The Most Detailed Map of Cancer-Causing Industrial Air Pollution in the U.S.




ProPublica’s analysis of five years of modeled EPA data identified more than 1,000 toxic hot spots across the country and found that an estimated 250,000 people living in them may be exposed to levels of excess cancer risk that the EPA deems unacceptable.

The agency has long collected the information on which our analysis is based. Thousands of facilities nationwide that are considered large sources of toxic air pollution submit a report to the government each year on their chemical emissions.

But the agency has never released this data in a way that allows the public to understand the risks of breathing the air where they live. Using the reports submitted between 2014 and 2018, we calculated the estimated excess cancer risk from industrial sources across the entire country and mapped it all.

The EPA’s threshold for an acceptable level of cancer risk is 1 in 10,000, meaning that of 10,000 people living in an area, there would likely be one additional case of cancer over a lifetime of exposure. But the agency has also said that ideally, Americans’ added level of cancer risk from air pollution should be far lower, 1 in a million. Our map highlights areas where the additional cancer risk is greater than 1 in 100,000 — 10 times lower than the EPA’s threshold, but still high enough to be of concern, experts say.

Author(s): Al Shaw and Lylla Younes, Additional reporting by Ava Kofman

Publication Date: last updated 15 Mar 2022, accessed 16 Mar 2022

Publication Site: ProPublica

Annual Report to the Nation on the Status of Cancer, Part 1: National Cancer Statistics


Citation: JNCI: Journal of the National Cancer Institute, Volume 113, Issue 12, December 2021, Pages 1648–1669,



Overall cancer incidence rates (per 100 000 population) for all ages during 2013-2017 were 487.4 among males and 422.4 among females. During this period, incidence rates remained stable among males but slightly increased in females (AAPC = 0.2%, 95% confidence interval [CI] = 0.1% to 0.2%). Overall cancer death rates (per 100 000 population) during 2014-2018 were 185.5 among males and 133.5 among females. During this period, overall death rates decreased in both males (AAPC = −2.2%, 95% CI = −2.5% to −1.9%) and females (AAPC = −1.7%, 95% CI = −2.1% to −1.4%); death rates decreased for 11 of the 19 most common cancers among males and for 14 of the 20 most common cancers among females, but increased for 5 cancers in each sex. During 2014-2018, the declines in death rates accelerated for lung cancer and melanoma, slowed down for colorectal and female breast cancers, and leveled off for prostate cancer. Among children younger than age 15 years and adolescents and young adults aged 15-39 years, cancer death rates continued to decrease in contrast to the increasing incidence rates. Two-year relative survival for distant-stage skin melanoma was stable for those diagnosed during 2001-2009 but increased by 3.1% (95% CI = 2.8% to 3.5%) per year for those diagnosed during 2009-2014, with comparable trends among males and females.


Cancer death rates in the United States continue to decline overall and for many cancer types, with the decline accelerated for lung cancer and melanoma. For several other major cancers, however, death rates continue to increase or previous declines in rates have slowed or ceased. Moreover, overall incidence rates continue to increase among females, children, and adolescents and young adults. These findings inform efforts related to prevention, early detection, and treatment and for broad and equitable implementation of effective interventions, especially among under resourced populations.

Author(s): Farhad Islami, MD, PhD, Elizabeth M Ward, PhD, Hyuna Sung, PhD, Kathleen A Cronin, PhD, Florence K L Tangka, PhD, Recinda L Sherman, PhD, Jingxuan Zhao, MPH, Robert N Anderson, PhD, S Jane Henley, MSPH, K Robin Yabroff, PhD, Ahmedin Jemal, DVM, PhD, Vicki B Benard, PhD

Publication Date: 8 July 2021

Publication Site: Journal of the National Cancer Institute

Mortality with Meep: Cause of Death Trend — Cancer — 1999-2020





As with heart disease, we see improvement at all ages, but the percentage improvement is not as high with cancer as it was with heart disease.

One of the biggest things, though, is how death rates go up by age group. I will use 2020Q1 cause of death rates to make comparisons, as these are in the SOA report, and the COVID impact didn’t come fully until 2020Q2.

Heart disease death rate for those aged 85+ was 3766 per 100K, and those aged 75-84 was 986. That’s a ratio of 3.8.

Cancer deaths for those aged 85+ was 1562 per 100K, and those aged 75-84 was 1004. That’s a ratio of 1.6.

Two things to note:

Cancer death rate for those age 75-84 was higher than the heart disease death rate for the same group

Heart disease death rates climb much more rapidly than cancer death rates by age

Author(s): Mary Pat Campbell

Publication Date: 4 August 2021

Publication Site: STUMP at substack

Oncologist fears ‘tsunami of cancer’ after COVID-19 lockdowns limited screening



During the first wave of the pandemic — from March 15 to May 31 — there was a significant decrease in screening for three major cancers in Ontario compared to the same period in 2019, according to Ontario Health:

A 97 per cent decrease in screening for mammograms through the Ontario Breast Screening Program.

An 88 per cent decrease in Pap tests through the Ontario Cervical Screening Program.

A 73 per cent decrease in fecal tests through ColonCancerCheck.

Alberta Health says the number of Albertans diagnosed with cancer decreased by 23 per cent for the period of March to September 2020 as compared to the same period in 2019.

Author(s): Stephanie Hogan, Melanie Glanz

Publication Date: 17 December 2020

Publication Site: CBC News