Like most of us these days, I
have lost family and friends to cancer.
It seems to be everywhere, so pervasive that the question most of us ask
now is not whether, but when.
I long have suspected that the
rise in cancer rates over the last few decades in the U.S. has been a
consequence of chemicals in the environment. Now I’ve come across a book that documents this in a
powerful way, but that also lays out a pathway to action that can reduce this
insidious threat: Sandra
Steingraber. 1997. Living Downstream. An Ecologist Looks at Cancer and the
Environment. Reading, MA: Addison-Wesley Publishing Company, Inc.
The book is compelling
especially because it weaves together scientific data and the author’s personal
story about her own cancer and that of others around her.
Sandra Steingraber has a Ph.D.
in biology, and now teaches biology at Columbia College in Chicago. She also is a cancer survivor. She writes about her homeland of rural
central Illinois and its beauty, and then begins to dissect the “upstream”
activities that put toxins into the atmosphere “downstream.”
She begins with agricultural
pesticides, applied in great quantities to nearly all of the 89% of Illinois
that is farmland. These pesticides
drift and seep and make their way off of the farmland into the aquifers,
streams, and air. In the other 11%
of land she notes the 1,500+ toxic waste sites that sit, unremediated. After reviewing the history of
pesticide use and banishment, Steingraber then draws a parallel between the
rise in the use of these chemicals on the land, and the rising rates of breast
cancer in the U.S. in the same period.
She devotes a chapter to Rachel
Carson, the first to sound the alarm about the effects of chemical toxins on
living creatures. Carson was the
first to draw connections between environmental toxins and cancer, and wrote
her concerns about three kinds of silence: that of the government, whose internal debates seldom
reached public ears; that of the birds, who were dying off at imperceptible
rates; and that of individual scientists, who knew or at least had reason to
suspect. Carson herself died of
breast cancer at 56, an irony not lost on Steingraber.
The book then turns to current
statistics on cancer incidence, citing three factors as evidence of a causal
link with environmental toxins:
the rising rates over time, the increase over successive generations,
and the rapid increase of certain types.
There is much technical data in the book, included to illustrate and
persuade that what is being said is true.
I was especially intrigued with the geography of cancer deaths, which
dispels any notion about ethnic or racial genomes being behind the
patterns. That is, if rates of
cancer mortality varied with ethnicity, the ethnic group rates would be
maintained no matter where they lived.
They are not. The World
Health Organization has estimated that at least 80 percent of cancers across
the globe are attributable to environmental influences. Trend maps for the U.S. show high rates
of cancer deaths around industrial areas.
The fastest growing rates, though, show up in other areas, indicating
the rise of chemicals from other sources.
Steingraber outlines with great
care and ample data the mechanisms and processes by which toxins enter the air,
soil, water, animals, and people.
She writes as if she believes that the connection between environmental
toxins and cancer has not yet been accepted by the public or the scientific
community. Or, more likely, the
connection has not been proven definitively enough to spur action. Certainly action is lacking.
Steingraber does propose
action. She suggests how a human
rights approach to the problem might be received. She then lays out three principles that could help with
remediation: (1) a shift from a
proof-based or “dead-body” approach, which requires proof before there can be
action, to a precautionary model, which
spurs action if there is an indication of harm. The principle is one of protection of life; (2) the
principle of reverse onus, which
would shift the burden of proof from evidence of harm, borne by the public, to evidence of safety, borne by producers; and (3) the principle of the least
toxic alternative, which would opt for
substance use on that criteria rather than any other. Each of these alternatives would be difficult to execute in
a market economy, as none of them respects short-term economic motives or incentives. They would, however, intervene in the
growing global cancer pandemic.
At the end of the book is an
Afterword that provides abundant resources for information on environmental
issues and cancer, followed by copious footnotes. Steingraber encourages all of us to get informed, and then
advocate for a reduction of environmental toxins.
The weaving through the book of
the author’s own cancer story makes the book a compelling read, and the copious
technical information is empowering.
After reading the book it would be hard to dispute Steingraber’s thesis,
that environmental toxins and cancer are linked. I appreciate the book in that it affirms my suspicions about
that, but its presentation of the data also is very sobering. On some issues it is easy to avoid
facing a dark reality until evidence for it is laid out in this kind of
detail.
