These Cancers May Be There, Soon They Will Be Here

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These Cancers May Be There, Soon They Will Be Here

Cancer can be summed up as a disease of genes gone mad, it is natural to suspect that viruses would be a primary cause of cancer. But they appear to be involved in only a few varieties. The most prominent cancers are liver and cervical cancer, and the problem is especially fierce in the poorer parts of the world, which account for about 80 percent of all cases.

Overcrowding and poor sanitation, intravenous drug use, unprotected sex — all of these are vectors of infection. The lack of medical care — especially early screening– adds another layer to the problem. While in the U.S. and other wealthy countries viruses appear to be involved in about 5 percent of all cancers, in some countries the number can be as high as 20 percent. (The worldwide average is about 13 percent.)

The most distressing part of the story is that so many of these cancers are preventable.

The main cause of cervical cancer is human papilloma virus. The widespread use of pap smears has beaten back the disease in the richer countries. Abnormal, “dysplasic” cells can be identified in the gynecologist’s office and removed before they mutate further. The HPV vaccine is set to deliver the final blow.

Liver cancer is a trickier matter. A primary factor is infection by hepatitis B and C. Those can be targeted through public health programs, and there is a vaccination for hepatitis B. But early detection of the cancer itself is highly unlikely. By the time liver cancer manifests itself, it is usually too late. Another complicating factor — a huge one — is alcoholism. The scarring of liver tissue from cirrhosis and the invasion of hepatitis viruses is an especially deadly combination. Aflatoxin, which is produced by Aspergillus molds, is another important factor.

Of the hundreds of kinds of cancers, six are responsible for killing the most people worldwide. The top one is lung cancer caused by cigarettes. Like cervical and liver cancer it is also preventable. That leaves stomach cancer, colorectal cancer, and breast cancer. The latter two might be called cancers of affluence, for they tend to be most prominent in the wealthier parts of the world. 

Dr. Lane’s thoughts: we need to treat disease in less affluent parts of the world in our own country, the United States.  Disease spreads from anyone to everyone – when we help other people return to health we are really helping ourselves.

Failure to stop the spread of disease from anyplace in the world means that we can count on it coming to our front door.  By then, it will be too late to stop it.

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