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Cancer’s New Face: Younger and Female

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Cancer’s New Face: Younger and Female

More Americans are surviving cancer, but the disease is striking young and middle-aged adults and women more frequently, the American Cancer Society reported on Thursday.

And despite overall improvements in survival, Black and Native Americans are dying of some cancers at rates two to three times higher than those among white Americans.

These trends represent a marked change for an illness that has long been considered a disease of aging, and which used to affect far more men than women.

The shifts reflect declines in smoking-related cancers and prostate cancer among older men and a disconcerting rise in cancer in people born since the 1950s.

Cancer is the second leading cause of death in the United States, but the leading cause among Americans under 85. The new report projects that some 2,041,910 new cases will occur this year and that 618,120 Americans will die of the disease.

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Six of the 10 most common cancers are on the rise, including cancers of the breast and the uterus. Also on the rise are colorectal cancers among people under 65, as well as prostate cancer, melanoma and pancreatic cancer.

“These unfavorable trends are tipped toward women,” said Rebecca L. Seigel, an epidemiologist with the American Cancer Society and the report’s first author.

“Of all the cancers that are increasing, some are increasing in men, but it’s lopsided — more of this increase is happening in women.”

Women are also being diagnosed at younger ages. Cancer rates are rising among women under 50 (so-called early-onset cancer), as well as among women 50 to 64.

Despite increases in some early-onset cancers, like colorectal cancer and testicular cancer, “overall rates are flat in men under 50 and decreasing in those 50 to 64,” Ms. Seigel said.

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Several other troubling trends are outlined in the report. One is an increase in new cases of cervical cancer — a disease widely viewed as preventable in the United States — among women 30 to 44.

The incidence of cervical cancer has plummeted since the mid-1970s, when Pap smear screening to detect precancerous changes became widely available. But recent surveys have found many women are postponing visits to their gynecologists.

A Harris Poll survey of over 1,100 U.S. women last year found that 72 percent said they had put off a visit with their doctor that would have included screening; half said they didn’t know how frequently they should be screened for cervical cancer.

(The current recommendation is a bit complicated: Get a Pap smear every three years starting at age 21, or a combined Pap smear and test for the human papillomavirus, which can cause cervical cancer, every five years.)

Another disturbing trend started in 2021 when, for the first time, lung cancer incidence in women under 65 surpassed the incidence in men: 15.7 cases per 100,000 women under 65, compared with 15.4 per 100,000 in men.

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Lung cancer has been declining over the past decade, but it has decreased more rapidly in men. Women took up smoking later than men and took longer to quit.

There have also been upticks in smoking in people who were born after 1965, the year after the surgeon general first warned that cigarettes cause cancer.

Smoking continues to be the leading cause of preventable death in the United States, accounting for almost 500 cancer deaths daily in 2025, mostly from lung cancer, the American Cancer Society said.

“There is growing concern that e-cigarettes and vaping may contribute to this burden in the future, given their carcinogenic potential and wide popularity,” the report said.

Breast cancer rates have also been inching up for many years, increasing by about 1 percent a year between 2012 and 2021. The sharpest rise has been seen in women under 50, and there have been steep increases among Hispanic American, Asian American and Pacific Islander women.

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The increases are driven by detection of localized tumors and certain cancers fueled by hormones.

Some of the rise results from changing fertility patterns. Childbearing and breastfeeding protect against breast cancer, but more American women are postponing childbirth — or are choosing not to bear children at all.

Other risk factors include genetics, family history and heavy drinking — a habit that has increased in women under 50. In older women, excess body weight may play a role in cancer risk.

Uterine cancer is the only cancer for which survival has actually decreased over the past 40 years, the A.C.S. said.

Death rates are also rising for liver cancer among women, and for cancers of the oral cavity for both sexes.

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Pancreatic cancer has been increasing in incidence among both men and women for decades. It is now the third leading cause of cancer death. As with many other cancers, obesity is believed to contribute.

Little progress has been made in the understanding and treatment of pancreatic cancer. Death rates have been rising since record-keeping started, rising to 13 per 100,000 in men and 10 per 100,000 in women today, up from about five per 100,000 in both men and women in the 1930s.

The lack of progress has frustrated many scientists and physicians. The cancer is often fairly advanced when diagnosed, and the five-year survival rate is only 13 percent.

