Another Cry for Primary Prevention

Elise Miller, MEd
CHE Director

Elise MillerHow many of us have sat with loved ones in the throes of cancer? No doubt way too many. My cousin just passed away two days ago from lung cancer, having never smoked in her life. She joins several other family members and close friends who have died of one form of cancer or another in the last few years. Unfortunately, all of you likely have similar stories to share, and not just about older people in your lives, but about those younger and younger—including those who exercise regularly and have healthy diets.

One would think this untenable situation would catapult our society into action—it would move us to do whatever it takes to implement primary prevention strategies, not just look for cures. But instead the President’s Cancer Panel report on environmental contributors to cancer sits on the proverbial shelf collecting dust. As do other seminal reports that provide clear analyses of the science linking chemical contaminants and other chronic diseases and disorders as well as how to address these issues—such as Endocrine Society’s statement on endocrine disrupting chemicals, the joint opinion issued by the American College of Obstetricians and Gynecologists (ACOG) and the American Society of Reproductive Medicine (ASRM) on environmental chemicals and reproductive health, and the National Academy of Sciences “Science and Decisions” report which offers concrete recommendations to contend with the inadequacies of current risk assessment practices—to name just a few.

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