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Today's Stories

November 4, 2005

Phillip Cryan
Crackdown in Colombia

November 3, 2005

James Petras
The Libby Affair and the Internal War

Saul Landau
Torn Families and Shot Down Planes: a Cuba Story

Rep. Cynthia McKinney
An Occurrence at Gretna Bridge

Michael Dickinson
Bang! Bang! You're Deaf! Sonic Weapons Over Palestine

Joshua Frank
Sham Behind Closed Doors

Remi Kanazi
Dancing with Perseverance

Reza Fiyouzat
Taxation or Racketeering?

Website of the Day
CIA Leak Investigation: Bigger Fish, Deeper Water?

 

November 2, 2005

Cockburn / St. Clair
Holy Alito!: Not as Crazy as Scalia, But Just as Bad

Robert Oscar Lopez
Saving Rosa Parks from American Hypocrisy

John Walsh
The Philosophy of Mendacity: From Leo Strauss to Scooter Libby

Brian J. Foley
Why Most Americans Don't Care About Gitmo (and Why They Should)

Ramzy Baroud
Rolling Back Syria

M. Junaid Alam
What Moral Values?

Todd Chretien
Judgment Day for the Governator

Bruce K. Gagnon
The Democrats' Slap Happy Day

Website of the Day
Hands Off Dave!

 

November 1, 2005

Ron Jacobs
An Interview with Kent State's Dave Airhart

Gary Leupp
The Plame Affair Leads to Rome

John Ross
Days of the Dead on the Border

Bill Quigley
Why Are They Making New Orleans a Ghost Town?

Joseph Nevins
From a Boundary of Death to One of Life

Dave Lindorff
Thinking About Impeachment

Linda S. Heard
Bashing Syria: Another Trojan Horse from the UN?

Heather Gray
Thank You, Mrs. Parks

Michael Dickinson
To Di For: Charlie and Camilla Cross the Pond

Jeffrey St. Clair
Kent State: Wise Up and Back Off

 

October 31, 2005

Elaine Cassel
Libby's Lies

Mark Weisbrot
Pop Goes the Bubble: Bernancke and the Fed

Mike Whitney
Carry On, Patrick Fitzgerald

Norman Solomon
After the Libby Indictment, the Press Acquits Itself

Farooq Sulehria
Trading Weapons While Kashmir Burns

Nicole Colson
Scapegoating Immigrants

Madis Senner
Dhafir Sentenced to 22 Years: Another Erosion of Civil Rights

Paul Craig Roberts
Scooter and the Neocons


October 29 / 30, 2005

Cockburn / St. Clair
The Libby Indictment: Gotterdammerung for the Bushies?

Peter Linebaugh
The Wedges of Hephaestus

Tim Wise
Framing the Poor: Katrina, Conservative Myth-Making and the Media

John Chuckman
Bushspeak: Dark and Garbled Words

Steven Higgs
Green Hoosiers: Forging a New Democracy in the Heartland

Brian Cloughley
The Fifth Afghan War

M. Shahid Alam
Israel and the Consequences of Uniqueness

Nikki Robinson
Crack Down at Kent State

Ralph Nader
Let the PIRGs Begin!: Student Activism Thrives

Joe DeRaymond
Requiem for Bethlehem Steel?

Joshua Frank
Karl's Great Escape: Did Rove Rat on Scooter?

Laura Santina
Tongue-Tied on Iraq: Why Aren't the Dems Screaming Bloody Murder?

Fred Gardner
Death of an Organizer

Michael Dickinson
Insult Your Country

Ron Jacobs
Autumn in America

Dr. Susan Block
Fear and Sex: a Halloween Greeting

Vanessa S. Jones
Self-Portrait, 1994. Bronte Beach

Jeffrey St. Clair
Playlist: What I'm Listening to This Week

Poets' Basement
Marbet, Gardner, Ford, Albert, Engel, Krieger & St. Clair

Website of the Weekend
Red State Update

 

October 28, 2005

Jared Bernstein
Inflation Up; Wages Down: Fastest Decline in Wages on Record

Virginia Tilley
Embracing the Anti-Aparthied Movement in Israel/Palestine

Phil Gasper
The Race to Execute Tookie Williams

Jennifer Matsui
It's Mardi Graft Time!

Manual Garcia, Jr.
Is the US Really Against Torture?

Monica Benderman
In the Name of Justice

Jason Leopold
Fitzgerald Focuses on the Forgeries

Dave Lindorff
Suddenly, Bush Endorses Right of Fair Trials


Otober 27, 2005

Saul Landau
The Scandal Isn't the Leak, But the Illegal War

Stuart Hodkinson
Bono and Geldoff: "We Saved Africa" Oh No, They Didn't!

