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April
29, 2003 LIFESTYLE CHANGES COULD PREVENT A THIRD OF WORLD CANCER DEATHS
On the heels of IOM’s
cancer prevention report (see March 25 HABIT, http://www.cfah.org/habit/vol6no3/IOM.cfm)
the WHO released its own report
on global cancer rates. Conclusions in the two studies are very similar:
Actions to support healthy lifestyles and preventive medicine could drastically
cut the number of cancer deaths each year. Cancer rates could increase by 50 percent to 15 million new cases in
2020. But reducing smoking rates, getting more people to eat fruits and
vegetables and boost their physical activity and implementing early screening
for breast and cervical cancers could keep these numbers under control,
according to the report. “Action now can prevent one-third of cancers, cure another third
and provide good, palliative care to the remaining third who need it,” said
Dr. Paul Kleihues, director of the International Agency for Research
on Cancer. The top three cancer killers globally are lung, stomach and liver cancer.
Infection plays a much larger role in cancer rates in developing countries
than in more industrial nations. Liver cancer, cervical and ano-genital
cancers and stomach cancers are among the 23 percent of malignancies
caused by infection in developing countries like southeastern Africa
and Central America. By contrast, only 8 percent of cancers in countries
like the United States and Germany are infection-related. Increasing wealth and Western
lifestyles are bringing more “affluent” cancers
such as breast and colon cancer to developing nations, according to the
report, which notes that heart disease and hypertension have also increased
in these countries. “Governments, physicians and health educators at all levels could
do much more to help people change their behavior to avoid preventable
cancers,” said Bernard W. Stewart, Ph.D., of the University of
New South Wales, Australia. To read a summary of the World Cancer Report or order a copy, go to
http://bookorders.who.int:8080/newaccess/anglais
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