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The editors at Best Nursing Schools decided to research the topic of: Cancer Clusters of AmericaIs America Giving You Cancer? - Total new Cases of Cancer in US in 2012: 1,638,910 - Environmental factors (as opposed to hereditary factors) account for an estimated 75%-80% of cancer cases and deaths in the US. - Cancer is the second most common cause of death in the US, exceeded only by heart disease, accounting for nearly 1 of every 4 deaths. - 4 to 10% of deaths caused by cancer will be from occupational exposure and environmental pollutants [visual note: in bold b/c this is what leads into the following info] Environmental and Occupational Carcinogens and the Cancers they Cause- Bladder: paint/dyeing products, printing processes, benzidine, bet-napthylamine, arsenic, chemicals used in rubber, leather and textile industries, nitrates, chlorine - Breast: PBDEs and DDT - Colon: nitrates - Kidney: nitrates - Larynx: Asbestos, wood dust, paint fumes, chemicals used in metalworking, petroleum, plastics, and textile industries - mesothelioma: asbestos - leukemia: formaldehyde - lip: sunlight - liver: arsenic, vinyl chloride, lindane - Lung cancer: arsenic, asbestos, beryllium, cadmium,, chrominum compounds, coal products, nickel refining, radon, soot, tars, silica, vinyl chloride, diesel exhaust, radioactive ores like uranium, lindane - Lymphatic and hematopoietic: benzene, herbicides, insecticides, radiation, nitrates - nasal cavity and sinus: formaldehyde, textile industry, mustard gas, nickel refining, chromium dust, leather dust, wood dust, baking, flour milling, radium - Pancreatic cancer: DDT, nitrates - Prostate cancer: arsenic - rectum: Nitrates - Skin: arsenic, coal tars paraffin, certain oils, sunlight, lindane - Soft-tissue sarcoma: radiation - thyroid cancer: PBDEs Out and About- Ultraviolet radiation: Its Always Sunny on Planet Earth - Ultraviolet radiation comes primarily from the sun, but also includes tanning beds. - It currently is believed that 40-50% of Americans who live to age sixty five have cancer of the skin at least one time. - Over 1 million cases of carcinoma each year - Skin cancer is the most prevalent of of cancer today but can readily be diagnosed by skin specialists and effectively treated in its earliest stages: - Secondhand smoke contains more than 4,000 chemical compounds, with more than 60 of these compounds known or suspected to cause cancer. - It is estimated that more than 88 million nonsmoking Americans 3 years of age and older were exposed to SHS in 2007-2008. - SHS contains more than 7,000 chemicals, at least 69 of which cause cancer. - Each year, about 3,400 nonsmoking adults die of lung cancer as a result of breathing SHS. - SHS causes an estimated 46,000 deaths from heart disease in people who are not current smokers - Also look out for - Ionization radiation comes from x-rays, gamma rays and radioactive materials. - causes damage to DNA, which may in turn cause cancer Consumer products: Cancer-causing potential?- Antiperspirants, talcum powder, hair dyes, cosmetics as well as food products containing aspartame, bovine growth hormone and dyes - Some studies suggest that these products may increase the risk of developing cancer, but more research is being conducted to determine their carcinogenic levels. - The best advice: Limit your exposure to suspect products until more evidence is available. At home- If these walls could talk: Asbestos found in older buildings, increases the risk of lung cancer and mesothelioma. - Killing you softly: couches since before 2004 - most couches before 2004 contain a flame-retardant: polybrominated diphenyl ethers (PBDEs). - EPA describes PBDES as causing: "liver toxicity, thyroid toxicity and neurodevelopmental toxicity" - PBDEs have been used in paints, plastics, foam furniture padding, textiles, rugs, curtains, televisions, building materials, airplanes and automobiles since 1965 - Today, half of the PBDEs and 95% of the PentaBDE used worldwide are consumed by the U.S. and Canada - Studies show that the PBDE body levels in the U.S. population were at least 10 times higher than in Europe and other industrialized areas - Household Dust contains arsenic and DDT - about 60% of household dust comes from outside, through windows, doors, vents and on the soles of your shoes. - DDT, an insecticide banned in the 1972, continues to be has been found in our environment, including in household dust and is projected to exist in most homes in the U.S. - linked especially to Breast and pancreatic cancer, and more recently to testicular germ cell tumors - Trichloroethylene, a substance used in dry cleaning, has been linked to several cancers - air out your clothes after you bring them home - Radon: a colorless, odorless, radioactive gas - It is found in soil and rock, outdoors and indoors, with the highest levels in basements, where radon leaks through cracks or gaps in floors or walls. - High levels of radon have been linked to lung cancer. These high levels can occur when radon becomes concentrated in an area and cannot dissipate. - Radon is estimated to cause between 3% and 14% of all lung cancers, depending on the average radon level in a country. - household items with carcinogens: - Air fresheners and moth balls contain napthalene and formaldehyde. - Art supplies like epoxy and rubber cement glues, acrylic paints and solvents, and permanent markers - Artificially scented Candles: Avoid artificially scented paraffin candles that produce combustion by-products, including soot. Beeswax only, with cotton wicks. - Carpet and upholstery shampoos: - Flea, tick and lice control: many contain lindane At work: Cancer, Like a Boss- Certain Industries more prone: manufacturing, mining, coal production and iron and steel founding - Diesel exhaust is given off by trucks, buses, trains, construction and farm equipment, generators, ships and vehicles with diesel engines. - less than 2% of chemicals manufactured or processed in the U.S. have been tested for carcinogenicity - it has been estimated that 4% to 10% of U.S. cancers (48,000 incident cases annually) are caused by occupational exposure (maybe use near map section) - Arsenic in the atmosphere comes from mining, smelting, burning fossil fuels and other industrial processes Cancer Cluster Map: Correlation, sure. What about causation?- According to the National Cancer Institute: A cancer cluster is the occurrence of a greater than expected number of cases of a particular disease within a group of people, a geographic area, or a period of time. - With more than 100 types of cancer with various causes, it is difficult to define a cancer cluster - A suspected cancer cluster is more likely to be a true cluster, rather than a coincidence, if it involves one or more of the following factors: - A large number of cases of one type of cancer, rather than several different types. - A rare type of cancer, rather than common types. - An increased number of cases of a certain type of cancer in an age group that is not usually affected by that type of cancer.
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