Johns Hopkins University, Baltimore, MD, USA.
Division of Cancer Prevention and Control, Centers for Disease Control and Prevention, MS F-76, Atlanta, GA, 30341, USA.
J Community Health. 2017 Oct;42(5):962-967. doi: 10.1007/s10900-017-0342-7.
Radon is the second leading cause of lung cancer among smokers and the leading cause among nonsmokers. The Centers for Disease Control and Prevention's National Comprehensive Cancer Control Program (NCCCP) funds every state, seven tribes, seven territories and the District of Columbia to develop formal cancer plans that focus efforts in cancer control. A 2010 review of cancer plans identified radon-related activities in 27 (42%) plans. Since then, 37 coalitions have updated their plans with new or revised cancer control objectives. There has also been recent efforts to increase awareness about radon among cancer coalitions. This study assesses NCCCP grantees current radon activities and changes since the 2010 review. We reviewed all 65 NCCCP grantee cancer plans created from 2005 to 2015 for radon related search terms and categorized plans by radon activities. The program's most recent annual progress report to CDC was also reviewed. We then compared the results from the updated plans with the findings from the 2010 review to assess changes in radon activities among cancer coalitions. Changes in state radon laws between 2010 and 2015 were also assessed. While a number of cancer plans have added or expanded radon-specific activities since 2010, approximately one-third of NCCCP grantees still do not include radon in their cancer plans. Cancer programs can consider addressing radon through partnership with existing radon control programs to further reduce the risk of lung cancer, especially among non-smokers.
氡是吸烟者肺癌的第二大主要病因，也是非吸烟者肺癌的主要病因。疾病控制与预防中心（CDC）国家综合癌症控制计划（NCCCP）为每个州、七个部落、七个领地和哥伦比亚特区提供资金，以制定正式的癌症计划，将努力重点放在癌症控制上。2010 年对癌症计划的审查确定了 27 项（42%）计划中与氡有关的活动。此后，37 个联盟更新了他们的计划，纳入了新的或修订的癌症控制目标。最近还努力提高癌症联盟对氡的认识。本研究评估了 NCCCP 受赠者目前的氡活动及其自 2010 年审查以来的变化。我们审查了 2005 年至 2015 年间所有 65 个 NCCCP 受赠者的癌症计划，以查找与氡有关的搜索词，并按氡活动对计划进行分类。还审查了该计划向疾病预防控制中心提交的最新年度进展报告。然后，我们将更新计划的结果与 2010 年审查的结果进行比较，以评估癌症联盟中氡活动的变化。还评估了 2010 年至 2015 年间州氡法规的变化。虽然自 2010 年以来，许多癌症计划增加或扩大了针对氡的特定活动，但约三分之一的 NCCCP 受赠者仍未将氡纳入其癌症计划。癌症计划可以考虑通过与现有的氡控制计划合作来解决氡问题，以进一步降低肺癌风险，尤其是在不吸烟者中。
