European Code Against Cancer, 5th edition - ultraviolet radiation, radon and cancer

Area of Science:

• Public Health
• Cancer Prevention
• Environmental Health

Background:

• The European Code Against Cancer (ECAC) offers evidence-based cancer prevention strategies.
• Ultraviolet radiation (UVR) and indoor radon are classified as Group 1 carcinogens by the International Agency for Research on Cancer (IARC).
• UVR exposure is a primary cause of skin cancer, while radon gas is a leading cause of lung cancer.

Purpose of the Study:

• To summarize evidence for updated recommendations on UVR and indoor radon exposures in the 5th edition of the European Code Against Cancer (ECAC5).
• To introduce complementary recommendations for policymakers to reduce cancer risk.
• To provide actionable, evidence-based guidance aligned with Europe's Beating Cancer Plan.

Main Methods:

• Review of scientific evidence supporting UVR and radon carcinogenicity and risk reduction.
• Analysis of existing ECAC recommendations and identification of areas for refinement.
• Development of specific recommendations for individuals and policymakers.

Main Results:

• ECAC5 retains and refines recommendations on UVR, advising individuals to avoid excessive sun exposure, use sun protection, and avoid sunbeds.
• ECAC5 includes updated recommendations for radon, encouraging individuals to check radon maps, measure levels, and take remedial action.
• New policy recommendations focus on harmonizing UVR protection, regulating indoor tanning, and supporting radon testing and mitigation.

Conclusions:

• Updated ECAC5 recommendations provide clear, evidence-based strategies for individuals and policymakers to mitigate risks from UVR and radon.
• These updated guidelines aim to reduce the incidence of skin and lung cancers across Europe.
• The recommendations support broader public health initiatives like Europe's Beating Cancer Plan.