Cancer causes: These 10 hidden carcinogens can raise the risk, according to an oncology expert
Many of cancer’s effects are visible — but the causes aren’t always so obvious.
There are hundreds of different types of cancer, and far more causes.
Many of cancer’s effects are visible — but the causes aren’t always so obvious.
There are hundreds of different types of cancer, and far more causes.
"Cancer-causing agents, known as carcinogens, can be of various types and forms, working toward triggering mutations in the human body that lead to the development of cancer," said Dr. John Oertle, chief medical director at Envita Medical Centers in Scottsdale, Arizona.
THESE 8 HEALTH SCREENINGS SHOULD BE ON YOUR CALENDAR FOR 2024, ACCORDING TO DOCTORS
While some causes, such as tobacco use and UV radiation, are widely known for their harmful effects, there are many other hidden carcinogens in the environment that are equally harmful, the doctor told Fox News Digital.
"These hidden carcinogens are ubiquitous but often avoidable if people are aware of their inherent dangers," Oertle said.
"Environmental carcinogens often involve synthetic derivatives of industrial byproducts in addition to solvents, heavy metals, pesticides, radioisotopes and even carcinogenic microbes."
The doctor shared a list of some of these hidden carcinogens, their sources and the types of cancer they cause.
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, described Oertle's list as "important."
"Even though we talk about potential carcinogens all the time, the ones mentioned in this list are the major players," he told Fox News Digital.
"Though we are very familiar with the carcinogenic risks of tobacco, and UV light to the skin, others, like radon, are too frequently underestimated."
This carcinogen comes from cigarettes, leading to about 20% of all cancers and approximately 30% of cancer-related deaths in the country, according to the American Cancer Society (ACS).
FOODS TO EAT, AND NOT EAT, TO PREVENT CANCER, ACCORDING TO A DOCTOR AND NUTRITIONIST
Tobacco can cause cancer of the mouth, nose, throat, larynx, trachea, esophagus, lungs, stomach, pancreas, liver, kidneys, ureters, bladder, colon, rectum and cervix, as well as leukemia, noted Oertle.
Organochlorines are pesticides that have been used in agriculture around the world since they were introduced in the 1940s, despite having high toxicity.
While they’ve been largely banned in the U.S. due to health hazards, they are still used in other countries, per the Centers for Disease Control and Prevention (CDC).
Organochlorines can potentially lead to breast, colorectal, pancreatic, prostate, lung, oral/nasopharyngeal, thyroid, adrenal and gallbladder cancer, as well as lymphoma, according to Oertle.
Polycyclic aromatic hydrocarbons (PAHs) are chemicals found in coal, crude oil and gasoline, according to the CDC.
They are emitted into the environment with the burning of coal, oil, gas, wood, garbage and tobacco.
ANNUAL BREAST CANCER SCREENINGS LINKED TO LOWER RISK OF DEATH, STUDY FINDS
PAHs can come from cigarette smoke, vehicular exhaust, roofing tar, occupational settings and pharmaceuticals, Oertle said.
Breast, skin, lung, bladder and gastrointestinal cancers can stem from exposure to these chemicals.
Volatile organic compounds (VOCs) are chemicals emitted through the creation of paints, pharmaceuticals and refrigerants, among other products, according to the U.S. Environmental Protection Agency (EPA).
They are also found in industrial solvents, petroleum fuels and dry cleaning agents.
VOCs are commonly found in the air, groundwater, cigarette smoke, automobile emissions and gasoline, Oertle warned.
The compounds can cause lung, nasopharyngeal, lymphohematopoietic and sinonasal cancers, as well as leukemia.
The U.S. Department of Health and Human Services and the World Health Organization (WHO) both classify ultraviolet (UV) radiation from the sun and tanning beds as a human carcinogen.
UV rays can cause a variety of skin cancers, including basal cell carcinoma, squamous cell carcinoma and melanoma.
TO REDUCE CANCER RISK, SKIP THE ALCOHOL, REPORT SUGGESTS: ‘NO SAFE AMOUNT’
Skin cancer is the most common form of cancer in the U.S., affecting one in five Americans in their lifetimes and resulting in 9,500 diagnoses each day.
A radioactive gas, radon is a byproduct of uranium, thorium or radium breaking down in rocks, soil and groundwater, according to the EPA.
When radon seeps into buildings and homes, people can breathe it in — increasing their risk of leukemia, lymphoma, skin cancer, thyroid cancer, various sarcomas, lung cancer and breast cancer, Oertle said.
