Links between environmental exposures and increases in cancer rates take time to emerge. They range from community-wide disasters, like the 25-year dumping of carcinogens into the former Love Canal in Niagara Falls that caused kidney and bladder cancer, to associations that seem obvious in retrospect, like smoking and lung cancer, sun exposure and melanoma. My breast cancer might have arisen from in utero exposure to diethylstilbestrol (DES), a drug given to pregnant women in the 1950s to calm morning sickness.
The hallmark of an environmentally-triggered cancer is a sudden increase in incidence (rate of new cases over time) and prevalence (total cases at a specific time) of a particular type of cancer that parallels an increase in exposure to a specific chemical, or class of chemicals. A genetic change would take much longer to manifest.
A classic illustration of an environmentally-caused cancer is the increase in lung cancer in the 1950s that followed the pervasive cigarette smoking among the post-World-War-II generation. It was a time when cigarette ads dominated TV, airplanes stunk of stale smoke, and the habit was actually considered attractive. Many people, especially women, felt pressured to smoke to be accepted.
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