Though smoking is on the decline in China, lung cancer rates are rising. Twenty-year olds have joined seniors as likely patients, attributed to the toxic clouds containing particulates that regularly envelope China's eastern cities.
"From 2002 to 2011, the incidence of lung cancer in Beijing rose to 63 cases per 100,000, from 39.6, according to municipal health authorities. Nationwide in the last three decades, an era in which China opened up its economy and industrialized, deaths from lung cancer have risen 465%," writes Barbara Demick.
"When I see patients who are not smokers with no other risk factors, we have to assume that the most probable cause is pollution," said Bai Chunxue, who works at Shanghai's Zhongshan Hospital and is chairman of the Shanghai Respiratory Research Institute.
Back in the 1970s, when (he) was in medical school, the textbook lung cancer patient was a chain-smoking male in his 60s. Nowadays, Bai, one of the physicians who treated the teen, sees so many who are still in their 20s that the cases blend together.
To be sure, "smoking is still cited as the leading cause of lung cancer," notes Demick. Smoking's chief competitor for causing lung cancer now is "the fine particulate matter known as PM 2.5, the microscopic particles from exhaust, coal smoke and vehicle fumes that can burrow their way into lungs."
There still is a veil of secrecy in the government on the effects of the toxic air pollution despite making headlines regularly in Chinese and international newspapers.
(C)onnecting the dots between dirty air and the rising cancer rate is risky. The doctor who first disclosed the case of the 8-year-old girl with lung cancer last month to a reporter from the state-run China News Service appears to have been publicly silenced.
Perhaps that will change when China values the public health of its citizens as much as it does its economy. "Ten years ago, it was sensitive to talk about smoking because the tobacco industry was so important to the Chinese economy. Now it feels safe to talk about smoking," stated cancer researcher Dr. Wei Zhang of the University of Texas MD Anderson Cancer Center in Houston.
FULL STORY: Lung cancer: A cloud on China's polluted horizon

Planetizen Federal Action Tracker
A weekly monitor of how Trump’s orders and actions are impacting planners and planning in America.

Congressman Proposes Bill to Rename DC Metro “Trump Train”
The Make Autorail Great Again Act would withhold federal funding to the system until the Washington Metropolitan Area Transit Authority (WMATA), rebrands as the Washington Metropolitan Authority for Greater Access (WMAGA).

The Simple Legislative Tool Transforming Vacant Downtowns
In California, Michigan and Georgia, an easy win is bringing dollars — and delight — back to city centers.

The States Losing Rural Delivery Rooms at an Alarming Pace
In some states, as few as 9% of rural hospitals still deliver babies. As a result, rising pre-term births, no adequate pre-term care and harrowing close calls are a growing reality.

The Small South Asian Republic Going all in on EVs
Thanks to one simple policy change less than five years ago, 65% of new cars in this Himalayan country are now electric.

DC Backpedals on Bike Lane Protection, Swaps Barriers for Paint
Citing aesthetic concerns, the city is removing the concrete barriers and flexposts that once separated Arizona Avenue cyclists from motor vehicles.
Urban Design for Planners 1: Software Tools
This six-course series explores essential urban design concepts using open source software and equips planners with the tools they need to participate fully in the urban design process.
Planning for Universal Design
Learn the tools for implementing Universal Design in planning regulations.
Smith Gee Studio
City of Charlotte
City of Camden Redevelopment Agency
City of Astoria
Transportation Research & Education Center (TREC) at Portland State University
US High Speed Rail Association
City of Camden Redevelopment Agency
Municipality of Princeton (NJ)