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Today's
Stories
November 4,
2005
Phillip Cryan
Crackdown
in Colombia
November 3,
2005
James Petras
The
Libby Affair and the Internal War
Saul Landau
Torn
Families and Shot Down Planes: a Cuba Story
Rep. Cynthia McKinney
An Occurrence at Gretna Bridge
Michael Dickinson
Bang! Bang! You're Deaf! Sonic Weapons Over Palestine
Joshua Frank
Sham Behind Closed Doors
Remi Kanazi
Dancing with Perseverance
Reza Fiyouzat
Taxation or Racketeering?
Website of the Day
CIA Leak Investigation: Bigger Fish, Deeper Water?
November 2,
2005
Cockburn /
St. Clair
Holy
Alito!: Not as Crazy as Scalia, But Just as Bad
Robert Oscar Lopez
Saving Rosa Parks from American Hypocrisy
John Walsh
The Philosophy of Mendacity: From Leo Strauss to Scooter Libby
Brian J. Foley
Why Most Americans Don't Care About Gitmo (and Why They Should)
Ramzy Baroud
Rolling Back Syria
M. Junaid Alam
What Moral Values?
Todd Chretien
Judgment Day for the Governator
Bruce K. Gagnon
The Democrats' Slap Happy Day
Website of the Day
Hands Off Dave!
November 1,
2005
Ron Jacobs
An
Interview with Kent State's Dave Airhart
Gary Leupp
The Plame Affair Leads to Rome
John Ross
Days
of the Dead on the Border
Bill Quigley
Why
Are They Making New Orleans a Ghost Town?
Joseph Nevins
From a Boundary of Death to One of Life
Dave Lindorff
Thinking About Impeachment
Linda S. Heard
Bashing Syria: Another Trojan Horse from the UN?
Heather Gray
Thank You, Mrs. Parks
Michael Dickinson
To Di For: Charlie and Camilla Cross the Pond
Jeffrey St. Clair
Kent State: Wise Up and Back Off
October 31,
2005
Elaine Cassel
Libby's
Lies
Mark Weisbrot
Pop Goes the Bubble: Bernancke and the Fed
Mike Whitney
Carry On, Patrick Fitzgerald
Norman Solomon
After the Libby Indictment, the Press Acquits Itself
Farooq Sulehria
Trading Weapons While Kashmir Burns
Nicole Colson
Scapegoating Immigrants
Madis Senner
Dhafir Sentenced to 22 Years: Another Erosion of Civil Rights
Paul Craig
Roberts
Scooter
and the Neocons
October 29 / 30, 2005
Cockburn /
St. Clair
The
Libby Indictment: Gotterdammerung for the Bushies?
Peter Linebaugh
The
Wedges of Hephaestus
Tim Wise
Framing the Poor: Katrina, Conservative Myth-Making and the Media
John Chuckman
Bushspeak: Dark and Garbled Words
Steven Higgs
Green Hoosiers: Forging a New Democracy in the Heartland
Brian Cloughley
The Fifth Afghan War
M. Shahid Alam
Israel and the Consequences of Uniqueness
Nikki Robinson
Crack Down at Kent State
Ralph Nader
Let the PIRGs Begin!: Student Activism Thrives
Joe DeRaymond
Requiem for Bethlehem Steel?
Joshua Frank
Karl's Great Escape: Did Rove Rat on Scooter?
Laura Santina
Tongue-Tied on Iraq: Why Aren't the Dems Screaming Bloody Murder?
Fred Gardner
Death of an Organizer
Michael Dickinson
Insult Your Country
Ron Jacobs
Autumn in America
Dr. Susan Block
Fear and Sex: a Halloween Greeting
Vanessa S. Jones
Self-Portrait, 1994. Bronte Beach
Jeffrey St.
Clair
Playlist: What I'm Listening to This Week
Poets' Basement
Marbet, Gardner, Ford, Albert, Engel, Krieger & St. Clair
Website of
the Weekend
Red State Update
October 28,
2005
Jared Bernstein
Inflation
Up; Wages Down: Fastest Decline in Wages on Record
Virginia Tilley
Embracing
the Anti-Aparthied Movement in Israel/Palestine
Phil Gasper
The
Race to Execute Tookie Williams
Jennifer Matsui
It's Mardi Graft Time!
Manual Garcia,
Jr.
Is the US Really Against Torture?
Monica Benderman
In the Name of Justice
Jason Leopold
Fitzgerald
Focuses on the Forgeries
Dave Lindorff
Suddenly, Bush Endorses Right of Fair Trials
Otober 27, 2005
Saul Landau
The
Scandal Isn't the Leak, But the Illegal War
Stuart Hodkinson
Bono
and Geldoff: "We Saved Africa" Oh No, They Didn't!