Ingmar Lee
Stop the Troops!: No Glory or Honor in Iraq

Lila Rajiva
License to Bill: Gates Does India

Ilan Pappe
The Last Moment of Hope

Niranjan Ramakrishnan
Waiting for Fitzgerald

Michael Donnelly
Look Who's Talking Now: the GOP on Perjury

Ron Jacobs
Escape the Weight of Your Corporate Logo

Cockburn / St. Clair
White House in Meltdown

 

October 26, 2005

Kathy Kelly
For Whom They Toll

Gary Leupp
Dialectics of the Plame Affair

Mike Marqusee
Empire of Denial

Eric Ruder
War Crimes in Afghanistan

Patrick Cockburn
Iraq: a Constitutionally Divided Nation

Joshua Frank
Fitzgerald v. the Bushies: Hold Your Elation in Check

J.L. Chestnut, Jr.
The Legacy of Rosa Parks

Website of the Day
Decent Work in America: the 2005 Work Environment Index

 

 

October 25, 2005

Paul Craig Roberts
Condi and Syrian Regime Change: Could Somebody Recommend a President?

Ken Sengupta / Patrick Cockburn
Attack on the Palestine Hotel

Conn Hallinan
Sleight of Hand: Iran, India and the US

Nafeez Mosaddeq Ahmed
Pulling the Court Strings

Jackie Corr
Barbara Bush: Poster Gorgon of the Houston Astros

Robert Day
Talk to Strangers

John Sugg
Judith Miller and Me

 

October 24, 2005

Dave Lindorff
Revoke Judy Miller's Pulitzer

Michael Donnelly
Shades of Iran/contra

Patrick Cockburn
A Nation Stands on Trial

Mike Whitney
Apres Rove

Norman Solomon
Iraq is Not Vietnam, But...

Bill and Kathleen Christison
US Foreign Policy and Palestine

 

October 22 / 23, 2005

Alexander Cockburn
When Divas Collide: Maureen Dowd v. Judy Miller

Billy Sothern
Letter from the Circle Bar, New Orleans

Saul Landau
Bush, an Assessment

Ralph Nader
An Open Letter to Bush on Harriet Miers

Behrooz Ghamari
Whose Justice Does Saddam's Trial Serve?

Brian Cloughley
Bush the Strategist: Pyrrhus Without a Victory?

Diana Barahona
Venezuela's National Workers' Union

Fred Gardner
Dershowitzed!

Lee Sustar
What the War on Terror is Really About

Patrick Cockburn
Murder of Saddam Trial Defense Lawyer

Laura Carlsen
Mexico City Seamstresses Recall 1985 Quake

James Petras
China Bashing and the Loss of US Competitiveness

Joshua Frank
Invading Iran: Who is to Stop Them?

Manuel Garcia, Jr.
Disasters are Us

Michelle Bollinger
When Abortion Was Illegal

Missy Comley Beattie
CSI: Iraq

Kona Lowell
Intelligent Design: Making High School Fun

Ben Tripp
Tanks for the Memories

Jeffrey St. Clair
Playlist: What I'm Listening To This Week

Poets' Basement
Albert and Engel

Website of the Day
Indictment Watch

 

October 21, 2005

Dave Lindorff
The Democrats' Abortion Hypocrisy

Winslow T. Wheeler
Paying for Their Mistakes: Incompetence, Deception and the Defense Budget

Col. Dan Smith
The Destruction of the National Guard

Norman Solomon
Media at Crossroads: 25 Years After Reagan's Triumph

Madis Senner
Abusing Katrina

Michael Donnelly
Richard Pombo: DeLay in Cowboy Boots


October 20, 2005

Dave Lindorff
Impeachment Comes to NYC

Ray McGovern
16 Fatal Words: Cheney's Chickens Come Home to Roost

Jeremy Brecher /
Brendan Smith

Attack Syria? Invade Iran?: By What Constitutional Right?

Patrick Cockburn
Saddam Refuses to Recognize Court

Kevin Zeese
Was the Iraqi Constitution Vote Fixed?

Ross Eisenbrey
Millions Would Lose Pay and Protections Under Enzi Amendment

Randy Shields
James McMurtry Makes It in Dayton

Justine Davidson
Prosecuting Bush in Canada for Torture: a Small Victory

After Lucas Cranach
Judy and Holofernes

Joe Allen
The Scandalous History of the Red Cross

 

October 19, 2005

Christopher Reed
Koizumi and the Rape of Nanking

Stephen Soldz
Bush and Avian Flu: the Excuses Begin to Fly

Chet Richards
War and Intelligence

Patrick Cockburn
Saddam on Trial

Scott Richard Lyons
Multicultural Columbus?

