Science
Can you survive a wildfire sheltering at home? For one community, L.A. County Fire says it may be the only option
Dozens of Topanga residents gathered in the town’s Community House to hear Assistant Fire Chief Drew Smith discuss how the Los Angeles County Fire Department plans to keep Topangans alive in a fierce firestorm.
In the red-brick atrium, adorned with exposed wood and a gothic chandelier, Smith explained that if a fire explodes next to the town and flames will reach homes within minutes, orchestrating a multi-hour evacuation through winding mountain roads for Topanga’s more than 8,000 residents will just not be a viable option. In such cases, Smith told attendees at the town’s Oct. 4 ReadyFest wildfire preparedness event, the department now plans to order residents to shelter in their homes.
“Your structure may catch on fire,” Smith said. “You’re going to have religious moments, I guarantee it. But that’s your safest option.”
Wildfire emergency response leaders and experts have described such an approach as concerning and point to Australia as an example: After the nation adopted a similar policy, a series of brush fires in 2009 now known as Black Saturday killed 173 people, many sheltering in their homes.
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Some in the bohemian community of nature lovers, creatives and free spirits — who often pride themselves on their rugged, risky lifestyle navigating floods, mudslides, wildfires and the road closures and power outages they entail — are left with the sinking realization that the wildfire risk in Topanga may be too big to bear.
Water tanks called “pumpkins” are available to helicopters to be used during a fire at 69 Bravo, an LAFD Command Center along Saddle Peak Road in Topanga.
They see the shelter-in-place plan as a perilous wager, with no comprehensive plan to help residents harden their homes against fire and no clear, fire-tested guidance on what residents should do if they’re stuck in a burning home.
“Do we need to have some way of communicating with first responders while we are sheltering in place? Would the fire front be approaching us and we’re just on our own?” asked Connie Najah, a Topanga resident who attended ReadyFest and was unsettled by the proposal. “What are the plans for helping people through this season and the next season while we’re waiting to have widespread defensible space implementation?”
No fire chief wants to face the scenario of a vulnerable town with no time to evacuate. But it is a real possibility for Topanga. Smith, speaking to The Times, stressed that the new guidelines only apply to situations where the Fire Department has deemed evacuations infeasible.
“If we have time to evacuate, we will evacuate you,” Smith said.
Emergency operations experts say not enough has been done in their field to address the very grim possibility that evacuating may not always be possible — in part because it’s a hard reality to confront. It’s not a small problem, either: Cal Fire has identified more than 2,400 developments around the state with at least 30 residences that have significant fire risk and only a single evacuation route. Topanga is home to nine of them.
“We’re pretty isolated. We’re densely populated. Fuel and homes are intermixed. It’s an extremely dangerous area.”
— James Grasso, president of the Topanga Coalition for Emergency Preparedness
Recent fires, including the 2018 Camp fire in Paradise and Woolsey fire in Malibu, have made the issue too hard to ignore.
In Topanga, Najah has a ham radio license so she can stay informed when power and cell service inevitably go down. The elementary school relocates out of town during red-flag days. A task force including the Topanga Coalition for Emergency Preparedness, the Fire Department and other emergency operations agencies publishes a Disaster Survival Guide and distributes it to every household.
“The survival guide was born out of necessity,” said James Grasso, president of TCEP, who also serves as a call firefighter for the county Fire Department. “We’re pretty isolated. We’re densely populated. Fuel and homes are intermixed. It’s an extremely dangerous area, particularly during Santa Ana wind conditions.”
The guide had instructed residents to flock to predetermined “public safe refuges” in town, such as the baseball field at the Community House or the large parking lot at the state park, to wait out fires. If residents couldn’t make it to these, there were predetermined “public temporary refuge areas” within each neighborhood, such as street intersections and homes with large cleared backyards, that provide some increased chance of survival.
But when the Fire Department determined the spaces were not capable of protecting the town’s entire population from the extreme radiant heat, it pivoted to sheltering in place — the last and most dangerous option listed in the old guide.
Connie Najah, a 16-year resident of Topanga, points out photographs from the Topanga Disaster Survival Guide of places that were once considered “public safe refuges” to be used during a fire.
The survival guide’s old plan was consistent with what emergency response experts and officials have argued across the globe, but it failed to meet typical safety standards for such an approach.
In a March report from the National Institute of Standards and Technology, researchers who spent years investigating the response to the Camp fire recommended a network of safety zones and temporary fire refuge areas as a strategy to keep residents alive.