Ingmar Lee
Stop
the Troops!: No Glory or Honor in Iraq
Lila Rajiva
License
to Bill: Gates Does India
Ilan Pappe
The
Last Moment of Hope
Niranjan Ramakrishnan
Waiting for Fitzgerald
Michael Donnelly
Look Who's Talking Now: the GOP on Perjury
Ron Jacobs
Escape the Weight of Your Corporate Logo
Cockburn / St. Clair
White House in Meltdown
October 26,
2005
Kathy Kelly
For
Whom They Toll
Gary Leupp
Dialectics
of the Plame Affair
Mike Marqusee
Empire of Denial
Eric Ruder
War Crimes in Afghanistan
Patrick Cockburn
Iraq: a Constitutionally Divided Nation
Joshua Frank
Fitzgerald v. the Bushies: Hold Your Elation in Check
J.L. Chestnut, Jr.
The Legacy of Rosa Parks
Website of
the Day
Decent Work in America: the 2005 Work Environment Index
October 25,
2005
Paul Craig
Roberts
Condi
and Syrian Regime Change: Could Somebody Recommend a President?
Ken Sengupta / Patrick Cockburn
Attack on the Palestine Hotel
Conn Hallinan
Sleight of Hand: Iran, India and the US
Nafeez Mosaddeq Ahmed
Pulling the Court Strings
Jackie Corr
Barbara Bush: Poster Gorgon of the Houston Astros
Robert Day
Talk to Strangers
John Sugg
Judith
Miller and Me
October 24,
2005
Dave Lindorff
Revoke
Judy Miller's Pulitzer
Michael Donnelly
Shades of Iran/contra
Patrick Cockburn
A Nation Stands on Trial
Mike Whitney
Apres Rove
Norman Solomon
Iraq is Not Vietnam, But...
Bill and Kathleen
Christison
US
Foreign Policy and Palestine
October 22
/ 23, 2005
Alexander Cockburn
When
Divas Collide: Maureen Dowd v. Judy Miller
Billy Sothern
Letter
from the Circle Bar, New Orleans
Saul Landau
Bush, an Assessment
Ralph Nader
An
Open Letter to Bush on Harriet Miers
Behrooz Ghamari
Whose Justice Does Saddam's Trial Serve?
Brian Cloughley
Bush the Strategist: Pyrrhus Without a Victory?
Diana Barahona
Venezuela's National Workers' Union
Fred Gardner
Dershowitzed!
Lee Sustar
What the War on Terror is Really About
Patrick Cockburn
Murder of Saddam Trial Defense Lawyer
Laura Carlsen
Mexico City Seamstresses Recall 1985 Quake
James Petras
China Bashing and the Loss of US Competitiveness
Joshua Frank
Invading Iran: Who is to Stop Them?
Manuel Garcia,
Jr.
Disasters are Us
Michelle Bollinger
When Abortion Was Illegal
Missy Comley
Beattie
CSI: Iraq
Kona Lowell
Intelligent Design: Making High School Fun
Ben Tripp
Tanks for the Memories
Jeffrey St. Clair
Playlist: What I'm Listening To This Week
Poets' Basement
Albert and Engel
Website of
the Day
Indictment Watch
October 21,
2005
Dave Lindorff
The
Democrats' Abortion Hypocrisy
Winslow T. Wheeler
Paying for Their Mistakes: Incompetence, Deception and the Defense
Budget
Col. Dan Smith
The Destruction of the National Guard
Norman Solomon
Media at Crossroads: 25 Years After Reagan's Triumph
Madis Senner
Abusing Katrina
Michael Donnelly
Richard
Pombo: DeLay in Cowboy Boots
October 20, 2005
Dave Lindorff
Impeachment
Comes to NYC
Ray McGovern
16
Fatal Words: Cheney's Chickens Come Home to Roost
Jeremy Brecher
/
Brendan Smith
Attack Syria? Invade Iran?: By What Constitutional Right?
Patrick Cockburn
Saddam Refuses to Recognize Court
Kevin Zeese
Was the Iraqi Constitution Vote Fixed?
Ross Eisenbrey
Millions Would Lose Pay and Protections Under Enzi Amendment
Randy Shields
James McMurtry Makes It in Dayton
Justine Davidson
Prosecuting Bush in Canada for Torture: a Small Victory
After Lucas
Cranach
Judy and Holofernes
Joe Allen
The
Scandalous History of the Red Cross
October 19,
2005
Christopher Reed
Koizumi and the Rape of Nanking
Stephen Soldz
Bush
and Avian Flu: the Excuses Begin to Fly
Chet Richards
War
and Intelligence
Patrick Cockburn
Saddam on Trial
Scott Richard
Lyons
Multicultural
Columbus?
Ralph Nader
An Interview with Rev. William Sloane Coffin
Website of
the Day
Shocking Video: Why Birds May Be Taking Viral Vengeance on Humans
October 18,
2005
Chet Flippo
Merle
Haggard: "Let's Get Out of Iraq"
Ron Jacobs
Dual Devotions: the Catholic Church and the US Flag
Keeanga-Yamahtta
Taylor
A Tale of Two Cities: From DC to Toledo
Dave Lindorff
Judy Miller: Little Miss Run Amok
Virginia Rodino
A Winter Patriot: Reflections on the Antiwar Movement
Thomas Healy
The Weather in Goshen: Still Radical After All These Years
Ralph Nader
A New New Orleans
Stephen Lendman
The Sorrows of Haiti
Patrick Cockburn
On the Eve of Saddam's Trial: a Divided Iraq
October 17,
2005
Peter Linebaugh
Spinoza
and the Black Limos
Norman Solomon
Judith Miller, the Fourth Estate and the Warfare State
Cockburn /
Sengupta
"If
the Sunnis Don't Like It, That's Their Problem"
Mike Whitney
Miller's Confession: Last Gasp Before Indictments?