Ralph Nader
An Interview with Rev. William Sloane Coffin

Website of the Day
Shocking Video: Why Birds May Be Taking Viral Vengeance on Humans

 

October 18, 2005

Chet Flippo
Merle Haggard: "Let's Get Out of Iraq"

Ron Jacobs
Dual Devotions: the Catholic Church and the US Flag

Keeanga-Yamahtta Taylor
A Tale of Two Cities: From DC to Toledo

Dave Lindorff
Judy Miller: Little Miss Run Amok

Virginia Rodino
A Winter Patriot: Reflections on the Antiwar Movement

Thomas Healy
The Weather in Goshen: Still Radical After All These Years

Ralph Nader
A New New Orleans

Stephen Lendman
The Sorrows of Haiti

Patrick Cockburn
On the Eve of Saddam's Trial: a Divided Iraq

 

October 17, 2005

Peter Linebaugh
Spinoza and the Black Limos

Norman Solomon
Judith Miller, the Fourth Estate and the Warfare State

Cockburn / Sengupta
"If the Sunnis Don't Like It, That's Their Problem"

Mike Whitney
Miller's Confession: Last Gasp Before Indictments?

Uri Avnery
Iraq Now: What Awaits Samira?

Harold Pinter
Torture & Misery in the Name of Freedom

Website of the Day
Al Joudi v. Bush

 

October 15 / 16, 2005

Alexander Cockburn
Ayatollahs of the Apocalypse

Patrick Cockburn
"This Constitution Won't Get Me a Job"

Saul Landau
Two Terrorists and a Lush: Osama, Posada and Bush's Drinking

Neve Gordon
"Beyond Chutzpah": Exposing Grave Moral Distortions

Moshe Adler
Poverty in New York City

Christopher Brauchli
Lynndie England's Burden

Diane Farsetta
The Emperor Doesn't Disclose: the Fight Against Fake News

Sam Husseini
Notes on Current Reporting About Judith Miller

Monica Benderman
From Chaos to Conscience to Peace

Mickey Z.
POW Abuse by US: Nothing New Going On Here

Douglas C. Smyth
George W. Bush, the Honorius of Our Time

Lee Sustar
Will Delphi Bust the UAW?

Fred Gardner
Cannabinoids Arrive in Realm of Established Fact

Elizabeth Schulte
A Former Panther's Georgia Campaign: an Interview with Elaine Brown

Joshua Frank
Will the Democrats Save Harriet Miers?

David Vest
Down with Formalism! Up with Values!

Ben Tripp
Epistle II: the Reawakenign

Poets Basement
Engel, Albert, Ford and Louise

Website of the Weekend
The Hidden Canyon

 

October 14, 2005

Farrah Hassen
A Somber Ramadan in Syria

Ron Jacobs
The Black Panthers: They Haven't Forgotten; Neither Should We

Sasha Kramer
USAID and Haiti: the Friendly Face of Imperialism?

Katrina Yeaw
The Student Struggle in Italy

Nicole Colson
Bird Flu: Militarizing Health Care

Raúl Zibechi
Survival and Existence in El Alto

Nikolas Kozloff
Hugo Chávez and the Politics of Race

Website of the Day
LA Filmmakers Cooperative


October 13, 2005

Jeremy Scahill
Mr. Bush Goes to Tikrit (Sort Of)

Jeff Birkenstein
A Thoreau for Our Time: Why Cindy Sheehan Matters

Brendan Smith / Jeremy Brecher
Harriet Miers: Bush or the Constitution?

Stan Cox
Did You Know This About Iraq?

Anis Memon
The Curious Case of Russ Feingold

Gary Leupp
Miller, Libby and the June Notes

Dave Zirin
A Tribute to August Wilson

Matthew Koehler
America's Endangered Forests

Werther
The Two-Headed Monster

Website of the Day
Hurricane Song


October 12, 2005

Omar Waraich
Britain and the Quake: Mean and Stingy

William Cook
Voices Behind the Entombment Wall

Phil Gasper
Countdown to a Legal Lynching

Dave Lindorff
Impeachment Now and Then: Clinton, Bush and the Polls

Matt Vidal
Capital, Power and Class

John Gautreaux
New Orleans will Never be the Same

Diana Johnstone
Srebrenica Revisited: Using War as an Excuse for War

Mark Weisbrot
The IMF Has Lost Its Influence

Brian J. Foley
Gitmo Tribunals Endanger Public Safety

Website of the Day
Columbus Day Lies

 

October 11, 2005

Roger Morris / Steve Schmidt
Strategic Demands of the 21st Century

Lila Rajiva
Live from New Orleans: Abu Ghraib

Bill Quigley
New Orleans: Leaving the Poor Behind Again

Paul Craig Roberts
Natural Born Liars

Dave Lindorff
Recruiters in Schools: No Lie Left Untried

Dr. Teresa Whitehurst
Suspect Thy Neighbor

Mitchel Cohen
Showdown at Chuck E. Cheese

Tariq Ali
Pakistan will Never Forget This Horror

Website of the Day
L'Heure Americaine

 

October 10, 2005

Cindy and Craig Corrie
Rachel's Words Live

Joshua Frank
Washington's War Dems

Gideon Levy
The Beautiful Life Without Arafat

Alan Wallis
The Fight for Free Speech at Union Square

Mickey Z.
In Defense of Liars

CounterPunch News Service
Vermont Independence Convention

Paul Craig Roberts
The Police State is Closer Than You Think

Website of the Day
Dylan's Chronicles

 

October 8 / 9, 2005

Alexander Cockburn
Rhetoric and Reality in the Business of Getting Rid of Black People

Ralph Nader
Katrina and the Growls of Greed

Jennifer Van Bergen
New American Law: Legal Strategies in the Dharfir Case

Saul Landau
An Oily Religious Dream

Jeff Halper
Setting Up Abbas

Lenni Brenner
The Millions More Movement and Zionism

Nikolas Kozloff
Bird Flu and Bush

Brian Cloughley
Training Soldiers in Iraq

Alice Slater
A Nobel Prize for Chernobyl?