The report argued that, due to tightly packed combustible structures amid an accumulation of flammable vegetation, “nearly all” communities are “unsuitable” for sheltering in place.
David Shew, a trained architect and firefighter who spent more than 30 years at Cal Fire, said that for a shelter-in-place policy to be viable, a community would need to undertake significant work to harden their homes and create defensible space — work that has not been done in most California communities.
It’s “not really safe for people to just think, ‘OK, I’ve done nothing but they told me to just jump in my house,’” he said.
And once a house ignites, suggestions that Smith offered up at ReadyFest like sheltering in a bathroom are of little use, said Mark Ghilarducci, a former director of the California Governor’s Office of Emergency Services.
“Under certain circumstances, your home could potentially provide a buffer,” he said. But if a house is burning and surrounded by fire in the wildlands, “you’re in a position where you are essentially trapped, and your bathroom’s not going to save you.”
Smith said, however, that the Fire Department had done its own analysis of the Topanga area and determined that the fire dynamics in the area are too extreme for Topanga’s proposed public shelter spaces to be effective.
“There is no way that we can 100% eliminate the fire risk and death potential if you live in a fire-prone area.”
— Drew Smith, assistant fire chief at the Los Angeles County Fire Department
During hot, aggressive fires like the Woolsey, Franklin and Palisades fires, Smith said, “for 30 to 100 people, you need a minimum of clear land that’s 14 acres, which is 14 football fields.” Many of the safety areas in the survival guide, such as an L.A. County Public Works water tank facility, are barely larger than 1 acre.
The department argues sheltering in place, although far from guaranteeing survival, eliminates the risk of residents getting trapped on roadways, unable to see, with almost no protection.
“There is no way that we can 100% eliminate the fire risk and death potential if you live in a fire-prone area,” Smith said.
1. Topanga resident James Grasso, president of Topanga Coalition for Emergency Preparedness, walks toward a baseball field that was once declared a public safe refuge to escape to during a fire at the Topanga Community Center. 2. Connie Najah stands on a portion of Peak Trail that was at one time considered a public temporary refuge area during fires in Topanga.
Regardless of what residents (or emergency response experts) think of the department’s approach, the safest thing residents can do, experts say, is to always, always, always follow the department’s orders, whether that’s to evacuate, find a safety zone or shelter in their homes. The department’s plan to keep residents alive depends on it.
Still, the history of shelter-in-place policies — and their more aggressive companion, “stay and defend,” which involves attempting to actively combat the blaze at home — looms heavy.
After more than 100 bush fires swept through southeast Australia in 1983, killing 75 people in what became known as Ash Wednesday, Australian fire officials adopted a “stay or go” policy: Either leave well before a fire reaches you, or prepare to stay and fend for yourself. If you’re living in a high fire hazard area, the philosophy goes, it is your responsibility to defend your property and keep yourself alive amid strained fire resources.
Around the same time, California considered the policy for itself after dangerous fires ripped through the Santa Monica Mountains, Ghilarducci said. State officials ultimately decided against it, choosing instead to prioritize early evacuations. Cal Fire’s “Ready, Set, Go!” public awareness campaign became the face of those efforts.
In 2009, an explosive suite of brush fires broke out, yet again, in southeast Australia and seemed to confirm California’s worst nightmare: 173 people lost their lives in the Black Saturday tragedy. Of those, 40% died during or after an attempt to defend their property, and nearly 30% died sheltering in their homes without attempting to defend them. About 20% died while attempting to evacuate.
Afterward, Australia significantly overhauled the policy, placing a much greater emphasis on evacuating early and developing fire shelter building standards.
Nearly a decade later, California confronted its own stress test. The Camp fire ripped through Paradise in the early morning on Nov. 8, 2018. The time between the first sighting of the fire and it reaching the edge of town: one hourand 39 minutes. The time it took to evacuate: seven hours.
Among the miraculous stories of survival in Paradise were the many individuals who found refuge areas in town: a predetermined safety zone in a large, open meadow; the parking lots of stores, churches and schools; a local fire station; roadways and intersections with a little buffer from the burning trees.
But the same day, the intensity of the Woolsey fire in the Santa Monica Mountains — similarly plagued with evacuation challenges — unsettled fire officials. It’s in these conditions that Smith doubted Topanga’s refuge sites could protect residents.
Stuck without many options, the Fire Department began slowly thinking about refining the policies that proved disastrous for Australia. The Palisades fire brought a renewed urgency.
