Why is the Lung Cancer rate increasing?

Lung cancer rates are increasing in people who have never smoked, according to two new studies presented here at the 16th World Conference on Lung Cancer.

Lung cancer is broken into Small Cell (decreasing and almost exclusively a smokers disease) Non Small Cell  NSCLC (This has several subtypes which are categorised by their histologies).  Adenocarcinoma is the one which is rising and affecting increasing proportion of non-smokers.  When you look at Adenocarcinoma alone the stats are much higher than all NSCLCs combined.  Figures below combine both.

Australia now has the highest incidence of cancer in the world, surpassing Amercia. This includes all cancers.  [WHO]. Highest mortality from cancer in Australia is lung cancer. [Cancer Statistics Australia].

In fact, at one institution, the incidence of never-smokers diagnosed with non-small-cell lung cancer (NSCLC) jumped from 13% to 28% during a 6-year period, Eric Lim, MD, from the Royal Brompton & Harefield NHS Foundation Trust in London, United Kingdom, and colleagues report in their study. And many of these patients initially presented with advanced-stage disease.

The second study demonstrated that the incidence of lung cancer in never-smokers is increasing in the United States. This was observed in three facilities, most significantly for NSCLC. At one institution, for example, the rate of never-smokers climbed from 8.9% in 1990–1995 to 19.5% in 2011–2013.

“When we think of lung cancer, we think of smoking,” Dr Lim noted. But antismoking strategies implemented in the early 1980s have led to a decrease in smoking-related lung cancer.

Instead, “what we are seeing is an increase in the incidence of nonsmoking-related lung cancer,” he explained during a press briefing. “We have seen more than double the amount of patients coming to us.” Continue Reading…

Victorian taxpayers dodged a bullet

Independent.ie: Toll firms paid €28m to compensate for lack of traffic (14 August 2015)
In Ireland, private toll companies have been paid €28m ($A 42m ) by the State to compensate them for less-than-anticipated traffic on two motorways.

The sum is a result of so-called “traffic guarantee” clauses inserted in the contracts for building the stretch of the M3 from Clonee to Kells and the N7 Limerick Tunnel.

The clauses mean the State pays more to the motorway operators when fewer cars or trucks use the roads.

According to an internal Department of Transport briefing document, the guarantees were introduced to address the worst case scenario of “what if no cars drive on the road” and were needed to attract bidders for the public private partnerships.

Andrews sold a pup

YCAT Editorial

There are still people who think the solution to congestion is more traffic.

WesternDistributorApr2015

The government announced its intention to proceed with an unsolicited bid from Transurban to fatten up the freeways feeding into highly profitable toll roads. Transurban paid just $3 million tax after collecting $1 billion in tolls.

Transurban has been calling the shots on Melbourne’s transport strategy for a long time. This is a very opportunistic way to transfer even more wealth from western suburbs dwellers to the multinational conglomerate.

A proposal without any provision for buses should be condemned.

Transurban has consistently blocked the provision of dedicated bus lanes on assets that it controls. The fear is that when toll-paying motorists stuck in a traffic see a bus zipping past them in a clear lane,  they may change their behaviour. This is not in the interests of their shareholders, despite being in the public interest.

A dedicated bus lane on the Tullamarine toll road would make Skybus a both faster and more reliable alternative. This would cost to the public very little, especially in comparison to an Airport Rail. While trains are preferred for moving large numbers of people into the CBD, buses come into their own in less concentrated suburbs. Congestion issues in the dispersed Western suburbs’ could be significantly aleviated by dedicated bus lanes and a serious provison of bus services along main arterials and toll roads. A bus that gets stuck in the same traffic jam is not an attractive proposition for anyone. Continue Reading…

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