A mineral fiber in rock and soil, asbestos has historically been used in construction materials.
Although some uses have been banned, it can still be found in insulation, roofing and siding shingles, vinyl floor tiles, heat-resistant fabrics and some other materials, per the EPA.
VACCINE FOR DEADLY SKIN CANCER SHOWS ‘GROUNDBREAKING’ RESULTS IN CLINICAL TRIAL
Oertle warned that asbestos exposure can increase the risk of lung, mesothelioma, gastrointestinal, colorectal, throat, kidney, esophagus and gallbladder cancers.
The U.S. Occupational Safety and Health Administration defines cadmium as "a soft, malleable, bluish white metal found in zinc ores, and to a much lesser extent, in the cadmium mineral greenockite."
Cadmium can be found in paints, batteries and plastics, Oertle said.
The metal can be a factor in lung, prostate, pancreatic and renal cancers.
There are two types of this trace mineral, as noted on WebMD’s website.
One is trivalent chromium, which is not harmful to humans. The other type, hexavalent chromium, is considered toxic.
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Sources of the harmful chromium include chrome plating, welding, leather tanning and ferrochrome metals.
Inhalation of chromium, a known human carcinogen, has been shown to cause lung cancer in steel workers, per the CDC.
A heavy metal that is a known carcinogen, nickel is found in electroplating, circuitry, electroforming and batteries, noted Oertle.
Nickel has been linked to an increased risk of lung and nasal cancers, per the National Cancer Institute.
Overall, more than 1.9 million new cancer cases were diagnosed in the U.S. in 2023, and around 609,820 cancer-related deaths were reported, according to the ACS.
Dr. Brett Osborn, a Florida neurologist and owner of Senolytix, a longevity-based health consultancy, pointed out that in addition to being aware of the various carcinogens and limiting exposure to them, it's also important to take measures to quell inflammation.
"Nearly all age-related diseases, of which cancer is one, are underpinned by low levels of inflammation," Osborn told Fox News Digital.
To reduce inflammation, the doctor recommends eating a low glycemic index diet rich in olive oil and omega-3 fatty acids from fish or flax, strength training regularly, getting adequate sleep and using a probiotic supplement.
"Show your body the right signals, and it will respond in kind – you’ll have your health," Osborn said. "Expose it to the wrong signals and you'll turn on the ‘oncogenes’ that cause cancer."
The doctor added, "Cancer, aside from those associated with a specific gene mutation (typically pediatric cancer), is an ‘environmental’ disease, period."
1 year 6 months ago
Health, Cancer, cancer-research, lifestyle, medical-research, breast-cancer, Environment
The biotech news you missed from the weekend
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Hello from ASH! Writing this Readout from a press room at the annual hematology confab here in San Diego. Today’s edition is chockfull of Vertex content, plus some extras from ASH and elsewhere.
Want to stay on top of the science and politics driving biotech today? Sign up to get our biotech newsletter in your inbox.
Hello from ASH! Writing this Readout from a press room at the annual hematology confab here in San Diego. Today’s edition is chockfull of Vertex content, plus some extras from ASH and elsewhere.
1 year 8 months ago
Biotech, Business, Health, Pharma, Politics, The Readout, biotechnology, Cancer, drug development, drug pricing, FDA, finance, genetics, Pharmaceuticals, Research
AbbVie’s big deal, CAR-T’s risks, & getting a biotech job
Are ADCs having a moment? Is CAR-T safe? And who’s to blame for failed trials?
We cover all that and more this week on “The Readout LOUD,” STAT’s biotech podcast. We discuss why AbbVie is spending $10 billion on a cancer-focused company that spent four decades on the path to its first FDA approval, a deal with implications for biotech in 2023 and for a burgeoning area in oncology. We’ll also talk about the latest news in the life sciences, including safety concerns for CAR-T cancer treatment, the slumping industry job market, and some curious explanations for clinical failures.
1 year 8 months ago
The Readout LOUD, AbbVie, biotechnology, Cancer, life sciences
STAT+: AbbVie buys Immunogen, maker of targeted cancer drugs, for $10 billion
AbbVie will pay $10 billion for the biotech firm Immunogen, the company said Thursday, acquiring an approved treatment for ovarian cancer and buying into a burgeoning area of oncology.
