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The Secret History of the War on Cancer

by Devra Lee Davis

4.05 · rating details · 130 ratings · 47 reviews

The War on Cancer set out to find, treat, and cure a disease. Left untouched were many of the things known to cause cancer, including tobacco, the workplace, radiation, or the global environment. Proof of how the world in which we live and work affects whether we get cancer was either overlooked or suppressed. This has been no accident. The War on Cancer was run by leaders...more

Hardcover, 528 pages

Published October 2nd 2007 by Basic Books (first published October 1st 2007)

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Women's health and environment

12th out of 16 books — 9 voters

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Mar 28, 2009

Bells rated it

Shelves: science-med-psych

After some reflection, I think my original 5 star rating was a bit much. Those 5 stars were an emotional rating on my part due to a recent and devastating diagnosis that hit way too close to home.

But look, there is something to this. The author wanted to write this book 20 years ago while employed by the National Academy of Sciences. When she told her boss that several institutions and research academies wanted to publish papers she had written on the war on cancer, her boss told he...more

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Feb 21, 2008

Carol Hunter rated it

Having recently finished a very long series of treatment for breast cancer I found this book riveting. Devra Davis is a renowned expert in the field of environmental oncology. She makes a very strong case that we have been fighting the wrong battle because we have targeted the disease rather dealing with cancer's causes, including the environment. Our leaders of industry have worked hard to avoid dealing with the cancer-causing materials they have generated. The emphasis has been on making th...more

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Nov 10, 2011

Villate rated it

This book should have been titled "Why Corporations Are Even More Evil Than You Thought." There is a lot of interesting information here, but it is presented repetitively and sometimes with annoying personal stories about Davis' family and friends and their varying experiences with cancer as well as some of her own rather New Age-y beliefs about God and death and other things. Some parts were confusing because the same people kept popping up and being re-introduced in each chapter. I f...moreThis book should have been titled "Why Corporations Are Even More Evil Than You Thought." There is a lot of interesting information here, but it is presented repetitively and sometimes with annoying personal stories about Davis' family and friends and their varying experiences with cancer as well as some of her own rather New Age-y beliefs about God and death and other things. Some parts were confusing because the same people kept popping up and being re-introduced in each chapter. I found myself thinking, "Didn't I already read about this?" It seemed as though the chapters were written to be read separately rather than as part of a whole. There is also a bit of self-justification in her side comments about the agencies and organizations she has worked with that I found disingenuous, such as her noble refusal to take funding from some disreputable corporation or other.

There was some interesting stuff about the origins of the American Cancer Society and the huge (and hugely profitable) cancer treatment industry, but a lot of what she presents is pretty obvious (producers of toxic substances lie, cheat, wrangle, legislate, bribe, lobby, falsify, and pretty much do anything they can to prevent people from finding out that their products are dangerous, what a shock! And advertisers and PR agencies help them? I never would have guessed!) and by now well-known, if not well-publicized. What she does not address much is the actual number of people who are affected. It's one thing to say that people who work with various poisonous chemicals have "10 times more risk of x type of cancer," but entirely another to know exactly how many people actually GET that cancer. For instance, I was surprised to find out that the incidence of lung cancer in smokers is something like 16%, meaning that 16% of regular smokers get lung cancer (I don't remember the exact number - it may even have been lower than that). Now that's a lot of cancer, and it's completely preventable so it's stupid that people are getting it and I'm not endorsing smoking or anything like that, but from the commercials and ads and information put out by the anti-smoking groups, you'd think that all you have to do is try one cigarette and you're going to get lung cancer and die, when the truth is a lot of people - a huge majority - smoke regularly for a very long time and do not suffer from cancer, or if they do it is at the end of their lives (my grandfather smoked three to four packs a day, plus a couple of pipes at night and was not sick until he was in his 80s), when they're old and going to die anyway, or at least that's how it looks to your average young person. What percentage of steel workers actually develop cancer that can be traced to their work or is likely to have resulted from their work? How many people does this work out to being? We never know. Davis does address the difficulty of trying to figure things like this out, but there is a tone of "well, it doesn't matter because even one death is too many!" That is true, but how many other lives are saved and improved by the chemicals and plastics and other things that seem to sicken those who produce them? It's a nasty, terrible thing to think about.

