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Fight or Flight: A Story of Survival and Justice in Cancer Alley

zoefriese

Given the vastness of Formosa Plastics' influence, there are many ways to tell its story to the world. As environmental justice activists and researchers, how do we describe a company and its negative impact when there is so much to say? Limited by time, word count, and the audience's attention span, we must decide what goes unsaid. As a result, we could write countless answers to the same question, "What is Formosa Plastics?"

In this published academic case study, I introduce Formosa Plastics through a local lens--specifically, through the eyes of a grandmother-turned-activist in the small town of Welcome, Louisiana. Her family's history with social justice activism, as well as the area's connection to centuries of slavery, make the environmental racism of Formosa Plastics' Sunshine Project especially salient. Although Formosa Plastics is a global force, telling its story on the microscale is an equally important perspective. After all, in Sharon Lavigne's eyes, her small town is her world. How many of these little worlds have Formosa Plastics destroyed as they wreak havoc across international borders?

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tamar.rogoszinski

This study is published in the Japanese Journal of Clinical Oncology. This journal is for clinical oncologists and publishes articles about medical oncology, clinical trials, radiology, surgery, basic research, epidemiology, and palliative care. It was established in 1971 as the first journal from Japan to publish clinical research on cancer in English. It is a sister-journal to the Journal of the National Cancer Institute. It is also linked through the Oxford Journals. 

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tamar.rogoszinski

The object of this study is to observe whether or not there was an overdiagnosis of thyroid cancer after the Fukushima nuclear disaster in 2011. They did this by comparing the observed prevalance of thyroid cancer in the Thyroid Screening Programme with the estimated historical controls on the assumption that there was neither nuclear accident nor screening intervention. 

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tamar.rogoszinski

The article is published in the Japanese Journal of Clinical Oncology. It is meant for clinical oncologists and publishes articles on medical oncology, clinical trials, radiology, surgery, basic research, epidemiology, and palliative care. It was established in 1971 and is the first journal from Japan to publish clinical research on cancer in English. Since 1977, JJCO is a sister-journal to the Journal of the National Cancer Institute and is linked through Oxford Journals. 

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tamar.rogoszinski

They calculated the observed/expected (O/E) ratio of thyroid cancer prevalence for residents in Fukushima Prefecture that were below the age of 20. Observed prevalence was calculated by the number of thyroid cancer cases detected by the end of April 2015. The number of detected cases was corrected for screening rate by multiplying the inverse of the age-specific screening rate. The expected prevalence was obtained from another report, which was calulated using a life-table method using national estimates from 2001-10. Age-specific prevalence of thyroid cancer was estimated using the cumulative risk from 2010. The annual percent change of increasing cases of thyroid cancer was taken into account as well. 

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tamar.rogoszinski

This study would be useful because it shows the prevalence of overdiagnosis. It shows that while the nuclear disaster did cause an increase in the observed thyroid cancers, this was well above the expected number of cases. While they did not present the dangerous implications of overdiagnosis, this is something that could be researched further. It can be considered a good thing that these cases were found through the Program put in place, but can also cause harm if unnecessary radiation was administered.