Under the agreement, AbbVie will pay $31.26 per share in cash for Immunogen, a nearly 100% premium to the company’s recent trading price. Central to the deal, expected to close in the middle of next year, is Elahere, an Immunogen product that won Food and Drug Administration approval for advanced ovarian cancer in 2022.
Elahere is among a surging class of cancer medicines called antibody-drug conjugates, or ADCs, which are designed to deliver a targeted dose of chemotherapy directly to tumor cells while sparing healthy tissues. AbbVie’s acquisition is the latest multibillion-dollar deal in the space, following Merck’s $22 billion agreement with ADC specialist Daiichi Sankyo and Pfizer’s $43 billion buyout of Seagen earlier this year.
1 year 8 months ago
Biotech, biotechnology, Cancer, STAT+
STAT+: Colon cancer prevention paradox: Higher-risk patients pay more for colonoscopy
Ashley Conway-Anderson was prepared for a lot of things when it came to her first colonoscopy. She sought out tips to make the daylong prep more bearable. She braced herself mentally for what the doctors would find; her mother, after all, was just a couple years out of recovery from colorectal cancer. When she awoke from the procedure, she said, things seemed relatively fine.
“Surprisingly fine,” said Conway-Anderson, a 36-year-old agroforestry professor at the University of Missouri. There was an 11-millimeter precancerous polyp that the doctors had discovered, but they’d snipped it out of her colon and recommended surveillance every three years. “Obviously, it’s big news to hear, but grateful this seems to be manageable. I’ll do it,” she said. “Then the bill came.”
She was being charged nearly $12,000 for the procedure after insurance. Conway-Anderson’s head spun. She couldn’t understand how it could cost so much, especially when she thought the colonoscopy was preventative for cancer and thus covered. “I was floored,” she said. “I was like I can’t pay this. I don’t know what you want me to do.”
1 year 8 months ago
Health, Special Report, Cancer, Insurance, policy, Public Health, STAT+
Cervical cancer drug raises survival rate by 30% compared to chemotherapy: 'Game-changer'
Better care for cancer patients may be on the horizon.
A new prescription medicine for treating cervical cancer has been showing positive results in clinical trials.
Better care for cancer patients may be on the horizon.
A new prescription medicine for treating cervical cancer has been showing positive results in clinical trials.
In phase 3 global trials, TIVDAK (tisotumab vedotin) was linked to a 30% overall reduction in the risk of death compared to chemotherapy.
BREAST CANCER BREAKTHROUGH: AI PREDICTS A THIRD OF CASES PRIOR TO DIAGNOSIS IN MAMMOGRAPHY STUDY
TIVDAK also demonstrated a 33% decrease in the risk of worsening disease or death.
In addition, the intravenous drug showed an improved objective response rate of 17.8% compared to chemotherapy at 5.2%.
The trial also measured the disease control rate, which is the percentage of patients who experience complete response, partial response or stable disease.
TIVDAK displayed a 75.9% disease control rate, while chemo showed a 58.2% rate.
In an interview with Fox News Digital, Dr. Brian Slomovitz, director of gynecologic oncology at Mount Sinai Medical Center in Miami Beach, Florida, emphasized the importance of these findings.
"To have an overall survival advantage in this disease is extremely, extremely rare," he said.
"It changes the second-line standard of care for this disease. Now, all patients who recur after first-line therapy should be considered for this therapy," Slomovitz added. "So it's a game-changer."
Slomovitz, who has been directly involved in the trials, explained that the new class of drugs attacks a certain protein on the cell, which allows chemotherapy to be delivered to the cell "in a precise fashion."
He said, "So, it doesn't give a lot of the peripheral side effects that we see with traditional chemotherapy."
Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, is not involved in the drug's development or testing, but he believes the drug shows promise as an effective treatment.
"Cervical cancer can be a very aggressive disease, difficult to diagnose early, with a poor prognosis when it is metastatic," he told Fox News Digital.
"It is generally treated with multiple drugs, including chemo and radiation, which can shrink the tumor but very often does not cure it," he added. "The new targeted therapy TIVDAK, which includes a monoclonal antibody against the tissue factor associated with the tumor, is an "effective additional and useful therapy with a high response rate."
TIVDAK has shown ocular side effects such as conjunctivitis (pink eye), peripheral neuropathy (weakness, numbness, and pain from nerve damage) and some bleeding, but Dr. Kathleen Moore, associate director of clinical research at Stephenson Cancer Center in Oklahoma City, said she felt that is manageable.
