SILENT SPRING INSTITUTE RESEARCHING THE ENVIRONMENT AND WOMEN’S HEALTH FY 08 Research Funding Request STOP BREAST CANCER BEFORE IT STARTS: Breast Cancer Risk Reduction Project Breast cancer rates have increased from 1 in 20 women in the 1950’s to 1 in 7 women currently. For over a decade, the Silent Spring Institute (SSI) and the Massachusetts Breast Cancer Coalition (MBCC) have lead efforts to investigate and educate about an environmental connection to the rising rates of the disease. Massachusetts, having one of the high incidence rates in the country, is leading efforts nationally to investigate causes of the disease. SSI and MBCC, along with U-Mass Lowell, collaborate to propose innovative plans to reduce exposure to environmental toxins and develop practical alternatives to chemicals of concern. Scientists across the country and beyond look to SSI’s innovative research when developing their plans and, with our lead, the larger cohort of investigators are developing a clearer picture of the problem. As a result of SSI’s past efforts, evidence now exists detailing toxicants in our homes and groundwater that are related to the proliferation of breast cancer cells. We propose, with the Legislature’s leadership, the following Breast Cancer Risk Reduction Project, funded at $1M through the Toxics Use Reduction Institute Line Item (7100-0300), as the next step in the fight against breast cancer: Identify Breast Cancer “Hot Spots” Partnering with U-Mass Lowell, update and analyze breast cancer and environment tracking data to identify high-risk populations, disparities, and promising avenues for prevention research. Exposure Tracking /Risk Reduction Pilot Partnering with local experts, develop a program of exposure tracking and exposure reduction in MA homes, including those in high incidence areas and urban minority neighborhoods BREAST CANCER RISK REDUCTION Protect Drinking Water from Estrogen Contamination Partnering with experts to evaluate best ways to protect drinking water from estrogen contamination and other endocrine disruptors. Occupational Health: Alternatives U-Mass Lowell’s green chemistry program addresses occupational exposure hazards, many of which are related to higher rates of breast cancer. Collaboration will seek promotion of safer alternatives. Education and Outreach Research Details Identify Breast Cancer “Hot Spots” Massachusetts has one of the highest breast cancer rates in the nation. Cape Cod women have significantly higher risk than others in the state. Most women diagnosed with breast cancer are the first in their family to get the disease. Genetics are not the main cause. We need to find environmental risk factors that we can change, so we can prevent breast cancer. Silent Spring Institute developed the Massachusetts Health and Environment Information System (MassHEIS), a sophisticated computer mapping system that integrates multiple data sources to explore patterns of disease in search of opportunities for prevention. Next step: Dr. Richard Clapp (U Mass – Lowell) and Silent Spring Institute to update and analyze breast cancer and environment tracking data to identify high risk populations, disparities, and promising avenues for prevention research. Other hormonal diseases – prostate, testicular, endometrial, ovarian cancers and reproductive health – will benefit from this work. Exposure Tracking /Risk Reduction Pilot Silent Spring Institute’s groundbreaking Household Exposure Study showed widespread exposure in homes to pollutants that mimic estrogen, a known breast cancer risk factor. This research has been nationally recognized and cited in Consumer Reports, Business Week, the Los Angeles Times, and elsewhere. Next step: Silent Spring Institute scientists and other local experts to develop a program of exposure tracking and exposure reduction for Massachusetts homes, including homes in areas with higher breast cancer risk (Cape Cod and some North Shore and western Boston suburbs) and urban minority populations at disproportionate risk. Protect Drinking Water from Estrogen Contamination Silent Spring Institute’s Cape Cod study was the first research anywhere to measure estrogenic activity in groundwater. New results published in a leading scientific journal and reported in Scientific American show estrogens from women’s urine, pharmaceuticals, and estrogen-mimics from laundry detergent pass through septic systems and into the environment, threatening drinking water on Cape Cod and other communities that rely on septic systems and well water. Next step: Silent Spring Institute scientists and other scientists to evaluate the best ways to protect drinking water from estrogens and other endocrine disruptors. Occupational Health: Alternatives Since prevention is the way to truly end the breast cancer epidemic, investing in green chemistry solutions for chemicals known to cause breast cancer in animals or to mimic estrogen is a priority. The University of Massachusetts - Lowell has unique programs that connect with women workers and manufacturers, while Silent Spring Institute has unique knowledge specific to chemicals suspected as breast cancer risks. Next step: Develop collaboration between U Mass – Lowell and Silent Spring Institute that address exposures of women workers. For More Information, Please Contact Deborah Shields or Erin Boles at (617) 376-6222 or eboles@mbcc.org