Cancer-Related Mortality Among US Pilots and Flight Attendants

(jamanetwork.com)

45 points | by jader201 2 hours ago ago

26 comments

  • seethishat 13 minutes ago

    I read once that a CT scan is roughly equivalent to 1000 hours of flight WRT radiation exposure. I've had about 6 or 8 of those over the years.

  • jader201 an hour 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 an hour 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 20 minutes 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.

        • RajT88 14 minutes ago

          I guess I am going off when a pilot spoke at my high school for career day. (Decades ago...)

      • dukeofdoom an hour 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 28 minutes 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

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

  • Supermancho an hour ago

    paywalled (even with a "free" account")

    • missedthecue 30 minutes 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.

    • Mistletoe 8 minutes ago

      It’s wild I can’t even read the abstract to understand what they found.

  • 4d4m an hour 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 36 minutes 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 34 minutes 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.

        • ch4s3 11 minutes ago

          I’ve never noticed this in 35 years and I have an unusually sensitive sense of smell.

        • raverbashing 31 minutes 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

          • 4d4m 3 minutes ago

            We're not talking about stinky passengers, those are normal, expected smells :)

            Politely, I don't believe you haven't noticed the smell - this statistically is impossible when at an airport with multiple planes. You can smell it daily, at any airport terminal of your choosing, impossible to ignore when closer to the gates. It's a smell powerful enough to not get eaten by the various encapulation, ozone generators, and air fresheners used in public commerical environments like airports. The smell comes through from the planes and gangways into the terminal itself.

            Next trip: With a clear nose, smell the air at the airport entrance and then compare this with the smell closer to your gate. The contaminated airs smell it's very similar to a wet locker room or gym bag that was left for days without cleaning. You won't ever miss it again, and your stat will flip to detected in 50 out 50 visits.

      • NegativeLatency 13 minutes ago

        I have a pretty sensitive sense of smell, and I regularly smell oil/smoke/hydrocarbon smell after they're starting the engines. It also sticks on your clothes after the plane ride, and I'm quite sure it's not just stinky seat smell.

      • wewtyflakes 27 minutes ago

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

    • strictnein 23 minutes 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 41 minutes ago

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

      • 4d4m 37 minutes 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?

        • criddell 16 minutes ago

          Off topic: when did using solve as a noun take off? There are so many good nouns that work there (challenge, task, etc...) or use the verb form (is tougher to solve).

          • JackFr 6 minutes ago

            It’s no different than ā€œa big askā€ or a ā€œtough sellā€.

    • jmpman 13 minutes ago

      I believe the pilots air source works differently than the rest of the cabin - at least on the 737. Maybe that explains the difference between the pilots and the flight attendants.