BREAST CANCER DRUG COULD HAVE POTENTIALLY SERIOUS SIDE EFFECT, NEW RESEARCH REVEALS
Moore has been administering TIVDAK to her patients since the FDA’s accelerated approval in 2021.
She reported that they haven’t had a difficult time managing and offsetting side effects. Patients usually find relief by using prescription eye drops prior to beginning treatment and cold compresses to mitigate potential toxicity, Moore said.
"There's not been a single issue with a patient not being able to use the eyedrops and be compliant with all the mitigation strategies in order to obtain the benefit from this medication," she said.
Only 5% of patients have had to discontinue treatment due to side effects, Slomovitz reported.
OVARIAN CANCER COULD BE DETECTED EARLY WITH A NEW BLOOD TEST, STUDY FINDS
Chemotherapy, comparatively, shows a "much higher risk" of side effects, including anemia, nausea, hair loss and neutropenia, according to Slomovitz.
"We’re hoping that a treatment like [TIVDAK] is something that the patients prefer as opposed to the chemotherapy option," he said.
"As clinicians, we feel that the side effects are very manageable — and given the overall increase in efficacy, it's something that our patients are willing to have."
Moore mentioned that Oklahoma has "quite a bit of experience" with TIVDAK, since there is a large population of cervical cancer patients who present with "very advanced disease or metastatic disease at diagnosis" and require the treatment.
The doctor, who is also a drug developer, said her patients have done "very well" with the drug and appreciate its effectiveness and accessibility through insurance.
CERVICAL CANCER: WHAT ARE THE SIGNS AND SYMPTOMS?
"That's unheard of," she said. "In the past, we just did not have active medications and our patients really were left with ineffective therapies, and they just died."
Patients are recognizing that TIVDAK has worked to shrink their tumors, Moore said, which then leads to less pain and reduced dosage of medication.
"They’re feeling better because their disease is shrinking," she said.
TIVDAK has been used in practice since phase 2 trials led to accelerated approval by the FDA in the U.S.
The drug, however, could not earn full FDA approval until phase 3 was complete, Slomovitz noted.
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"We're hoping that the FDA approves this for a confirmatory trial in the setting, which would obviously have a great impact on the care of our patients," he said.
Slomovitz said he’s optimistic the FDA will give full approval for the drug in the "near future."
Both doctors shared their hopes for FDA drug clearance globally.
"We're starting to see, finally, improvements in therapies for patients who have advanced metastatic cervical cancer, all improving overall survival," Moore said. "So it is looking brighter."
Cervical cancer is the fourth most deadly cancer in female patients, according to Slomovitz.
Moore pointed out that the best way to avoid cervical cancer is to prevent it through annual screenings and vaccinations.
"This is an entirely preventable disease," she said.
"The correct way to cure is to prevent, so that’s what we should be doing, too."
1 year 9 months ago
cervical-cancer, Cancer, Health, lifestyle, medications, womens-health, medical-research, wellness
STAT+: Dana-Farber CEO on Mass General split: Boston needed a dedicated cancer hospital
One of the first items on Laurie Glimcher’s agenda after becoming CEO of the renowned Dana-Farber Cancer Institute was to build a freestanding cancer hospital in Boston.
The most obvious partner would be Mass General Brigham, the large, not-for-profit system that operates the Boston hospital where Dana-Farber’s doctors currently treat cancer patients. But after seven years of negotiations with MGB’s top brass — including about 30 meetings in the past 10 months alone — she said it became clear that they weren’t interested.
“It would have been easier if MGB would have said, ‘Yes, we can do that with you,’” Glimcher told The Boston Globe’s editorial board on Tuesday. “That would have been the easiest path. But they refused over and over and over again.”
1 year 10 months ago
Hospitals, Cancer, finance, health insurance, Hospitals, STAT+
Prostate cancer signs, symptoms and lifestyle changes that could reduce your risk
Prostate cancer is a disease found in men that develops in the prostate gland.
One in eight men will be diagnosed with prostate cancer in their lifetime, according to the American Cancer Society (ACS), with older men more likely to develop the disease.
Prostate cancer is a disease found in men that develops in the prostate gland.
One in eight men will be diagnosed with prostate cancer in their lifetime, according to the American Cancer Society (ACS), with older men more likely to develop the disease.
Prostate cancer is second only to skin cancer as the most common cancer diagnosed in men, according to the source.
