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西格尔医生:爱荷华州癌症发病率上升,答案或许就在水中DR MARC SIEGEL: Iowa's cancer rate is rising. One answer may be found in the water

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爱荷华州日益担忧,该州癌症发病率(高于全国平均水平10%,包括前列腺癌、乳腺癌、结直肠癌、黑色素瘤和肺癌)可能部分与环境中的毒素有关,而与此同时,除三个州外,其他所有州的癌症发病率都在下降。

There is a growing concern in Iowa that the increasing cancer rate (10% over the national average, including rates of prostate, breast, colorectal, melanoma and lung cancer) at a time when cancer onset is decreasing in all but three states, could be associated in part with toxins in the environment.

爱荷华州是玉米和大豆的主要生产州,也养殖猪。玉米和大豆生产会导致氮流失,这些氮可能进入用于饮用的河流水中。环保署尚未将来自化学肥料和动物粪便的硝酸盐列为致癌物,但它们可以在人体内通过亚硝化反应转化为可能的致癌物。与此同时,人们还担心农药和“永久性化学品”的使用。由卫生与公共服务部长小罗伯特·肯尼迪领导的“让美国再次健康”运动,大力支持减少接触这些化学品。两党的候选人都纷纷表示支持。

Iowa is a big producer of corn and soybeans and also raises hogs. Corn and soy production leads to nitrogen runoff, which can end up in river water used for drinking. The EPA doesn’t yet list nitrates, which come from chemical fertilizers and animal waste, as carcinogens, but they can be converted inside the human body via nitrosation into probable carcinogens. At the same time, there is concern about the use of pesticides and "forever chemicals." The Make America Healthy Again movement, led by HHS Secretary RFK Jr., has put its big thumb on the scale in favor of decreasing exposure to these chemicals. Candidates on both sides of the political aisle are jumping on board.

行动党主席托尼·莱昂斯告诉我,减少化学品接触至关重要,爱荷华州并非所有政客都像他所说的那样真诚地致力于改变。他表示,大量研究已将受污染的水(含有来自肥料和粪便的硝酸盐)与癌症联系起来。研究还将许多农药中的化学品与“结直肠癌、膀胱癌、非霍奇金淋巴瘤及其他癌症的更高风险”联系起来。

Action President Tony Lyons told me that the need to decrease chemical exposure is crucial and that not all politicians in Iowa are as sincerely committed to change. He said that numerous studies have linked contaminated water, loaded with nitrates from fertilizer and manure, to cancer. Studies have also linked chemicals in many pesticides "to higher risk of colorectal, bladder, non-Hodgkin lymphoma, and other cancers."

正如共和党州长候选人扎克·拉恩所说:“当我们谈论癌症时,任何不包括水质和硝酸盐负荷的讨论都不是严肃的讨论。不管你是左派还是右派,你都在喝同样的水。”请记住,爱荷华大学的州资助研究仍然显示,爱荷华州几种癌症的高于正常水平的发病率中,大部分——但并非全部——可以由人口统计和行为因素解释,例如吸烟和酗酒。

As Republican gubernatorial candidate Zach Lahn has said, "Any discussion that does not include water quality and the nitrate load when we’re talking about cancer isn’t a serious discussion. It doesn’t matter if you’re left or right, you’re drinking the water." Keep in mind that state-funded research at the University of Iowa still shows that most — but not all — of Iowa's above-normal rates for several cancers can be explained by demographic and behavioral factors, such as smoking and binge drinking.

与此同时,爱荷华大学也因关注癌症发病率上升而加大了癌症研究力度。64岁的琳达·雅各布斯(Linda Jacobs)是这项研究带来的医学奇迹的直接受益者。她和她的“医学守护神”、医学博士穆罕默德·米尔海姆(Mohammed Milhem)仿佛就走出了我的新书《我们身边的天使》(“The Angels Among Us”)的书页。十年前,她患有复发性乳腺癌,不得不接受双侧乳房切除术和放射治疗。

At the same time, the University of Iowa has also ramped up its cancer research because of the focus on the increasing cancer rate. Linda Jacobs, age 64, is a direct recipient of a medical miracle resulting from this research. She, along with her medical angel, Mohammed Milhem, MBBS, could easily have stepped right off the pages of my new book, "The Angels Among Us." A decade ago, she had recurrent breast cancer necessitating a bilateral mastectomy and radiation therapy.

《我们之中的天使》将于11月17日出版。(福克斯图书)"The Angels Among Us" will be published on Nov. 17. (Fox Books)

不幸的是,她随后患上了一种极其侵袭性且对治疗无反应的血管肉瘤。米尔海姆向她的肿瘤注射了他一直在研究的一种经基因改造的疱疹病毒,结果使她摆脱了癌症。

Unfortunately, she developed an extremely aggressive and unresponsive angiosarcoma. Milhem injected her tumor with a genetically altered herpes virus he has been studying, and it rendered her cancer-free.

当然,最好还是一开始就不患癌症。这就是为什么不仅关注生活方式的改变,而且关注环境排毒如此重要的原因。

Of course, it would be better not to develop cancer in the first place. This is why the focus not just on lifestyle change but also on detoxifying the environment is so important.

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