Along that line, I was struck by the complete ignoring of the role of the workers in many of these cases. People would go to work in the asbestos mines and the chemical factories and the steel mills and come home with coughs they couldn't get rid of and burns on their skin and growths where there shouldn't be growths AND SOMETIMES THEIR BONES WOULD JUST DISSOLVE and they would see their coworkers developing cancers and illnesses and they just believed their bosses when they said, "Oh don't worry about it." Really? And this still happens! I have seen it myself in people who work in a computer chip manufacturing plant near where I live. They don't even ask for protective gloves when the acids and metals they work with burn their hands. It's almost a macho thing to suck it up and keep on working. Their bosses were wrong to lie and to hide what they knew about the dangerousness of their workplaces, but what about the underlying ignorance and lack of critical thought exhibited by the workers? This is even more disturbing to me than the greed and corruption of the industries and governments that caused the problem. Davis' suggestion that we form a sort of "truth and reconciliation committee" to get companies to stop hiding their knowledge about the dangerousness of their products is not particularly helpful. Truth and reconciliation are great, but how about we teach our children to ask questions and stand up for themselves rather than selling their bodies and their health for a job? How about we do that for ourselves? We all know that heads of companies will do whatever it takes to keep making money, but how many of these people were in unions that were more interested in upping their wages than in making sure the workers had protective gear, however primitive it may have been? Even more frightening, how many of them were so desperate for any kind of work that they were willing to suffer the effects even though they knew, consciously or unconsciously, that they were in trouble? How many of us are willing to expose ourselves to more and more radiation and chemical poisons with the technology and other comforts we love? I have never intended to get my kids cell phones, but now I am even more against them!

I found the final chapters, in which Davis discusses "green" technologies that may replace some of the dangerous stuff we use now, rather preachy and pie-in-the-sky. Recycling and other "green" methods have their own problems, not the least of which are their cost and the fact that many of them just plain don't work. Solar energy, for instance, is great on a small scale, but hideously expensive to set up and not particularly efficient. Buildings made of renewable resources like bamboo and cotton and such are nice, but how long are they going to stand compared to drywall? Hopefully for a long time, but we just don't know yet.

In sum, this book did make me rethink some of my opinions about the way corporations function and their responsibility to society. I consider myself a believer in capitalism and a libertarian in most respects, meaning in this case that I don't believe that governments should heavily regulate industries. After reading this book, I believe that governments SHOULD be able to monitor and regulate industries, particularly those that produce unstable and possibly toxic substances and technologies. However, and this is a big however, Davis shows that in many cases, the government is complicit in the cover-up for various reasons (most of them having to do with money - another huge shock! Not) and therefore not able or willing to carry out its responsibility to protect its citizens. So what is to be done? There are many people to blame for the unnecessarily high levels of toxic substances we cope with in our everyday life, but little that the average person can do about it. Davis mentions a few brave pioneers and activists who sacrifice their careers and reputations and sometimes their own health to try to get people in power to make the needed changes, but they have little to no effect in the face of massive profits, growth and progress, corruption, and the strange ability we human beings have to ignore and discount what we don't want to believe, even when it's right in front of our eyes. It kind of makes me want to move into a log cabin in the woods and raise my own crops and chickens, but then I'd be too afraid of what's in the well water to be able to sleep at night.

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Jul 30, 2008

Susan rated it

Shelves: nonfiction

This is a thorough and well-researched history of research on cancer, written by a renowned epidemiologist. In particular, this is a history of the difficulty of studying the effects of the environment on the development of cancer. Partly, this is due to the fact that, in today's world, it is nearly impossible to analyze the effects of any one particular element in isolation from others. But it is also due (1) to the fact that the industries which produce possibly toxic substances, and profit fr...more

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Dec 01, 2011

Bill O'driscoll rated it

Davis is an internationally known epidemiologist and her subject here is the way research on cancer -- specifically on the dangers of smoking and industrial pollution -- has been suppressed or ignored over the decades. (The Germans, for instance, had proved smoking caused lung cancer by the late 1930s. But no one listened because ... well, because they were Nazis, but also because it was more convenient for the American tobacco industry, which kept health officials here from acknowledging the fa...more

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Jun 19, 2011

AJ rated it

Shelves: do-not-own, library, nonfiction, 2011

3.5 stars
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It was interesting reading this book after having finished The Emperor of All Maladies by Siddhartha Mukherjee recently. Both books are fascinating, in depth, and have completely different looks at cancer. While both books are about a depressing topic - cancer - Mukherjee's book left me feeling upbeat and hopeful while Davis's book left me feeling angry and cheated.

