On Cancer

Permit me to embark on this 7-minute journey with Shakespeare’s muse:
Blow, blow, thou winter wind,
Thou art not so unkind
As man's ingratitude.

Mr. President, crusaders, doctors and wonderful audience:
Another British poet and painter William Blake mentioned:

In seedtime learn, in harvest teach, in winter enjoy.

I must appreciate Dr. Phillip rather than poking holes in his selection of wintertime for a forum on a serious public health issue. Perhaps he enjoys wintertime in launching a crusade against the enemy of humankind.

Implicitly and explicitly, under his leadership the team of philanthropists, oncologists, and physicians deserve a thunderous applause on organizing this event with epic cause successfully. Thus and so, we must proffer bouquets on their endeavor for congregating a moot of professionals, researchers and clinical oncologists. Good show, Dr Phillip!

I am privileged for speaking to this wonderful audience not as a guest of honor but being the part of the majestic cause that is behind this Congress.

Ladies and gentlemen, cancer is a killer disease with more than 100 versions. These versions are characterized by excessive, uncontrolled growth of abnormal cells, which invade and destroy other tissues. It develops in almost any organ or tissue of the body, but certain types of cancer are more lethal than others. Cancer is growing cause of death everywhere. For reasons not well understood, cancer rates vary by gender, race, and geographic region. For instance, more males have cancer than females. Cancer rates also vary globally—residents of the United States, for example, are nearly three times as likely to develop cancer than are residents of Pakistan.

Cancer usually develops gradually over many years, the result of a complex mix of environmental, nutritional, behavioral, and hereditary factors. Scientists do not completely understand the causes of cancer, but they know that certain lifestyle choices can dramatically reduce the risk of developing most types of cancer. Not smoking, eating a healthy diet, and exercising moderately for at least 30 minutes each day reduce cancer risk by more than 60 percent.

The Greek physician Hippocrates first made the connection between disease and natural environmental factors in the 4th century BC. His treatise Airs, Waters, and Places described how diseases can result from way of life, climate, impure water, and other environmental factors. For the next 2000 years, it was the most widely used text on public health and epidemiology.

Epidemiologists and other public health officials attempt to break the chain of disease transmission by notifying people who may be at risk for contracting an infectious disease. While the participants may read technical papers, I must emphasize on the need for awareness campaigns for prevention. Behavioral Change Communication must be used in mass awareness.

People need to know that saturated fats from red meats and other animal products are linked with several cancers; high salt intake increases the risk of stomach cancer; adult obesity increases the risk for cancer of the uterus in women and also appears to increase the risk for cancers in the breast, colon, kidney, and gallbladder.

Cancer of the prostate gland is the most cancer among males. People should be made conscious about the need to consult a doctor when they notice unusual health symptoms, such as, changes in bowel or bladder habits, a sore that does not heal, unusual bleeding or discharge, thickening or a lump in the breast or any other part of the body, indigestion or difficulty swallowing, change in appearance of a wart or mole, or a nagging cough or hoarseness.

Scientists estimate that more than 60 percent of cancer deaths are preventable through lifestyle changes.

The society must be educated that lifestyle changes and consumption of such foods that have the potential to protect against cancer. I mean foods comprising broccoli, cauliflower, cabbage, tomatoes, soy products, and foods high in vitamins A, C, and E. In addition, green and possibly black teas contain compounds that protect the body from carcinogens. These foods contain substances called antioxidants that block the action of free radicals. Other chemicals in fruits and vegetables are thought to block the cell growth promoting effects of steroid hormones, protecting against cancers of the breast and prostate.

Mr. President, I would specifically be interested to receive the set of papers, which are likely to be read by experts and scholars in subsequent technical sessions. Apart from filling myself with knowledge, I will use necessary data in dissemination.

I epilogue my statement with a Japanese proverb:
One kind word can warm three winter months.

Permit me to modify this proverb as:
One kind deed can gladden the whole winter and the year round and round.
While wishing success to the crusading spirit of this Congress, I thank you for listening.
May God bless you!
Asif J. Mir,
Organizational Transformation

Consumption

Compulsive worship at the altar of consumption has brought humanity to the edge of an environmental abyss—depleting resources, spreading dangerous pollutants, undermining ecosystems, and threatening to unhinge the planet’s climate balance.

Endless economic growth driven by unbridled consumption has been elevated to the status of a modern philosophy. Contemporary economies are capable of producing huge quantities of goods at very low cost. This leads both producers and consumers to regard more and more products as little more than commodities that can be discarded relatively quickly rather than items that embody valuable energy and materials and that should be well maintained and designed for long life spans.