John Gautreaux
A View from Cajun Country

Fred Gardner
Does the Controlled Substances Act Mean What It Says?

Niranjan Ramakrishnan
The Leveethan Approach

M.G. Piety
Rot in the Ivory Tower: Collusion, Cover-Up and Kierkegaard

Tom Gorman
The Hitchens Doctrine

Mike Whitney
Bunker Days with George

Aseem Shrivastava
Beyond the Wasteland: Lessons from Afghanistan

Ben Tripp
Religion, an Epistle

Poets' Basement
Albert, Engel and Ford

 

October 7, 2005

Larry Johnson
The Plame Case: the Real Issues

Will Youmans
Why Do We Hate Our Freedom? Recruiters and Thugs on Campus

Dave Lindorff
Bird Flu: Evolution or Intelligent Design?

Judith Scherr
Haiti's Children's Prison

Russell D. Hoffman
Nukes for Peace, Revisited?: Nobel Prize Debacle

Jared Bernstein
Katrina and Jobs

Jennifer Van Bergen
New American Law: the Case of Dr. Dhafir

Website of the Day
FBI Witchhunt


October 6, 2005

P. Sainath
"Take That, Tom Friedman": Indian Masses Reject NYT's Neoliberal Idol Again

Scott Parkin
When Antiwar Activists Get Mugged

Paul Craig Roberts
Blundering into Syria

Andréa Schmidt
Haiti's Biometric Elections: a High-Tech Experiment in Exclusion

Dave Lindorff
Easy Money in the Big Easy

Joshua Frank
In Defense of Lew Rockwell

M. Junaid Alam
Jackboots at George Mason

Matthew Koehler
Cock and Bull on the Bitterroot

Robert Pollin
Is the Dollar Still Falling?

 

October 5, 2005

Heather Gray
Militarization is Not an Answer for Reconstruction: the Case of the Philippines

Robert Jensen
Is Bush a Racist?

Ramzy Baroud
Bush's Final Choice: America or the Empire

Col. Dan Smith
Keeping Promises to Iraq: "Everything is Bad"

Dave Zirin
Barry Bonds Laughs Last

Paul Craig Roberts
Liberal Guilt? How the Neocons Took Over

Alan Maass
Doing the Right Wing's Dirty Work

 

October 4, 2005

Nikolas Kozloff
Shocking the Two Party System: a Political Opportunity for Sheehan and the Antiwar Mvt.

Mike Roselle
Houston, You've Got a Problem

Joshua Frank
The Scoop on Harriet Miers

John Chuckman
War Porn: What the Gruesome Images Say

Alan Farago
Storm Warning for Jeb: Developers, Hurricanes and the Keys

Mickey Z.
An Interview with Thaddeus Rutkowski

Christine & Ethan Rose
Home Depot Exploits Hurricane Victims

Gary Leupp
An Earlier Empire's War on Iraq: a Lesson from Roman History

Website of the Day
Rodney Crowell on Bob Dylan

 

October 3, 2005

Vijay Prashad
Desperation at Holyoke

Paul Craig Roberts
Condi Rice: Gunslinger

Joshua Frank
An Interview with Cindy Sheehan

Seth Sandronsky
The Hiring Crisis for Black Teens

Jeffrey St. Clair
The Great Green Scare

 

 

 

 

 

 

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November 4, 2005

The Environmental Causes of Cancer

Why We Can't Prevent Cancer

By PETER MONTAGUE

In 1999, cancer surpassed heart disease as the number one killer of people younger than 85 in the U.S.[1] Now a detailed report on the causes of cancer tells us why: cancer has been steadily increasing in the U.S. for 50 years as people have been exposed to more and more cancer-causing agents, including chemicals and radiation.

Richard Clapp, Genevieve Howe, and Molly Jacobs Lefevre have just published "Environmental and Occupational Causes of Cancer; A Review of Recent Scientific Literature" and it is a real eye-opener.

But before we dive into this report looking for nuggets, let's set the background.

About half of all cancer cases are fatal, and death by cancer is often prolonged, painful, and very expensive. Those who manage to survive cancer live out their lives molded by the after-effects of harsh treatments popularly known as "slash and burn" -- surgery, chemotherapy, radiation, or some combination of the three.

As more people are kept alive each year with their breasts or testicles removed, the "cancer establishment" chalks up another "victory" -- and no doubt the victims are glad to be alive -- but we should acknowledge that there's something very wrong with calling this "victory." Slash and burn seems more like a dreadful defeat.

