THE WAR ON Disease .


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Otis W. Brawley, M.D. Boss Medical Officer Executive Vice President American Cancer Society . Teacher of Hematology, Oncology, Medicine and EpidemiologyEmory University. 2009 Estimated US Cancer Deaths*. ONS=Other anxious system.Source: American Cancer Society, 2009.. Men 292,540. Ladies 269,800.
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THE WAR ON CANCER – 2010 THE CURRENT STATE PREVENTION STRATEGIES HEALTH DISPARITIES D.E. KENADY M.D.

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Otis W. Brawley, M.D. Boss Medical Officer Executive Vice President American Cancer Society Professor of Hematology, Oncology, Medicine and Epidemiology Emory University

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2009 Estimated US Cancer Deaths* Men 292,540 Women 269,800 Lung & bronchus 30% Prostate 9% Colon & rectum 9% Pancreas 6% Leukemia 4% Liver & intrahepatic 4% bile channel Esophagus 4% Urinary bladder 3% Non-Hodgkin 3% lymphoma Kidney & renal pelvis 3% All different locales 25% 26% Lung & bronchus 15% Breast 9% Colon & rectum 6% Pancreas 5% Ovary 4% Non-Hodgkin lymphoma 3% Leukemia 3% Uterine corpus 2% Liver & intrahepatic bile conduit 2% Brain/ONS 25% All different destinations ONS=Other sensory system. Source: American Cancer Society, 2009.

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US Mortality, 2006 No. of passings % of all passings Rank 1. Heart Diseases 631,636 26.0 2. Cancer 559,888 23.1 3. Cerebrovascular diseases 137,119 5.7 4. Chronic lower respiratory diseases 124,583 5.1 5. Accidents (unexpected injuries) 121,599 5.0 6. Diabetes mellitus 72,449 3.0 7. Alzheimer malady 72,432 3.0 8. Influenza & pneumonia 56,326 2.3 Nephritis* 45,344 1.9 10. Septicemia 34,234 1.4 Cause of Death *Includes nephrotic disorder and nephrosis. Source: US Mortality Data 2006, National Center for Health Statistics, Centers for Disease Control and Prevention, 2009.

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Change in US Death Rates* from 1991 to 2006 Rate Per 100,000 1991 2006 * Age-acclimated to 2000 US standard populace. Sources: 1950 Mortality Data - CDC/NCHS, NVSS, Mortality Revised. 2006 Mortality Data: US Mortality Data 2006, NCHS, Centers for Disease Control and Prevention, 2009.

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Cancer Death Rates* by Sex, US, 1975-2005 Rate Per 100,000 Men Both Sexes Women *Age-acclimated to the 2000 US standard populace. Source: US Mortality Data 1960-2005, National Center for Health Statistics, Centers for Disease Control and Prevention, 2008.

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Cancer Death Rates* Among Men, US,1930-2005 Rate Per 100,000 Lung & bronchus Stomach Prostate Colon & rectum Pancreas Leukemia Liver *Age-acclimated to the 2000 US standard populace. Source: US Mortality Data 1960-2005, US Mortality Volumes 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2008.

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Cancer Death Rates* Among Women, US,1930-2005 Rate Per 100,000 Lung & bronchus Uterus Breast Colon & rectum Stomach Ovary Pancreas *Age-acclimated to the 2000 US standard populace. Source: US Mortality Data 1960-2005, US Mortality Volumes 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2008.

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2009 Estimated US Cancer Cases* Men 766,130 Women 713,220 27% Breast 14% Lung & bronchus 10% Colon & rectum 6% Uterine corpus 4% Non-Hodgkin lymphoma 4% Melanoma of skin 4% Thyroid 3% Kidney & renal pelvis 3% Ovary 3% Pancreas 22% All Other Sites Prostate 25% Lung & bronchus 15% Colon & rectum 10% Urinary bladder 7% Melanoma of skin 5% Non-Hodgkin 5% lymphoma Kidney & renal pelvis 5% Leukemia 3% Oral cavity 3% Pancreas 3% All Other Sites 19% *Excludes basal and squamous cell skin malignancies and in situ carcinomas aside from urinary bladder. Source: American Cancer Society, 2009.

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Cancer Incidence Rates* by Sex, US, 1975-2005 Rate Per 100,000 Men Both Sexes Women *Age-changed in accordance with the 2000 US standard populace and balanced for deferrals in reporting. Source: Surveillance, Epidemiology, and End Results Program, Delay-balanced Incidence database: SEER Incidence Delay-balanced Rates, 9 Registries, 1975-2005, National Cancer Institute, 2008.

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Cancer Incidence Rates* Among Men, US, 1975-2005 Rate Per 100,000 Prostate Lung & bronchus Colon and rectum Urinary bladder Non-Hodgkin lymphoma Melanoma of the skin *Age-changed in accordance with the 2000 US standard populace and balanced for deferrals in reporting. Source: Surveillance, Epidemiology, and End Results Program, Delay-balanced Incidence database: SEER Incidence Delay-balanced Rates, 9 Registries, 1975-2005, National Cancer Institute, 2008.

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Cancer Incidence Rates* Among Women, US, 1975-2005 Rate Per 100,000 Breast Colon and rectum Lung & bronchus Uterine Corpus Ovary Non-Hodgkin lymphoma *Age-changed in accordance with the 2000 US standard populace and balanced for deferrals in reporting. Source: Surveillance, Epidemiology, and End Results Program, Delay-balanced Incidence database: SEER Incidence Delay-balanced Rates, 9 Registries, 1975-2005, National Cancer Institute, 2008.

