Stirling breast cancer research shapes prevention policy with leading US health body

A ground-breaking resolution developed by University of Stirling academics on the elevated breast cancer risk faced by women in certain occupations has been adopted by the influential American Public Health Association (APHA), the largest public health organization in the world.

Dr James Brophy and Dr Margaret Keith of the University of Stirling’s Occupational and Environmental Health Research Group (OEHRG) were involved as initiators and co-authors of the resolution, entitled Breast Cancer and Occupation: A Need for Action.

The adoption of the resolution by APHA is a significant step in public health policy, highlighting the importance of primary prevention and renewed commitment to occupational health research in the United Kingdom and North America, where breast cancer rates are among the highest in the world.

Dr Brophy said: “Breast cancer is the most prevalent cancer in women across the globe but the majority of women do not have the known or suspected risk factors, therefore more attention to the exposures and hazards faced by women at work is required.” More here.

 

American Public Health Association Passes Groundbreaking Resolution on Breast Cancer and Occupation

The American Public Health Association has passed a groundbreaking resolution on breast cancer and occupation calling on the U.S. Surgeon General to declare the association between known classes of chemicals including endocrine disrupting chemicals (EDCs) and breast cancer while acknowledging that women working with these chemicals are particularly at risk. The declaration need to emphasis the precautionary principle and highlight the importance of identifying workplace and other environmental hazards that contribute to elevated breast cancer rates. The resolution was authored by Dr. James Brophy, Dr. Margaret Keith, and Dorothy Wigmore from Worksafe, Inc.

Last year, Dr Keith and Dr Brophy from the University of Windsor, Ontario and Prof Andrew Watterson from the University of Stirling (all members of the OEHRG group at Stirling University) won an international award for their work on occupational breast cancer with two studies looking at women’s breast cancer risk in specific workplaces.

The APHA resolution calls on the Department of Health and Human Services, the National Cancer Institute, the National Institutes for Health, the Environmental Protection Agency (EPA), the Centers for Disease Control and Prevention (CDC), the National Institute for Occupational Safety and Health (NIOSH), the Occupational Safety and Health Administration (OSHA) and other relevant federal agencies to:

  • Focus more on the etiologic and mechanistic pathways of suspect chemicals and breast cancer and chemicals identified as, or suspected of being, linked to breast cancer, particularly EDCs and mammary carcinogens.
  • Identify and investigate the causes of breast cancer in groups of workers in suspect sectors and workplaces or those who work with known and suspected chemicals.
  • Initiate special emphasis hazard surveillance programs to identify sectors and workplaces where breast cancer-linked hazards are present.
  • All initiatives need to incorporate green chemistry, toxics use reduction and informed substitution principles in their purchasing practices, to contribute to prevention and reduction of breast cancer in a life cycle approach that recognizes the power of purchasers.

Breast cancer is the most frequent cancer diagnosis among women in industrialised countries, and rates in North America and Western Europe are among the highest in the world. But despite decades of working womens contribution to the workforce; women’s occupational health hazards continue to be mostly invisible, studied inadequately and infrequently.

This historic resolution should pave the way for urgent public health action world wide. We look forward to hearing the reactions  from our own public and occupational health agencies. What do we need to do to have similar action on occupational and environmental breast cancer here? When are we going to see the elimination of endocrine disrupting chemicals from our workplaces?

The Alliance for Cancer Prevention has been calling for a new Cancer Action Plan which specifically addresses environmental and occupational risk factors  for breast and other cancers with targeted actions for those risk factors and specifically allocated funding. The plan needs to encompass social, economic and gender inequalities and would need to be rolled out across England, Scotland, Wales and Northern Ireland taking into account all countries specific cancer plans and strategies.

The APHA deserves much credit for backing this resolution and following up on the reports and statements referenced in the resolution which want to see breast cancer stopped before it starts.

A copy of the resolution can be downloaded here.

Better regulation of endocrine disrupting chemicals the only way forward for cancer prevention.

cancer MEPs briefing

Effective regulation of endocrine disrupting chemicals (EDCs) represents an important opportunity for the primary prevention of hormone-related cancers, including breast, prostate and testicular an MEPs briefing at the EU parliament was told yesterday. The meeting was organised by MEPs Against Cancer, the Health and Environment Alliance and the Association of European Cancer Leagues and hosted by MEP Christel Schaldemose.

“Curbing exposure to endocrine disrupting chemicals should become a central part of cancer prevention strategy in Europe,” said Wendy Tse Yared, Director of the Association of European Cancer Leagues (ECL). “It represents an exciting opportunity for prevention because reducing exposure to endocrine disrupting chemicals in our everyday environment may stop cancers before they start.”

Dutch toxicologist Dr Majorie B.M. van Duursen said: “We need to use every possible opportunity to prevent cancer so environmental prevention is important. Hormone-related cancers, especially of those of the breast and prostate, have been increasing in recent decades. Today, breast cancer is the most common cancer diagnosed in women in Europe, and prostate cancer is the most commonly diagnosed cancer in men.”

Génon K. Jensen, HEAL Director, said: “Exposure to EDCs is a likely explanation of why cancers that are hormone dependent, such as many breast and prostate cancers, have been increasing in recent decades.”

MEPs Against Cancer include environmental pollutants, air quality control and endocrine disruptors as one of their key areas of action over the coming 5 yrs in order to strengthen cancer prevention policies.

The Alliance for Cancer Prevention has been calling for the recognition of the environmental and occupational risk factors for some considerable time. These risk factors must form the basis of a new cancer plan . We are very heartened to see others echoing our call and very much look forward to working towards a cancer free future for all.

The press release can be viewed here. And on the Association for European Cancer Leagues site here. And an article in The Parliament Magazine can be viewed here.