恐癌： Fear of cancer:

　　现在进入“环境敏感期” Now the"Environment sensitive period"

　　-胃癌 上海、江苏、甘肃、青海等较为突出 - stomach Shanghai/jiangsu/gansu/Qinghai relatively prominent

　　-食道癌 集中在河南、河北等中原地区 - esophageal cancer concentrated in henan/Hebei province in the central plains, etc

　　-肝癌 集中在东南沿海及东北吉林等地区 Hepatocellular carcinoma (HCC) - focused on the southeast coast and the northeast jilin, etc

　　肺癌：21世纪“第一杀手” Lung cancer:The 21st century"The first killer"

　　刚刚过去的一周，连续几天雾霾天气，刻画出另一个“济南的冬天”。

Just over a week,Continuous days fog haze weather,Characterizes another"Jinan winter".

　　1月15日，济南以PM2.5监测数500的“爆表”峰值，成为国内空气污染程度最严重的城市。

On January 15,,Jinan to PM2.5 monitoring number 500"Detonation table"peak,Become the most serious air pollution degree of the city.

　　就在这一天，47岁的郑华(化名)坐了5个多小时汽车，从济宁赶来齐鲁医院就诊。

On this day,47 years old ZhengHua(alias)Sit for more than five hours car,From jining to qilu hospital.

　　一年前，他在这里接受了肿瘤切除手术，如今，肿瘤复发。腹部长长的疤痕展示出他曾经承受的痛苦，疤痕一端凸起的瘤块又暴露出命运的残酷。

A year ago,Here he accepted tumor resection,now,Tumor recurrence.Abdominal long scar showed he had bear the pain,Scar end raised tumor block and revealed the fate of the cruel.

　　“我还能撑多久？”就诊时间里，郑华不断重复着一句话：“不行，就不治了。”

"I can stay long?"In time to get,ZhengHua repeating a word:"no,Will not cure the."

　　这个罹患癌症的不幸者，惶恐，乃至绝望。

This tea cancer,fear,And even despair.

　　这样的肿瘤患者，齐鲁医院牛军教授所在的肝胆外科每月大约收治70位。而像郑华这样的恶性肿瘤患者，超过了七成。

Such tumors,Qilu hospital professor NiuJun in hepatic surgery were about 70 per month.And like ZhengHua such malignant tumor patients,More than seventy percent.

　　《2012中国肿瘤登记年报》显示，恶性肿瘤已上升至大城市居民死因第一位，超过了脑血管疾病。而在所有恶性肿瘤死亡率对比中，肺癌高居发病死亡率的首位。

[2012 Chinese cancer registration annual report]display,Malignant tumor has increased to city residents first cause of death,More than the cerebrovascular disease.And in all cancer-related mortality in contrast,The mortality of lung cancer at first.

　　据全国肿瘤防治办公室组织的恶性肿瘤死亡调查，从1973年至1992年的20年间，国内肺癌死亡率上升了111.85%，北京市肺癌死亡率30年增幅167%，北京、上海、沈阳等大城市，已成为令人瞩目的肺癌“大户”。

According to the national cancer prevention office organization malignant tumor death investigation,From 1973 to 1992, twenty years,Domestic lung cancer mortality rates have risen 111.85%,Beijing lung cancer mortality in 30 years 167%,Beijing/Shanghai/Big cities, such as shenyang,Has become a remarkable lung cancer"leader".

　　山东省肺癌死亡率同样呈全面上升趋势。2009年出版的《2004-2005年山东省第三次死因回顾抽样调查报告》显示，自20世纪70年代以来，肺癌的变化最为突出，从当时的第五位升至20世纪90年代的第三位，至2004年升至首位，肺癌死亡率较20世纪70年代上升了4.92倍，胃癌则从第一位降到第二位。

Shandong lung cancer mortality in the same overall rising trend.Published in 2009[2004-2005 in shandong province, the third cause of death review sampling survey report]display,Since the 1970 s,Lung cancer is the most prominent changes,From the fifth to the third of the 1990 s,To 2004 to the first place,Is lung cancer mortality in the 1970 s was up 4.92 times,Gastric cancer is from the first to the second.

