The Institute of Medicine (IOM) has issued a number of consensus studies about environmental health. Several years ago the IOM produced a report on environmental justice, that is, how risky environments tend to be found in communities of lower socioeconomic status, resulting in disparate rates of cancer and other chronic diseases. Other aspects of IOM unequal burden of cancer, which dramatizes that there are both increased incidence and increased prevalence of cancer in certain groups of our population. The National Cancer Policy Board has addressed a number of issues in cancer care, including its quality and accessibility, and has demonstrated that there are substantial gaps between the average care and the best care for cancer.

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