Activists form alliance to fight cancer clusters
Frank X. Mullen (FMULLEN@RGJ.COM)
RENO GAZETTE-JOURNAL
August 13, 2007
When a cancer cluster is detected in a community, parents are alarmed, government agencies are skeptical, fear stalks the streets and residents start to worry about property values.
“We read about this happening in Fallon and in other places, and now it’s happening to us,” said Michael Barry of Victor, N.Y., where a toxic solvent plume extends beneath dozens of homes and 16 people have died of a cancer that a citizens’ group believes is linked to the toxin.
“But we have help. The National Disease Cluster Alliance brings a lot of expertise and perspective to what’s happening here. There’s a lot of resistance on the part of town and state governments to face what’s happening. The alliance is helping people understand and get moving,” Barry said.
The National Disease Cluster Alliance was born in the Fallon leukemia epidemic, which has sickened 17 children and killed three since 1997, and in a suspected cancer cluster in Sacramento. The parents of cancer patients, health activists and scientists who have investigated other clusters make up the board of directors.
The alliance is developing a rapid-response team that can be sent to towns that are about to be swept up in the anguish, politics, conflict and uncertainty that accompanies a cancer cluster.
Floyd Sands, a former Fallon resident whose daughter, Stephanie, died of leukemia in 2001, and Dee Lewis, who organized a citizens group in Sacramento in 2002, are founding members of the NDCA. The two parents organized cancer incidence surveys in their communities in 2002 when they became dissatisfied with government responses.
Experts at the time said the surveys were unscientific, but noted that the results were compelling because they documented more rare cancers than common cancers in both communities. Suspected environmental causes of the Fallon cluster are still being investigated, and the solvent triclorethene was found in the water in Lewis’ community. That solvent, also called TCE, is the chemical in the Victor, N.Y., plume.
“What happened in Fallon is heartbreaking,” Lewis said. “And what made it more heartbreaking was the dog-and-pony shows put on by the local, state and federal governments and the infighting in the community.
“Those things disempower a community. We found out that you can’t depend on the government. … There have to be new protocols of response to deal with (clusters) instead of allowing the same things to happen over and over and winding up with a divided community.”
Lewis visited Victor, N.Y., last week and has lobbied for a national measure, introduced into the Senate by U.S. Sen. Hillary Clinton, D-N.Y., which would require the Environmental Protection Agency to quickly respond to TCE contamination sites in neighborhoods.
Lewis, Sands and other alliance members, including epidemiologists, plan to help Victor residents conduct a cancer incidence survey and take other stops to help residents cope with the health threat.
“If we’re invited, we’re willing to mentor a community and work with the residents,” Sands said. “We won’t tell them what to do because people from Nevada or California or Pennsylvania can’t tell people from New York or elsewhere what to do in their own backyards. But we can tell them what we’ve been through and show them what we’ve learned.
“We hope to make a community toolbox available for dealing with clusters or suspected clusters so residents don’t have to keep reinventing the wheel.”
Those tools include procedures for door-to-door cancer surveys, advice about media and government relations, fundraising tips and other lessons learned from cancer clusters in Fallon, Sacramento, Sierra Vista, Ariz., and elsewhere. Scientists, including Dr. Mark Witten, a toxicologist from the University of Arizona, are part of the alliance.
Barry said Victor, N.Y., residents concerned about the TCE plume and the high incidence of cancer welcome the help of people who have been through such epidemics elsewhere.
Sometimes opposition gets rough, he said, as when he was called a terrorist by people who are worried about their property values. He said he understands people’s frustrations, but said children’s health trumps economics.
“I care about our community and addressing the health threat, the cancer cluster and its root cause,” Barry said. “It’s a highly political situation. Nobody wants to come to terms with what the environmental problem is and what it will take to fix it.”
“I care more about our community health than our community image,” Barry said. “But like the parents in Fallon and in other places, we’re meeting this head-on. That can only add to the image of this town’s integrity.”