The Secret History of the War on Cancer explains in great detail why cancer is so pervasive and...more3.5 stars
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It was interesting reading this book after having finished The Emperor of All Maladies by Siddhartha Mukherjee recently. Both books are fascinating, in depth, and have completely different looks at cancer. While both books are about a depressing topic - cancer - Mukherjee's book left me feeling upbeat and hopeful while Davis's book left me feeling angry and cheated.

The Secret History of the War on Cancer explains in great detail why cancer is so pervasive and why we are told that treatment will be our savior instead of prevention. By detailing some major cancer cover-ups from tobacco to asbestos to other workplace hazards, Davis makes it clear that industry will do nothing to lose any hint of profitability, even if it means causing cancer in thousands of humans. Since Big Tobacco came up with the genius idea of fomenting doubt to weasel out of admitting that their product was killing people, industry today has adopted the same tactics and insist that without major epidemiological studies, nobody can prove that anything is carcinogenic. Unfortunately, this leaves us humans as a giant science experiment, and sadly, thousands of people will get sick and die as a result.

I was glad this book was written by a scientist, as Davis is clearly aware of the pros and cons of medical research and epidemiological studies. While industry touts large scale epidemiological studies as the only way to prove if certain things lead to cancer, Davis rightly notes that research of this scope is always difficult, especially when possible carcinogens are so pervasive as to leave almost no control groups behind. When you talk about the combined effects of many possible hazards, the research becomes almost impossible. Industry banks on that, because they can use it to say that there is no proof that x, y, or z is harmful to human health.

This book left me wishing I lived on a rational planet where people used the precautionary principle, where human beings aren't used as lab rats in a gigantic experiment so that CEOs can take home multi-million dollar bonuses at our collective expense.(less)

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Jan 03, 2009

Richard rated it

Shelves: medical-anomalies

I heard Dr. Davis on a conference call and was excited with her observations and command of the issues.

Now after reading her book, I believe that my observations and conclusions are needed.

The reading was not medically detailed, well documented and laid out in good order. The epilogue was very pithy and sobering.

What catches my attention is that the concerns about cancer are about to escalate to new heights, since more and more cancer is being experienced by ...more

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Jul 09, 2010

Brian rated it

Being a anti-cancer warrior, I figured I should read this book to get the inside scoop. I found the the first couple of chapters hard to read but eventually decided to skip ahead and the rest of the book was actually engrossing. The first chapters represented what I liked least about the book: a style of writing that involves drifting in and out of detailed backstory, personal anecdotes, and historical vignettes. For instance, she starts a chapter describing the travels of a pathologist from ...moreBeing a anti-cancer warrior, I figured I should read this book to get the inside scoop. I found the the first couple of chapters hard to read but eventually decided to skip ahead and the rest of the book was actually engrossing. The first chapters represented what I liked least about the book: a style of writing that involves drifting in and out of detailed backstory, personal anecdotes, and historical vignettes. For instance, she starts a chapter describing the travels of a pathologist from Chicago to Brussels to attend an influential cancer conferene in 1936. This story then yields way to how cancer was known and treated in Egypt in 900 BC, then how x-rays were developed, then back to that cancer congress, then the story of an immigrant working in an IBM "clean room" that develops cancer, etc. I guess the personalized stories and switching back and forth from storylines is supposed to lure you in, but I found it frustrating to have to wade through - and often unclear what the point was. I think the book could be half as long and cut out a lot of the anecdotal implications of environmental hazards that make the book seem sketchy.

