Showing posts with label cancer. Show all posts
Showing posts with label cancer. Show all posts

Saturday, November 05, 2011

Weekend Post - We’re all dying

More people are dying these days than ever before. And that’s a good thing.

There was a news story from the BBC last week entitled “Cancer cases projected to rise 45% in next two decades”. The research by Cancer Research UK projected 23 different types of cancer and concluded that the “numbers of cancers in men and women are projected to increase by 55% and 35%, respectively”. The impact on the health sector in the UK is going to be profound. The UK has rapidly increasing health care costs, just like we do, and the costs of care for cancer are amongst the highest. Such a dramatic increase in the number of cancer cases is going to have an enormous impact on everyone. While the story was specific to the United Kingdom, I don’t think there’s any reason to suspect we’re very different.

I’m prepared to stick my head above the parapet and make a dangerous prediction. More people reading this will die of cancer than did in their parent’s generation. In fact I’ll go further. I predict that a larger number of people will die in the next century than died in the last one. Many more.

The first reason for this prediction of doom is simple. More people will die because more people will be alive. Whether we like it or not, everyone who is alive will, one day, be dead and a greater number of living people means that eventually there will be a greater number of deaths. That’s just a sign of progress.

The fact that there are more living people is a direct result of many influences including better health care, lower infant mortality and better education. Despite what certain “alternative” health product manufacturers with a vested interest in selling their bogus products will tell you, our diet these days is much better than it was in our grandparent’s time. Our food is more hygienically produced, more nutritious and even tastes better than it did in the past. Our health care systems, while still imperfect, are an immense improvement over what existed in the past. While “traditional” knowledge systems had something to offer us, the truth is that they are nothing compared with what a pharmacy can give you today. Better transportation means that doctors and nurses are more available to us than ever before, even in a country as large as ours and with a population as small and as widely distributed.

In Botswana even with the extra burden of HIV/AIDS our life expectancy is improving. Our nation’s life expectancy at birth, even including our brothers and sisters with HIV, is now double what it was a few years ago thanks to anti-retroviral drugs and PMTCT. Our population now apparently exceeds 2 million, up by almost a quarter in a decade.

So because of all these dramatic improvement more people are alive and as a result more will die.

The second reason for growing levels of cancer is due to that longer lifespan. As a result of living longer and of all this progress we’re now dying of different diseases and conditions that afflicted us in the past. We’ve completely eradicated diseases like smallpox and can prevent many other diseases like polio and influenza and consequently most of us are living through our youth and middle age into our elderly years when we’re susceptible to an entirely different set of diseases. Most of us are now dying of diseases of the elderly, not of the young.

Cancer is a good example. The vast majority of cancer victims develop cancer in their 50s or later. If people don’t survive until their 50s they’re not going to get cancer at all. All you have to do is increase life expectancy from 50 to 60 and you’ll see a massive increase in cancer rates. It’s the downside of living longer but you have to ask yourself something. Knowing that you’re certainly going to die one day, would you rather do it tomorrow or in 10 years? Or in 20 or 30 years time? The effect of scientific and medical progress is that you and I will hopefully live long enough to die of something our great grandparents had never even heard of. What better example can there be of progress?

Sources

The original BBC story can be seen here and the Cancer Research UK paper in the British Journal of Cancer it's based on is here. Cancer Research UK also provide historical data on levels of cancer over time and by age here.

Loads of fascinating data on life expectancy in Botswana can be seen here.

Saturday, October 01, 2011

Weekend Post - Radiation

“Radiation”

It’s a horrible word, isn’t it? It conjures up images of the burnt victims of Hiroshima, their skin peeling, waiting for radiation sickness to kill them. More recently the nuclear disasters at Chernobyl and Fukushima in Japan brought back those images. But how dangerous were these disasters? How many people actually died as a result of both these accidents?

This is where things get difficult. It’s impossible to say with certainty with any cancer victim that a particular thing caused their cancer. However you can look at the number of deaths that’s more than might be expected. In the initial explosion at Chernobyl 25 years ago, 57 people were killed but subsequently the only noticeable effect has been a dramatic increase in the numbers of children with thyroid cancer. The good news is that thyroid cancer is easily and successfully treatable and so far only 15 people have died from thyroid cancer in the area. While that’s 15 tragic deaths too many it’s not much more than would be expected anyway. Similarly there appears to have been no increase in birth defects or other cancers. Nobody is going to say that the radiation leak was a good thing but the effect is much, much lower than everyone feared.

