European Code Against Cancer 5th edition: 14 ways you can help prevent cancer

Publication date

2026-04

Authors

Working Groups of Scientific Experts
Espina, Carolina
Ritchie, David
Riboli, Elio
Kromhout, HansORCID 0000-0002-4233-1890ISNI 0000000033136431
Franceschi, Silvia
Lansdorp-Vogelaar, Iris
Marteau, Theresa M.
Bakogianni, Ioanna
Vilahur, Nadia

Editors

Advisors

Supervisors

Document Type

Article
Open Access logo

License

cc_by_nc_nd

Abstract

Despite the growing cancer burden in the European Union, public awareness of effective prevention is low. In response, Europe's Beating Cancer Plan has supported the development of the 5th edition of the European Code Against Cancer (ECAC5). Using a transparent, stepwise decision-making process, around 80 experts reviewed the latest scientific evidence on cancer prevention and used modern communication strategies to update the previous edition. An innovation in ECAC5 is the inclusion of population-level recommendations, aiming to structurally influence the systems that shape individual choices and improve environmental conditions to which all citizens are involuntarily exposed. ECAC5 includes 14 actionable, evidence-based recommendations for individuals to reduce their cancer risk alongside their respective policy recommendations. All are presented through equity lens, with attention to co-benefits for preventing other non-communicable diseases and tailoring messages to diverse audiences. Clear evidence-based statements on cancer risks factors and effective preventive interventions will empower citizens to make healthier choices, call policymakers to act, foster public support for effective policies, and contribute to more effective cancer prevention.

Keywords

Cancer screening, European code against cancer, European union, Evidence-based recommendations, Primary cancer prevention, Internal Medicine, Oncology, Health Policy, Public Health, Environmental and Occupational Health, SDG 3 - Good Health and Well-being

Citation

Working Groups of Scientific Experts, Espina, C, Ritchie, D, Riboli, E, Kromhout, H, Franceschi, S, Lansdorp-Vogelaar, I, Marteau, T M, Bakogianni, I, Vilahur, N, Alberts, C J, Ivanus, U, Feliu, A, D'Souza, E, Zeeb, H, Mitrou, G, Albreht, T, Dillner, J, Foucaud, J, Manczuk, M, Martin-Moreno, J M, Medema, R H, Murray, D, Nagy, P, Nicula, F, Nyangasi, M, Steindorf, K, Tjønneland, A, Cecchini, M, Corbex, M, Stepien, M, Yared, W, Carvalho, A L & Schüz, J 2026, 'European Code Against Cancer 5th edition : 14 ways you can help prevent cancer', The Lancet Regional Health - Europe, vol. 63, 101592. https://doi.org/10.1016/j.lanepe.2026.101592