Uri Avnery
Iraq Now: What Awaits Samira?
Harold Pinter
Torture & Misery in the Name of Freedom
Website of
the Day
Al Joudi v. Bush
October 15
/ 16, 2005
Alexander Cockburn
Ayatollahs
of the Apocalypse
Patrick Cockburn
"This Constitution Won't Get Me a Job"
Saul Landau
Two Terrorists and a Lush: Osama, Posada and Bush's Drinking
Neve Gordon
"Beyond Chutzpah": Exposing Grave Moral Distortions
Moshe Adler
Poverty in New York City
Christopher Brauchli
Lynndie England's Burden
Diane Farsetta
The Emperor Doesn't Disclose: the Fight Against Fake News
Sam Husseini
Notes on Current Reporting About Judith Miller
Monica Benderman
From Chaos to Conscience to Peace
Mickey Z.
POW Abuse by US: Nothing New Going On Here
Douglas C.
Smyth
George W. Bush, the Honorius of Our Time
Lee Sustar
Will Delphi Bust the UAW?
Fred Gardner
Cannabinoids Arrive in Realm of Established Fact
Elizabeth Schulte
A Former Panther's Georgia Campaign: an Interview with Elaine
Brown
Joshua Frank
Will the Democrats Save Harriet Miers?
David Vest
Down with Formalism! Up with Values!
Ben Tripp
Epistle II: the Reawakenign
Poets Basement
Engel, Albert, Ford and Louise
Website of
the Weekend
The
Hidden Canyon
October 14,
2005
Farrah Hassen
A
Somber Ramadan in Syria
Ron Jacobs
The
Black Panthers: They Haven't Forgotten; Neither Should We
Sasha Kramer
USAID
and Haiti: the Friendly Face of Imperialism?
Katrina Yeaw
The Student Struggle in Italy
Nicole Colson
Bird Flu: Militarizing Health Care
Raúl Zibechi
Survival and Existence in El Alto
Nikolas Kozloff
Hugo
Chávez and the Politics of Race
Website of the Day
LA Filmmakers Cooperative
October 13, 2005
Jeremy Scahill
Mr.
Bush Goes to Tikrit (Sort Of)
Jeff Birkenstein
A
Thoreau for Our Time: Why Cindy Sheehan Matters
Brendan Smith / Jeremy Brecher
Harriet Miers: Bush or the Constitution?
Stan Cox
Did You Know This About Iraq?
Anis Memon
The Curious Case of Russ Feingold
Gary Leupp
Miller, Libby and the June Notes
Dave Zirin
A Tribute to August Wilson
Matthew Koehler
America's Endangered Forests
Werther
The
Two-Headed Monster
Website of
the Day
Hurricane Song
October 12, 2005
Omar Waraich
Britain
and the Quake: Mean and Stingy
William Cook
Voices
Behind the Entombment Wall
Phil Gasper
Countdown
to a Legal Lynching
Dave Lindorff
Impeachment Now and Then: Clinton, Bush and the Polls
Matt Vidal
Capital, Power and Class
John Gautreaux
New Orleans will Never be the Same
Diana Johnstone
Srebrenica
Revisited: Using War as an Excuse for War
Mark Weisbrot
The IMF Has Lost Its Influence
Brian J. Foley
Gitmo Tribunals Endanger Public Safety
Website of
the Day
Columbus Day Lies
October 11,
2005
Roger Morris
/ Steve Schmidt
Strategic
Demands of the 21st Century
Lila Rajiva
Live from New Orleans: Abu Ghraib
Bill Quigley
New
Orleans: Leaving the Poor Behind Again
Paul Craig Roberts
Natural Born Liars
Dave Lindorff
Recruiters in Schools: No Lie Left Untried
Dr. Teresa Whitehurst
Suspect Thy Neighbor
Mitchel Cohen
Showdown at Chuck E. Cheese
Tariq Ali
Pakistan will Never Forget This Horror
Website of
the Day
L'Heure Americaine
October 10,
2005
Cindy and Craig
Corrie
Rachel's
Words Live
Joshua Frank
Washington's War Dems
Gideon Levy
The Beautiful Life Without Arafat
Alan Wallis
The Fight for Free Speech at Union Square
Mickey Z.
In Defense of Liars
CounterPunch News Service
Vermont Independence Convention
Paul Craig
Roberts
The
Police State is Closer Than You Think
Website of the Day
Dylan's Chronicles
October 8 /
9, 2005
Alexander Cockburn
Rhetoric
and Reality in the Business of Getting Rid of Black People
Ralph Nader
Katrina
and the Growls of Greed
Jennifer Van Bergen
New American Law: Legal Strategies in the Dharfir Case
Saul Landau
An Oily Religious Dream
Jeff Halper
Setting Up Abbas
Lenni Brenner
The Millions More Movement and Zionism
Nikolas Kozloff
Bird Flu and Bush
Brian Cloughley
Training Soldiers in Iraq
Alice Slater
A Nobel Prize for Chernobyl?
