The huge victory in tobacco control: the number of cancers in the United States has dropped, and China’s anti-cancer work has been deeply pondered

控烟的巨大胜利:美国癌症人数下降,让中国抗癌工作陷入深思

The trend of smoking among American high school students and adults is very obvious. The picture is from CDC.

On January 4th, the American Center Society published a prediction on the incidence of cancer in the United States in 2018 in the world's leading academic journal CA: A Cancer Journal for Clinicians (known as "Theory", with an impact factor of 187). Report: Cancer Statistics 2018. The report predicts that the number of new cancer patients in the United States will reach 1.73 million in 2018, with a death toll of 609,000.

The report also revealed a major message: in the US population, both cancer incidence and mortality are gradually declining. From 215.1 cancer patients per 100,000 people in the 1990s, it fell to 158.6 per 100,000 people. The number of patients with several common tumors has fallen sharply. From 1990 to 2015, male patients with lung cancer decreased by 45%, female patients decreased by 19%; breast cancer patients decreased by 39% from 1989 to 2015; the number of prostate cancer patients From 1993 to 2015, it fell by 52%; colon cancer patients fell by 52% from 1970 to 2015.

It is worth mentioning that strict control of tobacco and early screening and treatment of cancer are the main reasons for the decline in the number of cancer patients in the United States.

"This report once again validates our efforts, especially on tobacco control," said Otis Brawley, chief medical officer of the American Oncology Society. "The decline in tobacco consumption is the biggest driver of the decline in cancer incidence. Understand that tobacco causes 3/10 cancer patients to die."

The incidence of cancer in the United States has steadily declined over the past 10 years

控烟的巨大胜利:美国癌症人数下降,让中国抗癌工作陷入深思

In the past 10 years, the number of cancer patients in the United States has declined in both cancer incidence and mortality, but the incidence of cancer in women has increased.

控烟的巨大胜利:美国癌症人数下降,让中国抗癌工作陷入深思

Both men and women have a decreasing rate of cancer deaths. It is particularly noteworthy that the number of deaths due to lung cancer has fallen the most.

控烟的巨大胜利:美国癌症人数下降,让中国抗癌工作陷入深思

Number and proportion of different cancer types (US population)

控烟的巨大胜利:美国癌症人数下降,让中国抗癌工作陷入深思

Number of deaths and proportion of different cancer types (US population)

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