New health initiative focuses on environmentally-associated cancers

Oct 22 2009

The Barbara Ann Karmanos Cancer Institute, in cooperation with Blue Cross Blue Shield of Michigan (BCBSM), will launch a targeted health initiative in January 2010 focused on environmentally-associated cancers.

By the end of this year, according to the American Cancer Society, it is estimated that 1,479,350 new cases of cancer will be reported in this country. According to Karmanos Interim President and CEO Ann G. Schwartz, Ph.D., MPH, approximately 70 percent of all cancers are linked to occupational and environmental causes, including tobacco use and diet, based on information from the National Institutes of Health (1).

"A medical evidence-based approach will be presented to doctors participating in BCBSM's Physician Group Incentive Program (PGIP) in early December," Dr. Schwartz said. "The initiative is being designed to detect cancers and other serious illness resulting from exposure to arsenic and asbestos, two of the state's most frequently encountered carcinogens."

Director and author of the initiative Michael Harbut, M.D., MPH, FCCP, of Karmanos, an occupational and environmental medical expert, said that by utilizing existing data that has identified workplace and environmental arsenic and asbestos, "we can determine who is at risk, what preventive care may be recommended and more accurately diagnose and treat those at risk because of the water they drink or air they breathe."

Dr. Harbut said that Karmanos "will offer this program to physicians to accurately identify who is at risk for disease before symptoms become apparent. It is not unusual for people to be unaware that they have even been exposed to these toxins."

Asbestos and arsenic have been singled out because their impact continues to take a serious health toll on Michigan's residents. Michigan has the nation's largest arsenic-contaminated water table, located primarily in the southeastern part of the state, and an estimated 300,000 homes with asbestos-contaminated attic insulation.

Even low levels of exposure to asbestos can cause asbestosis -- a potentially fatal disease of the lungs -- as well as lung cancer and mesothelioma, an extremely aggressive cancer of the covering of the lungs and intestines. Smokers are 50 times more likely to develop lung cancer if they also are exposed to asbestos. In addition, colon cancer has been associated with asbestos exposure. There is a latency period from time of first exposure to clinical identification of disease of 15-40 years. Contrary to popular belief, asbestos has never been banned in the United States.

SOURCE Barbara Ann Karmanos Cancer Institute