John Gautreaux
A View from Cajun Country
Fred Gardner
Does the Controlled Substances Act Mean What It Says?
Niranjan Ramakrishnan
The Leveethan Approach
M.G. Piety
Rot in the Ivory Tower: Collusion, Cover-Up and Kierkegaard
Tom Gorman
The Hitchens Doctrine
Mike Whitney
Bunker Days with George
Aseem Shrivastava
Beyond the Wasteland: Lessons from Afghanistan
Ben Tripp
Religion, an Epistle
Poets' Basement
Albert, Engel and Ford
October 7,
2005
Larry Johnson
The
Plame Case: the Real Issues
Will Youmans
Why
Do We Hate Our Freedom? Recruiters and Thugs on Campus
Dave Lindorff
Bird Flu: Evolution or Intelligent Design?
Judith Scherr
Haiti's Children's Prison
Russell D. Hoffman
Nukes for Peace, Revisited?: Nobel Prize Debacle
Jared Bernstein
Katrina and Jobs
Jennifer Van
Bergen
New
American Law: the Case of Dr. Dhafir
Website of
the Day
FBI Witchhunt
October 6, 2005
P. Sainath
"Take
That, Tom Friedman": Indian Masses Reject NYT's Neoliberal
Idol Again
Scott Parkin
When Antiwar Activists Get Mugged
Paul Craig
Roberts
Blundering
into Syria
Andréa Schmidt
Haiti's Biometric Elections: a High-Tech Experiment in Exclusion
Dave Lindorff
Easy
Money in the Big Easy
Joshua Frank
In Defense of Lew Rockwell
M. Junaid Alam
Jackboots at George Mason
Matthew Koehler
Cock and Bull on the Bitterroot
Robert Pollin
Is
the Dollar Still Falling?
October 5,
2005
Heather Gray
Militarization is Not an Answer for
Reconstruction: the Case of the Philippines
Robert Jensen
Is
Bush a Racist?
Ramzy Baroud
Bush's Final Choice: America or
the Empire
Col. Dan Smith
Keeping Promises to Iraq: "Everything
is Bad"
Dave Zirin
Barry
Bonds Laughs Last
Paul Craig Roberts
Liberal Guilt? How the Neocons
Took Over
Alan Maass
Doing
the Right Wing's Dirty Work
October 4, 2005
Nikolas Kozloff
Shocking the Two Party System:
a Political Opportunity for Sheehan and the Antiwar Mvt.
Mike Roselle
Houston,
You've Got a Problem
Joshua Frank
The Scoop on Harriet Miers
John Chuckman
War
Porn: What the Gruesome Images Say
Alan Farago
Storm Warning for Jeb: Developers,
Hurricanes and the Keys
Mickey Z.
An
Interview with Thaddeus Rutkowski
Christine & Ethan Rose
Home Depot Exploits Hurricane Victims
Gary Leupp
An
Earlier Empire's War on Iraq: a Lesson from Roman History
Website of the Day
Rodney
Crowell on Bob Dylan
October 3,
2005
Vijay Prashad
Desperation at Holyoke
Paul Craig
Roberts
Condi
Rice: Gunslinger
Joshua Frank
An Interview with Cindy Sheehan
Seth Sandronsky
The
Hiring Crisis for Black Teens
Jeffrey St. Clair
The Great Green Scare

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Red
Alert for CounterPunchers!
Annual Fundraising Appeal
We interrupt your regular reading
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idle threats and this isn't one. Either we meet our fundraising
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Onward,
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November 4, 2005
The
Environmental Causes of Cancer
Why We Can't Prevent
Cancer
By PETER MONTAGUE
In
1999, cancer surpassed heart disease as the number one killer
of people younger than 85 in the U.S.[1] Now a detailed report
on the causes of cancer tells us why: cancer has been steadily
increasing in the U.S. for 50 years as people have been exposed
to more and more cancer-causing agents, including chemicals and
radiation.
Richard Clapp, Genevieve Howe,
and Molly Jacobs Lefevre have just published "Environmental
and Occupational Causes of Cancer; A Review of Recent Scientific
Literature" and it is a real eye-opener.
But before we dive into this
report looking for nuggets, let's set the background.
About half of all cancer cases
are fatal, and death by cancer is often prolonged, painful, and
very expensive. Those who manage to survive cancer live out their
lives molded by the after-effects of harsh treatments popularly
known as "slash and burn" -- surgery, chemotherapy,
radiation, or some combination of the three.
As more people are kept alive
each year with their breasts or testicles removed, the "cancer
establishment" chalks up another "victory" --
and no doubt the victims are glad to be alive -- but we should
acknowledge that there's something very wrong with calling this
"victory." Slash and burn seems more like a dreadful
defeat.