“We need to make progress in specifically understanding what’s driving pancreatic cancers to grow, what treatment will then stave off these cancers, what can prevent it in the first place, and how we can screen for it early,” said Dr. Amy Abernathy, an oncologist who co-founded Highlander Health, which focuses on accelerating clinical research.

Some experts are beginning to acknowledge that environmental exposures may be contributing to early-onset cancer, in addition to the usual suspects: lifestyle, genetics and family history.

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“I think that the rise in not just one but a variety of cancers in younger people, particularly in young women, suggests there is something broader going on than variations in individual genetics or population genetics,” said Neil Iyengar, an oncologist at Memorial Sloan Kettering Cancer Center.

“It strongly points to the possibility that environmental exposures and our lifestyles in the U.S. are contributing to the rise of cancers in younger people.”

Public health efforts aimed at reducing risky lifestyle behaviors have focused on people at higher risk and at older Americans, who still bear the brunt of cancer’s burden, he noted.

But the risk factors in young people may be different.

Emerging research hints that maintaining regular sleeping patterns, for example, may also help to prevent cancer, he said.

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Lifestyle and behavioral changes can reduce the risk for many cancers, Ms. Siegel said.

“I don’t think people realize how much control they have over their cancer risk,” she said. “There’s so much we can all do. Don’t smoke is the most important.”

Among the others: Maintaining a healthy body weight; not consuming alcohol or consuming in moderation; eating a diet high in fruits and vegetables, and low in red and processed meat; physical activity; and regular cancer screenings.

“There are all these things you can do, but they’re individual choices, so just pick one that you can focus on,” she said. “Small changes can make a difference.”

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Even Homes That Evade the Fire Face Toxic Ash Risk, Studies Show

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Even Homes That Evade the Fire Face Toxic Ash Risk, Studies Show

Armed with two garden hoses hooked up to a sputtering tap, Matthew Craig battled fire and smoke to save his house from the onslaught of flames that devastated much of Altadena, a once leafy corner of Los Angeles County. The wind felt like dragon’s breath, he said, and “we were all eating smoke.”

But even though his home is secure, for now, it will be a long time before he and his family feel safe enough to go back. Every room in the house, he said, was covered in ash, dust, soot and dirt that the high winds had blown inside. “My 5-year-old son, wife, dog and I don’t want to be living in a toxic wasteland.”

As residents start returning to neighborhoods ravaged by fire, they are contending with a slew of toxic hazards in the lingering smoke and ash that experts say can cause breathing problems and worse.

When neighborhoods go up in smoke, they burn all manner of human-made materials — vehicles, lead pipes, paint, plastics — which can release toxic smoke and fumes that can linger. A recent study found that even for homes that are spared destruction, smoke and ash swept inside could adhere to rugs, sofas and drywall, creating health hazards that can remain for months.

“There are so many people who have lost their homes in this, and that is devastating,” said Colleen Reid, who studies the health effects of air pollution at the University of Colorado Boulder, and who led the research. “But even the people who feel lucky that their home is fine — they could actually be exposed to lot of toxic materials,” she said. “The wind will get through every crack.”

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That was a particular problem, Professor Reid said, because some people may be more likely to move back more quickly or to tackle cleanup themselves if their insurance companies don’t acknowledge this kind of ash and soot damage. And sifting through ash could send hazardous particles back into the air. There was a move in some states to try to force more insurance companies to compensate for smoke and ash intrusion, she said.

Smoke and overall air quality continued to be a risk, said Yifang Zhu, a professor in environmental health at the University of California, Los Angeles. Soot and other fine particles, known as PM2.5, can penetrate the lungs and the heart and can even enter the bloodstream, affecting the entire body.

Ironically, a weakening of the Santa Ana winds that might aid firefighting efforts also meant more smoke would stick around, she said. And air quality readings, which focus on particulate matter pollution like soot, were also not a good indication of the other complex air pollution hazards that the fires had unleashed, she said.

The typical air quality index doesn’t capture volatile organic compounds, for example, that can cause headaches and nausea and are linked to cancer and other illnesses in the longer term. And N-95 masks aren’t as effective against those other pollutants.

“There were so many things that burned, and so many other air toxics,” she said. “That’s why you might smell something, even if air monitors don’t pick it up.”

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For people returning to homes in affected neighborhoods, there are steps they can take to protect themselves, she said. Carbon cartridge respirators work better against toxic air pollution than masks. Children and the elderly, as well as people who are pregnant or who have asthma or underlying respiratory or heart conditions, shouldn’t participate in cleanup.

