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Cancer-Related Mortality Among US Pilots and Flight Attendants

44 points - today at 3:23 PM

Source
  • seethishat

    today at 4:51 PM

    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.

    • today at 4:32 PM

      • jader201

        today at 4:03 PM

        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

            today at 4:08 PM

            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

                today at 4:44 PM

                > 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.

                  • jeswin

                    today at 5:04 PM

                    In my search, I found that they spend almost an equal number of hours in air like you said - 75-100 hours per month. If that's the case, after adjusting for sex, these numbers holding would throw some uncertainty into the radiation hypothesis.

                    • RajT88

                      today at 4:50 PM

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

                  • dukeofdoom

                    today at 4:17 PM

                    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

                      • Der_Einzige

                        today at 5:09 PM

                        Why is this comment downvoted? HN is a worse orange reddit.

                        • bertil

                          today at 4:36 PM

                          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.

                            • philipallstar

                              today at 4:53 PM

                              What problematic suggestions?

                          • devin

                            today at 4:37 PM

                            [flagged]

                • amelius

                  today at 4:00 PM

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

                  • Supermancho

                    today at 4:05 PM

                    paywalled (even with a "free" account")

                      • missedthecue

                        today at 4:34 PM

                          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.

                        • today at 4:34 PM

                          • Mistletoe

                            today at 4:56 PM

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

                        • today at 4:03 PM

                          • 4d4m

                            today at 4:10 PM

                            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

                                today at 4:28 PM

                                > 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

                                    today at 4:30 PM

                                    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

                                        today at 4:53 PM

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

                                        • raverbashing

                                          today at 4:33 PM

                                          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

                                              today at 5:01 PM

                                              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.

                                          • today at 4:47 PM

                                        • NegativeLatency

                                          today at 4:51 PM

                                          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

                                            today at 4:37 PM

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

                                        • strictnein

                                          today at 4:41 PM

                                          > 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?

                                            • 4d4m

                                              today at 5:07 PM

                                              https://farahandfarah.com/blog/toxic-airplane-fumes-workers-...

                                              Feels like youre defensive about this would love to know why. If you havent seen aerosols on a flight youre being disengenous or are not looking up/around. They are used for lavstories and pest fumiagation during flights regularly and those are uses we agreed to as a society. Ive seen firsthand them sprayed during takeoff and landing at the time fume events are most noticed by passengers.

                                              Disclaimer: I am an aviation enthusiast and loves planes and their design. I am unaffiliated with any airline or manufacturer. I want everyone to breathe ok.

                                          • seizethecheese

                                            today at 4:23 PM

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

                                              • 4d4m

                                                today at 4:27 PM

                                                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

                                                    today at 4:48 PM

                                                    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

                                                        today at 4:57 PM

                                                        It’s no different than “a big ask” or a “tough sell”.

                                            • jmpman

                                              today at 4:50 PM

                                              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.

                                          • stefantalpalaru

                                            today at 4:06 PM

                                            [dead]