　　为什么是她：“雾霭”永远沉积在肺里 Why is she:"mist"Always deposition in the lungs

　　“我不抽烟、不喝酒，也很注意饮食和锻炼，可为什么还会得癌症？”

"I don't smoke/Don't drink,Also pay great attention to diet and exercise,Why can also get cancer?"

　　最近几年，总有病人问钟南山这个问题。

In recent years,There is always patient asked zhong nanshan this problem.

　　这也是美国马里兰针灸学院的中国教师杜莉的疑问。

This is Maryland college of acupuncture and Chinese teachers DuLi questions.

　　10年前杜莉来到美国，40岁时患上肺癌。杜莉过去一直过着很干净的生活，吃得很好，家里没人患癌症。杜莉怎么会得癌症？美国匹兹堡大学癌症研究所环境肿瘤科主任黛芙拉·戴维斯在《一场错误的抗癌战争》一书中探究了杜莉的病因。

Ten years ago DuLi came to the United States,Forty years old suffering from lung cancer.DuLi used to have a very clean life,Eat very good,There's no cancer.How can DuLi cancer?The university of Pittsburgh cancer institute of environmental oncology Debbie fulla Davis in[A wrong cancer war]In the book to probe the causes of DuLi.

　　杜莉在太原长大。这座城市三面环山，从四周山下吹来的冷空气，将城里的大钢铁厂、焦炉厂和铸造厂发出的烟雾控制在城里，无法散去。杜莉记得小时候只要穿上白衣服，几小时内就会布满黑色灰尘。

DuLi grew up in taiyuan.The city from three sides,From the mountain around blowing cold air,Will the city big steel mills/Coke oven plant and foundry send smoke control in the city,Cannot disperse.When I was a child DuLi remember as long as wear white clothes,A few hours will be full of black dust.

　　20世纪70年代，杜莉还是个小女孩，她每天呼吸的次数多过她身边的成年人，每呼吸一次，比头发小50倍的粒子会卡在鼻毛里。比这更小的微粒，比如汽车尾气，或者火力发电厂排出的废气则会穿过鼻子或嘴巴，卡在喉咙或肺脏表面。

In the 1970 s,DuLi was a little girl,She by the number of breaths every day more than her side of adults,Every breath a,More than fifty times hair small particles will be stuck in the nose hair.What is more small particles,Such as car tail gas,Or coal-fired power plant emissions will be through the nose or mouth,Stuck in the throat or lung surface.

　　美国一项有几十万义工参与的研究表明，居住在美国那些空气比较肮脏城镇的居民，罹患肺癌的几率较大，其中住在空气污染最严重城市的居民，罹患癌症的几率比一般人高出大约30%。而肺癌这种疾病，要花上几十年时间才会形成。

The United States a hundreds of thousands of volunteers to participate in the study,Live in the United States the air is dirty town residents,Greater risk of lung cancer,The live in the most serious air pollution city residents,The risk of cancer than the average person about 30% higher.This kind of disease and lung cancer,It takes decades time will form.

　　对于杜莉来说，她一生当中头30年呼吸的太原空气，就好像跟一位每天要抽两包烟的人住在一起。杜莉后来虽然离开太原，但她同时带走了这个地方留在她体内的一些东西。

For DuLi for,She lives head 30 years breathing taiyuan air,Like every day with a smoke two packs of cigarettes people live together.DuLi later although leave taiyuan,But she also took the place of something in her body.

　　在钟南山看来，当前对健康影响最大的环境问题是空气污染，特别是PM2.5这样的小颗粒和臭氧。因为这些微小的污染物能够直接进入肺泡，所产生的影响和刺激更大。

Zhong nanshan seems in,The health effects of the biggest environmental problem is air pollution,Especially PM2.5 such small particles and the ozone.Because these tiny pollutants can directly into the alveolar,The effects of stimulation and more big.

　　“雾霾天气对人体肯定有影响。”省内著名的胸外科疾病专家李振家教授直言。但雾霾弥漫，又有谁能“自强不吸”呢？

"Fog haze weather to the human body must have influence."Province famous thoracic surgery disease expert professor LiZhenGu truth.But fog haze diffuse,And who can"Self-improvement don't suck"??