Seek medical attention for any serious symptoms that arise — chest pain, wheezing, heavy coughing — and avoid strenuous exercise. Where possible, stay indoors, and run air purifiers fitted with activated carbon filters, on top of HEPA ones. “It’s just a good idea to be careful,” Dr. Zhu said.

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Monterey Bay Aquarium Director Julie Packard to Retire

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Monterey Bay Aquarium Director Julie Packard to Retire

Julie Packard, the marine biologist who has presided over the Monterey Bay Aquarium since it opened in 1984 and shepherded it through the Covid pandemic, announced her retirement as executive director on Wednesday. Ms. Packard has helped repurpose the thick-glassed fish museums of old into potent forces for ocean conservation action.

Built with a $55 million donation by her parents, David and Lucile Packard of the tech giant Hewlett-Packard, the aquarium has received tens of millions of visitors. Sightseers at the aquarium, a Northern California institution, have taken in a number of world firsts: the successful exhibition and release of great white sharks; the reintroduction of orphaned Southern sea otter pups to the wild; and the large-scale display of creatures such as salmon snailfish and vampire squid, found far below the reach of sunlight in a region known as the midnight zone.

At a time when rising ocean temperatures are altering water chemistry, changing fish migration patterns and making marine life more susceptible to the effects of overfishing, Ms. Packard’s staff has demonstrated how to restore ocean health by reducing plastic pollution and raising awareness of environmentally sustainable seafood. The aquarium’s partner organization, the Monterey Bay Aquarium Research Institute, has developed and deployed robotic submersibles that are transforming how scientists explore the ocean.

A tall, gracious, casually elegant woman who wears her scholarship lightly, Ms. Packard has run the aquarium in a low-key, pragmatic way. “Like my father,” she said. This conversation has been condensed and edited for clarity.

Why are you retiring now?

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Well, I’m not exactly retiring. I’m transitioning to a leadership role on the board of trustees. I decided that it’s a great time to hand over the reins to our next generation of leaders. We have a great team and are in a really good financial position.

What do you think you’ll miss most?

The day-to-day interactions with the scientists. Fortunately, as a board member, I’ll still run into people in the hallways who have just figured out how to breed some obscure animal that no one’s ever seen before. I love collaborating with passionate people who are really fired up about what they’re doing as much as I love seeing a child’s eyes light up at the sight of a giant sea bass or a bloodybelly comb jelly. Both give me great joy.

Your program of free admission to school groups has brought in millions of students. Are many of the children you encounter disappointed to learn that sponges don’t wear white shirts, red ties and brown, square pants?

SpongeBob! My own kids were part of the “Little Mermaid” generation, so I can’t say that I know the messaging associated with him. But I think he’s a cool guy.

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He lives in a pineapple under the sea.

OK, well, scientifically, that is problematic. It doesn’t happen.

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The FDA knew long ago that red dye No. 3 causes cancer. Why did it take so long to ban it?

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The FDA knew long ago that red dye No. 3 causes cancer. Why did it take so long to ban it?

The Food and Drug Administration said Wednesday that the much-maligned red dye No. 3 will be banned in the United States because it has been shown to cause cancer in animals.

The decision, lauded by consumer advocacy groups, comes a full 25 years after scientists at the agency determined that rats fed large amounts of the artificial color additive were much more likely to develop malignant thyroid tumors than rats who weren’t given the food coloring. They also had an increased incidence of benign tumors and growths that can be precursors to cancer.

Those findings prompted the FDA to declare in 1990 that red dye No. 3 could not be used in cosmetics or drugs applied to the skin. The reason for the decision was clear: A federal law known as the Delaney clause says no color additive can be considered safe if it has been shown to cause cancer in animals or people.

Yet the dye remained a legal food coloring. It’s in the bright red cherries that dress up a bowl of Del Monte’s fruit cocktail. It makes Nesquik’s strawberry milk a pleasing shade of pink. It also colors beef jerky, fruit rolls, candy, ice cream and scores of other processed products.

Now food makers will have two years to reformulate their products without red dye No. 3. Drug companies have three years to remove it from their medicines.

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The FDA does not seem to be bothered by the fact that this cancer-causing chemical will linger in the food supply. The agency’s view is that the biological process through which the dye causes cancer in rats doesn’t occur in people.

“We don’t believe there is a risk to humans,” Jim Jones, the FDA’s deputy commissioner for human foods, told members of Congress last month.