OVARIAN CANCER SIGNS, SYMPTOMS, DIAGNOSIS AND TREATMENT OPTIONS
Symptoms of prostate cancer are typically very minimal, or not experienced at all.
Below is all you need to know about prostate cancer.
Any type of cancer starts when cells grow out of control in certain parts of the body.
Nearly every part of the body can be affected by cancerous cells, and they can then spread to other areas.
RISKS, SYMPTOMS AND TREATMENTS FOR LUNG CANCER, THE DEADLIEST CANCER IN THE WORLD
Prostate cancer is a type of cancer found in men that begins in the prostate gland and can then grow beyond that in more severe cases.
"The most common symptom is no symptom at all," Dr. Christopher Anderson, a urologist with New York-Presbyterian/Columbia University Irving Medical Center, previously told Fox News Digital in 2017.
Some men may experience symptoms such as pain in their bones and weight loss when the cancer has already spread, Anderson said.
Dr. Philip Kantoff, a medical oncologist and chair of the department of medicine at Memorial Sloan Kettering Cancer Center, reiterated that the disease does not typically cause symptoms.
Symptoms could instead be due to an enlarged or inflamed prostate, neither of which are cancerous.
Dr. Ketan Badani, vice chairman of urology at Mount Sinai Health System, said that "some patients may have vague urinary complaints," like having to urinate more frequently, and that there are no symptoms until the disease is advanced.
The majority of men who have urinary issues do not have prostate cancer, he noted.
Men ages 60 to 74 are considered more at risk, according to the Surveillance, Epidemiology and End Results (SEER) program.
Family history, "especially a first-degree relative like a father or brother" who has been diagnosed, is another concern, Badani added.
African, Afro-Caribbean, South Asian and Hispanic men are more at risk for "more aggressive" forms of prostate cancer, he said.
For men of African descent, there is an increased risk of both prostate cancer diagnosis and dying from prostate cancer, Anderson said.
There are several lifestyle changes men can implement into their lives to potentially reduce their risk of prostate cancer. This includes maintaining a healthy weight, staying active and having a healthy diet, according to the ACS, such as one including very little red and processed meat and processed foods, but filled with lots of fruits, vegetables and whole grains.
Most commonly, prostate cancer is adenocarcinomas, meaning it develops in the gland cells, according to ACS.
There are other types of prostate cancer, according to the source, but these are rare.
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Other types are small cell carcinoma, neuroendocrine tumors, transitional cell carcinomas and sarcomas.
In general, prostate cancer grows very slowly.
Many people who have it die from other causes without ever knowing that they had the cancer, according to the ACS.
Prostate cancer is curable, so long as it's diagnosed early enough, according to Mayo Clinic.
Treatment options will depend on the stage of the cancer and the overall health of the individual. For early prostate cancer, immediate treatment may not be needed, per the source.
More severe cases of cancer are usually treated through radiation or surgery.
"A discussion with your physician is warranted before symptoms occur," Kantoff advised, adding that men should decide with their doctors if a prostate-specific antigen (PSA) test, which looks at the level of PSA in blood, is right for them.
For more Health articles, visit www.foxnews.com/health
Badani recommended that men receive both annual digital rectal exams and PSA tests. Multiple PSA tests over time are a better indicator of potential concerns as opposed to a single test result, he explained.
If you are concerned you might have prostate cancer, speak to an internal medicine doctor or a urologist, Anderson recommended. He stressed that all patients with blood in their urine should see a urologist.
PSA screening has been a controversial topic in the past. In 2012, the U.S. Preventative Services Task Force recommended against PSA screening when it said "there is moderate certainty that the benefits of PSA-based screening for prostate cancer do not outweigh the harms."
In 2018, the task force said in its final recommendation that men ages 55 to 69 should discuss potential benefits and negatives of a PSA screening with their physician before undergoing the test.
While a PSA screening has the potential to reduce the risk of death, negatives listed by the task force include "false-positive results that require additional testing and possible prostate biopsy; overdiagnosis and overtreatment; and treatment complications, such as incontinence and erectile dysfunction."
They do not recommend PSA screening in men ages 70 and above.
"Proper use of PSA is what I recommend from an early detection standpoint," Kantoff said.
Symptoms should not be the motivating factor for screening, he said, saying it should instead be a decision in one’s 40s about whether PSA testing should be done. He recommended that those with a family history or people of African American descent think about early detection.
