The high incidence of lung cancer among
children in Metro Manila may be an indication of the urgent need to curb
the level of diesel exhaust in the metropolis, a visiting expert from
the United States suggested.
Dr. John Budroe, a toxicologist with the Office of the Environmental
Hazard Assessment in Oakland, California, said diesel exhaust has
components which have been shown to damage human and animal genes and
can cause cellular changes which are associated with cancer.
In a seminar held at the Asian Development Bank (ADB) in Pasig City
July 9, Budroe noted a World Bank study in the early 1990s showing high
levels of toxic air in major Metro Manila thoroughfares plied by
diesel-fueled public transport vehicles.
The incidence of lung cancer in boys 15�19 years old is six times
higher in Metro Manila than in the United States, Budroe observed,
citing data from the U.S. and a study by the World Health Organization�s
International Agency for Research in Cancer. The same data, he said,
also showed that while there is one case of lung cancer per one million
Filipino boys aged four years and younger, there is zero incidence of
lung cancer in their counterpart group in the U.S.
"This is really surprising," Budroe said. "In the U.S., you just
don�t see lung cancer in children because it takes time to develop a
reaction to cancer causing chemicals."
Budroe, whose participation in the seminar was sponsored by the
United States-Asia Environmental Partnership, cited thirty independent
studies which showed that, even when the effects of smoking are
excluded, workers exposed to diesel exhaust have higher risks of
contracting lung cancer. He also noted that the U.S. Environmental
Protection Agency concluded last year that results of studies on human
subjects are "highly suggestive" that diesel exhaust causes lung cancer,
Budroe told seminar participants.
The work of Dr. Budroe and his colleagues has led the California Air
Resources Board to list diesel emissions as a "toxic air contaminant."
As a result, a committee was formed that is now exploring ways to reduce
the public health risks from diesel, through such actions as
retrofitting engines, converting buses to compressed natural gas, and
designing new technologies for diesel engines.
The seminar was part of efforts to eliminate smoke belching under an
ADB-funded program to improve the quality of air in Metro Manila.
Implementors of the program are developing an Action Plan and Memorandum
of Understanding among the metropolis� local government units, jeepney
and bus operators and other concerned sectors to combat air pollution in
the area.
During the course of the ADB program, the Philippine Department of
Health will monitor the health effects of air pollution on the public
over the next five years. Earlier findings of the department showed that
air pollution accounts for 22% of all respiratory diseases in Metro
Manila.