In announcing the ban, the agency added that people consume red dye No. 3 at levels far lower than those shown to cause cancer in two studies of rats. A host of other studies in both animals and humans did not show the dye to be cancerous.

Nonetheless, regulators revoked authorization of red dye No. 3 to satisfy a petition demanding that the Delaney clause be enforced.

A box of Fruit by the Foot.

Starburst-flavored Fruit by the Foot, which contains red dye No. 3. (Christina House / Los Angeles Times)

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“Regardless of the truth behind their argument, it doesn’t matter,” said Jensen N. Jose, regulatory counsel for food chemical safety at the Center for Science in the Public Interest, which spearheaded the effort. “Once it’s established that it causes cancer, FDA must prohibit the chemical by law.”

This wasn’t the first case of the FDA banning a food additive it considers safe to comply with the Delaney clause. The situation shows why the federal law is long overdue for a refresh, food safety experts say.

“A lot of people think we need to reform this,” said Diana Winters, deputy director of the Resnick Center for Food Law and Policy at UCLA Law. “It does lead to some absurd results.”

The Delaney clause is part of a 1958 federal law that expanded the FDA’s regulatory authority over newfangled food additives developed during World War II that were making their way into consumer products, Winters said.

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Back then, members of Congress were worried about the cancer risks posed by all sorts of man-made compounds. Even small amounts seemed capable of triggering cancerous growths if people encountered them over and over again.

Arthur Flemming, who served as President Eisenhower’s Cabinet secretary for health and welfare, told Congress at the time there was no way for FDA regulators to know whether any exposure level was low enough to be truly safe. Considering the many cancer risks lurking in the environment, he said, the government should “do everything possible to put persons in a position where they will not unnecessarily be adding residues of carcinogens to their diet.”

Signature Select rainbow cups, which contain red dye No. 3.
Red dye no. 3 is circled in a list of ingredients.

Signature Select rainbow cups, which contain red dye No. 3.

(Christina House / Los Angeles Times)

The issue was personal for Rep. James Delaney, a Democrat from New York City whose wife was undergoing cancer treatment at the time. He made sure the new law included a zero-tolerance provision for cancer-causing substances, though it said nothing about additives that might cause other kinds of health problems.

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“No additive shall be deemed to be safe if it is found to induce cancer when ingested by man or animal, or if it is found, after tests which are appropriate for the evaluation of the safety of food additives, to induce cancer in man or animal,” the Delaney clause states. A 1960 amendment governing color additives extended the rule to dyes.

As the years went by, advances in toxicology allowed scientists to expand the list of known cancerous compounds, and to identify them in ever-smaller amounts. Regulators were no longer as clueless as they’d been in Flemming’s day.

In 1986, the FDA tried to take that progress into account as it evaluated the safety of two color additives — orange dye No. 17 and red dye No. 19 — for use in lipsticks, nail polishes, face powders and other cosmetics. The agency acknowledged that both dyes were capable of inducing cancer in laboratory animals. But it argued that the regulatory decision should be guided not by a literal interpretation of an aging law but by the real-world risks to people.

When those color additives were used as intended, those risks were vanishingly small: A panel of scientists from the U.S. Public Health Service determined the lifetime cancer risk posed by the red dye was 1 in 9 million at worst; for the orange dye, it was 1 in 19 billion. In both cases, the possibility of developing cancer was “so trivial as to be effectively no risk,” the panel concluded.

A federal appeals court agreed that the dyes seemed to be safe. In fact, the risks they posed were millions of times lower than the risks of smoking, the judges wrote.

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Moreover, the judges noted, forbidding the use of chemicals that carry a minute risk of cancer might prompt manufacturers to use compounds that are more toxic, albeit in noncancerous ways. Substitutions like these would be “a clear loss for safety,” they wrote.

But none of that matters, the court ruled: If a dye or any other chemical is found to cause cancer in animals, the FDA’s only option under the Delaney clause was to forbid its use.

Nestle Nesquick strawberry milk.
LOS ANGELES, CA, DECEMBER 26, 2024: Store bought grocery items that contain red dye #3, including Nestle Nesquick strawberry milk, are photographed at the Los Angeles Times on December 26, 2024. High doses of red dye #3 were found to cause cancer in lab animals decades ago. A federal law known as the Delaney Clause says no compound shown to cause cancer in animals or humans can be in the food supply. The FDA acknowledged the cancer studies decades ago and used the findings to deny a request to approve the dye's use in cosmetics, however, red #3 was already being used in food, and for some reason its authorization has not yet been revoked. (Christina House / Los Angeles Times)

Nestle Nesquik strawberry milk, containing red dye No. 3. (Christina House / Los Angeles Times)

Regulators found themselves in a more absurd situation in 2018 when they were asked to revoke their authorization of a flavoring additive called myrcene.

