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2.
Int J Health Serv ; 35(1): 1-38, 2005.
Artigo em Inglês | MEDLINE | ID: mdl-15759555

RESUMO

In February 2001, the European Commission (EC) released a White Paper, REACH 2001, detailing unique and unprecedented legislative proposals for the regulation of industrial chemicals, based on the Precautionary Principle. The object of these proposals was to reverse the escalating incidence of avoidable cancers, a wide range of other industrial diseases, and environmental contamination. However, REACH was aggressively opposed by the European and U.S. chemical industries, and even more so by the U.S. administration. The EC responded by making major concessions in its October 2003 REACH-based legislative proposals. This report critically analyzes REACH, and its 2003 revised proposals, and recommends that REACH be strengthened, not weakened. Furthermore, the report urges that regulatory policies of the United States and other industrialized nations be drastically reformed to comply with those of REACH.


Assuntos
Substâncias Perigosas , Indústrias/legislação & jurisprudência , Causas de Morte , Saúde Ambiental , Europa (Continente) , Regulamentação Governamental , Humanos , Indústrias/economia , Exposição Ocupacional
6.
Int J Health Serv ; 32(4): 669-707, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-12456121

RESUMO

The incidence of cancer in the United States and other major industrialized nations has escalated to epidemic proportions over recent decades, and greater increases are expected. While smoking is the single largest cause of cancer, the incidence of childhood cancers and a wide range of predominantly non-smoking-related cancers in men and women has increased greatly. This modern epidemic does not reflect lack of resources of the U.S. cancer establishment, the National Cancer Institute and American Cancer Society; the NCI budget has increased 20-fold since passage of the 1971 National Cancer Act, while funding for research and public information on primary prevention remains minimal. The cancer establishment bears major responsibility for the cancer epidemic, due to its overwhelming fixation on damage control--screening, diagnosis, treatment, and related molecular research--and indifference to preventing a wide range of avoidable causes of cancer, other than faulty lifestyle, particularly smoking. This mindset is based on a discredited 1981 report by a prominent pro-industry epidemiologist, guesstimating that environmental and occupational exposures were responsible for only 5 percent of cancer mortality, even though a prior chemical industry report admitted that 20 percent was occupational in origin. This report still dominates public policy, despite overwhelming contrary scientific evidence on avoidable causes of cancer from involuntary exposures to a wide range of environmental carcinogens. Since 1998, the ACS has been planning to gain control of national cancer policy, now under federal authority. These plans, developed behind closed doors and under conditions of nontransparency, with recent well-intentioned but mistaken bipartisan Congressional support, pose a major and poorly reversible threat to cancer prevention and to winning the losing war against cancer.


Assuntos
Política de Saúde , Cooperação Internacional , Neoplasias/epidemiologia , Neoplasias/prevenção & controle , Países Desenvolvidos , Exposição Ambiental , Feminino , Humanos , Incidência , Estilo de Vida , Neoplasias/etiologia , Prevenção Primária , Assunção de Riscos , Fumar/efeitos adversos , Estados Unidos/epidemiologia
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