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Cancer Incidence & Death Rates* in Children 0-14 Years, 1975-2005 Rate Per 100,000 Incidence Mortality *Age-changed in accordance with the 2000 Standard populace. Source: Surveillance, Epidemiology, and End Results Program, 1975-2005, Division of Cancer Control and Population Sciences, National Cancer Institute, 2008.

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Cancer Incidence Rates* in Children 0-14 Years by Sex, 2001-2005 Site Male Female Total All sites 16.1 14.1 15.1 Leukemia 5.4 4.5 5.0 Acute Lymphocytic 4.3 3.6 3.9 Brain/ONS 3.4 3.1 3.2 Soft tissue 1.1 1.0 1.1 Non-Hodgkin lymphoma 1.2 0.6 0.9 Kidney and renal pelvis 0.8 0.8 Bone and Joint 0.7 0.7 Hodgkin lymphoma 0.7 0.4 0.5 *Per 100,000, age-acclimated to the 2000 US standard populace. ONS = Other sensory system Source: Surveillance, Epidemiology, and End Results Program, 1975-2005, Division of Cancer Control and Population Sciences, National Cancer Institute, 2008.

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Cancer Death Rates* in Children 0-14 Years by Sex, US, 2001-2005 Site Male Female Total All sites 2.7 2.3 2.5 Leukemia 0.8 0.7 0.8 Acute Lymphocytic 0.4 0.3 0.4 Brain/ONS 0.8 0.7 0.7 Non-Hodgkin lymphoma 0.1 0.1 Soft tissue 0.1 0.1 Bone and Joint 0.1 0.1 Kidney and Renal pelvis 0.1 0.1 *Per 100,000, age-acclimated to the 2000 US standard populace. ONS = Other sensory system Source: Surveillance, Epidemiology, and End Results Program, 1975-2005, Division of Cancer Control and Population Sciences, National Cancer Institute, 2008.

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Tobacco Use in the US, 1900-2005 Per capita cigarette utilization Male lung malignancy passing rate Female lung growth demise rate *Age-acclimated to 2000 US standard populace. Source: Death rates: US Mortality Data, 1960-2005, US Mortality Volumes, 1930-1959, National Center for Health Statistics, Centers for Disease Control and Prevention, 2006. Cigarette utilization: US Department of Agriculture, 1900-2007.

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Trends in Cigarette Smoking Prevalence* (%), by Sex, Adults 18 and Older, US, 1965-2007 Men Women *Redesign of review in 1997 may influence patterns. Source: National Health Interview Survey, 1965-2007, National Center for Health Statistics, Centers for Disease Control and Prevention, 2008.

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Current* Cigarette Smoking Prevalence (%) Among High School Students by Sex and Race/Ethnicity, US, 1991-2007 *Smoked cigarettes on at least one of the 30 days going before the study. Source: Youth Risk Behavior Surveillance System, 1991, 1995, 1997, 1999, 2001, 2003, 2005, 2007 National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 2008.

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Trends in Consumption of Five or More Recommended Vegetable and Fruit Servings for Cancer Prevention, Adults 18 and Older, US, 1994-2007 Note: Data from taking part states and the District of Columbia were amassed to speak to the United States. Source: Behavioral Risk Factor Surveillance System CD-ROM (1984-1995, 1996, 1998) and Public Use Data Tape (2000, 2003, 2005, 2007), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 1999, 2000, 2001, 2004, 2006, 2008.

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Trends in Prevalence (%) of No Leisure-Time Physical Activity, by Educational Attainment, Adults 18 and Older, US, 1992-2007 Adults with not exactly a secondary school instruction All grown-ups Note: Data from taking an interest states and the District of Columbia were accumulated to speak to the United States. Instructive accomplishment is for grown-ups 25 and more established. Source: Behavioral Risk Factor Surveillance System CD-ROM (1984-1995, 1996, 1998) and Public Use Data Tape (2000, 2002, 2004, 2005, 2006, 2007), National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 1997, 1999, 2000, 2001, 2003, 2005, 2006, 2007, 2008.

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Trends in Obesity* Prevalence (%), Children and Adolescents, by Age Group, US, 1971-2006 *Body mass record (BMI) at or over the sex-and age-particular 95 th percentile BMI cutoff focuses from the 2000 sex-particular BMI-for-age CDC Growth Charts. Note: Previous versions of Cancer Statistics utilized the expression "overweight" to portray youth in this BMI classification. Source: National Health and Nutrition Examination Survey, 1971-1974, 1976-1980, 1988-1994, 1999-2002, National Center for Health Statistics, Centers for Disease Control and Prevention, 2002, 2004. 2003-2006: Ogden CL, et al. High Body Mass Index for Age among US Children and Adolescents, 2003-2006. JAMA 2008; 299 (20): 2401-05.

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Trends in Obesity* Prevalence (%), By Gender, Adults Aged 20 to 74, US, 1960-2006 ��  *Obesity is characterized as a body mass list of 30 kg/m 2 or more prominent. ��  Age changed in accordance with the 2000 US standard populace. Source: National Health Examination Survey 1960-1962, National Health and Nutrition Examination Survey, 1971-1974, 1976-1980, 1988-1994, 1999-2002, National Center for Health Statistics,

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