　　流行癌种：与工业化“同步” Popular carcinoma of:And industrialization"synchronous"

　　20世纪20年代初，一个叫安德瑞·库尔南的研究员在巴黎医院实习。

In the early 1920 s,A call AnDeRui · kool south researcher in Paris hospital practice.

　　“你必须到这儿来看看，否则再也看不到了！”大批医师跑去围观他们的第一个肺癌病例。这个被解剖了尸体的肺脏，整个外表包裹着灰黑色黏液，看起来像橡胶，很厚，黏黏的块状，就是当时十分罕见的肺癌。

"You must come here to see,Otherwise never see the!"A large number of physician run to onlookers their first lung cancer cases.The anatomy of the body of the lung,The whole appearance parcel to black slime,Looks like rubber,Very thick,Sticky block,That was very rare for lung cancer.

　　肺癌不是“再也看不到了”，而是几乎与工业化的进程同步“流行”开来。

Lung cancer is not"Never see the",But almost and industrialization process synchronization"popular"the.

　　进入20世纪30年代以后，伴随着现代工业发展造成的环境大气污染，烟草消费猛增，男性肺癌死亡率迅速增长。

Since the 1930 s,With modern industrial development cause environmental air pollution,Tobacco consumption surge,Lung cancer death rate among men rapid growth.

　　1973年初，周恩来、彭德怀、陈毅等开国元老先后被诊断患有癌症，高层由此关注中国癌症发病情况。从那以后，全国开展了第一次癌症综合科考。

At the beginning of 1973,Zhou enlai/Peng dehuai/Lin piao founding patriarch has been diagnosed with cancer,Top which focus on China cancer incidence.From then on,The first time to carry out the comprehensive department of cancer.

　　考察团沿着太行山对晋、冀、豫三省18个县的5000万人口进行癌症调查。他们注意到豫西北一带农民用树叶子、萝卜叶子腌制咸菜、酸菜，当年八九月开始腌，一直吃到来年的五六月。腌菜罐子里面汤汁黏稠，含有大量微生物，有的还长了蛆虫，人们捞起来照吃不误。

Along the taihang mountains delegation to jin/ji/Provide three provinces and counties of the 50 million population of cancer research.They note that the northwest area provide farmers with leaves/Radish leaves salted pickled vegetables/Pickled cabbage,The BaJiuYue began to salt,Always eat the year June or may.Pickles jar sticky soup,Contains a lot of microorganism,Some still long maggots,People out according to eat not by accident.

　　当时，胃癌、食管癌等上消化道癌症是中国主要癌症病种。这是典型的“穷人病”，只要不吃霉变食物，就能降低发病率。

At that time,Gastric cancer/Esophageal cancer and upper gastrointestinal cancer is China's major cancer diseases.This is typical of"Poor disease",So long as you don't eat food mildew,Can reduce the incidence of a disease.

　　而直肠癌、大肠癌等下消化道癌症，在当时甚至不能挤进前五名。现在情况正好相反，结直肠癌等发病率快速上升，作为一种“富贵癌”、“生活方式癌”，发病率越来越高。

And colorectal cancer/Colorectal cancer and gastrointestinal cancer,At that time can't even squeeze into the top five.Now the opposite is true,Colorectal cancer incidence of a disease such as rapid rise,As a"Riches and honour carcinoma"/"Lifestyle carcinoma",Incidence of a disease is more and more high.

　　20世纪90年代以来，中国众多城市建立了工业园区，工业污染造成的恶果在2002年以来频频爆发，“癌症村”、“怪病村”频频出现，尤其高发于广东、浙江、江苏等经济发展较快的省份，GDP增长和“癌症村”增加之间呈现伴生关系。

Since the 1990 s,Many cities in China established industrial park,The consequences of industrial pollution in the 2002 years since the outbreak of again and again,"Cancer village"/"Strange disease village"Appeared frequently,Especially high also/zhejiang/Jiangsu, rapid economic development of the province,GDP growth and"Cancer village"Increase the present relationship between associated.

