June 04, 2021 from Great Barrington Declaration

Before the lockdowns, we had made so much progress in the war on cancer.  Between 1999 and 2019, cancer mortality dropped by an astonishing 27% in the United States, down to 600,000 deaths in 2019.  Worldwide, the age-standardized death rate from cancer has decreased by 15% since 1990.  Cancer, like COVID-19, is by proportion an old person’s disease, with 27% of cases afflicting people 70 and over and over 70% of cases afflicting people 50 and over.  Despite progress against the disease, 18.1 million new cases were diagnosed worldwide in 2018, and 9.6 million people died from cancer.

The sources of this progress against cancer are as multifaceted as the disease itself.  The mainstays of cancer treatment – surgery to remove solid cancers, radiation therapy for cancers that are sensitive to it, and chemotherapy to disrupt the ability of cancer cells to reproduce and grow – have not changed. Over the decades, scientists have developed new technologies, improving each modality. For instance, improved imaging methods help doctors better identify where the cancer is. Surgeons use previously unimaginable minimally invasive surgical techniques to spare healthy tissue surrounding the cancer when they cut.  Vastly improved radiotherapy planning tools and linear accelerators have replaced more primitive equipment so that doctors can specifically target beams at the cancer without causing side effects.  And scientists have discovered new chemotherapeutic agents involving new ideas about how to distinguish cancer cells from normal cells. Some of these agents take advantage of the specific genetic makeup of the cancer cells to provide cures for some cancers. In 2016, the American Cancer Society estimated that these improvements had averted 1.7 million cancer deaths between 1991 and 2012.

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