Eventually it became more focused. There are sections on the histories of the American Cancer Society and the National Cancer Institute which were very interesting, and still relevant today. A central theme of the book that comes through is: why does it take us so long to identify and rectify major threats to our health? Why did it take so many smoking- and asbestos-related deaths before we could agree they were a bad idea? She seems to believe that our reliance on good epidemiology essentially leads to an unacceptable delay in preventing harms. She goes even farther by implying that the rise of epidemiology as a field (and our most famous epidemiologists) was shepharded by the tobacco and asbestos industries, who sought to dismiss animal experiments and embrace long term cohort studies as the only relevant form of evidence. In this way they could delay any regulatory action until long term studies were completed. She also takes a fairly hard line on the consulting fees accepted by our most famous epidemiologists from the tobacco, asbestos, and other industries. This section will give epidemiologists something to ponder in thinking about causality and public health (and their epi heros). We can only show that something is harmful after a large enough number of people have died or developed a disease. Is this retrospective approach the preferred framework for protecting the public? Should more weight be given to animal or in vitro studies, or should we continue to encourage and demand what Davis considers involuntary experimentation on large populations of humans? Obviously this is a complicated question.

I thought calling this book the "Secret History of the War on Cancer" was a little exaggerated - I can't say I was shocked about too much of anything. Overall, I did learn some very intriguing things - things that I feel I should have known about as a cancer epidemiologist. (less)

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Sep 17, 2008

Christina rated it

Recommends it for: all of you people

Shelves: nonfiction, social-justice, science

This book is important. While not as pleasant and easy-going of an important read as a book like the Omnivore's Dilemma, it is clear, impeccably researched, and excruciatingly relevant. I don't even know what to say here, because every chapter could inspire pages of reactions. I wish this review could include a picture of how many page corners I dog-eared, for starters -- just about every page contains either clarification/validation of something I suspected already or a tidbit that makes me sto...more

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Oct 04, 2008

Maya rated it

Recommends it for: everyone

I don't even know where to start; I can't review this book in the sense of "here's what was good and bad about it." For me, this book is too big and important for that.

Dr. Davis recounts in almost excruciating detail the painful facts about when scientists knew that cigarettes, benzene, and asbestos caused death and why and how that information was kept hidden for decades. At that point in the book I was thoroughly depressed (for one thing, how could all those company of...moreI don't even know where to start; I can't review this book in the sense of "here's what was good and bad about it." For me, this book is too big and important for that.

Dr. Davis recounts in almost excruciating detail the painful facts about when scientists knew that cigarettes, benzene, and asbestos caused death and why and how that information was kept hidden for decades. At that point in the book I was thoroughly depressed (for one thing, how could all those company officials, scientists and doctors behave so cavalierly with other people's lives?), but at least relieved that we now know how dangerous those things are.

The book from that point on proceeds to explain how the exact same strategies of confusion, obsfucation, and hiding research as "trade secrets" along with some newer strategies of attacking scientific studies are leading to preventable deaths every single day. Her language and conclusions are very controlled, and she gives the benefit of the doubt in situations where I would want to give a jail sentence. This is a serious book, she is not a conspiracy theorist.

Much as I felt after reading Exposed, I feel again: Why do we choose to wait until proof in the form of thousands of injured and dead people piles up? Why do we choose to weigh the balance in favor of industry over health every single time? I have great faith in our ingenuity; if we currently have a dangerous product, like PVC (for one example), I know we can come up with an alternative if we just try. But we won't try if the manufacturers of PVC keep all the information about its dangers secret because we won't know we need to. Why don't we choose to shift the balance toward saving lives first?

When it seems like cancer is everywhere, why don't we know what causes it is a reasonable question. What Dr. Davis tells us in this book is that we may in fact know what causes a great many cancers, but that information is being kept hidden and with it our ability to prevent the disease. I'm glad, very very glad, that we have talented and brilliant people searching every day for better ways to cure cancer. But I'd still rather prevent it and I think we have enough talented and brilliant people to do both. But we can't have secrets and progress both.
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Feb 28, 2008

Alison rated it

The lack of regulation of chemicals that are used to produce our shampoo, cosmetics, plastic toys, plastic bottles, artificial sweetners and many more common everyday products is frightening. Devra Davis, an epidemiologist, conducts a comprehensive review of clinical trials, published and unpublished research (found in old archives) that demonstrates how government sides with business in an effort to preserve profit rather than protect the consumer from the known risks associated with exposure t...more

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Nov 05, 2007

Rebecca Kaye rated it

Recommends it for: anyone who isn't sure if their consumption is healthful

After hearing the NPR interview with the author of this book:http://www.npr.org/templates/story/story.php?storyId=14986010 ,

I suddenly ended my long-term relationship with aspartame. Her point isn't that aspartame causes cancer... it's that every strong cause of cancer we know of is a combination of different compounds like cigarette smoke and air pollution.