　　与此同时，与激素水平相关的癌症如乳腺癌、甲状腺癌、前列腺癌上升势头尤其迅猛。有数据显示，短短30多年间，癌症发病数量一路飙升，肺癌、乳腺癌、结直肠癌已占据前三名。

meanwhile,And hormone levels related cancer such as breast cancer/Thyroid cancer/Prostate cancer is especially rapid growth momentum.Data show,Just 30 years,The soaring number of cancer,Lung cancer/Breast cancer/Colorectal cancer has been the top three.

　　北京市肿瘤防治研究办公室研究发现，1978年，北京城区仅6000多人被诊断为癌症，而到2010年，猛增到3.7万，每天约有104个新癌症患者。

The study found that cancer prevention and control research office,In 1978,,The Beijing city only more than 6000 people are diagnosed with cancer,By 2010,Soared to 37000,Every day there are about 104 new cancer patients.

　　《2004-2005年山东省第三次死因回顾抽样调查报告》显示，2004年-2005年，山东省死因调查地区居民超过1/4的死亡为恶性肿瘤所致，粗死亡率166.86/10万，城市人群高于农村；小于35岁，每10例死亡有1例为恶性肿瘤；35岁-74岁，每3例死亡有1例为恶性肿瘤所致。

[2004-2005 in shandong province, the third cause of death review sampling survey report]display,In 2004-2005,The cause of death in shandong province, the study area residents more than a quarter of the death of the caused by malignant tumor,Crude mortality 166.86/10,The city is higher than the countryside;Less than 35 years old,Every ten deaths have 1 cases of malignant tumor;35-74 years old,Every three deaths have 1 cases caused by malignant tumor.

　　“邻避效应”：如何度过“环境敏感期”？ "Adjacent to avoid effect":How to spend"Environment sensitive period"?

　　河海大学环境与社会研究中心主任陈阿江教授研究指出，从医学上看，污染与癌症关系非常复杂。迄今为止，诸多“癌症村”中污染与癌症之间的关系不甚明了。

Hohai university environment and social research center director professor Chen AJiang study,Look from the medical,Pollution and cancer relationship is very complicated.So far,many"Cancer village"In the relationship between pollution and cancer is not very clear.

　　不管怎样，“癌症村”已经以一种事实存在于社会中，并且影响到公众对环境与健康问题的认识。国内一些地方因PX项目等引发的群体性事件，实际是对于环境惶恐的应激反应。

No matter how,"Cancer village"Has been in a fact in society,And the impact on the environment and health to the public awareness of the problem.Domestic some places for PX project and so on caused by the group incidents,Is actually the fear for environmental stress reaction.

　　2012年7月，因反对当地政府批准日本王子纸业之制纸排海工程项目，江苏启东市爆发群体事件，最终逼停立项。

In July 2012,Against the local government approval of Japan the prince paper papermaking row sea project,Jiangsu qidong outbreak group events,Eventually forced stop project.

　　这种“不要建在我家后院”的“邻避效应”在国际社会已是普遍现象，如今也越来越多地见诸国内。这个环保名词的流行，说明中国经济社会的发展已进入“环境敏感期”。对中国而言，“发展中”的现实国情，注定不能完全避免粗放的增长方式，“转型中”的经济现状也难以完全做到“零污染”。这个“环境敏感期”，是中国发展过程中必然要遇到的难题。如何面对这个“环境敏感期”的新考题，将对地方主政者的发展观念形成倒逼之势。(记者 石念军)

this"Don't build in my backyard"of"Adjacent to avoid effect"In the international society is common phenomenon,Now more and more been domestic.The environmental protection the popularity of nouns,That China's economic and social development has entered into"Environment sensitive period".For China,"developing"Realistic national conditions,Destined not to completely avoid extensive growth mode,"Transformation in"The economic situation is difficult to fully do"Zero pollution".this"Environment sensitive period",Is China's development process must meet problem.How to face the"Environment sensitive period"New questions,To the place of the development concept of the potential DaoBi formation.(Reporter ShiNianJun)