Friday, May 7, 2010

President's Report on Cancer: Environmental Causes of Cancer "Grossly Underestimated"

The President's Cancer Panel reported on Thursday that "the true burden of environmentally induced cancers has been grossly underestimated" and strongly urged action to reduce people's widespread exposure to carcinogens.

The panel advised President Obama "to use the power of your office to remove the carcinogens and other toxins from our food, water, and air that needlessly increase health care costs, cripple our nation's productivity, and devastate American lives."

About 41 percent of all Americans still will be diagnosed with cancer during their lifetime, and about 21 percent will die from it, according to the National Cancer Institute.

The 240-page report by the President's Cancer Panel is the first to focus on environmental causes of cancer. Chemicals and contaminants might trigger cancer by a variety of means. They can damage DNA, disrupt hormones, inflame tissues, or turn genes on or off.

"The American people – even before they are born – are bombarded continually with myriad combinations of these dangerous exposures." Exposures happen in mixtures, not in isolation, and children are most vulnerable.

The Panel concluded that action is necessary, even though in many cases there is scientific uncertainty about whether certain chemicals cause cancer. That philosophy, called the precautionary principle, is highly controversial among scientists, regulators and industry.

The panel listed a variety of carcinogenic compounds that many people routinely encounter. Included are benzene and other petroleum-based pollutants in vehicle exhaust, arsenic in water supplies, chromium from plating companies, formaldehyde in kitchen cabinets and other plywood, bisphenol A in plastics and canned foods, tetrachloroethylene at dry cleaners, PCBs in fish and other foods and various pesticides. Previous reports by the President's Cancer Panel have focused largely on treatment and more well-known causes of cancer such as smoking.

They urged doctors to use caution in prescribing CT scans and other medical imaging tests that expose patients to large amounts of radiation. Patients who have a chest CT scan receive a dose of radiation in the same range as survivors of the Hiroshima atomic bomb attacks who were less than half a mile from ground zero, the report says.

The panel also criticized the U.S. military, saying that "it is a major source of toxic occupational and environmental exposures that can increase cancer risk." Examples cited include Camp Lejeune in North Carolina, where carcinogenic solvents contaminate drinking water, and increased lymphomas, prostate cancer, and other cancers from exposure to the herbicide Agent Orange.

Another sensitive issue raised in the report was the risk of brain cancer from cell phones. Scientists are divided on whether there is a link. Until more research is conducted, the panel recommended that people reduce their usage by making fewer and shorter calls, using hands-free devices so that the phone is not against the head and refraining from keeping a phone on a belt or in a pocket.

Environmental Health News.