After, I bought the book (which I don't do often, being a library enthusiast.)

She argues brilliantly tha...more

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Feb 08, 2010

Abby marked it as to-read

Hmmm. Why do we spend so much money and time on finding a cure for cancer, and so little on just preventing it from happening in the first place? Am I the only one who thinks we have it backwards? I think I turning into a hippie. I am getting interested in alternative medicine and going organic (well, thinking about it) and not relying on doctors too much anymore. And I never, ever, want to take any medication again. Unless I have too, then I probably will. But I would like to avoid it at all co...more

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Dec 15, 2007

Elyssa rated it

Shelves: nonfiction, science

This book tells about the other "inconvenient truth"--that the war against cancer has been woefully mismanaged with a greater focus on protecting profits, rather than people's health. It was frightening to confirm what I already suspected, which is that the environment, the workplace, the water we drink and the food we eat (among a long list of factors) are linked to cancer. The burden of proof about what causes cancer has been on the scientific community rather than those who produce ...more

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Feb 16, 2010

K.K. rated it

A bit dry and academic, but still critically important for its information. You can read (and thus avoid) the causes of most cancer: radiation, heavy metals, magnetic fields, smoking and many others. Most everyone can avoid these to an extent. It's depressing to read about the corporate and government interests that 'pretend' to want to cure cancer but still want business as usual to prevail.

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Oct 05, 2007

Maya rated it

I've read parts of this so far and it's pretty brilliant (this is one of my boss's clients) and very ambitious. Takes on government, scientists and business and shows how their interplay has ensured that the war against cancer is pretty ineffectively waged. Will make you paranoid about chemicals. Very big on how treatment is emphasized instead of finding out cause.

Sort of like w/DRINKING: A Love Story, I feel like this book has changed the way I look at cancer as well as health ...more

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Apr 29, 2010

Christa Cordova rated it

I really liked this one - great historical information about the "war" on cancer that you can't find elsewhere. The only thing I didn't like was that the author repeated herself several times on a few points. If she would've had a better editor, I'd have given this book five stars.

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Jan 04, 2008

Liz rated it

Shelves: history, socialissues

This is one of my favorite books this year - while it seemed somewhat academic in nature in the early chapters, I found that each subsequent chapter was more easily read, and my passion for the subject matter built readily.

This book opened my eyes to strides made to uncover corporate, governmental and scientific treachery with regards to concealed information about cancer-causing agents affecting the general public as well as employees. I have subsequently (but not fearfully) decide...more

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Nov 02, 2011

Tom rated it

A fascinating and frightening read. The authors experience, knowledge and passion convinces that we are building a world lined in carcinogenic chemicals and radiation. Her digressive philosophical musings on NDEs and the hearing ability of the comatose keeps the book from being dry.

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Feb 04, 2012

Mark Greene rated it

You'll never give to the American Cancer Society again. Cancer is big industry- there's no real incentive to find a cure.

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Feb 09, 2010

Eunice rated it

Answered my questions as to why all the focus is on the cure for cancer rather than finding the cause. A must read.

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Mar 20, 2009

Simone rated it

Very educational, makes one think - have we really achieved much in cancer treatment over the last 20 years?

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Dec 31, 2011

Marcia Hartsock rated it

This should be required reading.

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Dec 30, 2008

Cherry rated it

my aunt sent this book my way and it's quite hefty compared to the young adult books i'd grown accustomed to breezing through. this book is low on the medical jargon and high on environment as foe. for those of us from postindustrial western pennsylvania and from the ohio river valley there are many recognizable locales, factories and mines namedropped.

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Mar 29, 2008

Megan rated it

Shelves: non-fiction

I have not finished this yet because it had to go back to the library, but it is super compelling. Thanks Angela for the suggestion. It has this huge scope and history about cancer and cancer research...or lack of research. It all totally parallels the increased development of coal plants, chemicals, etc. Really tragic and sometimes terrifying histories. I am only half way though, and in the 1950s...i can't imagine it gets any less dire.

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Aug 02, 2011

Tom rated it

Shelves: non-fiction

This book provides a great deal of historical background to explore how it came to be that many environmental toxins are allowed into our environment even when the knowledge exists that they are harmful. It causes one to think carefully before using anymore chemicals if they can be avoided. Even before I read this book, I was unhappy about the amount of lawn chemicals that are in general use.