The truth is, an epic struggle
has been going on for 50 years between the "slash and burn=victory"
camp, versus those who think the only real victory is prevention
of disease. The struggle occurs across a fault line defined by
money. To be blunt about it, there's no money in prevention,
and once you've got cancer you'll pay anything to try to stay
alive. Cancer treatment is therefore a booming business, and
cancer prevention is nowhere. That is the basic dynamic of the
debate. Cancer surgeons can achieve the status of rock stars
among their peers. Those who advocate prevention will most likely
find themselves without funding, ridiculed and despised by the
chemical industry, the pesticide industry, the asbestos industry,
the oil industry and all their minions -- lawyers, bankers, engineers,
reporters, professors, and politicians -- who make a fat living
off those who pump out cancer-causing products and dump out cancer-causing
by-products, aka toxic waste.
The debate began 50 years ago
when a powerful voice for prevention spoke out from inside the
National Cancer Institute (NCI). In 1948. Wilhelm Hueper, a senior
NCI scientist, wrote,
"Environmental carcinogenesis
is the newest and one of the most ominous of the end-products
of our industrial environment. Though its full scope and extent
are still unknown, because it is so new and because the facts
are so extremely difficult to obtain, enough is known to make
it obvious that extrinsic [outside-the-body] carcinogens present
a very immediate and pressing problem in public and individual
health."
In 1964, Hueper and his NCI
colleague, W. C. Conway, described patterns in cancer incidence
as "an epidemic in slow motion":
"Through a continued,
unrestrained, needless, avoidable and, in part reckless increasing
contamination of the human environment with chemical and physical
carcinogens and with chemicals supporting and potentiating their
action, the stage is being set indeed for a future occurrence
of an acute, catastrophic epidemic, which once present cannot
effectively be checked for several decades with the means available
nor can its course appreciably be altered once it has been set
in motion," they wrote.[pg. 28]
Hueper of course was right.
This is why 50% of all men and 40% of all women in the U.S. now
hear the chilling words, "You've got cancer" at some
point in their lives. That's right, 1 out of every 2 men now
get cancer in the U.S., and more than 1 out of every 3 women.
Clapp, Howe and Lefevre tell
us that between 1950 and 2001 the incidence rate for all types
of cancer increased 85%, using age-adjusted data, which means
cancer isn't increasing because people are living longer. People
are getting more cancer because they're exposed to more cancer-causing
agents.
Contrary to well-funded rumors,
the culprit isn't just tobacco or the hundreds
of toxic chemicals intentionally added to tobacco products.
Tobacco products remain the single most significant preventable
cause of cancer, but they have not been linked to the majority
of cancers nor to many of the cancers that have increased most
rapidly in recent decades including melanoma, lymphomas, testicular,
brain, and bone marrow cancers.[pg. 1]
No, it's more complicated than
just tobacco with its toxic additives. Most plastics, detergents,
solvents, and pesticides and the toxic-waste by-products of their
manufacture came into being after World War II. From the late
1950s to the late 1990s, we disposed of more than 750 million
tons of toxic chemical wastes.[pg. 27] Over 40 years, this represents
more than two tons of toxic chemical wastes discharged into the
environment for each man, woman and child in the U.S. No wonder
some of it has come back to bite us.
Since the U.S. EPA began its
Toxics Release Inventory (TRI) program in 1987, total releases
have been reported as declining (though EPA does not check the
accuracy of industry's self-reporting). Despite the reported
decline, in 2002, the most recent year reported, 24,379 facilities
in the U.S. reported releasing 4.79 billion pounds of over 650
different chemicals. (And TRI data do not include other enormous
discharges: toxic vehicle emissions, the majority of releases
of pesticides, volatile organic compounds, and fertilizers, or
releases from numerous other non-industrial sources.) In 2001,
more than 1.2 billion pounds of pesticides were intentionally
discharged into the environment in the United States and over
5.0 billion pounds in the whole world.[pg. 27]
While all this chemical dumping
has been going on, incidence rates for some cancer sites have
increased particularly rapidly over the past half century. From
1950-2001, melanoma of the skin increased by 690%, female lung
& bronchial cancer increased by 685%, prostate cancer by
286%, myeloma by 273%, thyroid cancer by 258%, non-Hodgkin's
lymphoma by 249%, liver and intrahepatic duct cancer by 234%,
male lung & bronchial cancer by 204%, kidney and renal pelvis
cancers by 182%, testicular cancer by 143%, brain and other nervous
system cancers by 136%, bladder cancer by 97%, female breast
cancer by 90%, and cancer in all sites by 86%.[pg. 25]
In the most recent 10-year
period for which we have data (1992-2001), liver cancer increased
by 39%, thyroid cancer increased by 36%, melanoma increased by
26%, soft tissue sarcomas (including heart) by 15%, kidney and
renal pelvis cancers by 12%, and testicular cancer increased
by 4%.[pg. 25]
OK, so dumping chemicals into
the environment has been a major industrial pastime for 50 years,
and cancers are increasing. But why do we think these things
are connected? What real evidence do we have that environmental
and occupational exposures contribute to cancer?