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When the synthetic compound was force-fed to rats at doses of 1 gram per kilogram of body weight for two years, the animals developed kidney cancer and other forms of renal disease. Female mice fed under the same conditions developed liver cancer as well, the FDA said.

But the amount of artificial myrcene consumed by a typical American is 813,000 times lower — around 1.23 micrograms per kilogram of body weight, the agency said.

Moreover, myrcene is a natural component of mangoes, citrus juices, cardamom, and herbs including basil, parsley and wild thyme. The amount of natural myrcene in the food supply is about 16,5000 times greater than its synthetic counterpart, the agency added.

Still, the FDA declared the additive unsafe “as a matter of law” while assuring the public that no one’s health was actually at risk when synthetic myrcene was on the market. It blamed the Delaney clause for the confusion.

In 2020, a group of food industry scientists said the problem goes well beyond confusion. Revoking approval for artificial myrcene “has contributed to the ongoing erosion of trust in regulatory agencies,” they argued in the journal Regulatory Toxicology and Pharmacology. Such decisions promote an irrational fear of chemicals and cause consumers to lose faith in the safety of the U.S. food supply, they wrote.

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Red dye No. 3 was approved for use in U.S. food in 1907, when it was known as erythrosine. It won permanent listing as an authorized color additive for foods, supplements and ingested drugs under the name FD&C Red No. 3 in 1969.

Soon after that decision, an industry group called the Toilet Goods Assn. petitioned the FDA to upgrade the dye’s listing for cosmetics and topical drugs from provisional to permanent. The request triggered additional tests in the 1970s and ‘80s, including two long-term feeding studies in rats.

Beginning before birth and for their entire lives, the animals were put on diets that included the red dye at concentrations of 0.1%, 0.5%, 1% or 4%. Compared to male rats that didn’t consume any dye, male rats that ate the most had a significantly higher incidence of tumors — both malignant and benign — as well as abnormal cell growth in the thyroid. No other group had an increased incidence large enough to be considered statistically significant. Among female rats, the incidence of benign tumors was elevated for those on the 1% diet, though not for rats on the 4% diet, as would be expected if the dye were the cause of cancer in these animals.

After consulting with scientists from the National Toxicology Program and the U.S. Public Health Service, the FDA concluded that red dye No. 3 could cause cancer in animals. In 1990, the agency denied the industry group’s request for permanent listing.

That decision applied only to cosmetics and topical drugs, and had no immediate bearing on food products sold in the U.S. At that point, the dye had been permanently listed as an approved food additive for decades. Nothing in those rat studies indicated to the agency that its designation needed to change.

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Over the years, the dye has been tested in mice, rats, gerbils, pigs, beagles and humans. An extensive review conducted by the World Health Organization and the Food and Agriculture Organization of the United Nations found “no concerns” about the dye’s ability to trigger cancer, impair fertility or cause developmental problems in people of all ages when consumed in realistic doses.

“Claims that the use of FD&C Red No. 3 in food and in ingested drugs puts people at risk are not supported by the available scientific information,” the agency said Wednesday.

Frosted sugar cookies from Favorite Day Bakery.
Red dye no. 3 is highlighted on an ingredients list

Frosted sugar cookies from Favorite Day Bakery, containing red dye No. 3.

(Christina House / Los Angeles Times)

Pitting the Delaney clause’s strict legal requirements against advances in cancer research has been a longstanding challenge for the agency, officials said.

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“When we ban something, it will go to court,” Dr. Robert Califf, the FDA’s commissioner, told the Senate Health, Education, Labor and Pensions committee last month. “And if we don’t have the scientific evidence that will stand up in court, we will lose in court.”

The elaborate regulatory process for removing an additive from the food supply can certainly result in litigation, said Emily Broad Leib, director of the Center for Health Law and Policy Innovation at Harvard Law School.

“The Delaney clause probably works a lot better at the outset if you’re trying to add a new substance to food,” she said. “Once things are in food, it takes a really long time to remove it.”