Just a month before ReadyFest, L.A. County Fire Chief Anthony Marrone stirred anxiety among emergency response officials when he appeared to endorse a stay-and-defend policy, telling KCAL-TV, “We’ve always told people that when the evacuation order comes, you must leave. We’ve departed from that narrative. With the proper training, with the proper equipment and with the proper home hardening and defensible space, you can stay behind and prevent your house from burning down.”
The department later clarified the statement, saying the change only applies to individuals in the Santa Monica Mountains’ community brigade who have received significant training from the department and operate under the department’s command. (The brigade is not intended as a means for members to protect their own homes but instead serve the larger community.)
Now, residents worry the policy to shelter in place is coming without enough preparation.
A worker stops traffic that has been reduced to one lane on a portion of Topanga Canyon Boulevard for underground cable installation Nov. 19.
A Times analysis of L.A. County property records found that roughly 98% of residential properties in Topanga were built before the state adopted home-hardening building codes in 2008 to protect homes against wildfires.
However, a significant number of Topangans have opted to complete the requirements regardless. Various fire safety organizations in the Santa Monica Mountains have visited more than 470 of Topanga’s roughly 3,000 residential properties to help residents learn how to harden their homes. These efforts are, in part, why the National Fire Protection Assn. designated the mountain town as a Firewise Community in 2022.
There are some relatively simple steps homeowners can take, such as covering vents with mesh, that can slightly reduce the chance of a home burning. But undertaking a comprehensive renovation — to remove wood decks, install noncombustible siding and roofing, replace windows with multipaned tempered glass, hardscape the land near the house and trim down trees — is expensive.
A report from the community development research nonprofit Headwaters Economics found a complete home retrofit using affordable materials costs between $23,000 and $40,000. With high-end materials that provide the best protection, it can cost upward of $100,000.
“We’re not the only rural community. All over the state, people are having to deal with this.”
— Connie Najah, 16-year resident of Topanga
Many Topangans have taken up the challenge, anyway. Grasso, who lost his home in the 1993 Old Topanga fire, has slowly been hardening his property since the rebuild. He’s even built a concrete fire shelter against a hillside with two steel escape doors and porthole windows.
Researchers have found comprehensive home hardening and defensible space can reduce the risk of a home burning by about a third, but not bring it down to zero. (Albeit, none have tested Grasso’s elaborate setup.)
1. Nancy Helms stands on top of “dwarf carpet of stars,” a succulent plant that surrounds a large area of her home as a fire prevention method on Rocky Ledge Road in Topanga. 2. Ryan Ulyate uses metal sculptures of plants and cactus outside his home in Topanga. He has eliminated any brush or flammable plants near his home and surrounds it in gravel to prevent his home from catching fire. 3. Ryan Ulyate shows a vent opening that he covered with metal filters to prevent embers from entering his home if a fire occurs in Topanga.
Wildfire safety experts hope the state someday adopts building standards for truly fire-proof structures that could withstand even the most extreme conditions and come equipped with life-support systems. But any such standards are years away, and the L.A. County Fire Department has to have a plan if a fire breaks out tomorrow.
For Grasso, fire risk is a risk like any other, like the choice to drive a car every day. In exchange for the beauty of living life in Topanga, some folks will learn to accept the risk and do what they can to mitigate it: Harden a home, fasten a seat belt. Others — especially those unable to take the drastic steps Grasso has been able to — will deem the beauty of life in Topanga not worth the risk of getting trapped by flames.
“The amount of money it takes to get to this point is too cost-prohibitive for us at this moment,” Najah said. “It’s really a tough place to be in. … It’s not going to be easy, and we’re not the only rural community. All over the state, people are having to deal with this.”
Times assistant data and graphics editor Sean Greene contributed to this report.
Science
L.A. region begins the year with the smoggiest first 5 months in a decade
The first five months of 2026 in Southern California have been the smoggiest — with the highest number of unhealtful air days — in more than a decade, according to statewide air monitoring.
So far this year, the South Coast air basin, which includes Los Angeles, Orange, Riverside and San Bernardino counties, has seen 39 days when the concentration of lung-irritating ozone (commonly known as smog) exceeded the federal standard, according to preliminary state air quality data.
That’s even worse than the infamously hot and hazy 2017, when Greater Los Angeles had 36 unhealthful air days by June 4 and ultimately saw 145.