That's what the new Clapp-Howe-Lefevre
report is about. It is a review of recent scientific literature
-- with emphasis on human studies, not studies of laboratory
animals. Indeed, the bulk of the new Clapp-Howe-Lefevre report
is a cancer-by-cancer compendium of what recent human studies
tell us about environmental and occupational exposures that contribute
to cancers of the bladder, bone, brain, breast, cervix, colon,
lymph nodes (Hodgkin's disease and non- Hodgkin's lymphoma),
kidney, larynx, liver and bile ducts, lungs, nasal passages,
ovaries, pancreas, prostate, rectum, soft tissues (soft tissue
sarcoma), skin, stomach, testicles, and thyroid, plus leukemia,
mesothelioma, and multiple myeloma. (It is worth pointing out
-- and Clapp-Howe-Lefevre do point it out -- that this compendium
owes a great debt to a data
spreadsheet on cancer and its environmental causes prepared
by Sarah Janssen, Gina Solomon and Ted Schettler, for which thanks
are due the Collaborative
on Health and Environment.)
Many of the bad actor chemicals
are well-known to us all: metals and metallic dusts (arsenic,
lead, mercury, cadmium, hexavalent chromium, nickel); solvents
(benzene, carbon tet, TCE, PCE, xylene, toluene, among others);
aromatic amines; petrochemicals and combustion byproducts (polycyclic
aromatic hydrocarbons, or PAHs); diesel exhaust; ionizing radiation
(x-rays, for example); non-ionizing radiation (magnetic fields,
radio waves); metalworking fluids and mineral oils; pesticides;
N-nitroso compounds; hormone-disrupting chemicals (found in many
pesticides, fuels, plastics, detergents, and prescription drugs);
chlorination byproducts in drinking water; natural fibers (asbestos,
silica, wood dust); man-made fibers (fiber glass, rock wool,
ceramic fibers); reactive chemicals (such as sulfuric acids,
vinyl chloride monomer, and many others); petroleum products;
PCBs; dioxins; mustard gas; aromatic amines; environmental tobacco
smoke; and outdoor air pollution.
But there is additional evidence
linking chemicals with cancer:
* Elevated cancer rates follow
patterns -- the disease is more common in cities, in farming
states, near hazardous waste sites, downwind of certain industrial
activities, and around certain drinking-water wells. Patterns
of elevated cancer incidence and mortality have been linked to
areas of pesticide use, toxic work exposures, hazardous waste
incinerators, and other sources of pollution.[pg. 26]
* The U.S. EPA's long-delayed
and heavily industry-influenced "Draft Dioxin Reassessment"
released in 2000 admitted that the weight of the evidence from
human studies suggests that, "the generally increased risk
of overall cancer is more likely than not due to exposure to
TCDD [dioxin] and its congeners [chemical relatives]." The
report goes on to conclude, "The consistency of this finding
in the four major cohort studies and the Seveso victims is corroborated
by animal studies that show TCDD to be a multisite, multisex,
and multispecies carcinogen with a mechanistic basis."[pg.
26]
* Farmers in industrialized
nations die more often than the rest of us from multiple myeloma,
melanoma, prostate cancer, Hodgkin's lymphoma, leukemia, and
cancers of the lip and stomach. They have higher rates of non-Hodgkin's
lymphoma and brain cancer. Migrant farmers experience elevated
rates of multiple myeloma as well as cancers of the stomach,
prostate, and testicles.[pg. 26]
* The growing burden of cancer
on children provides some of the most convincing evidence of
the role of environmental and occupational exposures in causing
cancers. Children do not smoke, drink alcohol, or hold stressful
jobs. Their lifestyles have not changed appreciably in recent
years. In proportion to their body weight, however, "children
drink 2.5 times more water, eat 3 to 4 times more food, and breathe
2 times more air" than adults." In addition, their
developing bodies may well be affected by parental exposures
prior to conception, exposures while growing in the uterus, and
the contents of breast milk.
Clapp-Howe-Lefevre put it this
way:
"We have learned how to
save more lives, thankfully, but more children are still diagnosed
with cancer every year. The incidence of cancer in all sites
combined among children ages 0-19 increased by 22% from 13.8/100,000
in 1973 to 16.8 in 2000 and most of this increase occurred in
the 1970s and 1980s. Epidemiologic studies have consistently
linked higher risks of childhood leukemia and childhood brain
and central nervous system cancers with parental and childhood
exposure to particular toxic chemicals including solvents, pesticides,
petrochemicals, and certain industrial by-products (namely dioxins
and polycyclic aromatic hydrocarbons [PAHs])."[pg. 26]
All in all, the Clapp-Howe-Lefevre
report makes a compelling case that many industrial chemicals
contribute to many kinds of cancers. But where this report really
shines is in its clear call for prevention. In all, there are
relatively few products or substances associated with cancer.[pgs.
10-11, 37-40] Everything doesn't cause cancer, and many of the
things that do could be shunned and phased out. In principle,
a great deal of prevention is possible.
Thirty years into the prevention-vs-treatment
debate -- in 1981 -- two famous British scientists -- Sir Richard
Doll and Sir Richard Peto -- published an extremely influential
study in which they estimated that "only" 2 to 4% of
all cancers are caused by environmental or workplace exposures.
