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.

Cancer Prevention: The Toxic Tour

 

 FROM PINK TO PREVENTION:

Cancer Prevention ~ A Toxic Tour ~ London, Saturday 29th June 12-2pm
The Alliance for Cancer Prevention and Tipping Point Film Fund in association with The Organic Pharmacy have come together around a programme of events designed to increase the debate and public awareness on the links between breast cancer, the workplace and the wider environment. These events include film screenings of PINK RIBBONS INC with discussions and a ‘toxic tour’.

The Programme for theWalk
The route will take place in green spaces, shops, outside parliament and the Emmeline Pankhurst Statue in Westminster; it will take approximately 2 hours. Starting point is at Christchurch Gardens, Victoria by the Suffragette Statue for 12 noon. We will go to the South Bank afterwards for drinks. The tour will leave commemorative blue plaques to mark our visit illustrating that cancer prevention does not live in the related tour visit sites. RSVP to: info@tippingpointfilmfund.com for places.

Download the information as a pdf here

From Pink to Prevention ~ what do we mean?
Despite the overwhelming presence of the Pink Ribbon and all its (global) attendant activities, environmental and occupational links to breast cancer struggle to be included in the debate. Why is this? What stands in the way of these critical elements being discussed?

As the disease reaches ‘epidemic’ proportions where more and more women face a diagnosis of breast cancer and far too many women lose their lives to the disease, are we doing the very best we can to ensure the debate addresses ALL possible causes of he disease? The time has come for all the key players – cancer charities, industry, drugs companies, the medical fraternity and government (whom many campaigners and authors describe as ‘the cancer establishment’) to recognise and acknowledge the role of environmental and occupational factors in this complex disease. This means doing something about it. The Alliance for Cancer Prevention wants to see environmental and occupational risk factors for breast and other cancers included and addressed in the National Cancer plans and strategies on cancer throughout England, Scotland, Wales and Northern Ireland.

About:

The Alliance for Cancer Prevention
Formed in 2009, the Alliance is a multi-stakeholder group which includes representatives from; NGOs, environmental and occupational health organisations, trade unions, public health advocates and civil society groups, working together on cancer prevention. The Alliance aims to challenge the existing perception of control and treatment of cancer being the best way forward and get equal recognition for primary prevention. We work to ensure that the cancer establishment acknowledges the environmental and occupational risk factors for preventable cancers. Alliance members campaign on issues independently and together to work collectively and strategically to identify the interconnection between the environmental, occupational, social factors and the combined exposures.

Tipping Point Film Fund
TPFF supports social action, non-fiction films for cinema with an international reach. We are a not for profit co-operative raising donations from individuals, groups and organisations who believe in using the power of film to make change. Our roots are deep in the social action campaigning world where, to understand the big issues affecting all of us, you need to dive deep into the structures that underpin them. TPFF also partners with other organisations to organise events for the public, with a film and/or campaigning focus. It is supported by The Co-operative.

The Organic Pharmacy
The Organic Pharmacy was founded by Margo Marrone – a pharmacist and homeopath who first became aware of chemical overload on the human body during the 1990’s. She opened her first Organic Pharmacy store in London in 2002 to address this ever growing concern about harmful chemicals in cosmetics and built the business on the principles of honesty, integrity, purity, quality and green environmental thinking. Ten years on it is still a family run business and one that has supported campaigns addressing environmental links to breast cancer.

The ‘Toxic Tour’ Concept
No running, no fundraising- just a ‘what do you know?’ tour giving you the lowdown on why we need to tackle environmental and occupational links to a disease that affects an increasing number of women of all ages. The alternative tourist-health walk taks in parks, shops and outside parliament. It will give you a whole new perspective on how you can influence the key players in the breast cancer debate in the effort to get them to take on board a much ignored aspect – the environment around us, from our first environment the womb, through our work and lived environments. By address the issue of breast cancer prevention we will look at all cancers connected to environmental and occupational exposures.

