Cancer-Related Mortality Among US Pilots and Flight Attendants

(jamanetwork.com)

33 points | by jader201 an hour ago ago

18 comments

  • jader201 an hour ago ago

    The CNN article has more info on the study, for those without access to download it:

    https://www.cnn.com/2026/08/19/health/flight-attendants-pilo...

    • RajT88 41 minutes ago ago

      Attendants have higher risk than pilots. This kind of makes sense, as my understanding is they don't have pilots fly too often. Meanwhile, attendants are flying all the time.

      • jader201 5 minutes ago ago

        > as my understanding is they don't have pilots fly too often

        From a quick search, I can’t find evidence of this. If anything, pilots are in the air more of their week/lives vs. flight attendants.

      • dukeofdoom 32 minutes ago ago

        Older flight attendants look really damaged by the job. The combination of irregular sleep, quite likely too much alcohol and sun in layover locations when younger. Plus radiation, and biological hazards like being around sick people and smelling farts all day. Being in an enclosed space is not that great for the lungs either, just being around people wearing perfume, is likely bad for the lungs

        • bertil 13 minutes ago ago

          Your comments makes problematic suggestions, but I found it funny that the more childish one —farts– is actually very true: with the lower pressure, people do fart more on airplanes.

  • amelius an hour ago ago

    Don't forget your lead body armor when going on long flight trips (which they can't charge you extra for).

  • Supermancho 43 minutes ago ago

    paywalled (even with a "free" account")

    • missedthecue 15 minutes ago ago

        Cancer                     Flight attendants   Pilots
        ------------------------------------------------------
        All radiation-related      1.50x               1.36x
        Breast cancer              1.61x               1.57x
        CNS / brain cancer         1.51x               1.28x
        Multiple myeloma           1.34x               1.08x
        Leukemia                   1.12x               1.27x
        Lymphoma                   1.19x               1.04x
        Prostate cancer            1.75x               1.38x
        Melanoma                   1.63x               1.28x
        Nonmelanoma skin cancer    1.50x               1.22x
        Other cancers              1.21x               0.97x
      
      It was a cross-sectional analysis of U.S. death certificates from 2020-2024, covering ~13 million deaths across 503 occupations, including roughly 14,000 pilots and 7,000 flight attendants. The analysis adjusted for age at death, sex, race/ethnicity, education, and marital status.

      So in other words, breast cancer was the cause of death at a rate 61% higher for flight attendants than for the comparison population of other occupations.

  • 4d4m 39 minutes ago ago

    Boeing, Bombardier, Learjet, Embraer and Airbus should be forced to clean up aircraft cabin air they poison us with.

    For people who don’t know how GROSS this is: on almost every modern passenger jet, the air you breathe is pulled through the engine’s Bleed-Air system before entering the cabin. As oil, hydraulic fluid, or other contaminants leak into that system, those superheated fumes can be pumped directly into the cockpit and cabin. These incidents are literally called "fume events" and are the basis of the "gym sock" smell you can detect when in airports or on a plane, especially during takeoff and landing. This is so pervasive you'll see airline attendants spraying glycol-based air fresheners during these times to COVER UP the smell of this toxic stuff.

    [FAA overview](https://www.faa.gov/newsroom/cabin-air-quality-0)

    And no, the HEPA filter people like to point to does not make this problem disappear. HEPA filtration primarily cleans recirculated particles. It does not magically remove every gas, vapor, or contaminant entering through the aircraft’s air-supply system.

    [FAA research](https://www.faa.gov/sites/faa.gov/files/data_research/resear...)

    The absurd part is that we already know how to avoid this architecture. The Boeing 787 is the major commercial exception: its cabin air is supplied by dedicated electric compressors rather than engine bleed air.

    So this is not some unsolved engineering problem. The industry made a DESIGN choice to KEEP using a system capable of feeding contaminated engine air into a sealed tube full of passengers, pilots, and flight attendants. Zero regard for their well-being in order to save a few pounds and eck-out more miles per gallon.

    Flight crews spend thousands of hours breathing this air over their careers. Passengers have no meaningful ability to know when contamination occurs or opt out. Manufacturers and airlines alike are afraid to put contamination sensors on their planes because it exposes them to liability - it shows the true extent of the problem.

    That is not an acceptable health standard in 2026, and it wasn't when these decisions were made. Fix the source, stop pretending filtration alone solves it, and make bleed-air-free cabin ventilation the standard for new aircraft. Demand this from your regulator or determine who is responsible for your health effects.

    • technothrasher 21 minutes ago ago

      > These incidents are literally called "fume events"

      Your first FAA link says that these 'fume events' are rare: "The report found that the rate of cabin air quality events is less than 33 events per million aircraft departures." This is about one event every 30,000 flights.

      • 4d4m 19 minutes ago ago

        https://www.cbsnews.com/sanfrancisco/news/study-shows-toxic-...

        If you think of the last 10 flights you were on, how many had the gym sock smell? That's the real occurence rate. I'd say in my experience across all airlines its around 7/10 flights I can detect via smell a fume event.

        • strictnein 2 minutes ago ago

          > If you think of the last 10 flights you were on, how many had the gym sock smell? That's the real occurence rate. I'd say in my experience across all airlines its around 7/10 flights I can detect via smell a fume event.

          So the FAA source that you linked to is lying, and the "real" occurrence rate is actually 70%, based on your nose and your recollection?

        • raverbashing 16 minutes ago ago

          Of the last 50 flights I took, none had gym sock smell.

          If anything smelled it's usually due to a passenger. But nothing from the aircraft itself

      • wewtyflakes 12 minutes ago ago

        That sounds awful; it means 3+ times a day a whole plane of a passengers is getting sprayed with this stuff.

    • strictnein 8 minutes ago ago

      > This is so pervasive you'll see airline attendants spraying glycol-based air fresheners during these times to COVER UP the smell of this toxic stuff

      I've never once seen a flight attendant do that. Flown hundreds and hundreds of times. You'd think something that's "so pervasive" would have been common enough that I'd have seen it dozens of times?

    • seizethecheese 26 minutes ago ago

      The article specifically says flight attendants are only at increased risk of radiation related cancers, but not others.

      • 4d4m 22 minutes ago ago

        Quite interesting. My reaction is that one of these is much more easily controlled and an input for cancer than the other. Radiation shielding is a tougher solve due to weight and other factors, where air quality is an easy, known fix.

        Would love both to be solved, which would lead to good outcomes. Any thoughts on why attendants have different outcomes?