" 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 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. "
— Brian, 12/15/2013