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May 09, 2008

Melissa added it

I can't put it down- I'm gonna have to add this one to my "collection". Fascinating! An extensive look into cancer and tobacco and other cancer causing agents. For parents, it informs the reader about a chemical (PEG) used widely in baby products sold in the US that is known to cause cancer. Europe bans and recalls any baby product with the chemical in it. Knowledge is power- a great read.

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Jul 29, 2008

Ace rated it

This book is captivating, I will be sad when I read the last page. It contains so much information that it is sometime exhausting, but it has begun to invigorate a growing obsession I have with the government and its role in protecting us. So far, it's not looking so great. In fact, it is really f'ing scary.

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May 13, 2008

Kate rated it

The book makes some interesting points but it over steps on several of them as well. Combined with a tedious writing style (someone please have a sit down with her editor). Instead of sticking with the science the author weaves way too much of her own story into the book (boring).

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Sep 15, 2008

Peter rated it

This is a really informative book that makes you think about what you eat and your environment. I'm pretty sure reading this book will help you lower you chances of getting a couple different kinds of cancer. It also shows how corrupt the cancer research industry can be.

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About Devra Lee Davis

Devra Davis is an American epidemiologist and writer. Her book When Smoke Ran Like Water, which begins with the tale of the Donora Smog of 1948, was a finalist for the National Book Award in 2002. Davis's second book, The Secret History of the War on Cancer, was published by Basic Books in October 2007.

She is currently the director of the Center for Environmental Oncology of the Univ...moreDevra Davis is an American epidemiologist and writer. Her book When Smoke Ran Like Water, which begins with the tale of the Donora Smog of 1948, was a finalist for the National Book Award in 2002. Davis's second book, The Secret History of the War on Cancer, was published by Basic Books in October 2007.

She is currently the director of the Center for Environmental Oncology of the University of Pittsburgh Cancer Institute; the multidisciplinary center includes experts in medicine, basic research, engineering and public policy, who will develop cutting-edge studies to identify the causes of cancer and propose policies to reduce the risks of the disease. Davis is also a Professor of Epidemiology at the University of Pittsburgh Graduate School of Public Health and Visiting Professor at Carnegie Mellon University's Heinz School. A former Scholar in Residence at the National Academy of Sciences, she completed her Ph.D. in science studies at the University of Chicago as a Danforth Fellow, and an M.P.H. at Johns Hopkins University as a National Cancer Institute post-doctoral fellow. Davis received a B.S. from the University of Pittsburgh in 1967.

She was born June 7, 1946, in Washington, DC, the daughter of Harry B. and Jean Langer Davis, and was raised in Donora, Pennsylvania and in Pittsburgh, where she graduated from Taylor Allderdice High School.

From 1970-76 she was assistant professor of sociology at Queens College of the City University of New York. Beginning in 1982 she was a faculty associate at Johns Hopkins University, Department of Health Policy and Management, School of Hygiene and Public Health. She served as a visiting professor at University of Missouri in 1983; Municipal Institute, Barcelona, Spain, in 1985; Mount Sinai Medical Center, New York, NY, Department of Community Medicine, Division of Occupational and Environmental Medicine, in 1988; and Hebrew University, School of Public Health, Unit of Occupational and Environmental Medicine in 1989.

A member of both the American Colleges of Toxicology and of Epidemiology, Dr. Davis is also a Visiting Professor in the Department of Environmental and Occupational Medicine at Mt. Sinai Medical Center in New York City. In addition, she is a Visiting Scientist of the Strang Cornell Cancer Prevention Center of the Rockefeller University and Scientific Advisor to the Women's Environment and Development Organization. Davis founded the International Breast Cancer Prevention Collaborative Research Group, an organization dedicated to exploring the causes of breast cancer. She currently serves on the Board of the Climate Institute, and the Coalition of Organizations on the Environment and Jewish Life, and the Earthfire Institute.

Davis married Richard D. Morgenstern on October 19, 1975; their children are Aaron and Lea.

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When Smoke Ran Like Water: Tales Of Environmental Deception And The Battle Against Pollution

Trends In Cancer Mortality In Industrial Countries

Urban Air Pollution Risks to Children: A Global Environmental Health Indicator

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