Environmental factors
? which, from a scientist's standpoint, include smoking, diet, and infectious
diseases as well as chemicals and radiation in our homes and workplaces
? probably cause three quarters of all cancer cases in the US.
Among these environmental factors, tobacco use, unhealthy diet, and
not enough physical activity are more likely to affect your personal cancer
risk than trace levels of pollutants in food, drinking water, and the air.
However, the degree of risk from those pollutants depends on the concentration,
intensity, and exposure. Substantial increases in cancer risk have been
shown in settings where workers have been exposed to high levels of ionizing
radiation, certain chemicals, metals, and other substances.
Even exposures at low doses, which pose only small risk to individuals,
can still cause substantial ill health across the whole population. For
example, secondhand tobacco smoke increases risk in the large numbers of
people who do not smoke but are exposed to the smoke of others.
Strong regulatory control and attention to safe occupational practices,
drug testing, and consumer product safety play an important role in reducing
risk of cancer from environmental exposures. The US Food and Drug Administration,
the Environmental Protection Agency, and the Occupational Safety and Health
Administration develop safety standards and apply laws and procedures aimed
at controlling risk for Americans.
Unproven risks
Following are details on risk from some environmental (usually occupational)
exposures that are known or suspected causes of cancer:
Chemicals and radiation
Some chemicals, such as benzene and asbestos, show definite evidence
of causing cancer in humans. Others are considered probable human carcinogens
(cancer-causing agents) based on animal experiments. These include dichlorodiphenyl-trichloroethane
(DDT), formaldehyde, and polychlorinated biphenyls (PCBs).
The only types of radiation proven to cause cancer in humans are ionizing
radiation and ultraviolet (UV) radiation.
Evidence that high doses of ionizing radiation causes cancer comes from
studies of atomic bomb survivors, patients receiving radiotherapy, and
certain occupational groups, such as uranium miners. Ionizing radiation
can affect virtually any part of the body, but especially affects bone
marrow and the thyroid gland. Diagnostic medical and dental x-rays are
set at the lowest dose levels possible to minimize risk without losing
image quality and medical usefulness.
Exposure to sunlight (UV radiation) causes almost all cases of basal
and squamous cell skin cancer and is a major cause of skin melanoma. Disruption
of the earth's ozone layer by pollution may cause rising levels of UV radiation.
In addition, radon exposures in the home can increase risk of lung cancer.
Cigarette smoking greatly increases the effect of radon exposure in lung
cancer risk. Remedial actions may be needed if radon levels are too high
in your home.
Public concern about cancer risks in the environment often focuses on
unproven risks, or on situations in which known carcinogen exposures are
at such low levels that risks are negligible.
Pesticides
For example, pesticides are widely used in producing foods in agriculture.
High doses of some of these chemicals have been shown to cause cancer in
animals, but the very low concentrations found in some foods have not been
associated with increased cancer risk. In fact, people who eat more fruits
and vegetables, which may be contaminated with trace amounts of pesticides,
generally have lower cancer risks than people who eat few fruits and vegetables.
Workers exposed to high levels of pesticides, in industry workers or in
farming, may be at higher risk of certain cancers.
Environmental pollution by pesticides such as DDT, which is now banned
but was used in agriculture in the past, degrades slowly and can lead to
accumulation in the food chain and persistent residues in body fat. These
residues have been suggested as a possible risk factor for breast cancer,
although the evidence has not been conclusive.
Continued research into pesticide use is essential for maximum food
safety. But pesticides play a valuable role in sustaining the food supply.
When controlled properly, the minimal risks they pose are overshadowed
by the health benefits of a diverse diet rich in foods from plant sources.
Non-ionizing radiation
Electromagnetic radiation at frequencies below ionizing radiation and
UV levels has not been proven to cause cancer. Some studies suggest it
is associated with cancer, but most of the now extensive research in this
area does not. Low-frequency radiation includes radiowaves, microwaves,
and radar, as well as power frequency radiation arising from electric and
magnetic fields associated with electric currents (from cellular phones
and household appliances, for example).
Toxic wastes
Toxic wastes in dump sites can threaten human health through pollution
of the air, water, and soil. Many toxic chemicals found in such sites can
be cancer-causing at high doses, but most community exposures appear to
involve very low or negligible dose levels. Clean-up of existing dump sites
and close control of toxic materials in the future are essential to ensuring
healthy living conditions.
Nuclear power plants
Ionizing radiation emissions from nuclear plants are closely controlled
and involve negligible levels of exposure for communities near the plants.
Reports about cancer case clusters in such communities have raised public
concern, but studies show clusters do not occur more often near nuclear
plants than they do elsewhere.
ACS News Center stories are provided as a source of cancer-related
news and are not intended to be used as
press releases.
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