An analysis of previous clinical trials published in 2017 said screening lessened the risk of dying from prostate cancer by 25 to 32% compared to men who did not get screened, a summary for patients explains online.
The Associated Press contributed reporting, as did Andy Sahadeo and Zoe Szathmary.
1 year 10 months ago
prostate-cancer, mens-health, Cancer, Health, lifestyle, medical-tech, health-care
STAT+: Lawsuit raises antitrust and kickback allegations around cancer patient referrals
A large independent group of oncologists in Philadelphia is suing the area’s dominant hospital system, Jefferson Health, alleging the system is violating federal antitrust and kickback laws by creating a “concerted campaign to eliminate” the group’s “presence in the oncology marketplace.”
The lawsuit resurfaces longstanding concerns associated with hospitals buying up physician groups and then forcing those physicians to refer patients to the hospitals’ own facilities, even if that’s not in a patient’s best interest. Hospitals have increasingly acquired physician groups over the past 15 years, and in the process have entrenched monopoly positions for certain types of care by preventing patients from “leaking” to competitors.
Obtaining more market share and negotiating power isn’t the only incentive for hospitals to scoop up physicians. Oncology, in particular, is a lucrative specialty for hospitals to own. Revenue is immediately boosted because hospitals are able to charge more for the cancer doctors’ services in a hospital-owned clinic, even though those same services would be significantly cheaper in an independent clinic. Hospitals that participate in a federal drug discount program, known as 340B, also are able to buy expensive chemotherapy drugs for cheap while still billing insurers full freight.
1 year 11 months ago
Hospitals, Cancer, Hospitals, legal, patients
Mississippi’s Cervical Cancer Deaths Indicate Broader Health Care Problems
Shementé Jones knew something wasn’t right. Her back hurt. She felt pain during sex.
She said she kept telling her doctor something was wrong.
Her doctor told her, “Just wash your underwear in Dreft,” Jones said, referring to a brand of detergent.
Shementé Jones knew something wasn’t right. Her back hurt. She felt pain during sex.
She said she kept telling her doctor something was wrong.
Her doctor told her, “Just wash your underwear in Dreft,” Jones said, referring to a brand of detergent.
Within months of that 2016 appointment, Jones, who lives in a suburb of Jackson, Mississippi, was diagnosed with stage 3 cervical cancer. She underwent a hysterectomy then weeks of radiation therapy.
“I ended up fine,” said Jones, now 43. “But what about all the other women?”
The question is especially pertinent in Jones’ home state, which had the nation’s second-highest age-adjusted cervical cancer mortality rate, 3.4 deaths per 100,000 women and girls annually from 2016 through 2020, behind only Oklahoma, according to National Cancer Institute data. And, for non-Hispanic Black women such as Jones, the rates in the state are even higher — 3.7 deaths per 100,000 people. This all translates to about 50 avoidable deaths of Mississippi women from cervical cancer each year in this largely rural state.
Health care experts said such a high death rate from a cancer that is preventable, detectable, and successfully treatable when found early is a warning sign about the general state of health care in Mississippi.
“They desperately need help there,” said Otis Brawley, a professor of oncology at Johns Hopkins School of Medicine and an expert on health disparities. “Political leadership is incredibly important in turning this around, and in Mississippi, the political leadership don’t give a damn.”
Despite the beauty of Mississippi, from the rolling hills of the Natchez Trace to white-sand beaches on the Gulf of Mexico, and the cultural renown of its famous musicians and storytellers, the state’s reputation is marred by its high rates of poverty. People who live there are accustomed to being the butt of jokes, but it hurts.
“Often Mississippi gets represented poorly,” said Mildred Ridgway, an OB-GYN at the University of Mississippi Medical Center in Jackson.
Recently the state has reeled from crisis after crisis. As recently as March, tornadoes and other severe weather killed more than two dozen people and caused extensive damage. Last year, the water in Jackson, the state capital, was undrinkable for months because of treatment plant failures.
On just about any measure of health, Mississippi ranks near or at the bottom. Nationally, an estimated 10% of people under 65 lack health insurance, but in Mississippi it is about 14%. Deaths from cardiovascular disease, diabetes, cancer, and many other illnesses are among the highest per capita in the country.
The high rates of poverty contribute to the high cervical cancer mortality, health experts said. About 19% of Mississippians — nearly 1 in 5 — live in poverty, while nationally it is about 13%.