Regarding Fukushima it’s really too early to say but the initial number of deaths was minimal and those few deaths were nothing to do with radiation. It’s impossible to predict future deaths but the news is not nearly as bad as was suggested by the press at the time.

On the subject of the danger of nuclear power production you also have to consider the dangers of other ways of producing power. According to the American Cancer Society between 50,000 and 100,000 Americans might die each year from the pollution caused by conventional, mainly coal-based, power stations. That’s a risk we should all be worrying about.

But what about other types of radiation? Are they dangerous? Well, that depends. “Radiation” covers a number of things. Ask a scientist and you’ll discover that radiation is divided into two main categories: ionizing and non-ionizing. Ionizing radiation has enough energy to ionize, or break down atoms. It’s ionizing radiation that causes radiation burns by breaking down the atoms in skin cells. Ionizing radiation can also break down the atoms in DNA that might result in cancer. It’s this type of radiation that is often released by radioactive sources like those found in nuclear power stations. However, as we’ve found from the experience at Chernobyl the risk isn’t nearly as high as we all fear.

The other type of radiation, the non-ionizing type, typically has much less energy, not enough to actually damage any atoms it might meet. That doesn’t mean that it can’t cause damage but the types you and I are likely to encounter are almost all perfectly safe because the energy levels and frequencies are so incredibly low.

The best example of non-ionizing radiation is the one we see every day, just by opening our eyes. Visible light is all around us all the time, even at night, it’s what we use to see things. Visible light is not ionizing. It doesn’t have enough energy to break atoms. A common misunderstanding is about sunburn which people often believe is caused by the light of the sun. In fact it’s the ultra-violet light from the sun that is ionizing, that causes the burns.

What about the most controversial of all the non-ionizing radiations: the radio waves that are used to transmit cellphone calls? Let’s start with a simple fact. The radio waves used by cellphones and cellphone masts use a frequency that is 10 million times lower than the level required to ionize. Unless radiation can ionize atoms it simply can’t cause cancer. This isn’t an assumption, it’s just physics. The radio waves used by your cellphone are as safe as the radio waves used by your chosen radio station.

But what about that World Health Organization report that was published earlier this year that everyone read, the one that said there WAS a risk from cellphones and that they might cause cancer? Unfortunately their report was selectively quoted. They reported just one study that suggested such a link but the papers neglected to report the vast number of other studies that showed there was no relationship between cellphone use and cancers of the brain or central nervous system. Perhaps the most telling fact is that the global levels of such cancers hasn’t changed a bit since the world started using cellphones. In fact the only widely accepted risk from cellphone use is falling in a fountain while texting. Do a search on YouTube for “fountain texting” and see if you can stop laughing.

The lesson is not to believe what you read in newspapers. Do some research, be skeptical and just because someone says it, that doesn’t mean it’s true. And yes, that DOES go for me as well.

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Sources:

My initial source for this was an excellent episode entitled of the Skeptoid podcast by Brian Dunning called "Rethinking Nuclear Power" [transcript here]. It was there that I found the report from the American Cancer Society which suggests the number of deaths from fossil-fuel energy production.

For a general overview of radiation see the Wikipedia page on radiation, in particular the distinction between ionizing and non-ionizing radiation.

The WHO report on cell phone radiation effects is here and includes the following paragraph:
"A large number of studies have been performed over the last two decades to assess whether mobile phones pose a potential health risk. To date, no adverse health effects have been established as being caused by mobile phone use."
There's also a good summary of the facts on the Cancer Research UK site here. Read carefully the section on Category 2B risks (which currently includes cellphones). They describe this group as:
"a bit of a catch-all category, and includes everything from carpentry to chloroform."
For a good overview see the always useful Skeptics Dictionary. In particular see the page on electro-magnetic fields and radiation here and comments on the WHO story here.

Regarding the coverage of the cell phone mast in Mochudi that was destroyed by an outbreak of mass hysteria see the Mmegi story here. See also the appearance of the charlatan called Barrie Trower here. Barrie Trower is not all that he seems.

To see what can happen when you text while walking click here but remember that if you laugh at someone else's misfortune you're a bad person.

Corrections:

In the printed version of this article I referred to the American Cancer "Association", not Society.