The truth is, an epic struggle has been going on for 50 years between the "slash and burn=victory" camp, versus those who think the only real victory is prevention of disease. The struggle occurs across a fault line defined by money. To be blunt about it, there's no money in prevention, and once you've got cancer you'll pay anything to try to stay alive. Cancer treatment is therefore a booming business, and cancer prevention is nowhere. That is the basic dynamic of the debate. Cancer surgeons can achieve the status of rock stars among their peers. Those who advocate prevention will most likely find themselves without funding, ridiculed and despised by the chemical industry, the pesticide industry, the asbestos industry, the oil industry and all their minions -- lawyers, bankers, engineers, reporters, professors, and politicians -- who make a fat living off those who pump out cancer-causing products and dump out cancer-causing by-products, aka toxic waste.

The debate began 50 years ago when a powerful voice for prevention spoke out from inside the National Cancer Institute (NCI). In 1948. Wilhelm Hueper, a senior NCI scientist, wrote,

"Environmental carcinogenesis is the newest and one of the most ominous of the end-products of our industrial environment. Though its full scope and extent are still unknown, because it is so new and because the facts are so extremely difficult to obtain, enough is known to make it obvious that extrinsic [outside-the-body] carcinogens present a very immediate and pressing problem in public and individual health."

In 1964, Hueper and his NCI colleague, W. C. Conway, described patterns in cancer incidence as "an epidemic in slow motion":

"Through a continued, unrestrained, needless, avoidable and, in part reckless increasing contamination of the human environment with chemical and physical carcinogens and with chemicals supporting and potentiating their action, the stage is being set indeed for a future occurrence of an acute, catastrophic epidemic, which once present cannot effectively be checked for several decades with the means available nor can its course appreciably be altered once it has been set in motion," they wrote.[pg. 28]

Hueper of course was right. This is why 50% of all men and 40% of all women in the U.S. now hear the chilling words, "You've got cancer" at some point in their lives. That's right, 1 out of every 2 men now get cancer in the U.S., and more than 1 out of every 3 women.

Clapp, Howe and Lefevre tell us that between 1950 and 2001 the incidence rate for all types of cancer increased 85%, using age-adjusted data, which means cancer isn't increasing because people are living longer. People are getting more cancer because they're exposed to more cancer-causing agents.

Contrary to well-funded rumors, the culprit isn't just tobacco or the hundreds of toxic chemicals intentionally added to tobacco products. Tobacco products remain the single most significant preventable cause of cancer, but they have not been linked to the majority of cancers nor to many of the cancers that have increased most rapidly in recent decades including melanoma, lymphomas, testicular, brain, and bone marrow cancers.[pg. 1]

No, it's more complicated than just tobacco with its toxic additives. Most plastics, detergents, solvents, and pesticides and the toxic-waste by-products of their manufacture came into being after World War II. From the late 1950s to the late 1990s, we disposed of more than 750 million tons of toxic chemical wastes.[pg. 27] Over 40 years, this represents more than two tons of toxic chemical wastes discharged into the environment for each man, woman and child in the U.S. No wonder some of it has come back to bite us.

Since the U.S. EPA began its Toxics Release Inventory (TRI) program in 1987, total releases have been reported as declining (though EPA does not check the accuracy of industry's self-reporting). Despite the reported decline, in 2002, the most recent year reported, 24,379 facilities in the U.S. reported releasing 4.79 billion pounds of over 650 different chemicals. (And TRI data do not include other enormous discharges: toxic vehicle emissions, the majority of releases of pesticides, volatile organic compounds, and fertilizers, or releases from numerous other non-industrial sources.) In 2001, more than 1.2 billion pounds of pesticides were intentionally discharged into the environment in the United States and over 5.0 billion pounds in the whole world.[pg. 27]

While all this chemical dumping has been going on, incidence rates for some cancer sites have increased particularly rapidly over the past half century. From 1950-2001, melanoma of the skin increased by 690%, female lung & bronchial cancer increased by 685%, prostate cancer by 286%, myeloma by 273%, thyroid cancer by 258%, non-Hodgkin's lymphoma by 249%, liver and intrahepatic duct cancer by 234%, male lung & bronchial cancer by 204%, kidney and renal pelvis cancers by 182%, testicular cancer by 143%, brain and other nervous system cancers by 136%, bladder cancer by 97%, female breast cancer by 90%, and cancer in all sites by 86%.[pg. 25]

In the most recent 10-year period for which we have data (1992-2001), liver cancer increased by 39%, thyroid cancer increased by 36%, melanoma increased by 26%, soft tissue sarcomas (including heart) by 15%, kidney and renal pelvis cancers by 12%, and testicular cancer increased by 4%.[pg. 25]

OK, so dumping chemicals into the environment has been a major industrial pastime for 50 years, and cancers are increasing. But why do we think these things are connected? What real evidence do we have that environmental and occupational exposures contribute to cancer?

