The rise in cases of lung cancer in never-smokers demonstrates the urgent need for stricter air quality controls and pollution reduction measures. The clear link between air pollution and adenocarcinoma cases, particularly in East Asia, shows that environmental factors are becoming increasingly significant in cancer development. The success of future cancer prevention depends on addressing both tobacco use and air pollution simultaneously.
The focus on air pollution overlooks other significant risk factors such as radon exposure, genetic predisposition, and occupational hazards. Many cases may be attributed to unavoidable genetic factors or unidentified environmental triggers. The current emphasis on air pollution might divert resources from investigating other potential causes and developing targeted treatments for never-smokers.