Many of the roughly 18 million people who live in the air basin have been subjected to unhealthful levels of ozone, a highly corrosive gas that triggers asthma attacks and a wide range of respiratory illnesses. This has taken many by surprise since successive days of smog more commonly happen in summer, when heat waves and intense sunlight convert man-made pollution into ozone.
“If we have this many violations by this time, this could be a really awful year for air quality,” said Adrian Martinez, director of Earthjustice’s Right to Zero campaign, an initiative calling for the transition away from fossil fuels. “We’re already the worst place in the country for summertime smog pollution. So it could be one of the worst years in one of the worst places in the country.”
The pollution has been especially severe in valleys. On April 18, an air monitor in Reseda in the San Fernando Valley measured the second highest spike in hourly ozone levels in the last decade.
Greater Los Angeles has seen more high-smog days so far in 2026 than any other year in the past decade.
(Courtesy of South Coast Air Quality Management District)
The South Coast Air Quality Management District says the high ozone levels are due to early heat waves. Officials said they were not aware of any increase in the pollutants — most of them from different kinds of exhaust — that lead to ozone formation.
Local temperatures have been well above normal, climbing into the mid-80s and high 90s between January and April, breaking several daily high temperature records, according to the National Weather Service.
March in particular was the warmest on record in California. Riverside had an unprecedented 13 days of temperatures above 90 degrees, the weather service said.
“It was really that heat wave — conditions we typically see in July or August, we saw them in March,” said Sarah Rees, deputy executive officer of the air district. “That put us ahead of the curve in terms of how much ozone we got.”
Air district officials urged residents to monitor pollution levels on the agency’s website and mobile app, and spend only limited time outdoors when smog levels are high.
“People generally know when there’s a wildfire, because you see the smoke and smell it,” said Scott Epstein, the air district’s manager of planning and rules. “Then, it’s like, I’ve got to take precautions. Ozone, you can’t really tell.”
Southern California has been particularly susceptible to smog formation because of its millions of gas-powered cars releasing tons of tailpipe emissions each day. The region’s sunshine acts as a catalyst for smog formation. Then the mountains trap this pollution over densely populated communities.
For nearly half a century, state and local air regulators have made rules designed to alleviate this pollution, enacting the nation’s first tailpipe emission standards in 1966 and requiring catalytic converters in 1975.
Smog-forming pollution has been dramatically reduced over the last two decades, but the region still does not meet federal air quality standards for ozone.
At an air district meeting Friday in Diamond Bar, the governing board held a moment of silence for William Burke, a former longtime chair. During his tenure, the agency enacted nearly 270 rules that are credited with reducing smog-forming pollution by hundreds of tons per day. Burke, who also founded the Los Angeles Marathon, died in May at 87.
“Those are just emission reductions,” air district Chair Michael Cacciotti said at the Friday meeting. “But what it doesn’t tell you is how many kids, families, seniors were prevented from going to the hospital from an asthma attack, didn’t get cancer or other respiratory problems.”
Several residents from the Inland Empire, which suffers some of the worst smog pollution, expressed their appreciation for the air district’s efforts. But they also stressed the need for more progress.
“I’m old enough to remember growing up in the ‘70s and ‘80s … and not being able to see the mountains for weeks and months at a time,” said Erik Morden, one of several residents who spoke at the meeting.” I know things have improved, and I want to thank all of you for all the hard work that you’re doing. But there’s a lot of invisible stuff that you don’t see, that’s still out there — a lot of particulates in the ozone and chemicals that are causing a lot of problems.”
Martinez, the Earthjustice attorney, said the abnormally early outbreak of smog should be a wake-up call to government regulators that there’s work to be done, including offering more incentives to help residents and businesses transition to zero-emission appliances.
“We shouldn’t over-complicate it. We’ve got a lot of heat, we’ve got a lot of pollution,” Martinez said. “Our contention is, this agency can’t control the weather. But the one thing it can control is the pollution.”
Science
A flesh-eating worm from the 1960s is re-invading the U.S. Are CA cattle at risk?
Federal agricultural inspectors detected a case of New World screwworm larvae — maggots that burrow into the flesh of living animals and sometimes humans — on a 3-week-old calf in south Texas, near the U.S.-Mexico border. Officials anticipated the arrival of screwworm in the United States and say they’re prepared to contain it.
New World screwworm, also known as Cochliomyia hominivorax, is starkly different from the average maggot that feeds on decaying organic matter such as garbage, rotting food or dead animals, said Tom Talbot, veterinarian and member of the California Cattlemen’s Assn.