That's what the new Clapp-Howe-Lefevre report is about. It is a review of recent scientific literature -- with emphasis on human studies, not studies of laboratory animals. Indeed, the bulk of the new Clapp-Howe-Lefevre report is a cancer-by-cancer compendium of what recent human studies tell us about environmental and occupational exposures that contribute to cancers of the bladder, bone, brain, breast, cervix, colon, lymph nodes (Hodgkin's disease and non- Hodgkin's lymphoma), kidney, larynx, liver and bile ducts, lungs, nasal passages, ovaries, pancreas, prostate, rectum, soft tissues (soft tissue sarcoma), skin, stomach, testicles, and thyroid, plus leukemia, mesothelioma, and multiple myeloma. (It is worth pointing out -- and Clapp-Howe-Lefevre do point it out -- that this compendium owes a great debt to a data spreadsheet on cancer and its environmental causes prepared by Sarah Janssen, Gina Solomon and Ted Schettler, for which thanks are due the Collaborative on Health and Environment.)

Many of the bad actor chemicals are well-known to us all: metals and metallic dusts (arsenic, lead, mercury, cadmium, hexavalent chromium, nickel); solvents (benzene, carbon tet, TCE, PCE, xylene, toluene, among others); aromatic amines; petrochemicals and combustion byproducts (polycyclic aromatic hydrocarbons, or PAHs); diesel exhaust; ionizing radiation (x-rays, for example); non-ionizing radiation (magnetic fields, radio waves); metalworking fluids and mineral oils; pesticides; N-nitroso compounds; hormone-disrupting chemicals (found in many pesticides, fuels, plastics, detergents, and prescription drugs); chlorination byproducts in drinking water; natural fibers (asbestos, silica, wood dust); man-made fibers (fiber glass, rock wool, ceramic fibers); reactive chemicals (such as sulfuric acids, vinyl chloride monomer, and many others); petroleum products; PCBs; dioxins; mustard gas; aromatic amines; environmental tobacco smoke; and outdoor air pollution.

But there is additional evidence linking chemicals with cancer:

* Elevated cancer rates follow patterns -- the disease is more common in cities, in farming states, near hazardous waste sites, downwind of certain industrial activities, and around certain drinking-water wells. Patterns of elevated cancer incidence and mortality have been linked to areas of pesticide use, toxic work exposures, hazardous waste incinerators, and other sources of pollution.[pg. 26]

* The U.S. EPA's long-delayed and heavily industry-influenced "Draft Dioxin Reassessment" released in 2000 admitted that the weight of the evidence from human studies suggests that, "the generally increased risk of overall cancer is more likely than not due to exposure to TCDD [dioxin] and its congeners [chemical relatives]." The report goes on to conclude, "The consistency of this finding in the four major cohort studies and the Seveso victims is corroborated by animal studies that show TCDD to be a multisite, multisex, and multispecies carcinogen with a mechanistic basis."[pg. 26]

* Farmers in industrialized nations die more often than the rest of us from multiple myeloma, melanoma, prostate cancer, Hodgkin's lymphoma, leukemia, and cancers of the lip and stomach. They have higher rates of non-Hodgkin's lymphoma and brain cancer. Migrant farmers experience elevated rates of multiple myeloma as well as cancers of the stomach, prostate, and testicles.[pg. 26]

* The growing burden of cancer on children provides some of the most convincing evidence of the role of environmental and occupational exposures in causing cancers. Children do not smoke, drink alcohol, or hold stressful jobs. Their lifestyles have not changed appreciably in recent years. In proportion to their body weight, however, "children drink 2.5 times more water, eat 3 to 4 times more food, and breathe 2 times more air" than adults." In addition, their developing bodies may well be affected by parental exposures prior to conception, exposures while growing in the uterus, and the contents of breast milk.

Clapp-Howe-Lefevre put it this way:

"We have learned how to save more lives, thankfully, but more children are still diagnosed with cancer every year. The incidence of cancer in all sites combined among children ages 0-19 increased by 22% from 13.8/100,000 in 1973 to 16.8 in 2000 and most of this increase occurred in the 1970s and 1980s. Epidemiologic studies have consistently linked higher risks of childhood leukemia and childhood brain and central nervous system cancers with parental and childhood exposure to particular toxic chemicals including solvents, pesticides, petrochemicals, and certain industrial by-products (namely dioxins and polycyclic aromatic hydrocarbons [PAHs])."[pg. 26]

All in all, the Clapp-Howe-Lefevre report makes a compelling case that many industrial chemicals contribute to many kinds of cancers. But where this report really shines is in its clear call for prevention. In all, there are relatively few products or substances associated with cancer.[pgs. 10-11, 37-40] Everything doesn't cause cancer, and many of the things that do could be shunned and phased out. In principle, a great deal of prevention is possible.