The way some people see it, the problem with the Delaney clause isn’t that it forces the FDA to ban food additives that don’t pose a true cancer threat. It’s that the law doesn’t address all the other ways the foods we eat can be hazardous to our health.

“There’s a lot of things in foods naturally that cause cancer, and the Delaney clause doesn’t cover that,” said Alyson Mitchell, a food scientist at UC Davis. “It also does not speak to anything regarding other illnesses, whether it’s kidney dysfunction or ADHD or mental health issues or endocrine imbalances.”

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The General Accounting Office (now known as the U.S. Government Accountability Office) raised this issue back in 1981, when it advised Congress to update the Delaney clause to reflect the latest scientific and medical knowledge. It would make sense for the law to apply “ equally to cancer-causing and non-cancer-causing substances,” the GAO said.

Other items that contain red dye No. 3: Del Monte fruit cocktail, Signature Select Jordan almonds, Betty Crocker Suddenly! pasta salad, and Jack Links beef stick and cheese.
LOS ANGELES, CA, DECEMBER 26, 2024: Store bought grocery items that contain red dye #3, including Signature Select Jordan almonds, are photographed at the Los Angeles Times on December 26, 2024. High doses of red dye #3 were found to cause cancer in lab animals decades ago. A federal law known as the Delaney Clause says no compound shown to cause cancer in animals or humans can be in the food supply. The FDA acknowledged the cancer studies decades ago and used the findings to deny a request to approve the dye's use in cosmetics, however, red #3 was already being used in food, and for some reason its authorization has not yet been revoked. (Christina House / Los Angeles Times)
LOS ANGELES, CA, DECEMBER 26, 2024: Store bought grocery items that contain red dye #3, including Betty Crocker Suddenly! pasta salad, are photographed at the Los Angeles Times on December 26, 2024. High doses of red dye #3 were found to cause cancer in lab animals decades ago. A federal law known as the Delaney Clause says no compound shown to cause cancer in animals or humans can be in the food supply. The FDA acknowledged the cancer studies decades ago and used the findings to deny a request to approve the dye's use in cosmetics, however, red #3 was already being used in food, and for some reason its authorization has not yet been revoked. (Christina House / Los Angeles Times)
LOS ANGELES, CA, DECEMBER 26, 2024: Store bought grocery items that contain red dye #3, including Jack Links beef stick and cheese, are photographed at the Los Angeles Times on December 26, 2024. High doses of red dye #3 were found to cause cancer in lab animals decades ago. A federal law known as the Delaney Clause says no compound shown to cause cancer in animals or humans can be in the food supply. The FDA acknowledged the cancer studies decades ago and used the findings to deny a request to approve the dye's use in cosmetics, however, red #3 was already being used in food, and for some reason its authorization has not yet been revoked. (Christina House / Los Angeles Times)

Other items that contain red dye No. 3: Del Monte fruit cocktail, Signature Select Jordan almonds, Betty Crocker Suddenly! pasta salad, and Jack Links beef stick and cheese. (Christina House / Los Angeles Times)

California has banned all uses of red dye No. 3 in the Golden State, and prohibited the use of six other dyes in foods served or sold in schools. Scientists who examined the dyes for the California Office of Environmental Health Hazard Assessment determined that “the behavioral factors are more of a concern” than the cancer risk, said Asa Bradman, an expert on exposure assessment and epidemiology at UC Merced and co-author of the comprehensive state report.

The FDA has studied the behavioral risks of color additives and hasn’t found “a clear and causal link,” an FDA spokesperson told The Times. Studies suggest some children with behavioral challenges like ADHD appear to be sensitive to food dyes, and that genetic variants affecting the body’s ability to break down histamine are a likely cause. In the FDA’s view, that doesn’t mean the dyes themselves are “neurotoxic,” the spokesperson said.

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If there was convincing evidence that an artificial dye failed to meet FDA’s safety standards, the agency would take action whether the health threats were covered by the Delaney clause or not, the spokesperson added.

Mitchell, who worked on the California report with Bradman, said that because manufacturers have been phasing out red dye No. 3 for more than a decade, it’s not a significant concern for her. She’s more worried about the hyperactivity risk posed by red dye No. 40 because it’s ubiquitous in processed foods, especially those consumed by children.

“I’m grateful for the Delaney clause because I do think it’s been very helpful in trying to protect our food,” Mitchell said. “But it doesn’t go far enough. So much of this needs to be revisited.”

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