The notion of the ‘toxic tours’ originated in the USA with tours held annually in San Francisco and the ‘bucket brigades’ which held tours to test the air quality around nearby industries which was harming community health. The tours advocate for civil rights and environmental justice. The first ‘toxic tour’ in the UK was organised by Helen Lynn and the Women’s Environmental Network (WEN) and held in London. Subsequent tours were held in Wales with WEN Wales and Scotland in conjunction with WEN Scotland. This is the second tour of this kind in London, linking environmental and occupational links to cancers in general and breast cancer in particular, again in London.

Why a ‘ toxic tour’?
Take an historic tour through the dark and murky back streets of breast cancer politics. Learn about why rates of the disease have risen by 90% over the last 40 years yet little is being done to prevent it. Gain a new perspective on why certain occupations carry with them an increased risk of breast cancer, up to 5 times the average rate. Hear about why breast cancer is a 21st century disease, an epidemic of our time and how it is related to not just our lifestyle – which accounts for less than 30%-50% of the cases – but is connected to a cocktail of toxic chemicals that begins through exposure in the womb and persists forever after – pre and post birth in our living and working environments.

Wonder why this 21st century disease is still being addressed with an 18th century solution, question who is financially benefiting from breast and other cancers and investigate the long-standing inaction on this issue by the cancer establishment. Boldly go where no one has gone before and understand what primary prevention means and how a life-long low level exposure to hormone disrupting chemicals, carcinogens, and other chemicals and substances linked to breast and other cancers need to be more widely known about and acted upon.

Speakers and Contributors

Prof Andrew Watterson (University of Stirling)
Prof. Watterson is the Director of the Centre for Public Health and Population Health Research, at the University of Stirling, Scotland where he also heads up the Occupational and Environmental Health Research Group. His interests include occupational cancer prevention, fracking and biomass hazards, regulation of hazards and risks, costs of occupational diseases, PAR and lay epidemiology. He has acted as an adviser to the World Health Organisation and is on the editorial boards of IJOEH and Environmental Health.

Dr Ana Porroche-Escudero
Ana is a dedicated activist and educator on gender and health. She has initiated workshops and campaigns on gender violence ad is fascinated by the powerful combination of activism, art and innovative methods. She is a member of the Breast Cancer Consortium Advisory Board which is an international platform dedicated to changing the conversation on breast cancer through public and scientific discussions. She is currently organising a series of sessions on Breast Cancer Awareness in Brighton and recently showed the film Pink Ribbons Inc there along with other committed activists. She is an associate tutor at the University of Sussex.

Helen Lynn (Alliance for Cancer Prevention)
Helen has campaigned on cancer prevention since 1995 and is a freelance campaigner/ researcher at Wildcard Research. She worked as health Co-ordinator for 12 years at the Women’s Environmental Network and as co-director. Helen has worked at  local, national and international levels on issues connection women’s health and the environment they live and work in. She was  co-founder of the Alliance for Cancer Prevention, which campaigns for the recognition of environmental and occupational risk  factors for cancer.

Hilda Palmer (Hazards Campaign)
Co-ordinator of Greater Manchester Hazards Centre, Chair of Hazards Campaign and facilitator of Families against Corporate Killing (FACK). Hilda organises the annual Hazards Conference which is the UK’s biggest educational and organising event for trade union safety reps and activists. Hilda works and campaigns tirelessly against injustice, and for equality, better health and safety at work, in the environment and community.

Maria Arnold (Client Earth)
Maria works at ClientEarth, leading the Healthy Air Campaign which combines work to engage communities at the local level with policy advocacy at a UK level.  Previously Health Policy Analyst at the Sustainable Development Commission, she has worked to embed sustainable policy and practices within the NHS and Department of Health, with a particular emphasis on the link between health and the environment.
She has also managed environmental and public health projects at Southwark Council.