From the standpoint of global justice and equality, the solution cannot be a system of consumer apartheid that upholds western binge habits but denies the poor a decent standard of living. Instead, the rich need to curb their outsized material appetites.

To support the move toward a less consumptive economy, consumers and producers need to pay close attention to the full lifecycle of products. This means they need to concern themselves not just with the characteristics of the product itself, such as how much energy its use may require, but also with the materials and production methods used to manufacture the product and the kinds and types of wastes generated in the process. In addition, both consumers and producers need to consider how effectively goods actually deliver wanted services and comforts, how long products last, and what happens to them once they reach the end of their useful life.

A range of tools is at the disposal of governments, companies, and individual consumers to make progress toward the overall goal of a less consumptive economy. To make a difference, however, these efforts need to be scaled up considerably, and political and structural barriers to change must be struck down.

Most material flows in industrial economies—including waste materials from industry, carbon dioxide and other emissions, and soil loss from farmlands—serve no useful purpose whatsoever and never actually pass through the hands of any consumer. Dealing with these hidden flows will require downsimaterial, zing some of the most destructive activities, such as mining, smelting, and logging. Improving energy and materials efficiency, boosting recycling and reuse, and lengthening the lifetime of products can accomplish this, so that there is far less needs to extract virgin raw materials. But there is also ample space for reducing the environmental impact of the goods and services delivered to consumers—including through dematerialization, clean production, and zero-waste closed-loop systems.

It is much more likely that resource consumption will be minimized and the generation of wastes and emissions avoided if manufacturers factor environmental considerations in from the very beginning when they design products, develop production technologies, and select materials.

Around the world, a growing number of governments are adopting extended producer responsibility (EPR) laws that require companies to take back products at the end of their useful life. These typically ban the landfilling and incineration of most products, establish minimum reuse and recycling requirements, specify whether producers are to be individually or collectively responsible for returned products, and stipulate whether producers may charge a fee when they take back products.

The goal of EPR is to induce manufacturers to assess the full lifecycle impacts of their products. Ideally, they will then eliminate unnecessary parts, forgo unneeded packaging, and design products that can easily be disassembled, recycled, remanufactured, or reused. The EPR approach has spread beyond packaging to encompass a growing range of products and industries, including consumer electronics and electric appliances, office machinery, cars, tires, furniture, paper goods, batteries, and construction materials.

Durability, repairability, and upgradability are essential to lessen the environmental impact of consumption. For easy refurbishing and upgrading, a “modular” approach permits access to individual parts and components, which allows them to be replaced easily. By working to extend and deepen useful product life, companies can squeeze vastly better performance out of the resources embodied in products rather than selling the largest possible quantity. Although fewer goods will be produced, there will be greater opportunity and incentive for companies to maintain, repair, upgrade, recycle, reuse, and remanufacture products, and thus greater business and job potential throughout the life of a product.

Governments and communities can strike a better balance between private and public forms of consumption by expanding organized sharing of facilities and amenities. Government action is also indispensable in overcoming the immense structural impediments to lower consumption levels and to more public forms of consumption. Nowhere is this more pronounced than in transportation: low-density, sprawling settlement patterns translate into large distances separating homes, workplaces, schools, and stores—rendering public transit, biking, and walking difficult or impossible. Improved land use planning, environment-oriented norms and standards, and the creation of a reinvigorated public infrastructure that allows for greater social provision of certain goods and services will help ensure that consumers are not overly compelled to make consumption-intensive “choices.”

Another key area where government action is needed is consumer credit. The savings rate in most countries is falling, while household debt is on the rise. Credit card spending is also expanding rapidly among emerging middle-class consumers. Governments could help consumers by offering advantageous credit terms for certain efficient, high-quality, durable, and environment-friendly purchases. Governments can also design policies that offer tax rebates for the best-performing products, while taxing those that fall short of standards.

An important tool that governments can wield is procurement. By buying environmentally preferable products, government authorities can exert a powerful influence on how products are designed, how efficiently they function, how long they last, and whether they are handled responsibly at the end of their useful lives. Well-designed purchasing rules can drive technological innovation and help establish green markets.

Prominent among the measures governments can take are recalibrating tax and subsidy policies that encourage greater consumption, pursuing pro-environment procurement rules, and establishing appropriate product standards and labeling programs. (www.asifjmir.com)