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Lung cancer kills over two million people a year, and its deaths followed the rise and fall of smoking

the gist

Lung cancer kills more than two million people every year, making it the most fatal cancer in the world. Its death toll closely tracks cigarette smoking: as smoking spread through the 20th century, lung cancer deaths rose, typically a few decades later, and where smoking has declined, lung cancer deaths have fallen. Tobacco smoke contains many carcinogens that damage DNA in the cells lining the airways. The lag between exposure and disease is why the effects of smoking took so long to show up in statistics.

how it works

Carcinogens in tobacco smoke, such as polycyclic aromatic hydrocarbons, bind to DNA and cause mutations when cells repair or copy it. Damage accumulates in airway cells over years, so tumours typically appear decades after people start smoking.

so what

Lung cancer is one of the clearest examples of how public health measures can change death rates, from anti-smoking campaigns to tobacco taxes. It also shows why long latency makes cause-and-effect hard to see until decades later.

the bigger pattern

Mid-20th-century studies, including British doctors' long-term follow-up of their own smoking habits, linked smoking to lung cancer, and tobacco control followed in a similar lagged pattern across many countries.

more on this

background

Lung cancer is a malignant tumor that originates in the tissues of the lungs. Lung cancer is caused by genetic damage to the DNA of cells in the airways, often caused by cigarette smoking or inhaling damaging chemicals. Damaged airway cells gain the ability to multiply unchecked, causing the growth of a tumor. Without treatment, tumors spread throughout the lung, damaging lung function. Eventually lung tumors metastasize, spreading to other parts of the body.

From Wikipedia: Lung cancer (CC BY-SA 4.0) ↗

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