Nick Mole (PAN UK)
Pesticide Action Network UK (PAN UK) is the only organisation that works on every aspect of global pesticide issues including threats to the environment and human health from their use. Nick is the policy officer with PAN UK. He works on UK and EU issues that includes trying to stop the use of bee toxic pesticides, encouraging London’s parks and green spaces to go pesticide free and advising the public on health issues related to pesticide exposure.

Deborah Burton (Tipping Point North South)
Deborah co-founded Tipping Point Film Fund in 2009 to provide support to theatrical feature documentaries, with integrated
campaign outreach on global issues and has worked on the breast cancer prevention issue for many years.

MORE INFORMATION
There are many ways to get more involved in learning about environmental and occupational links to breast cancer. Everything
from simply informing yourself better, through to thinking twice about the products you buy, to taking action, as a concerned
worker, consumer and citizen.

LEARN MORE
Read about the history, politics, economics, and social aspects of breast cancer and the health care system – Pink Ribbons,
Inc. by Samantha King is a good place to start. Breast Cancer Consortium Resources and Alliance for Cancer Prevention Resources.

Evaluate health news stories with a critical eye. Health News Review provides excellent criteria on what consumers need to
know in stories on treatments, tests, products, and procedures and why. Health News Review.

COSMETICS: Organic Pharmacy
Pay attention to what is in the products you buy—to check out cosmetics ingredients
http://www.theorganicpharmacy.com/Images/Content/ExpertAdvice/FactSheets/Files/462.pdf
http://www.breastcancerfund.org/clear-science/chemicals-linked-to-breast-cancer/cosmetics/
WEN Careful Beauty list: www.wen.org.uk 

CONSUMER AND OCCUPATIONAL: Alliance for Cancer Prevention
Find out about issues linking cancer to exposures in the home, workplace and wider environment
Hazards Website: www.hazards.org
Endocrine Disrupting Chemicals (EDCs):  www.edc-free-europe.org
ChemTrust / EDCs and Breast Cancer: www.chemtrust.org.uk

PINKWASHING
Think Before You Pink™, a project of Breast Cancer Action. Think Before you Pink
TAKE ACTION As well as getting more informed on all these issues you can also find out more about what your elected
representatives are doing and try asking some basic questions!

  • Ask your MP why environmental and occupational risk factors for breast cancer are NOT included in all national cancers plans and strategies right across England, Wales, Scotland Northern Ireland
  • Write to your MEP voicing your concern about the lack of proper regulation in connection with toxic chemicals such as endocrine disrupting chemicals (EDCs) linked to breast cancer in consumer products.
  • Visit the recommended websites for vital information on how you can take action and follow up campaign information.
  • Download information as PDF.

Disclaimer: Please note this tour is a purely voluntary initiative, no funding was received to run the tour or none of those involved contributed anything to the event bar their time. All the speakers are contributing freely of their time and the organisers are all volunteers.

**********************************************
A very big ‘thank-you’ to all our contributors taking part in our day’s events

 

Occupational breast cancer, a much neglected gender issue

Alliance for Cancer Prevention

Press release
Embargo until 00.01 Friday 7th December 2012

Occupational breast cancer, a much neglected gender issue

London, UK (December 7th 2012)

New research has serious implications for elevated rates of breast cancer and reproductive disorders among women working in the plastics industry in the UK. (1) The paper published in the journal New Solutions supports recent findings by the Canadian researchers, Dr Jim Brophy and Dr Margaret Keith. Their epidemiological study found a five-fold elevated breast cancer risk for premenopausal women working in the plastics industry in Canada. (2)

The New Solutions study, carried out in association with the University of Stirling, Occupational Health Clinics for Ontario Workers and the National Network on Environments and Women’s Health, did a review of the toxicology, epidemiology, industrial hygiene literatures in conjunction with qualitative research looking at occupational exposures for the plastics industrie’s largely female workforce.