“If I had to pinpoint what that’s from, it’s from lack of education,” said Ridgway, referring to a lack of knowledge about regular cervical cancer screening, which the U.S. Preventive Services Task Force recommends every three years for women 21 to 65.
But it likely goes far beyond that, many health experts said. Doctors may be less likely to stress preventive care to less educated women and women of color, studies suggest.
“There’s a big difference in the quality of care,” said Rajesh Balkrishnan, a professor of public health at the University of Virginia who has extensively studied oncology care in Appalachia and other underserved areas.
In her case, Jones said, she could not get her doctor’s office to return her calls in a timely manner. She was concerned about her symptoms.
“I felt I wasn’t listened to. I called her more than she called me,” Jones said of her doctor. “I was going to my appointments, and I was ignored.”
And getting access to any care — let alone quality, culturally competent care from providers who acknowledge a patient’s heritage, beliefs, and values during treatment — may be difficult.
Most of the state’s 82 counties are rural. The average travel distance to a grocery store is 30 miles, and half the population lives in a county that is considered medically underserved, said Letitia Thompson, a vice president in Mississippi for the American Cancer Society.
Low-income rural residents often lack reliable transportation, she said, and even if they own a vehicle, they lack gas money. They often can’t find — or pay for — someone to take care of their children so they can go to the doctor. Women with low-paying jobs often lack the time to drive to a clinic in a distant town, or the ability to take off from work without losing pay.
“Women who work and take care of children often have a huge burden of responsibility,” Ridgway said. “They don’t have time or the money.”
Many also don’t have insurance. While the Affordable Care Act has lowered the uninsured rate in Mississippi, an estimated additional 88,000 Mississippians could have coverage through Medicaid if the state expanded eligibility for the federal-state insurance program for low-income Americans. But the state is one of 10 that have not agreed to expand coverage to more adults.
Mississippi Gov. Tate Reeves, a Republican up for reelection this year, is opposed to expansion. His Democratic challenger, Brandon Presley, a second cousin of the music legend Elvis, favors it. Polls show Presley lagging Reeves.
Without expansion of Medicaid, people who have low incomes are often left to decide between forgoing insurance and purchasing a policy through the Affordable Care Act marketplace if they cannot get insurance through employment. Even if they qualify for subsidized marketplace plans, they may face high deductibles or copayments for visits, health experts said. That often means going to the doctor only when sick. Preventive care becomes a luxury.
“You save your health care dollars for when you are sick or your kids are sick,” said Thompson, of the American Cancer Society.
But regular medical care can make all the difference with cervical cancer. Pap tests have long helped detect abnormal cervical cells that could turn malignant. Brawley said the test is “one of the best” cancer screening tests because of its accuracy.
In 2006, vaccines to prevent cervical cancer were first approved by the FDA. The vaccines guard against the common sexually transmitted infection called the human papillomavirus, which causes nearly all cervical cancers. The HPV vaccine is most effective when administered before a person has become sexually active; the federal recommendation is to get the shots by age 12.
Only a handful of places in the U.S. — including Hawaii, Rhode Island, Virginia, Puerto Rico, and the District of Columbia — require the vaccines to attend school. California has pending legislation that initially would have required that middle schoolers get the shots, but the bill has since been watered down to recommend them instead.
Mississippi does not require the vaccine, and the state has had the lowest share of fully vaccinated teens by a large margin for years. Fewer than 39% of teens there were up to date on HPV vaccination as of 2022, according to the CDC, compared with an estimated 63% nationally.
Thompson said she thinks many parents are hesitant to have their children vaccinated because they believe it would encourage sexual activity.
“This is an anti-cancer vaccine,” Thompson said.
Krista Guynes, director of the women’s health program at the Mississippi State Department of Health, said the state has several efforts underway to better inform women about the need for screening. It also has clinics for uninsured women. In partnership with the National Cancer Institute and University of Mississippi Medical Center, she said, the health department is conducting a study to evaluate risk and look for new biomarkers in women undergoing screening for cervical cancer.
As for Jones, she considers herself lucky to have survived stage 3 cancer.
“I would just like to say to every woman, ‘Get the vaccine.’ The vaccine will make the difference, so they won’t have to be told, ‘I’m sorry, you have cancer.’”
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the core operating programs at KFF—an independent source of health policy research, polling, and journalism. Learn more about KFF.
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1 year 11 months ago
Health Industry, Rural Health, States, Cancer, Mississippi, Women's Health