Thirty years into the prevention-vs-treatment debate -- in 1981 -- two famous British scientists -- Sir Richard Doll and Sir Richard Peto -- published an extremely influential study in which they estimated that "only" 2 to 4% of all cancers are caused by environmental or workplace exposures. With 1.2 million new cases of cancer each year in the U.S., half of them fatal, 2% to 4% = 12,000 to 24,000 deaths each year, most of them preventable. Doll and Peto said tobacco caused 30% of all cancers and food caused another 35%. We now know that cancer results from the interaction of our genes with exposure to several cancer-causing agents. All the necessary exposures must occur to cause a cancer -- if any one of them is missing, the cancer will not occur. This is why prevention is important -- it really can work.

Because cancer requires multiple exposures to cancer-causing agents, it is wrong and misleading to say that "Exposure to product A causes X percent of all cancers." It simple doesn't work like that. Perhaps Doll and Peto in 1981 did not know how such things worked, and they boldly proceeded to estimate what percent of all cancers were attributable to particular exposures. It was wrong, but their report served as powerful ammunition for the prevention-is-pointless crowd. If "only" 2 to 4% of all cancers were caused by environmental exposures, then there was little incentive to prevent human exposure to environmental agents, the argument went. What a welcome message this was for the cancer-creation industries (petrochemicals, metals, pesticides, asbestos, radiation, and others) and for the cancer treatment industry! Damn the torpedoes -- full speed ahead!

The prevention-is-pointless crowd latched onto the Doll and Peto study and spread it everywhere. By the end of 2004, the original 1981 Doll-and-Peto paper had been cited in 441 subsequent scientific papers.[pg. 4] But even more importantly, the federal National Cancer Institute and the American Cancer Society (which, together, you could call the "cancer establishment") adopted the Doll-Peto perspective, that cancer is a lifestyle disease -- the victims themselves are responsible -- and that prevention of environmental and occupational exposures is not worth the effort. Remember this was the beginning of the Reagan counterrevolution and the Doll-Peto paper fit right into the new ideology -- government is bad, big corporations are good, we're all individually responsible for whatever bad things happen to us, and greed is good because it makes the world go 'round. In any case, the NCI and the ACS largely adopted the Doll-Peto perspective, and they poured the bucks into new cancer treatments, pretty much ignoring prevention. Meanwhile, cancer incidence rates climbed relentlessly -- making the cancer-treatment industry healthier and wealthier, which allowed it to further erode support for prevention.

Now we are starting to shake off the stupor induced by the misleading Doll-Peto arithmetic, which pretended to prove that environment and occupational exposures are of no consequence.

Listen to this marvelously clear-eyed conclusion from the Clapp-Howe-Lefevre report:

"Comprehensive cancer prevention programs need to reduce exposures from all avoidable sources. Cancer prevention programs focused on tobacco use, diet, and other individual behaviors disregard the lessons of science."[pg. 1]

And this:

"Preventing carcinogenic exposures wherever possible should be the goal and comprehensive cancer prevention programs should aim to reduce exposures from all avoidable sources, including environmental and occupational sources."[pg. 6]

And this:

"Further research is needed, but we will never be able to study and draw conclusions about the potential interactions of exposure to every possible combination of the nearly 100,000 synthetic chemicals in use today. Despite the small increased risk of developing cancer following a single exposure to an environmental carcinogen, the number of cancer cases that might be caused by environmental carcinogens is likely quite large due to the ubiquity [presence everywhere] of carcinogens. Thus, the need to limit exposures to environmental and occupational carcinogens is urgent."[pg. 29]

And this:

"The sum of the evidence regarding environmental and occupational contributions to cancer justifies urgent acceleration of policy efforts to prevent carcinogenic exposures. By implementing precautionary policies, Europeans are creating a model that can be applied in the U.S. to protect public health and the environment. To ignore the scientific evidence is to knowingly permit tens of thousands of unnecessary illnesses and deaths each year."[pg. 1]

What a blast of fresh air!

The latest strategy from the cancer-creation industries is to claim that we can't take action to prevent environmental and occupational exposures because we don't have enough information. We're simply too ignorant to make a move. More study is needed. Clapp-Howe-Lefevre allow the eloquent writer Sandra Steingraber to answer this argument. They say, "A main concern for Sandra Steingraber, author of Living Downstream: An Ecologist Looks at Cancer and the Environment, is not whether the greatest dangers are presented by dump sites, workplace exposures, drinking water, food, or air emissions:

"I am more concerned [writes Steingraber] that the uncertainty over details is being used to call into doubt the fact that profound connections do exist between human health and the environment. I am more concerned that uncertainty is too often parlayed into an excuse to do nothing until more research can be conducted."[pg. 29]

Clapp, Howe and Lefevre go on: "At the same time, uncertainty and controversy are permanent players in scientific research. However, they must not deter us from enacting regulations and policies based on what we know and pursuing the wisdom of the precautionary principle. This is not new thinking, as demonstrated by Sir Austin Bradford Hill's 1965 address to the Royal Society of Medicine:

"All scientific work is incomplete [wrote Sir Austin Bradford Hill] -- whether it be observational or experimental. All scientific work is liable to be upset or modified by advancing knowledge. That does not confer upon us a freedom to ignore the knowledge we already have, or to postpone action that it appears to demand at a given time."[pg. 29]

Clapp, Howe and Lefevre then offer some guidelines for preventive action:

(1) The least toxic alternatives should always be used.

