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    The Truth About Cancer - Better Habits

    by Maggie Fox

    WASHINGTON (Reuters) - If people would quit smoking, eat more healthily and exercise,
    cancer deaths could be cut by nearly a third, a report issued on Monday said.

    Lifestyle changes and better screening could prevent almost 100,000 new cancer cases
    and 60,000 cancer deaths each year, the report from the Institute of Medicine said.

    It said the biggest cuts would come in lung cancer, the No. 1 cancer killer in the United States
    and many other countries, and colon cancer, the No. 3 killer.

    "What's new here is the growing body of evidence confirming that interventions that get people
    to change their behaviors do work," Susan Curry of the University of Illinois at Chicago, who
    helped write the report, said in a statement.

    The American Cancer Society says nearly 1.3 million Americans were diagnosed with cancer
    and 500,000 died from cancer in 2002. Cancer is the second leading cause of death in the
    United States, after heart disease.

    Curry noted it is very difficult to make the changes needed to lower cancer rates. The American
    Cancer Society and other groups focused on cancer prevention recommend a diet based on plant
    foods such as fruits and vegetables and whole grains, which many Americans are reluctant to adopt.

    Colon cancer, for example, which kills 57,000 Americans a year, is linked to a diet rich in fat and
    red meat, as well as to smoking. Colonoscopies and other methods of cancer screening can catch
    colon cancer early, while it is still easy to cure.

    Quitting smoking could prevent virtually all cases of lung cancer, which was a relatively uncommon
    disease before cigarettes became popular. Deaths among men from lung cancer have dropped
    markedly, although rates among women, who started smoking more in recent decades, are still rising.

    "Although personal experience illustrates for most people the great difficulty of achieving sustained
    behavioral change, Americans have made substantial improvements in their health habits in the
    past few decades," the report said.

    The institute, which advises the federal government on health issues such as vitamin intake and
    health insurance, recommends stricter enforcement of tobacco laws--especially sales on the Internet,
    where minors can easily obtain products.

    Taxes on tobacco are "the single most effective method for reducing the demand for tobacco,"
    the report said.

    Health and Human Services Secretary Tommy Thompson earlier this month rejected an HHS
    committee's recommendation to raise federal cigarette taxes by $2 a pack to discourage smoking
    and fund stop-smoking programs.

    The report also recommended that insurers--including Medicare and Medicaid--pay for cancer
    prevention and detection services that have been shown to work, such as nicotine replacement
    therapy, breast cancer screening for women age 50 and older, cervical cancer screening for all
    sexually active women and colon cancer screening.
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