The review revealed the body burdens of women working in the industry have much higher levels of hormone disrupting chemicals such as BPA, phthalates, styrene and acrylonitrile than the general population.  These chemicals are all used in plastics production and some can leach out of the products over time, further affecting women and children’s health.

But the real impact on women workers in the UK is harder to assess.  For the 200,000 workers reported by Professor Andrew Watterson to be working in the UK plastics industry, there is no available data break down by gender. (3) Given the serious implications for women workers highlighted in this research, this further illustrates the serious lack of attention and consideration paid to women’s occupational health in the UK.  There is also obvious significance for other sectors where women work with BPA and other endocrine disrupting chemicals.

Breast cancer rates in the UK have risen by 90% over the thirty year period 1971 – 2010 according to the ONS. (4) Yet occupational and environmental exposures are continually left out of the picture when risk factors are addressed.

The alliance believes a tipping point has been reached with the growing and compelling body of evidence linking breast cancer to life-time and pre-birth exposure to endocrine disrupting chemicals. Failure to act now is to consign women to face elevated breast risk by working in environments where they are exposed daily to a cocktail of carcinogenic, mutagenic and endocrine disrupting chemicals manufacturing products for consumption. This is just not acceptable.

Current EU work on reviewing the strategy and criteria for identifying ED chemicals and substances needs to be informed by this research and take into account women’s workplace exposures. (5)

The Alliance for Cancer Prevention thinks that this is not just an occupational issue, it is a social issue and a public health issue but predominantly it should be a gender issue. We need to get better at making the connections between environmental, occupational and social issues.

While there has been considerable progress in eliminating chemicals like BPA from baby products, the fact remains that women are still being exposed to EDCs in the workplace.  When it comes to EDCs, risk regulation does not protect women workers or future generations. Many women work in the early stages of pregnancy and while breast feeding, unfortunately a women’s body burden can be passed on to the develop foetus and unwittingly through breast milk.

Maybe the issue needs reframing in terms of exposure at work being an unwarranted and preventable assault on women’s bodies that prevents them from reaching the highest attainable standard of health. Through CEDAW, women as workers have an enshrined legal right to protection of their health and safety in working conditions, including the safeguarding of the function of reproduction. (6)

The take home message for women as workers, citizens and consumers is, there are no safe levels of EDCs.

Alliance for Cancer Prevention

Facilitator Helen Lynn m: 07960 033 687

email: info@allianceforcancerprevention.org.uk
www.allianceforcancerprevention.org.uk

@Cancer_Alliance

Notes to editor

(1)     DeMatteo R, et al. “Chemical Exposures of Women Workers in the Plastics Industry with Particular Reference to Breast Cancer and Reproductive Hazards”. New Solutions, Vol. 22(4) 427-448, 2012

(2)     J. T. Brophy et al., “Breast Cancer Risk in Relation to Occupations with Exposure to Carcinogens and Endocrine Disruptors: A Canadian Case-Control Study,Environmental Health 11(87) (2012): 1-17, doi: 10.1186/1476-069X-11-87.

(3)     Chemical exposure at work is putting Scottish plastic workers at risk of breast cancer. Stirling University Press Release.

(4)     Office for National Statistics. Breast Cancer: Incidence, Mortality and Survival, 2010.

(5)     How the European Commission addresses challenges posed by endocrine disruptors. 

(6)     Convention on the Elimination of all forms of Discrimination Against women. (Article 11)  UK ratified the convention in 1986.

(7)     Endocrine disrupting chemicals are substances that alter one or more functions of the endocrine system (the bodies messenger system) and consequently cause adverse health effects in an intact organism, or its progeny, or (sub) populations. (WHO definition).

(8)     Environmental and occupational risk factors are exposures (either occupational or environmental) through air, soil, or water or direct contact with chemicals or substances which contribute to a cancer outcome by nature of their carcinogenicity, mutagenicity or endocrine disrupting abilities and properties.