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European Code Against Cancer 5th edition: 14 ways you can help prevent cancer.
Carolina Espina1, David Ritchie1, Elio Riboli2
1International Agency for Research on Cancer (IARC/WHO), Environment and Lifestyle Epidemiology Branch, 25 Avenue Tony Garnier CS 90627, 69366, Lyon, CEDEX 07, France.
The Lancet Regional Health. Europe
|February 3, 2026
Summary
Public awareness of cancer prevention is low despite rising EU cancer rates. The updated European Code Against Cancer (ECAC5) offers 14 actionable recommendations for individuals and policymakers to reduce cancer risk.
Area of Science:
- Public Health
- Cancer Prevention
- Epidemiology
Background:
- Growing cancer burden in the European Union (EU).
- Low public awareness regarding effective cancer prevention strategies.
- Initiated under Europe's Beating Cancer Plan.
Purpose of the Study:
- Update the European Code Against Cancer (ECAC) to its 5th edition (ECAC5).
- Incorporate latest scientific evidence and modern communication strategies.
- Introduce population-level recommendations for systemic change in cancer prevention.
Main Methods:
- Systematic review of scientific evidence by approximately 80 experts.
- Transparent, stepwise decision-making process for updating recommendations.
- Integration of equity lens and consideration of co-benefits for non-communicable diseases.
Main Results:
- ECAC5 provides 14 actionable, evidence-based recommendations for individuals.
- Includes corresponding policy recommendations to influence systems and environment.
- Addresses diverse audiences and emphasizes co-benefits for other non-communicable diseases.
Conclusions:
- ECAC5 empowers citizens with knowledge on cancer risk factors and prevention.
- Aims to drive policy action and public support for effective cancer prevention policies.
- Contributes to more effective cancer prevention strategies across the EU.
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