Global Health Asia-Pacific September 2022 September 2022 | Page 23

Almost half of cancer deaths could be prevented
Simple lifestyle changes could save millions of lives

Alarge proportion of cancer deaths is caused by preventable factors such as smoking , drinking excessive alcohol , and a high body mass index �BMI� .

A new study has found that in 2019 these preventable factors were responsible for 44.4 percent of all cancer deaths globally and 42 percent of disability-adjusted life-years ( DALYs ), a measure that provides a complete picture of the disease burden by combining years of life lost due to premature mortality or years spent in states of less than full health .
Published in The Lancet by a team of researchers called �BD 20�9 Cancer �isk �actors Collaborators , the collected data on cancer deaths and disability from 2010 to 2019 in 204 countries takes into account 23 cancer types and a variety of risk factors .
��educing exposure to these modifiable risk factors would decrease cancer mortality and DALY rates worldwide , and policies should be tailored appropriately to local cancer risk factor burden ,” the authors wrote , adding that to their knowledge the analysis they based their study on , called Global Burden of Diseases , Injuries , and Risk Factors Study , is the only one that �uantifies cancer burden with regard to a broad set of modifiable risk factors .
They also added that , since a significant proportion of cancer burden could not be avoided by reducing risk factors , cancer control strategies for early diagnosis and effective treatment were e�ually paramount .
Air pollution responsible for lung cancer in never-smokers
New finding could lead to better treatment

Scientists have pinpointed how dangerous particles in polluted air could contribute to making cells in the lungs of never-smokers cancerous , according to research results announced at the ESMO Congress 2022 , suggesting potential ways to prevent or treat the deadly condition .

Scouring data from about half a million people living in England , South Korea , and Taiwan , researchers observed that exposure to increasing amounts of airborne particulate matter 2.5 micrometres in diameter — which are usually found in vehicle exhaust and smoke from fossil fuel combustion — had an increased risk of causing non-small cell lung cancer �NSC�C� with ���� mutations . NSC�C is the most common type of lung malignancy and one that kills over 250,000 people every year , while ���� is a gene that harbours mutations in about half of patients with lung cancer who never smoked .
Such genetic mutations commonly found in lung cancers such as ���� and ��AS can also be seen in healthy people and are probably caused by ageing . But air pollution might be a contributing factor that makes those mutation swing into action .
“ In our research , these mutations alone only weakly potentiated cancer in laboratory models . However , when lung cells with these mutations were exposed to air pollutants , we saw more cancers and these occurred more quickly than when lung cells with these mutations were not exposed to pollutants , suggesting that air pollution promotes the initiation of lung cancer in cells harbouring driver gene mutations ,” said Professor Charles Swanton , one of the researchers at the �rancis Crick Institute who led the study , according to a press release .
Professor Tony Mok , chairman of the Department of Clinical Oncology at the Chinese University of Hong Kong , said that the research might suggest medicines like interleukin-�� inhibitors could help reverse pre-cancerous lesions in the lungs , according to the press release .
GlobalHealthAsiaPacific . com SEPTEMBER 2022
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