That’s because a screwworm larva “attacks living flesh,” Talbot said.
On Thursday, the U.S. Department of Agriculture confirmed the detection of New World screwworm in the umbilical area of a bovine in Zavala County, Texas, more than 60 miles from the northern Mexico border.
As of Friday morning, there have been no additional cases of infected animals reported.
Screwworm is endemic in South America and parts of the Caribbean, according to the Centers for Disease Control and Prevention. However, the parasitic fly has been steadily moving north from Central America to Mexico since 2023.
The USDA says it has actively monitored the fly’s movement. Last month, the USDA was aware of more than 200 active screwworm infestation cases in the border states of Nuevo León and Tamaulipas, according to Mexico’s Secretary of Agriculture and Rural Development dashboard. There are currently more than 2,000 active cases throughout Mexico.
It was believed that the New World screwworm would enter the U.S. in 2025, “however, thanks to the hard work across the entire Trump administration and our industry, state, and local partners, we were able to buy time for this moment,” said Dudley Hoskins, undersecretary for Marketing and Regulatory Programs for the USDA, in a statement.
The potential economic impact of New World screwworm on the cattle industry due to import restrictions, reduced productivity and animal loss is substantial, said Sally DeNotta, director of the University of Florida’s Equine Performance Laboratory.
Last year, 175 key agricultural organizations signed a letter urging additional federal funding for screwworm-control measures, emphasizing USDA estimates that a New World screwworm outbreak in the U.S. could cost producers $4.3 billion annually and cause economic losses of more than $10.6 billion across the southern United States.
“While the fly does not survive at temperatures at or below freezing, infected animals could carry the parasite northward and spread infection during the summer months, and the temperate climate of Southern California could certainly support year-round New World screwworm populations,” DeNotta said.
Talbot said from the federal to the local level, everyone in the ranching community has been talking about the arrival of screwworm and how to combat it.
“My expectation is that there will be a minimal number of cases of [New World screwworm] in California,” he said.
That’s because there are several stations on the border in Southern California, he said, that are collecting data, monitoring for any incidents of the parasitic fly and trapping them.
Talbot says he’s confident that the proactive measures on behalf of the federal government will mitigate the screwworm’s reach and therefore not impact the beef supply locally or nationally.
How screwworm infection spreads
Female screwworm flies are attracted to the smell of wounds — that can be as small as a tick bite — and body openings such as the nose, eyes, ears and mouth where they can lay eggs, according to the CDC.
A female screwworm fly can lay 200 to 300 eggs at a time and may lay up to 3,000 eggs during her 10 to 30-day lifespan.
When the eggs hatch into maggots, the maggots eat live tissue, causing a worsening, often painful and foul-smelling wound, according to the CDC.
Screwworm has hit the United States before
There was a screwworm outbreak in the southwestern region of the United States in 1965 that prompted Mexican and U.S. livestock producers to sign a declaration to establish a joint program for the eradication of the screwworm from the states on either side of the Mexico-U.S. border, according to the National Agricultural Library.
By 1966, the United States had eradicated screwworms, but livestock remained vulnerable to reinfestation from screwworms migrating from Mexico.
Eradication was possible through the sterile insect technique, which uses gamma radiation to irradiate screwworm pupae and create sterile male flies.
The U.S. Department of Agriculture’s Animal and Plant Health Inspection Service maintains a screwworm pupae sterilization facility in North America and is currently building a new center in southern Texas.
When produced and released in large numbers, sterile male flies mate with wild female flies, which then lay unfertilized eggs, according to the USDA.
“Since female screwworm flies normally mate only once, the population progressively reduces and is, ultimately, eradicated,” according to USDA officials.
Last year, the Trump administration cut thousands of grants and programs from the U.S. Agency for International Development, which includes U.S.-funded animal disease monitoring projects operated by the United Nations Food and Agriculture Organization, Argi-Pulse Communications reported. Among the slashed programs were some dedicated to monitoring and containing New World screwworm in Central America.
Today, screwworm infestations aren’t a regular occurrence in the U.S., but cases have occurred in travelers returning from areas where the flies are present, according to the CDC.
Can infected animals be treated?
Infected wounds are cleaned and debrided to remove any screwworm larvae, after which the animal is treated with an approved insecticide, DeNotta said.
Last month, the U.S. Food and Drug Administration issued an emergency use authorization for several insecticides known to be effective against screwworm.
There are approved systemic and topical options for a variety of species, including cattle, horses, small ruminants, cats and dogs, DeNotta said.
