches me and asks “Do you know where the nearest (insert a location) is?” my brain automatically conjures up the memory of my mom firmly saying, “Don’t talk to strangers!” the first time I ever walked home from school by myself. With my mom’s voice ringing in my ears, my initial reaction to the stranger’s inquiry involves a shoulder shrug accompanied by a headshake, as I briskly walk away. Up until recently, this was the way I handled being confronted by, what I’d hope were, innocent strangers who simply lacked a GPS.

It wasn’t until I entered university that strangers became of great interest to me. Granted most “strangers” you meet in first year aren’t all that strange, as they are also 18 years old and just about as naïve as you are. But it’s not enough to just meet a person for them to no longer be a stranger. I’ve met so many people during my three years at McMaster and yet the most I know about any of them from the conversations we’ve had is their name, program and maybe their hometown. To my team leaders, fellow classmates and professors, even though I may see you every day and exchange small pleasantries with you, you’re still just as much of a stranger to me as I am to you.

Why is it so difficult for us to have meaningful conversations? It’s almost as if we have to wait until we become completely familiarized with a person before we can escape that “small talk” phase of the relationship and actually have a substantial conversation. I recently read a New York Times article whose author expressed how exhausted he was of having meaningless conversations about what someone does for a living or how the weather was that day. If you know me, then you would know that when I have absolutely nothing to say to someone the first thing I’ll bring up is the weather. Even though I know it’s such a poor conversation starter, it’s my go-to line when talking to people I don’t know well enough.

The author goes on to say that it’s really about how we phrase the question that will draw a different response from our co-conversationalist. He claims that instead of asking, “what do you do for a living?” we should ask, “what work are you most passionate about?” and rather than say, “where have you traveled to?” we should ask, “what place that you visited most inspired you and why?” Although this may seem intimidating to some, it is these types of conversations that truly allow us to connect with others.

I decided to test out the author’s suggestions and the universe must have really wanted me to, as it gave me two opportunities to do so recently. On my bus ride to Toronto, I ended up sitting beside a first-year McMaster student who decided to strike up a conversation with me. We conversed the entire road trip through which I learned, among many other things, of his transition into first year, his relationship with his sister and what he found most interesting about his program. We walked to the subway together and before we parted, it dawned on me that I had just learned so much about a person whom I had only known for forty minutes and whom I would probably never see again.

That same weekend, back in Hamilton, I had taken the wrong bus with a friend and at the last stop in Dundas, the young driver looked over at us and exclaimed, “you took the wrong bus didn’t you?” This led into a conversation about how he got to be a bus driver at the age of 25 and how life has so many unexpected turns that lead you to so many unexpected places. The willingness of the bus driver and the young McMaster student to open up and share a small fraction of their life taught me so much about myself and has changed the way in which I will conduct future conversations.

What’s most important is to be open to having these types of conversations. We shouldn’t pass someone off as being weird if they start asking us in-depth questions, unless they start asking for your address or credit card number, in which case quickly walking away in the opposite direction would be the appropriate response. There is so much we can learn from each other, if only we take the time to do so.

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Aisha Malik / The Silhouette

 

Young adults love to explore and find their true identity. There are many ways people define themselves as unique individuals. Some people use body piercings, dresses, hairstyles and body art.

Tattoos became a part of popular culture in the early 2000s for many young adults. This was a new era for people to share their life stories behind images they wanted to display on their bodies. However, on March 20, Hamilton Public Health Services issued a tattoo infection warning for people who got an unlicensed tattoo artist to perform on their body. This unnamed tattoo artist works from various private homes in Hamilton downtown. The artist was reusing needles and unhygienic tattoo art equipment.

These types of unsafe tattoo practices can put customers on high risk of blood infections such as Hepatitis B or C and HIV.

Hepatitis C is a liver infection caused by the Hepatitis C Virus (HCV). The virus is in the blood or any body fluids containing blood. Hepatitis is contagious and the virus spreads through blood-to-blood contact by sharing needles and using the same utensils (straws, spoons, etc.). Many students focus heavily on their education to graduate on time, but in the process are not able to earn much income. Therefore, students seize on any opportunity to save money, buy discounted materials and goods or use discounted services. Most of the times students share foods and drinks among their friends because they trust them and to save money. However, many students do not realize how easily Hepatitis C could spread among people. Students trust their friends or tattoo artists who will give them discounts to perform tattoo designs without informing customers about their unhygienic equipment.

The tattoo artists who are reusing needles on clients has been a massive issue throughout the years. There was another incident on July 26, 2010 when City of Hamilton Public Health Services advised people about a tattoo artist who was practicing unsafe tattooing in downtown Hamilton.

These types of incidents can cause great risks to people’s health. Therefore, students who want to budget their money should always use precaution and find enough information before receiving a tattoo from a tattoo artist. Students should not feel hesitant to ask how long the tattoo artists have been doing body art work, the last time the tattoo equipment was being used, or how often they sanitize the seating area for the customer. These questions can help protect a person’s life and keep tattoo artists on their toes in order to make sure they follow all the safety requirements and regulations.

There are a few ways for students to reduce the spread of Hepatitis C. The most important thing is to never share needles, straws, spoons, water or any equipment. The one time-sharing with an individual can change your life forever. Hepatitis C can live on surfaces for up to four days; therefore, avoid sharing toothbrushes, razors and manicure equipment. No matter how close of a relationship you have with your friends or roommates, be courteous and have the will to refuse sharing anything. Succumbing to peer pressure is what causes the downfall for most college students to begin with. Some of the signs and symptoms to remember are nausea, stomach upset, itchy skin, jaundice and the yellowing of eyes and skin. Hamilton Public Health Services and your health care provider’s provide testing with Hepatitis A and Hepatitis B vaccines at no cost. This will help people protect their body from other Hepatitis viruses. However, there is no vaccine for Hepatitis C, so always remember that sharing is not the only way of caring.

Unsterilized needles have caused several deaths in Hamilton and continue to do so around the world. All it takes is a little bit of knowledge and correct decision making skills as this is the thin line between life and death. Finding tattoo artists that practice such unhygienic work not only has the potential to ruin what they make on your body being unlicensed, but can also give you a fatal disease. Prevention is better than a cure. However, if body art is a must for someone to showcase who they are, then it must be done under the supervision of a licensed expert.

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