(2) Partial, but reliable, evidence of harm should compel us to act on the side of caution to prevent needless sickness and death.

(3) The right of people to know what they are being exposed to must be protected.

Clapp, Howe and Lefevre observe that "the United States has much to learn" from the proposed European chemicals policy, known as REACH:

(1) requiring that industry be responsible for generating information on chemicals, for evaluating risks, and for assuring safety; another way of saying this is, "No data, no market."

(2) extending responsibility for testing and management to the entire manufacturing chain -- everyone who uses a chemical has a duty to familiarize themselves with the consequences;

(3) using safer substitutes for chemicals of high concern; and,

(4) encouraging innovation in safer substitutes.[pg. 29]

In the words of ecologist Sandra Steingraber: "It is time to start pursuing alternative paths. From the right to know and the duty to inquire flows the obligation to act."[pg. 29]

But while we're working in clear-eyed mode here, let's take our exploration a bit further and look this problem squarely in the face.

The U.S. economy and culture are premised on endless growth. If I loan you $100 in the expectation that you will pay me back $103 next year, that extra 3% must come from somewhere. That "somewhere" has physical dimensions -- something must be dug up or grown to produce the additional 3%. That something must also be moved, processed, moved again, packaged, promoted and sold, moved again, used, moved again, and eventually discarded. Even if it is recycled many times, ultimately it will be discarded into a natural ecosystem somewhere (at which point nature begins moving it once again). The inescapable second law of thermodynamics tells us that each of these steps will inevitably be accompanied by waste, disorder and other disruptive unintended consequences. Even if you create the extra 3% per year by providing a "service" instead of a "product," you still require food, water, shelter, energy, clothing, tools, transportation, commercial space, medical care, municipal support services (like police, fire, emergency services, and sewage treatment), leisure activities, communications and information, schooling, and on and on.

An economy that is growing at 3% per year is doubling in size every 23 years -- requiring, every 23 years, a doubling in the number of cities, food sources, mines, factories, power plants, vehicles, highways, parking lots, schools, sewage treatment plants, hospitals, prisons, discards, trash and dumps. For a very long time this kind of rapid growth seemed tolerable. But now things are different -- the earth is full of people and their artifacts. We can no longer throw things "away" without affecting someone somewhere.

Something else is new as well. The modern, globalized financial environment (in which money flows easily across international borders), creates tremendous competitive pressure to attract investment by increasing return to investors. That in turn creates pressure to pass costs along to the general public. Economists call it "externalizing" costs. If I dump my chemicals and make you sick, I gain if I can get you to pay your own medical bills, and I gain again if I can get taxpayers to clean up my mess. Firms have a natural incentive to externalize their costs to the extent possible, but the present "globalized" financial environment has increased that incentive greatly, to improve return to investors.

In sum, let us review the pressures that prevent prevention.

(1) In general, it is difficult to make prevention pay, but remediation can pay handsomely; this is certainly true for the cancer industry. In general, financial-political-legal incentives are set up to reward those who create problems and those who supply remedies.

(2) Economic growth entails the continual creation of ever-more and ever-larger messes. Even if we managed to "green" commerce in every way we can think of today, damage to nature would still be roughly proportional to the size of the human economy because the second law of thermodynamics cannot be evaded. And we now know that damage to nature gives rise to human disease in myriad ways. Now that the earth is full, a growing economy creates palpably-growing health problems, including immune system degradation giving rise to cancers.

(3) The modern economy creates irresistible pressure to increase stock prices, which in turn creates relentless pressure to externalize costs by hook or by crook.

So let's not kid ourselves. Yes, cancer must be prevented because for the most part it can't be cured -- it can only be slashed and burned away at enormous cost, personal, social and monetary.

But saying cancer must be prevented is one thing. Expecting that it can be prevented within the framework of the modern economy is another. We can never stop working to prevent cancer -- and precautionary policies will always make sense no matter what kind of economy we have -- but until we shift to an economy that doesn't require growth, we'll find ourselves right where we are now -- on an accelerating rat wheel. As a result, we can expect to be living with more and more cancer at greater and greater cost to ourselves and to our children, accompanied by ever-increasing pain. It is not a pretty picture. But at least we can now see it clearly.

===============

[1] Richard Clapp, Genevieve Howe, and Molly Jacobs Lefevre, Environmental and Occupational Causes of Cancer; A Review of Recent Scientific Literature (Lowell, Mass.: University of Massachusetts at Lowell, The Lowell Center for Sustainable Production, September, 2005. Unless otherwise noted, throughout this issue of Rachel's, footnote numbers inside square brackets refer to pages in this report.

Peter Montague is editor of the indispensable Rachel's Health and Democracy, where this essay originally appeared. He can be reached at: peter@rachel.org







 

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