“Multiple days of treatment are often required, and antibiotics and analgesics may also be administered to treat secondary infection and control pain,” she said.
If left untreated, the tissue destruction caused by flesh-eating larvae can be extensive and severe, often resulting in debilitation and eventual death of the host, DeNotta said.
“Animals that survive may suffer weight loss, poor growth and reduced productivity as a result of pain and discomfort,” she said.
Screwworm can infect humans
Human infection is rare, DeNotta said, but it can happen.
Humans are at risk of being infected by screwworms if they travel to an area where the flies are present, such as South America and the Caribbean, according to the CDC.
CDC officials said your risk of screwworm infection increases when you:
- Spend a lot of time outdoors during the day, especially if sleeping or unable to keep the flies at bay.
- Have any open wounds. A small break in the skin, including from a scratch, insect bite or recent surgery, may attract screwworm flies.
- Have a medical condition that causes bleeding or open sores, such as from skin or sinus cancer, or from treatments that can create breaks in the skin.
- Live, work or spend an extended amount of time with or near, livestock or other warm-blooded animals in areas where screwworm flies are present.
The symptoms humans experience when infected by screwworm
The following are symptoms of screwworm according to the CDC:
- Feeling maggots move or seeing maggots within a skin wound, sore or body opening.
- Painful skin wounds or sores that worsen within a few days.
- Foul-smelling odor from the site of the infestation.
- Bleeding from open sores.
Bacteria can also infect wounds where screwworm maggots are present and may cause an infection that can lead to symptoms like fever or chills.
To treat a screwworm infection, DeNotta said, people undergo the same combination of wound debridement and insecticides used in animals.
Science
One label, many risks: how grouping Asian Americans hides deadly cancer patterns
California researchers are leading a nationwide effort to find out why some Asian American communities have high rates of certain cancers.
It comes as health experts see rising rates of lung cancer among Asian American women who have never smoked and increasing rates of early-onset breast cancer.
“Asian Americans are actually the first racial and ethnic group for whom cancer is the leading cause of death,” said Scarlett Gomez, a cancer epidemiologist at UC San Francisco and a lead on the project.
UCSF joins researchers from UC Irvine, UC Davis, Cedars-Sinai and Temple University in launching a $12.5 million National Cancer Institute-funded study called the ASPIRE Cohort, that will follow 20,000 Asian Americans over time. Researchers say it’s the first large-scale longitudinal cancer study focused on Asian Americans.
Lung cancer incidence has declined across much of the United States as smoking rates have fallen. However, researchers have observed a slight increase among Asian Americans, despite relatively low smoking rates, particularly among women. More than half of Asian American women diagnosed with lung cancer are nonsmokers, they say.
Many existing studies of lung cancer risk among nonsmokers have been conducted in Asia, where exposure patterns can differ significantly from those in the United States, said Iona Cheng, a molecular epidemiologist at UCSF and also a lead on the project.
Researchers know that outdoor air pollution, secondhand smoke and cooking oil fumes can contribute to lung cancer risk. But it’s not clear if these explain disease patterns among Asian Americans in the United States.
Rising rates of breast cancer among Asian American women are also driving the push.
“Early onset breast cancer” — diagnosed before age 50 — “is going up the fastest among Asian Americans,” Gomez said. Recent data show rates among Asian Americans, Native Hawaiians and Pacific Islanders are approaching those of non-Hispanic white women, she said. Cancer experts don’t know why.
One of the central goals of the ASPIRE study is to move beyond treating Asian Americans as a single category. The term can include people with roots in dozens of countries from Sri Lanka to China’s border with Russia to Pacific islands, with completely different exposure patterns and cuisines.
“When we separate and look at all the distinct Asian ethnicities, we see a wide variation,” Cheng said.
Filipino women have a higher incidence of thyroid cancer, and stomach cancer has been more common among some Korean and Japanese people. Combining all Asian Americans into one category can make those differences impossible to detect.
The study also seeks to address longstanding gaps in representation. Although Asian Americans make up nearly 8% of the U.S. population, they have historically received little research funding.
Existing cancer studies have also often included too few Asian Americans to draw meaningful conclusions about specific ethnic groups, researchers said. Salma Shariff-Marco, a social and behavioral scientist at UCSF and also a lead on the projects, aid that has made it hard to show the need for more targeted research. The ASPIRE cohort, she said, is designed to show the variation by including a broader range of ethnic groups and more contemporary exposures than previous work.
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