Shakespeare's proverbial comment about the ebb and flow in the tides of men certainly applies to the article, "Cancer Statistics, 2001," beginning on page 15 in this issue of CA. Put simply, after a two-decade increase during most of the 1970s and 1980s, US cancer incidence and mortality rates flattened and then went into a significant and accelerating decline in the 1990s. Over the past few years, as the story of this decline steadily unfolded, the notion of declining cancer rates as being counterintuitive gave way to the conforting assumption that it was normal and to be expected.
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Centers for Disease Control and Prevention (CDC), 2000, MMWR Morb Mortal Wkly Rep, V49, P1066