With 1.2 million new cases of cancer each year in the U.S., half
of them fatal, 2% to 4% = 12,000 to 24,000 deaths each year,
most of them preventable. Doll and Peto said tobacco caused 30%
of all cancers and food caused another 35%. We now know that
cancer results from the interaction of our genes with exposure
to several cancer-causing agents. All the necessary exposures
must occur to cause a cancer -- if any one of them is missing,
the cancer will not occur. This is why prevention is important
-- it really can work.
Because cancer requires multiple
exposures to cancer-causing agents, it is wrong and misleading
to say that "Exposure to product A causes X percent of all
cancers." It simple doesn't work like that. Perhaps Doll
and Peto in 1981 did not know how such things worked, and they
boldly proceeded to estimate what percent of all cancers were
attributable to particular exposures. It was wrong, but their
report served as powerful ammunition for the prevention-is-pointless
crowd. If "only" 2 to 4% of all cancers were caused
by environmental exposures, then there was little incentive to
prevent human exposure to environmental agents, the argument
went. What a welcome message this was for the cancer-creation
industries (petrochemicals, metals, pesticides, asbestos, radiation,
and others) and for the cancer treatment industry! Damn the torpedoes
-- full speed ahead!
The prevention-is-pointless
crowd latched onto the Doll and Peto study and spread it everywhere.
By the end of 2004, the original 1981 Doll-and-Peto paper had
been cited in 441 subsequent scientific papers.[pg. 4] But even
more importantly, the federal National Cancer Institute and the
American Cancer Society (which, together, you could call the
"cancer establishment") adopted the Doll-Peto perspective,
that cancer is a lifestyle disease -- the victims themselves
are responsible -- and that prevention of environmental and occupational
exposures is not worth the effort. Remember this was the beginning
of the Reagan counterrevolution and the Doll-Peto paper fit right
into the new ideology -- government is bad, big corporations
are good, we're all individually responsible for whatever bad
things happen to us, and greed is good because it makes the world
go 'round. In any case, the NCI and the ACS largely adopted the
Doll-Peto perspective, and they poured the bucks into new cancer
treatments, pretty much ignoring prevention. Meanwhile, cancer
incidence rates climbed relentlessly -- making the cancer-treatment
industry healthier and wealthier, which allowed it to further
erode support for prevention.
Now we are starting to shake
off the stupor induced by the misleading Doll-Peto arithmetic,
which pretended to prove that environment and occupational exposures
are of no consequence.
Listen to this marvelously
clear-eyed conclusion from the Clapp-Howe-Lefevre report:
"Comprehensive cancer
prevention programs need to reduce exposures from all avoidable
sources. Cancer prevention programs focused on tobacco use, diet,
and other individual behaviors disregard the lessons of science."[pg.
1]
And this:
"Preventing carcinogenic
exposures wherever possible should be the goal and comprehensive
cancer prevention programs should aim to reduce exposures from
all avoidable sources, including environmental and occupational
sources."[pg. 6]
And this:
"Further research is needed,
but we will never be able to study and draw conclusions about
the potential interactions of exposure to every possible combination
of the nearly 100,000 synthetic chemicals in use today. Despite
the small increased risk of developing cancer following a single
exposure to an environmental carcinogen, the number of cancer
cases that might be caused by environmental carcinogens is likely
quite large due to the ubiquity [presence everywhere] of carcinogens.
Thus, the need to limit exposures to environmental and occupational
carcinogens is urgent."[pg. 29]
And this:
"The sum of the evidence
regarding environmental and occupational contributions to cancer
justifies urgent acceleration of policy efforts to prevent carcinogenic
exposures. By implementing precautionary policies, Europeans
are creating a model that can be applied in the U.S. to protect
public health and the environment. To ignore the scientific evidence
is to knowingly permit tens of thousands of unnecessary illnesses
and deaths each year."[pg. 1]
What a blast of fresh air!
The latest strategy from the
cancer-creation industries is to claim that we can't take action
to prevent environmental and occupational exposures because we
don't have enough information. We're simply too ignorant to make
a move. More study is needed. Clapp-Howe-Lefevre allow the eloquent
writer Sandra Steingraber to answer this argument. They say,
"A main concern for Sandra Steingraber, author of Living
Downstream: An Ecologist Looks at Cancer and the Environment,
is not whether the greatest dangers are presented by dump sites,
workplace exposures, drinking water, food, or air emissions:
"I am more concerned [writes
Steingraber] that the uncertainty over details is being used
to call into doubt the fact that profound connections do exist
between human health and the environment. I am more concerned
that uncertainty is too often parlayed into an excuse to do nothing
until more research can be conducted."[pg. 29]
Clapp, Howe and Lefevre go
on: "At the same time, uncertainty and controversy are permanent
players in scientific research. However, they must not deter
us from enacting regulations and policies based on what we know
and pursuing the wisdom of the precautionary principle. This
is not new thinking, as demonstrated by Sir Austin Bradford Hill's
1965 address to the Royal Society of Medicine:
"All scientific work is
incomplete [wrote Sir Austin Bradford Hill] -- whether it be
observational or experimental. All scientific work is liable
to be upset or modified by advancing knowledge. That does not
confer upon us a freedom to ignore the knowledge we already have,
or to postpone action that it appears to demand at a given time."[pg.
29]
Clapp, Howe and Lefevre then
offer some guidelines for preventive action:
(1) The least toxic alternatives
should always be used.
(2) Partial, but reliable,
evidence of harm should compel us to act on the side of caution
to prevent needless sickness and death.
(3) The right of people to
know what they are being exposed to must be protected.
Clapp, Howe and Lefevre observe
that "the United States has much to learn" from the
proposed European chemicals policy, known as REACH:
(1) requiring that industry
be responsible for generating information on chemicals, for evaluating
risks, and for assuring safety; another way of saying this is,
"No data, no market."
(2) extending responsibility
for testing and management to the entire manufacturing chain
-- everyone who uses a chemical has a duty to familiarize themselves
with the consequences;
(3) using safer substitutes
for chemicals of high concern; and,
(4) encouraging innovation
in safer substitutes.[pg. 29]
In the words of ecologist Sandra
Steingraber: "It is time to start pursuing alternative paths.
From the right to know and the duty to inquire flows the obligation
to act."[pg. 29]
But while we're working in
clear-eyed mode here, let's take our exploration a bit further
and look this problem squarely in the face.
The U.S. economy and culture
are premised on endless growth. If I loan you $100 in the expectation
that you will pay me back $103 next year, that extra 3% must
come from somewhere. That "somewhere" has physical
dimensions -- something must be dug up or grown to produce the
additional 3%. That something must also be moved, processed,
moved again, packaged, promoted and sold, moved again, used,
moved again, and eventually discarded. Even if it is recycled
many times, ultimately it will be discarded into a natural ecosystem
somewhere (at which point nature begins moving it once again).
The inescapable second law of thermodynamics tells us that each
of these steps will inevitably be accompanied by waste, disorder
and other disruptive unintended consequences. Even if you create
the extra 3% per year by providing a "service" instead
of a "product," you still require food, water, shelter,
energy, clothing, tools, transportation, commercial space, medical
care, municipal support services (like police, fire, emergency
services, and sewage treatment), leisure activities, communications
and information, schooling, and on and on.
An economy that is growing
at 3% per year is doubling in size every 23 years -- requiring,
every 23 years, a doubling in the number of cities, food sources,
mines, factories, power plants, vehicles, highways, parking lots,
schools, sewage treatment plants, hospitals, prisons, discards,
trash and dumps. For a very long time this kind of rapid growth
seemed tolerable. But now things are different -- the earth is
full of people and their artifacts. We can no longer throw things
"away" without affecting someone somewhere.
Something else is new as well.
The modern, globalized financial environment (in which money
flows easily across international borders), creates tremendous
competitive pressure to attract investment by increasing return
to investors. That in turn creates pressure to pass costs along
to the general public. Economists call it "externalizing"
costs. If I dump my chemicals and make you sick, I gain if I
can get you to pay your own medical bills, and I gain again if
I can get taxpayers to clean up my mess. Firms have a natural
incentive to externalize their costs to the extent possible,
but the present "globalized" financial environment
has increased that incentive greatly, to improve return to investors.
In sum, let us review the pressures
that prevent prevention.
(1) In general, it is difficult
to make prevention pay, but remediation can pay handsomely; this
is certainly true for the cancer industry. In general, financial-political-legal
incentives are set up to reward those who create problems and
those who supply remedies.
(2) Economic growth entails
the continual creation of ever-more and ever-larger messes. Even
if we managed to "green" commerce in every way we can
think of today, damage to nature would still be roughly proportional
to the size of the human economy because the second law of thermodynamics
cannot be evaded. And we now know that damage to nature gives
rise to human disease in myriad ways. Now that the earth is
full, a growing economy creates palpably-growing health problems,
including immune system degradation giving rise to cancers.
(3) The modern economy creates
irresistible pressure to increase stock prices, which in turn
creates relentless pressure to externalize costs by hook or by
crook.
So let's not kid ourselves.
Yes, cancer must be prevented because for the most part
it can't be cured -- it can only be slashed and burned away at
enormous cost, personal, social and monetary.
But saying cancer must
be prevented is one thing. Expecting that it can be prevented
within the framework of the modern economy is another. We can
never stop working to prevent cancer -- and precautionary policies
will always make sense no matter what kind of economy we have
-- but until we shift to an economy that doesn't require growth,
we'll find ourselves right where we are now -- on an accelerating
rat wheel. As a result, we can expect to be living with more
and more cancer at greater and greater cost to ourselves and
to our children, accompanied by ever-increasing pain. It is not
a pretty picture. But at least we can now see it clearly.
===============
[1] Richard Clapp, Genevieve
Howe, and Molly Jacobs Lefevre, Environmental
and Occupational Causes of Cancer; A Review of Recent Scientific
Literature (Lowell, Mass.: University of Massachusetts at
Lowell, The Lowell Center for Sustainable Production, September,
2005. Unless otherwise noted, throughout this issue of Rachel's,
footnote numbers inside square brackets refer to pages in this
report.
Peter Montague is editor of the indispensable Rachel's
Health and Democracy, where this essay originally appeared. He
can be reached at: peter@rachel.org
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